HomeMy WebLinkAbout104 Winter Glen DrFEB 1 9 2018
P._
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value:$�j�(
Job Address: �O W �� `e--L �-- istoric District: es D No
Parcel ID:
Type of Work: New ❑ Addition ❑ Alteration ❑
Description of Work: — \,--Zoo
Plan Review Contact Person: L
Phone: 1--- YO-1-41 aax:
Residential Commercial ❑
Demo ❑ Change of Use ❑ Move ❑
r
�L. Title:
Email: f /11'1 C4 a t4 b
Property Owner Information
Name �katj A-11 ed b--, Phone: �� �� f _---7T�
a(
Street:X
Resident of property? .�-S
City, State Zip: Z -7
Contractor Information
Name
Street:
City, State Zip: _
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 _e with all applicable laws regulating construction and zoning.
-7� 1 q // q
Date
— 71110 /Al/
at
NNETTE M BLAND
Signature ofN=wr
Public - State of Rondammission. GG 170900mm. Expires Jan 16, 2022d'.nr-igr.Na-jcna
NOWYAssn.
Owner/Agent is
Personally Known to Me or
Produced ID
Type of ID
Signature of Contractor/Agent
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Date
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❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
_FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
410
e*
4-
14
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
/� Ur
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 responsibility 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
"der 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. I 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 licensed and the status of the contractor's workers' compensation
coverage.
Property Add
and capable of perfor
conditions ied abc
Signature of_QwrTe—r-Builder
Form of Identification
ftCd do hereby state that I am qualified
e requested construction involved with the permit application filed and agree to the
c�
Date
(Must be Photo ID)
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
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work.
JOB ADDRESS: �v / VV �r / ! - % / /yz
STRUCTURE TYPE: S LE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT ( TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF
DECK TYPE (PLEASE SPECIFY):
'"PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED **
ROOF VENTI;YESON: OFF -RIDGE �GE O 03 FFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 -4:12 O 4:12 OR GREATER
z
TYPE ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DowN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DowN
FL#
0INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
I
CITY OF
S-A-` Building & Fire Prevention Division
_ O.______ _ ___
.� RESIDENTIAL RE--ROOFPOLICY &PROCEDURES------- -"
FIRE DEPARTh4ENT
PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED
TIES DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
"PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
• PERMIT CARD, POSTED IN A CONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
• COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
• ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
• DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
• SKYLIGHTS (IF APPLICABLE)
DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OwNER/BUILDER) SIGNATURE: DATE:
r
SCPA Parcel View: 33-19-30-508-0000-0540 Page 1 of 2
oWd donnson, CFA
PPPR
Property Record Card
Parcel: 33-19-30-508-0000-0540
Property Address: 104 WINTERGLEN DR SANFORD, FL 32771-3687
Legal Description
LOT 54
MAYFAIR MEADOWS
PB 29 PGS 31 TO 33
Taxes
Taxing Authority
Assessment Value Exempt Values
Taxable Value
County General Fund
$94,429
$50,000
{ $44,429
Schools
$94,429 1
$25,000
$69,429
_ ... -- _ ._ _ - . ---.- _... _ ._ _. __
City Sanford
_ ..._. .. -"— .. _ ., _ __-- .. -- I
$94,429
- _ _- __.._...
$50,000
$44,429
SJWM(Saint Johns Water Management)
� � � � _
$94,429
J
$50,000
$44,429
County Bonds � ^
$94,429
$50,000
$44,429
Sales
Description
Date
Book Page
Amount Qualified
Vac/Imp
WARRANTY DEED
1 6/1/2012
107808 1804
$102,500 1 Yes
Improved
WARRANTY DEED
4/1I1999
1 03637 1930
$76,500 Yes
Improved
SPECIAL WARRANTY DEED
12/1/1998
i 03567 1957
$54,500 No
Improved
SPECIAL WARRANTY DEED---
EED—
CERTIFICATE OF TITLE
12/1/1997
12/1/1997
03412�1099
i 03341 0109
$100 No
$100 No
Improved
Improved
WARRANTY DEED
11/1/1995
030000553
$72 300 Yes
Improved
WARRANTY DEED
10/1/1991
102346 1 1612
$74 000 Yes
Improved
WARRANTY DEED
5/1/1988
01962 1946
$68,900 Yes
Improved
Find Comparab� Sales
Land
Method Frontage Depth � Units Units Price Land Value
LOT 0.00 0.00 1 $25,000.00 $25,000
Building Information
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=33193050800000540 2/19/2018
THIS INSTRUMENT PREP '
Name:
Address: W� n • LA
—
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number: / Parcel ID Number:
'Miri fl�(11 �l1ll ii�ll I1111 I1�li lilil Iili illi
'i edT O;' 5011HOLE :00TY
EK 913l11 Po 1721 (11'9a)
CLERK' g 2018019154
' r:t:JF:I.I1,at. Lc�- a>1il,ilfi
4"'E'HRCEC 1E-V,, hd-'evorr_,
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
)h
AA " +-G t rL Meadc)v-1 S 16, S 31 i 0
o+ %�
GENERAL DESCRIPTION OF IMPROVEMENT: � �p� �• �,��
OWNER INFORMATION:
Address:
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
CA
Name: _
Name: �' t �
Address: "l w h (ifs bdz --
0 Y
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided bby� �Section
/713.13(1)(b), Florida Statutes.
Name: (C �� I _ ljGt-�
Address: 10`� (AM
In addition to himself, Owner Designates of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penal ies c declare that I have read the foregoing and that the facts stated in it are true
to the t of y(6owledge aid belief.7 &j�� At,
er's Signature O er's Printe "Name
Florida eatute�7. 13er must sign the notice of commencement and no one else may be permitted to sign in his or her stead."
State of do County of--ner 1 I &i 0
The foregoing instrument was acknowledged before me this -t- ay of Gum
by
5
Name of person making statemerl
OR who has produced identification ❑ type of
ti Cps . ANNET E!t5_
y�; p Notary PLblic - State �` ri;;rca
Corrrrissior = GG ' 7C5Ci'
-U'�c" Btorcec rr.JExR res c +'a. "e«
Who is personally known to me ❑
A ��I -'�i
Notary Signature