Loading...
HomeMy WebLinkAbout412 Bay Ave 17-83; ROOFg w. CITY OF SANFORD 401 BUILDING & FIRE PREVENTION PERMIT APPLICATION IN Application No: z I Documented Construction Value: I Job Address: "t Historic District: Yes El No 0 Parcel 11): Residential [Z CommercialEl Type of Work: Ne,,N, 0 Addition F] Alteration R Repait-E] Demo El Change of UseEl MoveEl Description ofWork: , Plan Review Contact Person: Title: Phone: Fax: Email: Name Street: City, State Zip: Name Street: City, State Zip: Name: Street: City, St, zip: Bonding Company: Address: e: - -' 4 - ') j -)-- - a Resident of property? 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 1AVICE FOR IMPROVEMENTS TO YOUR PROPERTN'. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ONTIILJOB SITE BEFORE TIIL FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDEIR 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 conuncnced prior to the issuance of 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 intist be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. 11W 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition (2014) Florida Building ('ode Revised June 30. 2015 Permit Application NOTICE: In addition to the requirements of this permit, there may be;adtlitional 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 [CC 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. t'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will in mp ance with all applicable laws regulating construction and zoning. Signature ofOwner/Agent Print Owner/Agent's Name Date Signature of Fl—id - - DEBBIE BLANTON k1Y 001VIN415SION # t F 178648 EXPIRES: Fobruiry 25, 2019 Boiled 1hru Notwf Public Undeiww4m Owner/Agent is — Personally ",vn to Me or Produced ID — Type of ID - ( \ i - e- Y-:0 - c), I/'I Signature ofCotitractor/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 E]Electrical [j Mechanical[] Plumbingr] Gas r] Roof El Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes R No [] APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes [] No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 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 in owner -builder permit under ail exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as niV own contractor with certain restrictions even though I do not have a license. rt I understand that building permits are not required to be signed by a property owner unless he or site is responsible 101- 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 filedI in his or her name instead of my own name. I also understand that a contractor is required by law to be H11 - licensed in Florida and to list his or [lei- 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 Illy 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 [case, 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 all OWuC1*_bUiIdC1- permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, 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 Nvith 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 Illy 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 zoninE 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 Adft fj I N, 1 1 L L4_ J 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 sl cecified above. — 111-\ I re of Owner -Builder Date Form of Identification Must be Photo ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding I 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. f Rev. 9.14.2009 SCPA Parcel View: 3 0- 19-' ) 1-517-OCOO-0080 Page I of 2 UVId 1I.W. GfA A 'FWRR Parcel Information Parcel 30-19-31-517-0000-0080 Owner JACKSON SHARON Y Properly Address 412 SAY AVE SANFORD. FL 32771-2143 Mailing 412 S BAY AVE SANFORD, FL 32771-2143 Subdivision Name Tax District Sl-SANFORD DOR Use Code 01 -SINGLE FAMILY Exemptions 00-HOMESTEAD(2013) Value Summary 2017 Working 2016 Certified Values Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 50,294 48,524 Depreciated EXFT Value Land Value (Market) 9,048 9,048 Land Value Ag 59,342 57,572 Portability Adj Save Our Homes Adj 2,834 1,457 Amendment I Adj P&G Adj 0 0 Assessed Value 56,508 56,115 Tax Amount without SOH: $558.37 54736 Save Our Homes Savings: $11.01 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description LOT 8 (LESS N 27,28 FT) & E 112 OF VACD ALLEY ADJ ON W BLK C FELLOWSHIP ADD PB8PG3 Taxes Taxing Authority Assessment Value Exempt Values Taxable Value Schools 56,508 25,000 31,508 City Sanford 56,508 31,508 25,000 SJWM(Saint Johns Water Management) 56,508 31,508 25,000 County Bonds 56,508 31,508 25,000 County General Fund 56,508 31,508 25,000 Sales Description Date Book Page Amount Qualified Vac/Imp SPECIAL WARRANTY DEED 1211/1978 26,600 Yes Improved SPECIAL WARRANTY DEED 1/1/1975 15,000 No Vacant Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 55,00 128,00 0 175,00 9,048 Building Information Year Built FixturesDescription Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE 1978 6 930 1,204 1,120 CONC 50,294 62,283 Description Area FAMILY BLOCK 54,00 littp://parceIdetai1.scpall.org/ParcelDetailInf"o.aspx'?PlD=30193 151 700000080 1/3/2017 City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT ADDRESS: e AS AGENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER,•xE1RCH[TECT, OF F.S. CHAPTER 46$ 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, EXISTING 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). ASomPAt+y4-4;oNT4"GTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICE DATE:,-, 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 INSPECTI(), ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING, UNDERLAYMENT, 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 TtiE 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 11 Sworn to and Subscribed before me this day of 20 by: is 0 Personally Known to me or has-B Produced (type of RF identification) as identification. ZK "t, Saiure of Public e of Flo ida N"y W. ROBERTS k mycommlssioN#FF011041 Print/Type/St j EXPIRES: September Z 2011 of Notary Publi", 4, 4"OThru"geHftgrystl*"