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2520 Sanford Ave - E08-001131 (ELECTRICAL REPAIR) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION e Application # `` ` _ Submittal Date: Job Address: 2,5Zd JG 46 r i Jua "'( O' / ! 3 Z7 7_5 Value of Work: $ rU(J• Oy Parcel ID: Zoning: Historic District: Description of Work: Square Footage: Permit Type: Building Electrical T Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical: New Service — # of AMPS Addition/Alteration < Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement . Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Industrial New(Duct Layout &Energy Cale. Requited) of Gas Lines Plumbing Repair — Residential Commercial Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) I..........L............................................................................... .. Property Owner: i e- l )•Y Contractor: Address: --p' Q, i i O X ('V Address: Sa4oso e 2,2?2 Phone:,321-, 2,*7-75g9 E-mail:i t a nexbSn C(>y- Phone: State License Number: Bonding Company: Address: Architect/Engineer. Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E- mail: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. A ptance of permit is nfication that I will notify the owner of the pro of the requirements of Florida Lien Law; FS 713. re of Owner/ Agent Date Signature of ContractorlAgent Date Name Print Contractor/ Agent's Name Signature of Notary - State of Florida Date Signature of Notary -State of Florida Date YP MYCOM>flSStb(# 1) 29096 oF' EXPIRES: February25, 2011 IF00.3-NOTARY- FI. Notvy z+OamrAeeoc. CO. Owner/Agent is Peisona ly"orr 1 %yM' ftdP-- Contractor/Agent is _ Personally Known to Me or Produced 11 i` l'A 1_ 40, kn y f a I / y/n Q _ Produced ID Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT FSS 489.103 Disclosure Statement State Law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law_ The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervision work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. B .OING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103 AS LISTED ABOVE. I HAVE ACCESS TO THE ADOPTED CODES. I AM FAMILIAR WITH THE CODE PROVISIONS. 11 4IHAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY SUPERVISE THE WORK. THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE. I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED. I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A., WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE. Property Address: 2U ,5gV&yd Late_ =S aU J 7S o "e J7 . RCC8's (, do hereby state that I am qualified and capable of at, r eore requested cons ction involved wit a permit application filed. EBBL Jg _ANION' YC'OMNIISGN # DD629096 FormofIdentification ° °xY Fxr rt Fcbna 25 2011 MustbePhotoID) 'N°"1•D;s A violation of this exemption is a misdemeanor of the first degree punishable b a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev.- 4/20/07) Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 1 C 3 1.0 4 1.0 31 DAVID JOHNSON, CFA, ASA 9 a w 1 a PROPERTY 00A0 37.0 1; at APPRAISER 00A1 M 1, 12,0 Ill 145SEMINOLECOUNTYFL. 113 2 14 J3 1101 E. FIRST ST 1140 m 15.0 1J SANFORD,FL32771-7468 y$0 u- 407 - 665 - 7506 1 17.0 :-'- 18.0 3A 117.0 Z* 21.0 2008 WORKING VALUE SUMMARY Amendment 1 impact not reflected. GENERAL Value Method: Market Parcel Id: 01-20-30-506-0000-0120 Number of Buildings: 2 Owner: REED JOIE D SR Depreciated Bldg Value: $99,990 Mailing Address: 405 PINE WAY Depreciated EXFT Value: $28,806 City,State, ZipCode: SANFORD FL 32773 Land Value (Market): $62,000 Property Address: 2520 SANFORD AVE S SANFORD 32771 Land Value Ag: $0 Facility Name: Just/Market Value: $190,796 Tax District: S1-SANFORD Assessed Value (SOH): $190,796 Exemptions: Exempt Value: $0 Dor: 1701- OFFICE/CONV. RESIDEN Taxable Value: $190,796 Tax Estimator Portability Calculator SALES Deed Date Book Page Amount Vac/Imp Qualified 2007 VALUE SUMMARY QUIT CLAIM DEED 07/2006 06424 1341 $8,000 Improved No 2007 Tax Bill Amount: $3,587 QUIT CLAIM DEED 02/2005 05650 0936 $100 Improved No 2007 Taxable Value: $192,283 WARRANTY DEED 01/1997 03184 0243 $28,000 Improved Yes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS Find Sales within this DOR Code LEGAL DESCRIPTION LAND PLATS: Plck... . Land AssessMethodFrontageDepthLandUnitsUnitPriceLandValueSQUAREFEET 0 0 12,400 5.00 $62,000 LOTS 12 & 14 FRANK L WOODRUFFS SUBD PB 2PG44 BUILDING INFORMATION Bid Year Gross Bid Est. Cost Num Bid Class Bit Fixtures SF Stories Ext Wall Value New 1 RESIDENTIAL 1928 5 1,234 1 STUCCO WITH WOOD OR METAL $72,215 $88,607 STUDS Subsection / Sgft OPEN PORCH FINISHED / 36 Subsection / Sgft GARAGE DETACHED WOOD / 342 2 RESIDENTIAL 1930 3 1,388 1 WOOD SIDING WITH WOOD OR $27 775 $69,437 METALSTUDS Permits EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New COMMERCIAL CONCRETE DR 4 IN 2003 15,456 $28,806 $32,921 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value. re_web. seminole_county_title?parcel=01203050600000120&cpad=sanford 3/ 13/2008