HomeMy WebLinkAbout1901 Lake Ave 05-929 enclose porchPERMIT ADDAS;q 0
CONTRACTOR
ADDRESS
PHONE NU
PROPERTY
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
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SUBDIVISION
45 PERMIT # DATE
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PERMIT DESCRIPTION
PERMIT VALUATION
SQUARE FOOTAGE
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Permit # :
Job Address: /90
Description of Work:
Historic District:
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: Ia b o V l�6 q
Value of Work: $ 300�� rny____ _
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & "Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage
Address:
Architect/Engineer
(Attach Proof of Ownership & Legal Description)
State License Number:
Contact Person: Phone:
_ Phone:
3,-277 %
32`7 ? /
Address: flI f`.9nd Fax:
Application is hereby made to obtain a permit to a6 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 perfo tted to meet standards of all laws re zulan-qg construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBIN SIGNSr WEL'S� POLS AGES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc. psI (t'RI
OWNER'S AFFIDAVIT: I certify that all of the foregoing info aiieis Iscctiraean th"aa) work will be.done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
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 pit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
L_1,�� (=2 ) �L 9-9/D4
r Signapdre-of O,wnI A =at_ eC Signature of Contractor/Agent
-Sagature,nf Not g to of Florida Date
LyOH NICE A. DE GRAVE
x ,`f MY COMMISSION # DO 164280
r EXPIRES: November 12, 2006
NJ.aY
Owtier Agent isgonded Tltr&_4dl{Igt py`1 Io e of
Na Produced ID'�\naS` \yam o`aS��o
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
_ Produced ID
APPLICATION APPROVED BY: Bldg: `/ C-1, — _`l y0 5,Zoning: Utilities:
(Initial & Date) (Initial & Date)
Special Conditions:
FD:
(Initial & Date) (Initial & Date)
a+1!R a
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L,)N�'�.�'F �'1'.17
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CITY OF SANFORD BUILDINGDI-VISION
OWNER/BUILDER AFFIDAVIT
COrNSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You 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 your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes,
]a�ndd zoning regulations.
1, �� r ' `CX� _GA—i , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
Vrutt Uwner/builder Name
i _fir ••. 'P
.jLS�ti 0
Siture of Notary —State of Florida Date q
�o "„m
a� oa
ZQ "m
Owner is Personally Known to Me or h s cn
cn N
Produced ID the )S
11-11J INJTRUMEN'I PREPARED BY;
NAM E -30Uyy �_ �-' • (YIZ►26n.� NOTICE OF COMMENCEMENT
ermit N o. Tax Folio No.
Cta1�.`f Flnrirla
County of Seminole
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property:
2.
3.
of the property and street address if available)
uenerai aescnpnon or un„prov mnent:
6 c,to sP
Owner information �
a. Name and address JJCS �e-e
PAC-
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor .
a. Name and address
5.
b. Phone number _
Surety
a. Name and address
b. Phone number _
c. Amount of bond
6. Lender.
a. Name and address
7
r
CWIEIEQ Qpy.
.�i-ARXAIv�� nn�esar
Fax number-
_ �CLEM - rjprrppr
$1 E OU LOR!DA
Fax number \
b. Phone number Fax number
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
b. Phone number
8. In addition to himself or herself, Owner designates
a
Fax number
of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
a. Phone number Fax number
Expiration date of notice of commencement (the expiration t
date is specified)
Swo to (or affirmed) and subscribed before me this S
cup,
Personally Known OR Produced Identification
Type of Identification Produced
Signature of No c tate of Florida
Commission Expi s: pE3lE F3lANTON
MY CO t:i ?irS1CN # DD 188491
EXP;j,; ` : February 25, 2007
"00-3-NOTARY °L's!`iry Discount Assoc. Co.
2012, by
11111I111111HI111110111011111i1111111H1311111IN
MARYANNr MORSE, CLERK OF CIRCUIT COURT
SFMiN01-F COUNfY
BK 05570 PG 1482
CLERK'S # 2005002542
REcojjDFD 01/05/2005 03:53:02 PN
RECORDING FEES 10.00
RECtiH>;1(=l1 AY t holden
cm
=� Door Fabrication
L,iA
services, Inc,
YULEE, FL
National Fenestration
PRODUCT LINES
Rating Council
STN-K-011 Steel entry & patio door with wood -edges
STN-K-012 Steel entry door with metal-edgeaa
®
STN-K-013 Fiberglass entry & patio door,
ENERGY
PERFORMANCE RATINGS
U-Factor/Solar Heat Gain Coefficient (SHGC)
PRODUCT
DESCRIPTION,
1/4 Lite
< 400 in'
1/2 Lite
3/4 Lite
Full Lite
_
S 900 in'
S.1100 in,
>1100 in'
STN-K-011/2/ - /air/0.25
0.20 / 0,08
0.31 / 0.24
0.37 / 0.31
0.41 / 0.37
STN-K-011/3/ - /air/0.31
0.19 / 0.07
0.26 / 0.21
0.30 / 0.28
0.33 / 0.34
STN-K-011/2/0.21(3)/air/0.75
N/A
N/A
N/A
0.33 / 0.35
STN-K-011/no n oremw:eea
0.15 / 0.03
STN-K-012/mran m e.to m
0.20 / 0.04
STN-K-013/2/ - /air/0.25
0 19 / 0.07
0.30 / 0.22
0.35 / 0.30
0.41 / 0.37
STN-K-013/3/ - /air/0.31
0.18 / 0.06
0.25 / 0.20
0.28 / 0.27
0.33 / 0.33
STN-K-013/2/0.21(3)/air/0.75
N/A
N/A
N/A
ESTN-K-013/oesn
0.35 / 0.34
or ember:ed
0.15 / 0.03
Manufacturer stipulates that these ratings conform to applicable NFRC procedures (100 & 200) for determining whole producl performance.
NFRC ratings are determined fora fixed
set of experimental conditions and specific product specifications.
.Product line/glazing layers/LowE surface/air gap fill/air gap width
Steel hame add -on 0.10
:.Non -thermally brolien, outswing & handicap compliant sill add -on 0,02
All versions of this product ENERGY STAR qualified in all 50 states EXCEPT: Steel or fiberglass door with full lite
(ENERGY STAR qualified in Southern Zane only) Steel or fiberglass with 3/4 lite (ENERGY STAR qualified in
North/Central, South/Central and
Southern Zones only).
i
Sane Models ENERGY STAR'QuaAo.
Cnttk U-Factor & SXGL ro eerdirtn.
r 1 /
Zone U-Factor SHGC
NnrlAem ® �p.35 Any
Mush Hearma
yodNLemral ❑ • O W <0.55
eaana 8 cooe.,x
.
` sootmeemal .. o.ao
a a cemea �
}}�J Soulnem
�'" Mosuy Couiirp ❑ ``0.65 �p.40
ENERGY STAR is a regisler¢d nadMlark
ul U.S. Federal Government
Mason is a mutt.¢... Trademark
NFRC Lerlilied is a regitmrW mark of
National Feneslralien Rating COHeey,
of
Mimnile Internalianal GorOoranon.
oar y,
SERIES 42014301440 SLIDING GLASS DOORS
THIS FENESTRATION PRODUCT COMPLIES* WITH THE
NEW FLORIDA BUILDING CODE
FOR RESIDENTIAL BUILDINGS WITH A MEAN ROOF HEIGHT OF 30 FT. OR LESS,
EXPOSURE 'B" (WHICH IS INLAND OF A LINE THAT IS 1500' FROM THE COAST).
AND WALL ZONE -5- (INSTALLED NEAR THE CORNER OF A BUILDING).
PER ASTM E1300, THE CORRECT GLASS THICKNESS, BASED ON THE NEGATIVE
DESIGN PRESSURE (DP) LISTED BELOW, HAS BEEN INSTALLED IN THIS UNIT.
THE GLASS THICKNESS IS BASED ON ITS' WIDTH, HEIGHT, AND ASPECT RATIO.
STANDARD 6'- 8" HIGH PANELS ARE NON REINFORCED
6 p ,f 2'- 6" WIDE DP +54 / -54
=83'- 0" WIDE DP +47 / -47
HIGH4 i- 0" WIDE DP +39 / -39
5- 0 WIDE DP +35 / -35
STANDARD 8'- 0" HIGH PANELS ARE STEEL REINFORCED
g r ®,r 2' 6" WIDE DP +57 / -57
3'- 0" WIDE DP +49 / -49
HIGH4; O; WIDE DP +40 / -40
5'- 0 WIDE DP +35 / -35
SPECIAL ORDER 6'- 8" SIGH PANELS - 1RTH STEEL REINFORCEMENT
2'- 6" WIDE DP +71 / -71
3'- 0" WIDE DP +62 / -62
4'- 0" WIDE DP +52 / -52
BOX TO BE CHECKMARKED 5'- 0" WIDE DP +46 / -46
AT FACTORY IF REINFORCED
THIS PRODUCT MEETS THE REQUIREMENTS FOR STRUCTURAL LOADS, WATER AND
AIR INFILTRA71ON PER ATTACHED AAMA PERFORMANCE LABEL BE ADVISED THAT
IF LOADS ARE PLACED UP TO OR EXCEEDING THE TESTED LEVELS, THIS PRODUCT
MAY BE ALTERED IN SUCH A WAY THAT FUTURE PERFORMANCE WILL BE REDUCED.
* COMPLIANCE MUST INCLUDE INSTALLATION ACCORDING TO
MANUFACTURER'S INSTRUCTIONS AND FLORIDA CODE REQUIREMENTS.
MIP-687
5AMPGE
j*A6Et
THIS FENESTRATION PRODUCT COMPLIES* WITH THE
NEW FLORIDA BUILDING CODE
FOR RESIDENTIAL BUILDINGS WITH A MEAN ROOF HEIGHT OF 30 FT. OR LESS,
EXPOSURE `B" (WHICH IS INLAND OF A LINE THAT IS 1500 FT. FROM THE COAST),
AND WALL ZONE "5" (INSTALLED NEAR THE CORNER OF THE BUILDING).
PER ASTM E1300, THE CORRECT GLASS THICKNESS, BASED ON THE NEGATIVE
DESIGN PRESSURE (DP) LISTED BELOW, HAS BEEN INSTALLED IN THIS UNIT.
THE GLASS THICKNESS IS BASED ON ITS' WIDTH, HEIGHT, AND ASPECT RATIO.
WIND ZONE: 140 MPH
DESIGN PRESSURE (DP): + 35.3 / - 47.2
THIS PRODUCT MEETS THE REQUIREMENTS FOR STRUCTURAL LOADS, WATER AND
AIR INFILTRATION PER ATTACHED AAMA PERFORMANCE LABEL. BE ADVISED THAT
IF LOADS ARE PLACED UP TO OR EXCEEDING THE TESTED LEVELS, THIS PRODUCT
MAY BE ALTERED IN SUCH A WAY THAT FUTURE PERFORMANCE WILL BE REDUCED.
COMPLIANCE MUST INCLUDE INSTALLATION ACCORDING TO
MANUFACTURER'S INSTRUCTIONS AND FLORIDA CODE REQUIREMENTS.
,., MIP-466
BetterBilt Doors & Windows
650 West Market Street
)enerBin P.O. Box 370 717.36=.3300
oxswrm�vnvnows Gratz,,PA 17030-0370 717.363.3596 Fax
LOWE'S
NEW FLORIDA CODE
BETTERBILT PRODUCTS
Approved products to 140-mph wind zone:
- .3740 series aluminum single hung window
- 3240 series vinyl single hung window
470HP series patio door
3910 series vinyl patio door
Please note: Our size limitations have changed in
order to pass the new Florida code.
Some larger window units are no longer available due
to the new Florida code.
Any questions please contact our customer service
,. team.
A division of
MI Home Products, Inc.
Equal Opportunity Employer
CZ4
DEPARTMENT OF PUBLIC WORKS
Building Inspection Division
April 17, 2002
MI Home Products, Inc.
1510 Bernita Street
Jacksonville, Florida 32211
Attention: Mark Starkey, Territory Sales Representative
BETTER BILT DOORS AND WINDOWS
Subject: APPROVAL OF WINDOW DOCUMENTATION FOR WIND LOAD COMPLIANCE
The product documentation submitted by MI Home Products. Inc. for windows and sliding
glass doors to be installed within the jurisdiction of the City of Jacksonville, Building
Inspection Division, has been reviewed for compliance with the FLORIDA BUILDING CODE
2001. We are pleased to inform you that the documentation has been approved.
In accordance with our Bulletin G01-02, REQUIRED WINDOW AND DOOR
DOCUMENTATION FOR WIND LOAD COMPLIANCE, revised 3/19/02, the product
information submitted will be filed in our office as "Master On File" documentation.
We are returning two (2) set to you. Both copies of the signed and sealed. Installation
Drawings have been stamped, REVIEWED FOR CODE COMPLIANCE. it is your
responsibility to furnish your customers with a legible copy of the approved Installation
Drawings. The customer will be responsible for having a legible copy of this document at the
job site for the City's Building Inspector's use at the time of the "dry -in" inspection. An
AAMA or WDMA or other approved certification label shall be attached to each window
unit, clearly visible after the window is installed.
Should any changes be made to your product, including installation drawings, new
documentation shall be submitted to this office for review and approval in accordance with
Bulletin G01-02. If you have any questions, please refer them William L. Lyle at 904-630-
2351.
REVIEWED BY:
W
William L. Lyle, R. A.
Plans Examiner Supervisor
APPROVED BY:
Thomas H. Goldsbury, P. E., CB
Chief, Building Inspection Division
Eel AREA CODE 904 / 630-1100 / 200 E. BAY STREET / JACKSONVILLE, FLORIDA 32202-3401
u am
-1111'
James Morgan, Residence Owner
Proposed Addition to Residence
1901 S. Lake Ave.
Sanford Fla. 32771
After the fact:
Request is being submitted to enclose rear porch.
Existing roof, headers, and support columns will remain in place.
Enclosure will be made with 8xl6" concrete blocks.
Enclosure will include Wind Zone Rating
(1) 8ft glass slider 140mph or less DP +35.3/47.2
(1) Double hung 70inch window 140mph or less DP +35.3/47.2
(1) 35inch window 140mph or less DP +35.3/47.2
(1) 36inch ext. door Miami Dade NOA: 01-0314.25 DP Rating 50.5
Enclosure will have R-19 rigid foam insulation on walls,
Interior walls covered by '/2 inch drywall
Concrete blocks are secured to pre-existing header with 12xl/8inch steel bands
secured with 16 penny nails and concrete screws, spaced every 4ft.
Concrete blocks are secured to pre-existing header with 1 x4inch lumber spaced
length ways at irregular intervals
Exterior will be finished with sealant and stucco
a LLJ
C_ i
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MAP OF SURVEY
DESCRIPTION
LOTS 94, 95 AND 96, PINEHURST, ACCORDING TO THE PLAT THEREOF, AS
RECORDED IN PLAT BOOK'3, PAGE 71 OF THE PUBLIC RECORDS OF SEMINOLE
COUNTY, FLORIDA.
5 z
"RECOVERED •. •, •. •, ,• ,•
I I' IRON PIPE RECOVERED
NO / I/2' REBAR
FENCE CORNER NO / 'wII
15 0.5S k D,4'E S 89'42'44" E 128.52'(M) 128.75'(P) SE0E4S & 0
74.0'
25.4'
i
GARAGE
LOT 94
Lo
Ln
1
S.' 1
� STOOP
II) � DRIVEWAY '
LJ
t\
N
O
O
n
T RECOVERED N 89.42'44" W
I 1' IRON PIPE
NO /
FENCE END IS
OSTN k 0.4'E
.f 3
.m a
p I N v
O O O
ZI -
RECOVERED
VVV 5/B' REBAR
@ CAP ACCURIGHT
LB /4475
NW CORNER LOT 107
CERTIFIED TO:
JAMES GREGORY MORGAN
CONSOLIDATED FUNDING
CORPORATION
FIRST AMERICAN TITLE
INSURANCE COMPANY
LOT 95
— 29.9' ---ter
STOOP, A/C UNIT
CONCRETE
�PAILIORMP
PAD
S
CONCRETE
PAD
ONE STORY
PLANTER
RESIDENCE
#1901
°a
— COVERED
POOL
STOOP
ENTRY
PLANTER
29.9. 38.0'
STOOP
LOT 96
a UNIDENTIFIED
EASEMENT
(SHOWN PER PLAT)
—5.39'------l5.32'—
128.52'(M) 128.75'(P) RECOVERED
112' REBAR
NO N
FENCE CORNER
15 0. 3'N k'0. B'W
�ifivs
LEGC®r0
ii�----i Wool uU1111 8'®6,c®
��YY NR NON RADIAL
& CUY WIRE R/�AD RADIAL
TYPICAL
EN iV OVERHEAD UTILITY LINE QQ////�P POINT
PC POINT OF CURVATURE
i I 6' WOOD FENCE PT PgNT OF TANGENCY
PRC PgNT OF REVERSE CURVA NRE
w 4' CHAIN LINK FENCE PCP PERMANENT CONTROL POINT
PRAI PERMANENT REFERENCE MONUMENT
CENTERLINE PI PONT OF INTERSECTION
RP RADIUS POINT
— - - RIGHT OF WAY LINE A/C AIR CONDITIONER
CONCRETE R RADIUS
6 CENTRAL ANGLE
p PLAT L ARC LENGTH
M MEASURED CB CHORD BEARING
0 DESCRIPTION CH CHORD LENGTH
C CALCULATED ORB OFFICIAL RECORD BOOK
PC PAGE
1. THE SURVEYOR HAS NOT ABSTRACTED THE LANDS SHOWN HEREON FOR
I HAVE EXAMINED THE FEDERAL EMERGENCY MANAGEMENT AGENCY EASEMENTS AND/OR RIGHT-OF-WAY RECORDS.
(FEMA) FLOOD INSURANCE RATE MAP (FIRM) COMMUNITY -PANEL 2. THE BEARINGS SHOWN HEREON ARE BASED ON THE EAST LINE OF LOTS 94-96.
NUMBER 12117CO045 E. DATED 4/17/95 AND FOUND THE SUBJECT BEING S RGRO00'14ND IMW.PROVEMENTS
AN ASSUMED DATUM.
PROPERTY APPEARS TO LIE IN ZONE X. DEFINED AS AREA 3. DI UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED EXCEPT AS SHOWN.
5.., 4. DIRECTIONS AND DISTANCES SHOWN HEREON ARE PER RECORDED INSTRUMENT
DETERMINED TO BE OUTSIDE 500—YEAR FLOOD PLAIN. AND F
IELD MEASUREMENT, UNLESS SHOWN OTHERWISE.
5. UNLESS IT BEARS THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA
LICENSEC SURVEYOR AND MAPPER THIS DRAWING. SKETCH, PLAT OR MAP IS
FOR INF:?RMATIONAL PURP05ES ONLY.
CERTIFICATION:
Q�
DRAWN BY: CRL
1 HEREBY CERTIFY THAT THIS SURVEY 1S CORRECT TO
LOCKLIN &ASSOCIATES
CHECKED BY: CSL
THE BEST OF MY KNOWLEDGE AND BELIEF. I FURTHER
CERTIFY THAT THIS SURVEY MEETS THE MINIMUM
_
DRAWING FILE:
TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA
SURVEYORS &MAPPERS
BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN
F0424SVY.DWC
CHAPTER 61C17-6, FLORIDA z41DMINISTRATIVE CODE,
5146 TROXLER DRIVE
FIELD DATE:
PD'RSUANT TO CHAPTER 472. 027 OF THE FLORIDA
ORLANDO, FL. 32825
STATUTEHEREON. S. SUBJECT' TO NOTES AND NOTATIONS SHOWN
VOICE: (407) 273-0:356 FAX/DATA: 282-7650
7/21/98
2 Zu0 o
PROJECT No.
THIS DAY OF 1 y Qu
No.
DATE
REVISION
F04-24
SCALE:
1" = 30'
Gregory S. L—kim, Prole ionel. SUr yor h Mepp— No. 6619
Land Surveyor Bueineee No. 6Bo0
SHEET
VALID ONLY WITH SIGNATURE AND EMBOSSED SEAL
OF 1
CITY OF SANFORD BUILDING DIVISION
OWNERlBUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $25,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the oNvner-builder within I year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualifi- for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical contractors. You have applied
for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to
act as your own electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $25,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within I year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. It is your responsibility to make sure that people employed by you
have licenses required by state law and by county or municipal licensing ordinances.
1, i� � .. OlZtL✓s do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
Print Owner/Builder Name
na ure of Notary —State of Florida Date
Ly
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2 C/3 M
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Owner is Personally Known to Me or }r s o m
Produced ID
H gym.
0