HomeMy WebLinkAbout200 W 20 St 17-1407; ELECTRIC (3)CITY OF SANFORD
E I BUILDING & FIRE PREVENTION
PERMIT APPLICATION
MAY 1 2017
Application No: `t
BY: '
r°'aw
Documented Construction Value: $ —OZ
Job Address: ° - StHistoric District: Yes No ParcelID:
1 -3&'0 Residential 5rCommercialEl Type of
Work: New Addition Alterations Repair Demo Change of Use Move Description of
Work: C:: fl--L- Plan Review
Review Contact Person:Title: Email: Phone:
qpl ( (D E)' 1Z Fax: Property Owner
Information Name Phone: •
Fa` 2- Street:Resident
of property? City, State
Zip: Name Street:
City,
State
Zip: Contractor Information
Phone: Fax:
State
License
No.: Architect/Engineer
Information _ Name: N
13 Phone: Street: 3 (
A- S1Z 2F$C) Fax: ' 1 g 2 -7 b City, St,
Zip: 1`AA-1-C—A c I a
1
E-mail: Bonding Company:
Address: 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.
be droneAin compliance
il
f`
r`
Sr at e of Owner/Agent
I certify that all of the foregoing information is accurate and that all work will
i"ll applicable laws regulating construction and zoning.
IT
M r/Agent's N fne
jgn'atur
U
P
11111 , ,'^•
LISA ANTONINI
Notary Public - State of Florida
My Comm. Expires May 21, 2018
Commission # FF 125242
Owne e r-ciWilla lyT'i3it%Ie or
Produced ID _ Type of ID 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 [4 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:
FIRE:
Gas[] Roof
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: evir • 6.11
Revised: June 30, 2015 Permit Application
C
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)
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
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
L
C
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 contrac'tors.,
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 proper'y licensed and -the status of the contractor's workers' compensation
coverage.
Property Address: (7 \ ` t LT7 I
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 specified above.
Signature of Owner -Builder
Form of Identification
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
SCPA Parcel View: 36-19-30-506-0000-1380 Page 1 of 2
AL Property Record Card
f
Ould
rpjb-
CIA Parcel: 36-19-30-506-0000-1380
Owner: BAME JAMES E JR & STEVENS TINA C
nsarmA
Property Address: 200 W 20TH ST SANFORD, FL 32771
Parcel Information Value Summary
Parcel 36-19-30-506-0000-1380
Owner BAME JAMES E JR & STEVENS TINA C
Property Address 200 W 20TH ST SANFORD, FL 32771
Mailing 200 W 20TH ST SANFORD, FL 32771-3833
Subdivision Name SANFORD HEIGHTS
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2001)
Legal Description
LOT 138 + E 17 FT OF
LOT 139
SANFORD HEIGHTS
PB2PG63
Taxes
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 87,877 82,326
Depreciated EXFT Value 838 870
Land Value (Market) 19,828 16,583
Land Value Ag
n T
JusUMarket Value ** 108,543 99 779
Portability Adj
T
Save Our Homes Adj 17,791 10,894
Amendment 1 Adj
P&G Adj 0 0
Assessed Value
T
90,752 88,885
Tax Amount without SOH: $1,187.00
2016 Tax Bill Amount $968.00
Tax Estimator
Save Our Homes Savings: $219.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
City Sanford 90,752 50,000 40,752
SJWM(Saint Johns Water Management) 90,752 50,000 40,752
Schools 90,752 25,000 65,752
County Bonds 90,752 50,000 40,752
County General Fund 90,752 50,000 40,752
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 9/1/2000 03931 2229 86,500 Yes Improved
ADMINISTRATIVE DEED 6/1/2000 03879 0228 100 No Improved
PROBATE RECORDS 4/1/2000 03840 1524 100 No Improved
PROBATE RECORDS 1/1/2000 03789 1806 100 No Improved
WARRANTY DEED 7/1/1993 02623 0370 65,000 Yes Improved
WARRANTY DEED 5/1/1990 02178 0817 38,500 Yes _ Improved
WARRANTY DEED f 10/1/1987 01896 1279 l $38,200 Yes Improved
WARRANTY DEED 41111984 01540 0630 36,100 Yes Improved
WARRANTY DEED 11/111979 01255 0478 24,000 Yes Improved
AM Oampamwl $'a
Land
Method Frontage Depth Units Units Price Land Value
FRONT FOOT & DEPTH 70.001 154.00 01 $275.00 1 $19,828
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193050600001380 5/15/2017
City of Sanford
Residential Alteration / Addition / Renovation
F D Permit Application Guidelines
All permit application packages must be complete prior to acceptance. You must check each
box to the left or indicate n/a on this submittal. A complete application package shall include
the following:
PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS
Building Permit Application completed, signed and notarized.
Floodplain development application completed and signed if any portion of the property is in a flood
hazard area as identified on the most current flood insurance rate map.
2"' Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
L Application must include correct address and complete parcel I.D. number.
Contractor information is required to be included on the permit application (if contractor is applicant).
P1 Applicant must include the name of the designated plan review contact person, their phone number and
either a fax number or email address on the Building Permit Application form.
Copy of the contractor's license issued by the State of Florida (if contractor is applicant).
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Completed and signed Owner Builder Statement / Affidavit (if owner is applicant).
jam Two (2) copies of all applicable plans and related documentation.
An accurate, signed and sealed, property survey which shows all improvements on the subject property
and within 10 feet on adjacent parcels.
Plot plan showing location of proposed improvement(s) and setbacks to property line(s). May need to
include infill lot requirements.
Hand -drawn submittals must be submitted on plain white paper and include accurate dimensions, all
details that apply to the project, and must be legible.
Please see the following pages for construction document submittal guidelines **
Revised: February 2016 Page 1 of 5 Residential Alter/Add Permit Application Checklist
THE CONSTRUCTION DOCUMENTS MUST INCLUDE, AT A MINIMUM, THE FOLLOWING,
AS APPLICABLE:
SITE PLAN / PLOT PLAN
Must indicate the location of the proposed addition.
Two (2) copies are required
BUILDING PLAN — Structural
Ifany elements of the addition, alteration or renovation involve altering the structure or any structural
elements, the following information must be included and must be signed and sealed by a registered design
professional.
Any alteration or change to an exterior wall is considered structural and requires signed and sealed
engineered plans.
Two (2) copies of construction documents are required.
Construction documents shall indicate code edition being applied
Construction type
Plans to minimum 1/4" scale
Designer information: name, address, registration #, seal and signature on all signed/sealed pages
Page size minimum 11" x 17"
All pages numbered and labeled
Wind design data required on drawings per FBC 1603.1.4 to meet 139 mph ultimate design wind speed
for risk category 11 buildings (residential)
Ultimate design wind speed (Vult)
Nominal design wind speed (Vasd)
Risk category
Exposure category
Enclosure classification
Internal pressure coefficient
Component and cladding design wind pressures in terms of psf
Structural .Calculations, if necessary
FLOOR PLAN — ALL PERMITS (STRUCTURAL/NON-STRUCTURAL)
Floor plan must include a layout of the entire home
An existing floor plan and a proposed floor plan must be provided, indicating any structural/non-
structural elements, electric, mechanical, plumbing, concrete slabs, and any other relevant details.
Must indicate the area that will be altered/renovated
Each room must be labeled (Kitchen, Bathroom, Bedroom, Living Room, ect.)
Must be legible and to minimum 1/4" scale
Include all applicable span lengths and dimensions, including porches
Revised: February 2016 Page 2 of 5 Residential Alter/Add Permit Application Checklist
ELEVATION (if applicable)
Attic ventilation
Roof pitch
Roofing material
Exterior finish/stucco thickness
Height/bearing elevations
Window and door opening locations
Chimney location/height
ENERGY CALCULATIONS
Required for
Additions / Removing existing insulation and adding new insulation
Converting unconditioned space to conditioned space.
Form 402 or Form 405
FOUNDATION / SLAB
Foundation plan
Filled cells with reinforcement locations
Footer denotation/details
Footers minimum 12" below grade
Interior bearing walls/pads
Porch pads/footers
Brick ledge detail
Slab thickness/steel/fiber mesh
Vapor barrier/termite treatment type
Reinforcing steel over lap
Relieving arch steel at pipe penetrations
All wood minimum 6" above grade
Crawl space ventilation
ELECTRICAL (if applicable)
Please note: any renovation, alteration or addition will require the entire home to be updated with
smoke detectors, located as required for new construction per FBCR R314
Level 1 Alterations will require 10 year, non -removable battery smoke detectors.
Z Electrical existing floor plan and proposed floor plan for the work area.
Location of receptacles, switches, lighting, fans, disconnecting, service panels, ect.
Z Service riser diagram (for new service, service rebuilds or upgrades to service size)
Bonding/Grounding
of Electrical load calculations
Re -wire of 50% or more of home
Additions, required on existing home to verify service size is sufficient'
n GFCI protection
10 AFCI protection
0 Tamper resistant outlets
Smoke/CO alarm locations
Revised: February 2016 Page 3 of 5 Residential Alter/Add Permit Application Checklist
MECHANICAL (if applicable
Equipment location
Anchorage for condenser, engineered to meet wind loads
Protection in garage locations
Clearances at equipment
Structural detail for air handler in attic
Room ventilation
Adding or modifying ductwork requires a duct layout.
Duct layout must include a floor plan and indicate the duct sizes, R-value, register sizes
Exhaust
Bath exhausts size and termination
Dryer exhaust discharge/make up air
Energy calculations with equipment sizing calculations for new HVAC installations
PLUMBING (if applicable)
Plumbing drain, waste and vent schematic for new plumbing installations
Bathroom or Kitchen existing floor plan and proposed floor plan.
FUEL GAS (if applicable)
BTUs each outlet and total BTUs
Pipe type and total length
LP regulator and model type
Combustion air vents
Location of equipment
Venting
Gas Type
Gas Pressure
Gas piping riser
ROOF TRUSS LAY OUT (for new engineered trusses)
Truss L D. #s
Layout, required on plans and a copy included with truss package
Signed/Sealed truss engineering package
Strapping/fasteners/truss tie -downs
DETAIL SHEETS OR NOTES
Footings
Beam to wall and/or post attachments
Post/column and beam construction
Interior bearing walls
Stairs section
Chimney construction
Dormer construction
Floor framing
Entry construction
Arched windows
Bay windows
Frame to block connections
Knee wall construction
Sky light framing
Top plate splicing requirements
Revised: February 2016 Page 4 of 5 Residential Alter/Add Permit Application Checklist
Steel requirements (footer, lintel, vertical pour)
Grade
Over lap
Veneer
Shear wall locations and construction
Connectors
Fasteners
Roof sheathing & diaphragms
Fasteners
Blocking
Wall and gable sheathing fastening
Gable end, frame and block, vaulted and flat
Conventionally framed roof members
Glass block
Header schedule, including strapping/anchorage and frame supports (bearing walls)
Bearing/non-bearing wall detail
Typical wall section detail, one and two story, block and frame, for all scenarios
Connectors
Anchorage bolts
Materials and assembly
MANUFACTURER'S PRODUCT INSTALLATION INSTRUCTIONS
Roofing components
Underlayment
Shingles / Tile / TPO / Rolled
Off -ridge vents
Window and mullion installation instructions
Garage door, sliding glass door and swing door installation instructions
Siding installation instructions
Soffit installation instructions
Glass block installation instructions
Engineered lumber products installation instructions
PRODUCT APPROVAL
Completed Sanford Product Approval specification sheet
Florida Product Approval can be located at www.floridabuilding.org.
Product Approval must be approved under the current code edition
FS 553.842, FAC 61G20-3
These guidelines were compiled to assist the applicant in preparing a residential alteration / addition /
renovation permit application submittal and may not be complete. The applicant is required to meet all city of
Sanford, state, and federal requirements.
Revised: February 2016 Page 5 of 5 Residential Alter/Add Permit Application Checklist
REQUIRED INSPECTION SEQUENCE
BP# t"7 - tHo
BUILDING PERMIT
Min Maas Insj2ection Descri tion
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour, .
Lintel / Tie Beam / Fill / Down Cell
Sheathing - Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
Address: SOO w .
Et,,F.0 ,RjCA:I:.P.ERM1I
Min Max lens ection Descri tion
Electric Underground
Footer / Slab Steel Bond
to Electric Rough
T.U.G.
Pre -Power Final
Electric Final
lens ection Descri tionnMinMaas
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
Li
M cl+i I Aa FJP.Ia ..
Minn Marc Inspection Descri tion
Mechanical Rough
Mechanical Final
pal
Gas Unde
Gas Roug
Gas Final
REVISED: June 2014