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HomeMy WebLinkAbout383 Fairfield Dr 17-1309; FENCEs til i Lr t ti S79ate_.. z." CITY OF SANFORD BUILDING & FIRE PREVENTION Y a s PERMIT APPLICATION gk= Application No: q Z_ Documented Construction Value: Job Address: Parcel ID: Historic District: Yes No Residential © Commercial Type of Work: New V Addition Alteration Repair Demo Change of Use Move Description of Work: a2 f . Plan Review Contact Person: O eil, Title: d WAJe(C- Phone: 321-GJ62- 8178 Fax: Email: n'19 1 e o rtt;2 )221c t T zf Property Owner Information 0 Name (ij 1 z monf:q 04', 2 Phone,; Street: `f-491*> f c, 2 p Resl ent o roperty? 'C',S City, State Zip: tti ®2 r'S `f" 1ClH 3277 I °" `` f [ Contractor Information Name M Phone: Street: - Fax: City, State Zip: 51el3toll02 3Z7 7 ( State License No.: Name: Street: City, St, Zip: Bonding Company: Address: 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 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 an that all work will be done in compliance with all applicable laws regulating construction and zoning. Signs re of Owner/Agent Date Signature of Contra ctor/Ag ate Print er/Agent's Name ( Print Contractor/Agent's Name Si a e of rate of Flo Da Signature of Nota State of Florida DateANETTE8U1N0g ''' Notary Public State of FioriOa Commission • PCs 080$23 a, My Comm. Expires Jan 16, 2018 Owner/Agent is Personally Known to Me 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS ZONING: UTILITIES: _ ENGINEERING: FIRE: COMMENTS: _ Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No Ok to install approx. t5 linear feet of 6' high privacy fence and _gate(s) as shown, on plan. Fence shall be constructed with finished side facing outward. WASTE WATER: BUILDING: Revised: June 30, 2015 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. 11j ^ 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 1 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 I 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 1V' 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 M 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 f ..- I agree that, as the party legally and financially responsible for this proposed construction activity, I will m 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. M A 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 nn „n 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 rnt Professional Regulation and the building department may be unable to assist you with any financial loss l 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 Address: k Z) O l I, - zzovr l and capable of performing the conditions specified above. e- i LJ - do hereby state that I am qualified queste construction in olved with the permit application filed and agree to the 5 - % Signature bf Owner -Builder Date Form of Identification c/ 6 f S _5 <L Must be Photo ID) 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 MAP OF SURVEY DESCRIPTION LOT 42, CELERY LAKES PHASE -2, AS RECORDED IN PLAT BOOK 65, PAGES 29 AND 30, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. 3P I-7 - V30`1 BRIS 0 AVENUE (R/W WIDTH NOT PLATTE P V Z$1 ZONIN4 DATE- Ok to install approx. linear feet of 6 high 4 t-' . privacy fence and gate(s) as shown on i n 5 e eh YCcm W plan. Fence shall be constructed with A finished side facing outward. to,x 3z' coyl 3Se-Fb c" cK S S o FND. 5/8" iR S 00"02'30" E 54.04' MEAS SET 1/2" I.R. PSM 3382 S 00-18-03 A E 54.00' PLAT Le 7084 1 _ — 5' SIDEWALK ESMT CDNC. o 1 1 40.0' P\/ Te yi c - a LOT 42 1 STORY BLOCK N N ADDRESS # 383 T W a LOT 43 a 00 00 5 2• COV D. En Q) I or;;—r CONC. 16.0' q I CONC. 14.7' DW PLASTIC L TR ace, g N C) NC-4 w N N LOT 41 V1 w LU ZZ FND. 5/8" IR 10 U.L I PSM 3382 N 00'22'40" W 54.03M S N 00-21'43" W 54.00' PLAT 2T N FND. N&D LS 2494 FAIRFIELD DRIVE (50' 240. 00' PLAT 239. 96' MEAS FND. 5/8" IR LS 2494 zN z B/ C N m SIN m 1 W FND. N&D m ! m l LS 2494 0, 6\ Q31LLD,1V6