HomeMy WebLinkAbout1015 S Magnolia Ave 17-1388; FENCECITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: ,
DoW Construction Value: $ -7 )_
Job Address: /S /U a/vim. 3L?'i / Historic District: Yes No
Parcel ID: Residential Commercial
Type of Work: New Addition Alterationn / Repair Demo Change of Use Move
Description of Work: I,-
i Z
Plan Review Contact Person: Title:
Phone: W 3S3- .o , 3S Fax: Email:
Property Owner Information /
Name / J74 Phone:
Street: ( l S s . %l CY/'f- /1/;5-
Resident of property S I
City, State Zip: /7(
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:
Fax:
n State License No.:
Arch itectlEngineer 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
Revised: June 30, 2015 Permit Application
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 pernut 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 constriction value,
credit will be applied to your pernut fees when the permit is issued.
be done
Signature of
S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
Oom fiance with all applicable laws regulating construction and zoning.
Print Owner/Agent's Name
of
MUM
JOANN M. JOHNSON
MY coMMISSION i FF 956264
EXPIRES: March 23, 2020
Bonded Thru Notary Public Underwriters
Owner/Agent is Personally Known to Me or
Produced ID 1/ Type of ID F7L L
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
Construction Type: Occupancy Use:
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:
Gas Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
e
11
f
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 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
j 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
R,
t
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
I,
and capable of performing the requf
conditions sp ied above.
9
Form of Identification Emile L
Must be Photo ID)
tz .
do hereby state that I am qualified
lved with the permit application filed and agree to the
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
0
1877
CERTIFICATE OF APPROPRIATENESS
HISTORIC PRESERVATION BOARD
CITY -OF SANFORD
300 S. Park Avenue
Sanford, Florida 32771
407.68-8.5145 ° www.sanfordfl.gov/HP
THIS DOCUMENT MUST RE POSTED AT ALL TINES UNTIL
a
PROJECT IS COMPLETED.
ISSUED TO: DATE ISSUED:
Don and Tracey Bailey = May 11, 2017,
for
1015 Magnolia Avenue DATE EXPIRES:
Sanford, FL 32771 November 12,,2017
BP#17-1366
Approved to install approximately 80' boa-rd-on-board-6--wood fencing -on southside-of
property in location depicted`on Figure is Optional.2' of framed, wood lattice may be added
to the upper portion of fence. .
Christine Dalton; AICP
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/or agent'sresponsibility to notify staff of any potential changes from the
approved COA that arise and obtain approval prior to: commencing the changes. This Certificate of Appropriateness
does not constitute final development approval. The applicant is responsible for obtaining all
necessary permits and approvals from applicable departments before, initiating, development. IS
A BUILDING PERMIT REQUIRED FOR THE ACTIVITY LISTED ABOVE? ICl YES NO Building
Department Representative
1
MAY- 5 2017
I44I
o<U l!!!
APPLICATION # J-]' B (Xe
A CERTIFICATE OF APPROPRIATENESS
EJ U. not be
Answer all the questions on this form and submit ionrequirements contactthe Historic Preservation Officer at l required
hl reviewed. If
you, have questions about apple q 407.688.
5145 to ensure your application is complete. General Information '`.
Downtown Commercial
Historic District[]Residential Historic District Is this a retroartment? active reuest?
Yes[] YesYes[]No-
Is this
application filed in response to a Notice of Violation from the Code Enforcement JDep Proposed improvements
will affect the following elevations: North South East El West Property Address:
3 Z 7 7 Property Owner
Information Print Name:
i. Mailing Address:
S • /%,%j-
G--yO c. . Jim'" Phone: Email: " /
D f ; Signature: Applicant/Agent
Information Print Name:
Mailing Address:
Phone: Email:
Signature: MY
BE
REQUIRED FOR HE BY SIGNING
BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT THEBUILD NGDEPARTMENTTTO SCOPE OF
WORK_. ;LISTED BELOW. YOU MUST CONTACT DETERMINE IF
A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN OUBLE PERMIT
FEES, AND N BUILDING PERMIT WILL SIGNING RESULT
IN
A STOP WO . K ORDER, HAT THE NFORMATION CONTAINED IN THIS APPLICATION IS BELOW, YOUALSOKNOWLEDGETTRUEAND
ACCURATE TO T44E OF YOUR KNOWLEDGE. Date: Signature:
s
S
i Would
you
like to receive emails regarding Historic Preservation and Community Planning within your community? Description of
proposed work Completely describetheentirescopeofwork, including changes in material and color, and methods that will be used to accomplish theproposedwork. For large projects an itemized list is required. Use the reverse side if necessary. Al HISTORIC
PRESERVATION
BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.gov/HP
APPLICATION # -7 C J
FOR A CERTIFICATE, OF APPOPRIATENESS
supplemental Information -Please use the space below to provide additional details regarbngroposed work.
Description of proposed work (continued from previous page):
ONLY WORK SPE CIFICALLY INDICATED ABOVE IS PERMITTED. ANY CHANGES
E
ES
AN
TO THE BUILDING MOT LISTED ABOVE ARE N PERMITTED AND RE4UIR
ADDITIONAL CERTIFICATE OF APPROPRIATENESS
Site Details
5'rR
HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 9 www.sanfordfl.gov/HP