HomeMy WebLinkAbout2005 S Cedar AveE
Building & Fire Prevention Division
PERMIT APPLICATION
Application No:
Documented Construction Value: $�
Job Add ressllf_�'�00,j .5• r t% j 03220 Historic District: Yes❑No❑
Parcel ID: ResidentialeCommercial❑
Type of Work: New[] Addition[] Alteration ❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑
Description of Work;===3 P
Plan Review Contact Person:
Phone:
Fax:
Email:
Property Owner Information
Title:
Name , I Y`AA -CiC(Z(W Phone: _cD-l'
Street: �l JC �-e��i i^ f Resident of property?
City, State Zip: a Z7
Contractor Information
Name Phone
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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: 0' Edition (2017) Florida Building Code
Revised: January 1, 2018 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 compliance with all applicable laws regulating construction and zoning.
>v '
signature of caner/Agent D e
Print Owner/Agent's Name
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
SignaturofNotteofFlorida Signature of Notary -State of Florida Date
JENNIFER M. GOLLOWAY
Nolary Public -Slate of Florida
Commission A GG 162235
My Comm. Expires Nov 21, 2021
Own su=17 4op Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[] 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
j� APPROVALS: ZONING: l►- �� l� SVl,U TILITIES:
T�
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
Ok to installx IU (_i6D._sgft) shed as shown
on plan. Meets area and dimension regulations for the
SRJ,__zoning district. Shed must be a minimum of
7. S ft from the side property line and a minimum of
_from the rear property line.
BUILDING:
Revised: January 1, 2018
Permit Application
i
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.
1 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 1 year after the construction is complete, the law will presume that I built or substantially improved it
M�T
for sale or lease, which violates this exemption.
II
1 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
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. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
m`�)4-
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
�Aaril--k-11-
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 Address: � J . G a r Oz)
, Er,2 2,1t-tr , 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
Form of Identification
(Must be Photo ID)
Date
LT.1LO l y
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
CITY OF
.�,,,, . S
Building &Fire Prevention Division
4 .t].l �i A�.1J
FIRE DEPARTMENT
---- -- - -- --- --RESIDENTIAL_. SHED_ AFFIDAVIT-_____-.-
(120 SQUARE FEET OR LESS)
'7 (�00 ADDRESS����
PERMIT #:
,HEREBY AFFIRM THAT ALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE. THE SHED TO BE INSTALLED ON THE PROPERTY LISTED ABOVE WILL BE REQUIRED TO MEET THE
FOLLOWING: INSTALLED TO MEET ALL MANUFACTURER REQUIREMENTS, PROPERLY TIED DOWN PER MANUFACTURER
RECOMMENDATIONS, AND LOCATED ON THE PROPERTY IN ACCORDANCE WITH THE APPROVED SITE PLAN. SITE BUILT SHEDS MUST
THE SHED IN THE APPROVED
ADHERE TO COMMON CONSTRUCTION
C TY CODES AND COULD RE ULT IN THE SHED HAVING TO BE RE D THAT FAILURE TO PROPERLY LOCATE OCATED OR T KEN OWN AT HE
LOCATION WILL BE A VIOLATION
OWNER'S EXPENSE.
LICENSED CONTRACTOR
LICENSE #
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
/ KJ+OMEOWNE
OWO•WNER/BUILDER
OWNER / BUILDE]
Win,
DATE:
j/V__y
DATE:
**PLEASE NOTE" ZED 120 SQUARE FEET OR
THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS
ON SHEDS SI
T HE TIME OF PERMIT SUBMITTAL AND
LESS. THIS AFFIDAVIT MUST BE PROVIDED, SIGNED AND
WILL SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE SHED.
STATE OF FLORIDA COUNTY OF \S
Sworn to and Subscribed before me this day of
20 t' Eby:
_---- _-_. _-__-_ .__ ___._
�/1w�—� ��1y Who is ❑ Personally Known to me or has oduced (type of
identification) as identification.
Signature of Notary Pu I c
State of Florida
Print/Type/Stamp Name
of Notary Public
"'�'''• JENNIFER M. GOLLOWAY
. k,
1. Notary Public - Stale of Florida
Commission N GG 162235
"•'� ,,, „, Y' My Comm. Expires Nov 21.20210,
Effective: August 1, 2017
CITY OF
SkNFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
SHED / GAZEBO PERMIT GUIDELINES
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
❑ Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
❑ Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value of the project.
❑ Copy of applicable contractor's license issued by the State of Florida (if contractor is
applicant).
❑ A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
❑ Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
❑ Owner Builder Statement / Affidavit (if owner is applicant).
❑ Two (2) site plans indicating proposed location and distances to property line(s).
❑ Shed 10'x 12'or less:
• Signed and notarized Shed Affidavit
❑ Gazebo 10' x 12' or less:
Two (2) copies of Construction plans (legibly hand -drawn or drafted) indicating in detail how the
structure will be built. All framing members and sizes as well as framing connectors must be
specified.
Foundation detail — how will gazebo be secured to the foundation
❑ Shed or Gazebo greater than 10' x 12' :
• Two (2) sets signed and sealed engineered drawings. Wind design data required on drawings per
FBC 1603.1.4 to meet 129 mph ultimate design wind speed for risk category I buildings.
• Completed and signed Statewide Product Approval Specification Form.
• Two (2) copies of manufacturer's installation instructions.
• Florida State Department of Community Affairs Approved Building.
These guidelines were compiled to assist the applicant in preparing a Shed / Gazebo permit application and may
not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Effective: August 1, 2017
Boundary
Survey
WI
=)I
Z I}
W<LU
z Q' r o
aW o
r aQ'ixx
(L RWIW=
W U��a
U =IaQ
01
'
!/ BASIS OF
LIST OF POSSIBLE E
DLS #: 18-03-00
CLIENT #: 2005 SC
FIELD DATE: 03/
DRAFTER: GH
APPROVED:BHH
CERTIFIED TO: AS
STEVEN FRAZIER
LORRIE FRAZIER
I.
v
co
0
CD
C:)
to
FND AXLE
NO Off
ALLEY
14' PLATTED RIGHT-OF-WAY
ASPHALT ROADWAY
--N 89e55'35" E 113.52' M)-
N 90000'00" E 113.68' P)
IRON ROD
NO ID#
ENTRY
RESIDENCE
# 2005
END IRONRODN 90°00'00" W 1.28.68'(P)
'1 PSM3382 N 90000'00" W 128.70'(M)
LOT 158
L1 - S 00000'00" E 37.00'(P)
S 00023'57 W 37.00'(C)
SEC 112' IRON
ROD & CAP
L8 8121
LOT 157
7
V I
END 112"
IRON ROD
NO ID# i
I1
i
CURVE TABLE - PLAT
CURVE
ARC LENGTIi
RADIUS
DELTA ANGLE
CHORD BEARING
CHORD LENGTH
CI
23.56'
15.00'
90°00'00'
S 45"00'00" E
21.21'
CURVE TABLE -MEASURED
CURVE
I ARC LENGTH
RADIUS
DELTA ANGLE
CHORD BEARING
CHORD LENGTH
Ct
23.75'
15.00'
<.10`43'26'
S 45'35'23" E
21.35'
_° Ok to installx�_(�Qsgft) shed as shown
END 4"X4' on plan. Meets area and dimension regulations for the
NCONC O U'ANIONURIEN' SRI_zoning district, Shed must be a minimum of
i .r ft from the side property line and a minimum of
SET 1/2' IRON
ROD & CAP
—L8 8121
END 112"
IRON ROD
NO ID#
/J 17' S. ON LINE
I Q
UL
U
�Oo
Uj 0
J iY I-
J Cl
¢LU mod
�a
V
from the rear property line. 1HIC S'
GRAPHIC SCALE
�.. -
LOT 157, PINEHURST, ACCORDING TO THE PLAT THEREOF,
AS RECORDED IN PLAT BOOK 3, PAGE 71, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
: BEARINGS SHOWN HEREON ARE BASED ON THE EAST LINE OF LOT 20, BLOCK D, BEINGS 00°46'08" W, PER PLAT
=NTS: ROADWAY ALONG NORTH AND EAST LINES AS DIMENSIONED,
H CEDAR
8
I Ablating prr,NMW. nav',I rMI bane I —Ideal for gaR:. owIMIH, eadlnr
ninm,
2. In rnrnr2inrcn riAh F.F.L. R1G1 ]•R.rktalf-E, i/ MCAdnn of nnu:m,nLt,s
dph!aal-way ofrornrd. allrr InM Ihosb On ad mfmdedp"r¢aem>d, lhls
infom!atlon roost be lurnishod b tlw sunCYor Nmapperne,
J. Fence ow—hio 6 not dete'miaed
a, la, nndmgramd hnr,o neat, er slnnlures were Lxatad by INs survey,
unless oTembe noted
6 ants senx:v ar%.,u ali be k for & (ifio ad) perpesoa
R. Any seplie c,rM. Ur tlminLNid k%etlrmi liftoond) x!a xpD!o%inm'x
]Fronerty Amexa 1Whninowmenla 6I— were physloa:y bJtO
'I! y 6 d survey ,
R. llonu!neat, hwnd or .1 an, crown j
cnlnlated lines,md inlennatlnn ate nv rod by (c)
9. CemDWatbm:A lines and or dean no! Igmd pan eho„, N:. (C)
10. FCnea1-obAirad in INs sunny in, greeter man (mreg I- In 5e0ry,
'.. 014, ahem rm in ]506'. (oome—li r'm IO,ONY
I1. n,lar tc surveY• Inlnmuamn obanned was legal deseapdon proWded by
dice,' Imm punlicly ollNiohnd eounlyleY mlicdor she, NmMN (Ants
rabr xckxr cen'nr'e—Is, tr apol-lblo
12. Ifanly a dig'aI coney ctY:yls luqul!cd, a seney repot" 'if
t f ph —
We. Tlx; dln%,I on—y h nn! !ell and ren+lAMrt wilhrml lhC aunx-y repon no.
USE AND BENEFIT OF THE PARTIES LISTED HEREON.
LIABILITY TO THIRD PARTIES MAY NOT BE
TRANSFERRED FOR ASSIGNED.
LEGEND'_
AX
-AirConditioner
P -Plat
C
- Calculated
PB - Plat Bonk
q
- Centerline
PC • Point of Curvature
Ca
• Concrete Block
PI • Point of Interseeoon
CM
• concrete Monument
POB -Point of Beginning
CONC
- Concrete
POC - Point of Commencement
COV
- Covered
PP - Power Pule
D
- Deseriplion
PRC - Point of Reverse Curvature
DE
- Drainage Easement
PRM - Permanent Reference
DUE
- Drainage & Utility Esml
Monument
DPoV
- Driveway
R • Radius
- Radial
ESMRAD
• Easement
R&C - Reber & Cap
FEE
- Finished Floor Elevation
RFD - Roofed
IF
- Iron Found
- Pipe
UE • Utility Easement
L
- Length (Arc)
(
WM - Water Meter
M
Measured
A . Della (Central Angle)
N&D
- Nail & Disk
-a- - Wood/PVC Fence
NR
• Non -Radial
.o- -Chain Link Fence
OHU
- Overhead Utility Line
ORB
- Official Records Book
FOR ALL INQUIRIES
CONTACT:
Deal Land Surveying, LLC
804 S. French Avenue
Sanford, FL 32772
407-870-3796
INFO aldeallandsurveying.com
FLOOD ZONE INFORMATION
(FOR INFORMATIONAL PURPOSES ONLY)
SUBJECT PROPERTY SHOWN HEREON APPEARS TO BE LOCATED IN
FLOOD ZONE X, AREA OUTSIDE OF THE 100 YEAR FLOODPLAIN,
PER F.I.R.M. PANEL NUMBER 12117C 0070F
LAST REVISION DATE 09.28/17
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS SKETCH OF SURVEY WAS MADE UNDER MY
RESPONSIBLE CHARGE AND TO 711C BEST OF MY KNOWLEDGE AND BELIEF SAID
SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY.THE FLORIDA
BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 5J-17 FLORIDA.
ADMINISTRATIVE CODE. FURTHER, THIS DOCUMENT IS ELECTRONICALLY SIGNED AND
SEALED PURSUANT TO SECTION 472.027 OF THE FLORIDA STATUTES AND CHAPTER
5J-17 OF I'HE FLORIDA ADMINISTRATIVE CODE. -
DATE OF FIELD WORK: 03/12/18
DATE SIGNED: 03I28/18
DEAL LAND SURVEYING, LLC LB 8121
NOT VALID WITHOUT AN AUTHENTICATED ELECTRONIC SIGNATURE
I DATE I REVISION I DATE I REVISION I