HomeMy WebLinkAbout1120 W 14 StJON 'CITY Of
ORD
�� Building & Fire Prevention Division
°' PERMIT APPLICATION
Application No:
Doc`c'um nfe— eonstructionf°Va°li e:=$— LOOO. G-
Jo:b-Add-res� s�_LL 2_U &j Historic District: Yes❑No❑
Parcel ID: Residential❑ Commercial❑
Type of Work: New❑ Addition❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑
Dew scriptigmo.f�Work:
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
;^� /� -Property-Owner�ln"forrrration-
CNamee TA AyO t&n
Street: It Lo lr���^ SA-
ity, State Zip: Sooprrc,Q�_.
Name
Street:
City, State Zip:
Phone: /-jZt - 22-C) -Z-1 k1
Resident of property?
Contractor Information
Phone: - r
Fax:
State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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: 6' 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 complian with all applicable laws regulating construction and zoning.
Signa� tur e,-p'f Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Nam Print Contractor/Agent's Name
5= 2-
"I c$
L_<,
Signature of Notary -State of Florida Date
ANNETTE BLAND
Notary Public State of FloriCommission # GG 060623 My Comm. Expires Jam 16, 20
Owner/ gent is Personally nown to e 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: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 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
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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
19,
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
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
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.
.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
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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
A,
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
9rl
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.
Plopefty Address: il�0 f.�) � ���J 1 3 Z7�
and',capable of pe
conditions specifi
O\A A
Signature of Owner -Builder
>n , do hereby state that I am qualified
the requested construction involved with the permit application filed and agree to the
e.
Form of Identification �L .
(Must be Photo ID)
Date
r-_ zi - M
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 Sanford Building Division
:. Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — No PLAN REVIEw REQUIRED
This 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)
o:�° 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 a idavit provided by a Florida Design
Professional (architect or engineer), certifying C code pliance by personal inspection.
A
CONTRACTOR (OR OWNEWBUILDER) SIGNATURE: DATE: ,/
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
Jo-: 110-4
STRUCTURE TYPE: 40'SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: @Vi2EPLACEMENT (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 100 SQUARE FEET F THE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: &OFF -RIDGE O RIDGE 0SOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES &NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 02:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
®SHINGLE
Gf Q (
FL#,�
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
O INSULATED
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#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
SCPA Parcel View: 36-19-30-515-OKOO-0650
Page 1 of 2
v
crn Property Record Card
PA M Parcel: 36-19-30 515 OK00 0650
xrw. xascc� .T xa�Fr„ti Property Address: 1120 W 14TH ST SANFORD, FL 32771
Parcel Information Value Summary 1
........
Parcel 36-19-30 515-OK00 0650 2018 Working 2017 Certified
------ Values Values
Owner(s) gLLEIE L - Tenants m Common 50 00 — ----
(
D Valuation Method Cost/Market Cost/Market
ALSTON DONALL -Tenants in Common 50 00
Property Address 1120 W 14TH ST SANFORD, FL 32771 k Number of Buildings 1 1
_
Mailing PO BOX 1284 ZELLWOOD , FL 32798 Deprecated Bldg Value $33 071 $31,194
Deprecated EXFT Value
Subdivision Name CHAPPELLS SUBD A D
Tax District S1-SANFORD - Land Value (Market) $3 715 $3,715
— -- — -- Land Value Ag
DOR Use Code 01 SINGLE FAMILY -- - -36,, �
- - --
- - - - - - --- -- -- — Just/Market Value "* $36,786 $34,909
Exemptions
------ ---------- Portability Adj
Save Our Homes Adj $0 I $0
Amendment 1 Adj $0 + $0
_ P&G Ad/ $0 $0
Assessed Value 1 $36,786 $34,909
L-LTax Amount without SOH: $664.72
46� �iz 2017 Tax Bill Amount $664.72
�
Tax Estimator
p
4 Save Our Homes Savings: $0.00
42'' Does NOT INCLUDE Non Ad Valorem Assessments
4a -
4 427 32' r
eminole County GIS
Legal Description
E 35 FT OF W 70 FT OF LOT 65
BLK K
A D CHAPPELLS SUBD
PB 1 PG 71
Taxes
_axes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund ; $36,786 $0 $36,786
Schools i $36,786 , $0 $36,786
City Sanford $36 7866r $0 $36,786
SJWM(Saint Johns Water Management) $36,786 l $0 1 36, $36 786
County Bonds $36,786 { $0 I $36,786
.
Sales
Description Date Book Page j Amount Qualified Vac/Imp
QUIT CLAIM DEED 7/1/2011 07613 0671 $13 500 'i No 1 Improved
CERTIFICATE OF TITLE 10/1/2009 Q7277 1626 $100 No Improved
QUIT CLAIM DEED 9/1/1981 01385 0694 $100 No Improved
F1ntl 1realnjaara8le Sales
Land ®
.m. ..
. I Dept----h®�Unds Units Price ® Land Value
FRONT FOOT &DEPTH � � � �� 35.00 ; 60.00 , 0 � $174.00 t $3,715
Building Information
mP Building
Is Bed/Bath count incorrect? Click Here.
Year, Year Bui Built
i
# Description Fixtures Bed Bath Base Area Total SF=Lvng
Ext Wall Adj Value Repl Value Appendages
Actual/Effective��__®_-1992 3 2 1_0 896 j 960 E896 ` $33,071 1 $36,746 f
http://parceldetail. scpafl.org/ParcelDetailInfo.aspx?PID=361930515OKOOO65O 5/21 /2018