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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 Friesian Right-of-waylanWayAsphaltR0arl — R/VV)— — — — 10' Utiliiy Easement Fnd. X- VVN----------------- C." %f.. Cie Fnd.'" Rebar aP i - t35 Z (No Identification) ZONIN _ DATE Y 5 dU'39'27" E 75.05',(M) S 89*35'18" E 75.00' (P) vl_ tD "V S+at1 (0 uh l Not Part of this Plat p vl,, • ko ct OVI) . . pkan o'nCurv-e, e D ll ata 1t C-1 me Data 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 2' Miami Curb & Glitter 4' Concrete Sidewalk tv NN 0 CD Lot 6 zz l- (0, Fnd. Yd' Rebar CNoIdentification) .- E S 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 0uliding Tlesare 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' RF< CM Cone. D ConcroteMonument Concreio Deocrlptlon P.O. B. - Point OfBeginninggs, P.O.L.PO- Point on Una PPPdo Underground Utilities and/ or Footers have NOT been located UNLESS Scptllsenoten •' Septic Tanksand/er Oginfleid loalionsareapproximate and MUST be by 7,rFP ,V.9,y r Q.o I ' f OCEsmr.E. Drainage Casement Easement Power PRM • Pormanenl Referonw verified aPProprlase Utllily Location Companies. j STATu r TFOR HE FIRM F,E.M.A.•FeManag Monument PT - Point of Tongenry Use ofThis Survey for Purposes other thin intended, WiusoutWritten Wlficauon,Will be at the Use('s Sole Risk and Without Liability to the Surveyor. Nothing Nereon shallbe Patrick K.irelan b`•,R 4- o°soPa. 6637 LB7623 FFE meritderalAgency Management Agenty R -Radius Finished ConstruedtogiveANYRlghlsorBeneflts• lo Anyone Other thoseCertlfled. This SUNCy IS IOICCde Alf Y,',tph . use of Said Cefti(ed Parties. pod. Floor Elovailon Found Red. • Rediai ihiS $ UfVB NET VALID 11N and Embossed Mlh Surve ors Seal. L Iron Length ( R&C - Repar & Cap Red - Recovered Rfd. . Roofed POINTS 09INTERCST• DRIVEWAY OVER EASEMENT, CONCRETE PATIO OVER EASEMENT Irela Associates Surveying) Inc. M Measured Set -Sol%'Reibar& N&DN.R. Nall & Disk Non• Rodlal ReberCap -LB 7623' Typ. - Typical 1301 S. In[crnatlOnai Parkway SUIIe.2001 Y ORE official Records Book UE uiBltyEasement Lake Mary, Florida 32746 P P.B. Flat Piat Bonk WM -Water Meter A - Della ( Central Angie) WWW.IfelandSUNByIng.COm o- wood Fence 0- • Chain Link Fence Of ce-407.678.3366 Fax-407.320.8165