HomeMy WebLinkAbout111 Friesian Way 17-1352; FENCE1
MAY 10 20V
L
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 -1 — l 35 2-
Documented Construction Value: $ q&4>
Job Address: ` S 3 7? Historic District: Yes No Lam'
Parcel ID: Residential0-
11-
Commercial
Type of Work: New Addition AlterationEl Rep. air Demo Change of Use Move Description
of Work: mac- c. e IV
Plan
Reviewh Contact Person: % r6a qI2'4 lry Title: 0 DO /) e_r f
Fax:
Email: Property
Owner Information 1
Nam
e d-,j Phone: f/ / r am 0L%,3(l Street:.
J /rnvt %C _ Resident of -property City,
State Zip: 3 Z 3 Contractor
Information Name /
Street: /
f' i
City,
State Zip: Name:
Phone:
Fax:
State
License No.: Architect/
Engineer Information Phone:
Street:
City,
St, Zip: Bonding
Company: Address:
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
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.
Sign re of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Sign Date
JOANN M. JOHNSON
MY COMMISSION # FF 956284
t
EXPIRES: March 23, 2020
Bonded Jhru Notary Public Underwriters
Owner/Agent is Personally Known to Me or
Produced ID / Type of ID RUC_
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[] 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
APPROVALS: ZONING: O UTILITIES:
ENGINEERING:
COMMENTS:
0
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
D2
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 18-20-31-505-0000-0050 Page 1 of 2
fRPR.
54.+N+'fa1.L= rililYllY. FtCN{YMwo
Parcel Information
Property Record Card
Parcel: 18-20-31-505-0000-0050
Owner: CASANOVA ROBERTO & JUDITH
Property Address: 111 FRIESIAN WAY SANFORD, FL 32771
Parcel 18-20-31-505-0000-0050
Owner CASANOVA ROBERTO & JUDITH
Property Address 111 FRIESIAN WAY SANFORD, FL 32771
Mailing 111 FRIESIAN WAY SANFORD, FL 32771
Subdivision Name BAKERS CROSSING PHASE 1
Tax District S1-SANFORD
DOR Use Code
Exemptions
01-SINGLE FAMILY
00-HOMESTEAD(2017)
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 167,569 142,028
Depreciated EXFT Value
Land Value (Market) 34,000 32,000
Land Value Ag
Just/Market Value ** 201,569 174,028
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj......._....,....., 0
P&G Adj 0 0
Assessed Value 201,569 174,028
Tax Amount without SOH: $3,489.00
2016 Tax Bill Amount $3,489.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=l 8203150500000050 5/10/2017
C
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)
v
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
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
arid 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 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
agree that, as the party legally and financially responsible for this proposed construction activity, I will
1 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.
of aware of construction practices and I have access to the Florida Building Codes.
r
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
f
Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
r 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.
ii 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
I, f % Cc CJ?J?-- , do hereby state that I am qualified
and pable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
u re of
Form of Identification -0Z__,
Must be Photo ID)
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
BOUNDARY SURVEY
LEGAL DESCRIPTION:
LOT 5, BAKERS CROSSING PHASE 1 ACCORDING TO Tl• :PLAT THEREOF, AS RECORDED INPLATBOOK60, PAGE 27-29 OF THE PUBLIC RECORDS SEMINOLE COUNTY, FLORIDA.
FLOOD INFORMATION:
BY PERFORMING A SEARCH WITH THE LOCAL GOVERNING MUNICIPALITY OR WWW.FEMA.GOV,
THE PROPERTY APPEARS TO BE LOCATED IN ZONE X. THIS PROPERTY WAS FOUND IN CITY OFSANFORD, COMMUNITY NUMBER 120294, DATED 9/28/2007.
CERTIFIEDTO:
ROBERTO CASANOVA AND JUDITH CASANOVA; OS NATIONAL LLC; CHICAGO TITLEINSURANCECOMPANY
Tract A - Private50' Platted P Roadway
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R=100.00' L-1
L=16.68' N 89035'18" W 8.88' (1') •.
A=9e33'21" N 89023'52" W 8.84' (M).
CB=N84048'3811W L-2
CB=N85020'25"W (M) N 80°01'57" W 50.22' (P) CH=16.66' 16.66' (M)
N 79055'55" W 50.24'. (M)
111 FRIESIAN WAY SANFORD, FLORIDA 32771
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Graphic Scale
60'
Scale: 1"=30'
Field Date: 10y24/2ot6 Date Completed: 10/28/2016 NOTES-
Survey Is Based upon the LegilDesalpti- Supplied by Client. I horaby Certify that this Boundary Survoy of lho above Desoribod Proportyls Two
and Correct to the Bast of city Knuwledgo and Ballot as racondy Surveyed DrawnBy: A.A. FileNumber:IS-32404 AbuttingPropenlesDeeds have NOT been Researched for Gaps. Overlaps and/or Hiatus. 5ubiect to
any Easements and/or Restrictions of Record. under my011edononIheGetoZ.
lt"n;BgsedonInformation fumishedtoMe as Noted and
Conforrr;s to the Slaadnrd s o"-roellco for Land Surveying Legend- C CalculatedPL,
Curvature 6eadng basisshown hereon,
Is Assumed and Based upon the Une Denoted with a'BB-. In the State of Florldr, In mxordonce uilh Chanlor S- 17.052 Florida Ceniedlee Point of Pg. -
Page
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NOTlo be used to reconstruct Property Lines. Administrative Cedos, Pursuenl t dkn 4'7:,p2 Florida Stelulos. B Concrete Bieck PI •
Point of Intersection fence Owneuhl Is NOT determined. p goofoverhan K ICili'
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Without Liability to the Surveyor. Nothing Nereon shallbe Patrick K.irelan b`•,R 4- o°soPa. 6637 LB7623 FFE meritderalAgency Management Agenty R -Radius
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Rodlal ReberCap -LB 7623' Typ. -
Typical 1301
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Lake Mary, Florida 32746 P P.B. Flat Piat Bonk WM -Water
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WWW.IfelandSUNByIng.COm
o- wood Fence 0- • Chain Link Fence
Of ce-407.678.3366 Fax-407.320.8165