HomeMy WebLinkAbout2613 Hartwell Avei _DC;
CITY OF SANFORD
FES 14 BUILDING & FIRE PREVENTION
l PERMIT APPLICATION
Application No:
do
Documented Construction Value: $ 2aaa,
Job Address: 2�`✓0 �l ��� I✓`� �� n�a�� �� S "L 1 S Historic District: Yes ❑ No
Parcel ID: Residential 0 Commercial '❑\\
Type of Work: New ❑ Addition S,,��AlterrMation ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
t l p Description of Work: 5 4e, IJIAC.l1 A)r (,h
Plan Review Contact Person:
Phone: q 07 9 Z% 0, 63
Fax:
Title:
Email:
Property Owner Information L
%
Name % � / G' �/%/ / , �� (L � Phone: d
Street: 2 6 15 #(4. r 4 (,,L)t /1 We- Resident of property? : k_
City, State Zip: 5;C �''ol �!� J L f 7
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code /A
Revised: June 30, 2015 Permit Application i�' r)
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.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A'copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas El Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
Jo,
se-v �
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: sF 4-11-18
Ok to install new roof at existing porch as shown on plan. Meets area and dimension regulations for the
SR-1 zoning district.
Revised: June 30, 2015 Permit Application
OWNER BUILDER STATEMENT/AFFIDAVIT
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
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in I year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the're'sponsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev- 9.14.2009
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. 1 also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property ed and the status of the contractor's workers' compensation
coverage.
Property Address:
I, , do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Builder
Form of Identificatio
(Must be Photo ID)
Date
A violation of this exemption is a misdemeanor of the first degree punishable by 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.. 9.14.2009
SCPA Parcel View: 01-20-30-504-2900-0220
Page 1 of 2
oav#�o.bpt�son,CEA Property Record Card
PA�� Parcel: 01-20-30-504-2900-0220
s[ caavT:riarmn Property Address: 2613 HARTWELL AVE SANFORD, FL 32773-5008
Value Summary _ �
2018 Working
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value-�
$58097
$5-44,,7994��-
Depreciated EXFT Value
m
$1,740
, $1,821 4�
-
Land Value (Market)
$10,200
$10,200
Land Value Ag
Just/Market Value "
$70,037
( $66,818
Portability Adj
Save Our Homes Adj
$17,715
` $15,572
Amendment 1 Adj
$0
P&G Adj
$0
$0
Assessed Value
$52,322
$51,246�
Tax Amount without SOH: $586.52
2017 Tax Bill Amount $484.23
Tax Estimator
Save Our Homes Savings: $102.29
Does NOT INCLUDE Non Ad Valorem Assessments
Seminole County GI
Y Legal Description
LOT 22 BLK 29
DREAMWOLD
PB4PG99
Taxes
Taxing Authority
Assessment Value
Exempt Values
Taxable Value
County General Fund
$52,322
$27,322
$25,000
Schools
f $52,322
$25,000
$27,322
City Sanford
._,,,....
- $52,322
v
$27,322 `
_ $25,000
SJWM(Saint Johns Water Management)
$52,322
$27,322
$25,000
County Bonds
$52,322
$27,322
$25,000
Description Date
Book Page
Amount
Qualified
Vac/Imp
WARRANTY DEED 9/1/2003
05079 0215
j $94,000
Yes
Improved
WARRANTY DEED 1/1/1977
01146 0990
$22,900
Yes
Improved
WARRANTY DEED 1/1/1973
01003 0756
$23,500
Yes
Improved
Find Comparable Sa#es
Land
Method Frontage Depth Units Units Price Land Value -�
LOT 0.00 0.00 1 $12,000.00 $10,200
Building Information
# Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
1 SINGLE 1972 5 3 1.51 1,051 1,400 1,345 CONIC $58,097 $77,463 Description Area
FAMILY BLOCK
294.00
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=01203050429000220 2/15/2018
REQUIRED INSPECTION SEQUENCE
IPTP4E. .0 o O .
i.1BolllU1LDYwgIP'e1E&mr
min 1 .-Mx rusipection I(Descrl ti6n.
Footer / Setback
Stemwall
Foundation / Form Board. Survey
Slab /'Mono Slab Prepour
Lintel / Tie Beam / FiII / Down Cell
Sheathing— Walls -
Sheathing — Roof
Roof Dry In
o
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
O
Final Roof
Final Stucco ./ Siding
insulation Final
Final Utility Building
Final Door
Final Window
Final Screen.Room
Final. Pool Screen Enclosure
Mobile Home Building Final
Pre -Demo
Final Demo
Final Single Family Residence
DSO
Final. Building. Other
REVISED: June 2014
Arta dTrR.qs! J,. o-r. .� - _
UIUCA 1�'lEQ�1g➢ b ..... .
l�llnn
MaX
Iln��citIl®n IlDeSeII'Ilfl®n
Electric. Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
IL
Pre -Power Final
Electric Final
ya
Mfin
-mIGtaa w.a- �,x �ti� � tit r�xsF.l�;�w�{G+p`'�3y` ��~ �'"r` �'�•'�"�° �. : �d `' ,. �'R'Nm`
mkx. ]Ind ctio esc�n� n
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
,
Max
Ins ecdon JfDescrnpfi®n
Mechanical Roujh-
Mechanical. Final.
,
� wry
MnT[ �{
. 1V." 1V'!L�}%
.y 7(� �y.,, ;
I(�.� ��LLIl.®�. 11J/�..Q�QIl ..LLi
Gas Underground
Gas Rough
Gas Final
._. 7 r,%
Legal Description
Lot 22, Block 29, DREAMWOLD 4TH SECTION, according to the
plat thereof, as recorded in Plat Book 4, Page(s) 99, of the Public a a y a a
tW° t es
Records of Seminole County, FL.
a r a a q I° { a ; o 7' P a2
Community number: 120294 Panel: 0045 e> a; e ;r 4 s> s c a s
Suffix: E ELR.M. Date: 411711995 Flood Zone: X
Date offield work: 912512003 Completion Date: 912612003
e K I F E p I ° •e m a F I F a
Certified to: C• fi
Alicia Hidalgo; First American Title Insurance Company; Riverbanks ` e M v '
Mortgage, its'successors and/or assigns, r;. " ' a ° " s V "" r!
a v
s I � i I { `• ,f,r �J a � 2, �i
LOT 23
BLOCK 29 L 0 r 9
46 M 123.43' r. R• 1/2" BLOCK 29
123.
r.4A1/2" ( ) O 1.4
0.4' S
a �
1h 43.61' ems, 1.4'
4 to
v O "> 4tiF *fit, I hO
U ^ 14 [t d
\� � LO
��
o�T 22 �
►� •1s.ao ° BLOCK 29 n LOT 10
�- 4' co/vc. ONE STORY Trill BL OCK 29
Z v S/`" RES# 2613 �'�` i o
�O
•e a� A � o� 0� L.
Q) 30. 00,
-' 0.2'
t i R 1/2" 122.65 (M) 123.28(P) a r'
N
Lor21 F.LR.1/2" LOT > >
BLOCK 29 BLOCK 29
� o
0
0
h
• o
r 4R.1/1 " ,
Ok to install new roof at existing porch as
pLp&Nshown on plan. Meets area and dimension
regulations for the SR-1 zoning district.
. .x Property Address:
2613 South Hartwell Avenue
Sanford, FL 32773
?GEND - Wood Fence CATV Cable Riser M.H. Manhole Survey number: SL 24712
x- Wire Fence W.M. Water Mctcr N.T.S. Not to Scale
1. Found Nail TEL. -Telephone Facilities O.R. Official Records GENERAL NOTES
Property Comer ® Covered Area O.R.B. Official Records Book 1. Legal description provided by others.
Record B,R. Bearing Reference P.C.P. Permanent Control Point 2. The l r ds shown hereon were, not abstracted for casements or other recorded encumbrances not
Field Measured CH Chord shwn on the plat.
P.R.M Pcmmnent Reference Monument 3, Unoderground portions of footings, foundations or other improvements were not located.
Clear RAD Radial PG. Page 4, Wall tics are to the
race of the w; it.
CR Encroachment N.R. Non Radial PVMT. Pavement 5. Only visible encroachments located.
Centerline A/C Air Conditioner P.B. Plat Book 6. No identification found on properly corners unless noted.
7. Dimensions shown me plat and measured Imless otherwise noted.
Concrete B.M. Benoit Mark P.O.B. Point of Beginning gyttvauons 1 wn are based upon N.G.V D. 1929 unless otherwise noted.
Property Line C. Calculated P.O.C. Point of Commencement �4pdjo;ning lots ar within the same block, unless otherwise noted.
1. Concrete Monument Block Wall P.O.L. Point on Line / lo. Tllis is an AS•BU LTSURVEY unless otllcnvisc noted.
2. Found Iron Rod Central Angle/Delta P.C. Point of Curvature 1 I. Not valid unless . rated wial 111c signi a surveyors cnsbosscd seal.
Found Iron Pipe D.B. Deed Book P.R.C. Point of Reverse Curvature I 12. Flood zone L%tc.�inations arc provi cd asa courtesy onlyand arc derived from the best sources
J Ri ht Of Wa D. Descri lion or Deed P.T. Point of Tan ere available tor. This info motion should not be relied upon for flood insurance
B Y P g Y -rposes, arfrominr nation provided by others.
D Nail 4, Disk D.H Drill Hole R. Rtidius (Radial)Drainage Easement D/W Driveway R.O.E Roof Overhang Easement lhmr li•cerRjycris n,r ennrlcnrrtcrrx7u,•,unlin�f, s,nr°7•p,rpnmd,ordernp•di, •c,ia,.Utility Easement ESMT Easement S.LR. Sct Iron Rod &Cap
Found EL Elevation S/W Sidewalk
Plat F.F. Finished Floor T.O.P. Top of Bank Rnlph Sn•erdlaR Rcgstered Land Surveyor No. 3411
7W Asphalt F.C.M Found Concrete Monument TYP. Typical I.U.werdloti& Long Surveying, Inc.
U. Overhead Utilities F.P.K. Found Parker -Kalov Nail W.C. Witness Comer
Power Pole L Length 10.05 Existing Elevation 365 Waymont Court, Suite 109, Lake Mary, FL 32746
Transformer L.A.E Limited Access Easement E.O.W Edae Of. Water Voice 407.688.7631 Fax 407.688.7691
I
CITY OF ,
S��FORD
Building & Fire Prevention Division
Y'
RESIDENTIAL RE-ROOFAFFIDAVIT
FIR; DcPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT ##: I8— 896 ADDRESS: 2613 6iz-ivs� A
I , C' i ' \ �y a �J `�—S AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, ExisTiNo BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE #:
COMPANY/CONTRA
CONTRACTOR SIGNA
(MUST BE SIGNED BY
CTOR:
A FINAL. ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL. PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECIDING,
UINDERLAYN1 ENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY: AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF S em I o b I�
Sworn to and Subscribed before me this _s— day of J 2010 by:
A_I\ va Who is 0 Personally Known to me or hasX Produced (type of
id ratio by- tv t CQ ) SQ as identification.
Signa of Notary Public
State Olorida a M ° -FjOSHUA L JESSIE
Notary Public - State of Florlds
Omission N GG 222249
Print/Type/Stamp Name
Comm Expires Jun4, 2622
of Notary Public
� 4
�'tyyf f i
�SPZyFORp �! �
Ml
ss" BUILDING DIVISION
August 29, 2018
2613 Hartwell Drive
Sanford, FL 32771
Permit # 18-896
The work under the above referenced permit has been completed without any inspections
conducted by the Building Division.
In accordance with State Statute and the Florida Building Code, all work must be made
accessible for inspection.
Since no inspections were conducted or approved and the job is completed, the permit applicant
acting as Owner/Builder is required to submit a signed & sealed affidavit from a Florida
registered engineer or architect stating the following:
" I have personally inspected the work at 2613 Hartwell Drive and
certify that the structure was built in accordance with the approved plans and the 2017 Florida
Building Code."
This affidavit must be submitted to the Building Department prior to October 13, 2018. Upon
submittal, a Final Inspection will be approved and the permit will be closed in good standing.
Sincerely,
Steve Fiorey, CBO
Deputy Building Official
Jeff Triplett Art Woodruff Velma H. Williams Patrick Austin Patty Mahany Norton N. Bonaparte, Jr.
Mayor District 1 District 2 District 3 District 4 City Manager
City Hall, 2nd Floor • 300 North Park Avenue • Sanford, FL 32771-1244 - PO Box 1788 • Sanford, FL 32772-1788
p. 407.688.51 SO • f.407.688.5152• sanfordfl.gov