2623 Mohawk Ave - BR08-000582 (REPAIR OVERHANG) DOCUMENTSr CITY OF SANFORD PERMIT APPLICATION
Application #:
Job Addres'a i%
Parcel ID:
CD—escription of Work:
Permit Type: Building
Zo
t
Electrical Mechanical Plumbing
Submittal Date:
a
CVal'ue of Work: $ 2, Me
Historic District:
Square Footage:
Fire Sprinkler/Alarm Pool Sign
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole EI
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential- # of Water Closets Plumbing Repair —Residential Commercial
Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FENIA form required )
Property Owner Contractor:
t2Address: * ,1, .`k !k!Nbv, . Address:
Lhon — E m il: Phone:
Bonding Company: Mortgage Lender:
Address
Architect/Engineer:
Address
Plan Review Contact Person:
Address:
Phone: Fax:
State License Number:
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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
e of Owner/Agent Date Signature of Contractor/Agent Date
V
s Name
Signature of Notary -State of Florida Date
I MY COMMTSSION # BB629096
Na 7 EXPIRES. February 25, 2011
11_ov cl° Fl. Notary Disccwu A-11- Co.
NOTARY _
Owner/Agent is _' ona y nown to Me orb 0 Q
Produced ID 1 /
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG: BLDG:
WA,
OWNER BUILDER STATE MENTIAFFIDAVIT
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.
SIGNING 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.
1 AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE 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'\
do hereby state that I am qualified and capable of
the requeste construction involved with the permit application filed.
Form of Identification
Must be Photo ID) <.ar
my cons ,fil P Mlj
A violation of this exemption is a misdemeanor of the first degree punis od3y jWAr tn5ent not
exceeding 1 year and a $1,000.00 fine in addition to any civil penaltie 4h` itiioon; A6 9I J%Irmitting
jurisdiction shall withhold final approval, revoke the permit, or pursue any action or r;iinlicensed
activity against the owner and any person performing work that requires licensuire under the permit issued.
Rev. 4/20/07)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
PARCEL DETAIL
D"m JOHN90N:. CFA. ASA
PRQPERTV
APPRA15ER
SEMINOLE ONTY.FL.
t to1 E. R&S+'ST
SANF0R0,,FL 32771.14BB
407 - 665/ 75 6
2008 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 01-20-30-504-2100-0140 Number of Buildings: 1
Owner: ALLEN LOUISE & Depreciated Bldg Value: $79,283
Own/Addy: ALLEN GLENDA F Depreciated EXFT Value: $6,219
Mailing Address: 2623 MOHAWK AVE Land Value (Market): $15,600
City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0
Property Address: 2623 MOHAWK AVE SANFORD 32771 Just/Market Value: $101,102
Subdivision Name: DREAMWOLD Assessed Value (SOH): $63,316
Tax District: S4-SANFORD- 17-92 REDVDST Exempt Value: $25,500
Exemptions: 00-HOMESTEAD (1994) Taxable Value: $37,816
Dor: 01-SINGLE FAMILY Tax Estimator
Tax Reform Calculator
2007 VALUE SUMMARY
SALES Tax Amount(without SOH): $1,431
Deed Date Book Page Amount Vac/Imp Qualified
2007 Tax Bill Amount: $677
WARRANTY DEED 06/1980 01284 1595 $100 Improved No
Save Our Homes (SOH) Savings: $754
2007 Taxable Value: $36,272
Find Comparable Sales within this Subdivision
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LAND LEGAL DESCRIPTION
Land Assess
Frontae DeLand
Unit Land gp
PLATS: Pick...
Method Units
Price Value LEG LOT
14 BLK 21 DREAMWOLD PB 4 PG SQUARE FEET
0 0 7,800 2.00 $15,600 99 BUILDING INFORMATION
Bid e
Ext
Wall Bid Value Year BaseGrossLivingEst. Cost Bid Type
Fixtures Num Bit
SF SF SF New 1 SINGLE
1961
3
960 1,124 960 CB/STUCCO 79,283 $108,607 FAMILY FINISH
Appendage / Sgft
ENCLOSED PORCH UNFINISHED / 128 Appendage / Sgft
OPEN PORCH UNFINISHED / 36 NOTE: Appendage
Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished,
Base Semi Finshed Permits EXTRA
FEATURE
Description Year
Bit Units EXFT Value Est. Cost New POOL GUNITE
1980 516 $4,128 $10,320 COOL DECK
PATIO 1980 522 $731 $1,827 ALUM SCREEN
PORCH W/CONC FL 1989 240 $816 $2,040 ALUM SCREEN
PORCH W/CONC FL 1970 160 $544 $1,360 NOTE: Assessed
values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes. http://www.
scpafl.orglweblre_web. seminole_county_title?parcel=0120305042100014O&cp... 1 /7/2008