HomeMy WebLinkAbout2008 Hibiscus Ct; 18-4168; SHEDOCT 0 5 2018
CITY OF
kNFORD l PERMIT APPLICATION
BUILDING DIVISION
Application No:
nn
O
Documented Construction Valu
Job Address: 942f'S"C:;, C G f1, Historic District: Yes Non
Parcel ID: Residential 10/ Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Plan Review Contact Person:
Phone: Fax: Email:
Title:
Property Owner Information
Name 'Vlyao b 'gUIVOIC Phone: 401 ?s
Street: CA Resident of property?
City, State Zip:Fii1 d1
IIFrFTM
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Contractor Information
Phone:
Fax:
State License No.:
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: 6" Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that maybe 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.
Signature of Owner/Agent Date
Print Owner/Agent's Name
C U
Signature ofNotary-Sta
11,
ig DEBBIE BDWTON
MY COMMISSION #Fr" 178648
EXPIRES: February 25, 2019
p, Bonded Thru Notary Public Underwriters
Owner/Agent is Personally Known to Me or
Produced ID Type of ID Zs 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 Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
New Construction: Electric - # of Amp
Occupancy Use: Flood Zone:
Min. Occupancy Load: # of Stories:
s Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
52-/AR
APPROVALS: ZONING: /0•/f . Zo/g UTILITIES:
ENGINEERING: I0t.9:A
Fire Alarm Permit: Yes No
BUILDING:
COMMENTS: tisa%nrzr i s o/r w,f A e o a /Z 54~/
4,5 S%Gwr. o h t A/4 • Afee f,( GatreA i'r+I ti+ 1, J!l 1.4a
Sx-ltm 7,0,4;.77 olilfr,Zt, Sl t.f p wJ !mac tr 0-4 /U
I Rill rf l N A e a•- A i-jo 1iV», /'e~- 19ivp`rf y l,n 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
rf 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.
l
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
G 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
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
Lb Construction Industry Licensing Board at 1-850-487-1395 or at www.myflonda.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
that I am the party legally and financially responsible for the proposed construction activity at the address
G listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
C 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
L` civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
J 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: l& V Mel, r " 2)'V
I, 1 0 c]L\WV11 ee, r1 do hereby state that I am qualified
and capable of performing the r quested 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
ploy//g"
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding I 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
9/24/2018 Garden Barn
MTUFF SHED'
https:Hwww.tuffshed.com),
Garden Barn - 10' wide by 12' long by 11'6" high
Prices based on installation zip code. 32771 Q,
Total: Oftwu
Terms & Conditions p,
om" 0 0PL
Reset Rotate
BUILDING TYPE & STYLE ()
SIZE() 3,381.00
DOORS & WINDOWS () $390.00
Chat Unavailable 0
https://www.tuffshed.com/products/#/configurator/Garden°/a20Barn
1 /1
370 Waymont Court •Lake Mary, FL 32746 ' VOIC:E: 4U (.tint$. (631 • FAx: 407.688.7691 ' frontdesk@perrysurveying.com
2.
LOT 23
Legal Description
Lot 19 and 21, ROSE COURT ADDITION TO SANFORD, according
to the plat thereof, as recorded in Plat Book 3, Page(s) 3 through S, of
the Public Records of Seminole County, FL.
Community number: 120294 Panel: 0070
Suffix: F F.I.R.M. Date: 912812007 Flood Zone: X
Date of field work: 112912018 Completion Date: 113012018
Certified to:
Songlith Sayprasith; Sylivanh Sayprasith; First Signature Title, Inc.;
Old Republic National Title Insurance Company; Space Coast Credit
Union, its successors and/or assigns.
12 PLATTED ALLEY
IO'DIRT
FIR 5/8!'. t 9?
150.00'(D)
1.13n n.3111"
r,vrvt, UUIIrm
129.86'(M) INLET
130.00'(D)
HIBISCUS c_ouR r _ _
90' R/W (IMPROVED) ASPHALT
Where areas of structures are locked
or otherwise inaccessible property
appraiser dimensions may be used.
CONC
008"'
z+
nfljCg7
r
e
LOCATION SKETCH
NOT TD SCALE
SCALE: 1 "= 40'
PER PLAT
O
O O
00
CURVE TABLE
NO. RADIUS DELTA ARC TANGENT CHORD
1(M) 20.00' 89'52'31' 31.37' 19.96' 28.25'
Property Address:
2008 Hibiscus Court
Sanford, FL 32771
Survey number: PS 1384
LEGEND
Wire Fence D Description or Deed P.B. Plat Book GENERAL NOTESfl---O—
OHU—
Wood Fence
Overhead Utilities
D.E.
D.U.E.
Drainage Easement P.E. Pool Equipment 1. Legal description provided b others. g p P y 7. Unless otherwise noted, flood zone informationDrainage8UtilityEasementP.O.B. Point of Beginning 2. There may be additional easements and/or provided by others. cD. P.P. Power Pole D/W Driveway P.O.C. Point of Commencement restrictions either recorded or unrecorded not 8. Septic tank and drainfield location shown hereon is
W. M. Water Meter ESMT. Easement P.C.C. Point of Compound Curve shown hereon that may affect this properly. APPROXIMATE and are based upon visual location only.
orE Electrical facility
E.O.P. Edge Of Pavement P.C. Point of Curvature 3. Only visible encroachments located. 9. Fence lotions along property line may be exaggerated for
E.O.W. Edge of Water P.I. Point of Intersection 4. This is a BOUNDARY SURVEY unless otherwise
clarity.
AsphaltP ENCR . Encroachment P.R.C. Point of Reverse Curvature
noted.
5. This 10. This surveyy meets or exceeds the Standards of Practice
Block Wall
Brick/Pavers
F Field P.T. Point of Tangency
survey or the copies thereof are not valid
without the signature and the original raised sealg
promulgated by the Florida Board of Professional Land
FD Found P.O.L. Point on Line of licensed surveyor and mapper. Surveyors, 5J-17, of the Florida Administrative Code, Section
i7 Concrete/Hard Surface Found Nail & Di P.L. Property Line s surveys, This survey is not to be used for construction of
472.027, Florida Statutes.
I= Covered Area F.C.M. Found Concrete Monument R. Record any kind.
F.I.P. Found Iron Pipe R/W Right of Way
A Central Angle/Delta
F.I.R. Found Iron Rod S.I.R. Set Iron Rod & Cap
Line Break Not to Scale
L LENGTH SWK Sidewalk
A/C Air Conditioner
L.B. Licensed Business TEL, Telephone Facilities
B.R. Bearing Reference M FIELD MEASURED T.O.B. Top of Bank
B.M. Bench Mark M.H. Manhole TYP. Typical
CATV Cable Riser O.R.B. Official Records Book U.E. Utility Easement
C Calculated ONPL On Property Line W.F. Wood Fence Jeffrey S Hatt en P AL SURVEYORC.L.F. Chain Link Fence PG. Page W.C. Witness Corner
AND MAPPER NO.6193 L.B.8222
CH
C.B.
Chord
Chord Bearing
P.V.C. Vinyl Fence I hereby certify that this sa true and correct representation of a survey Pypreparedunder my direction. CBS
Conc. Block 8 Stucco PVMT. Pavement CONIC.
Concrete P.C.P. Permanent Control Point C.
M. Concrete Monument P.R.M. Permanent Reference Monument COV.
Covered P Plat
370 Waymont Court • Lake Mary, FL 32746 •voice: 407.688.7631 • FAX: 407.E 8 7691• frontdesk@perrysurveying.com
Legal Description
Lot 19 and 21, R`OSE COURT ADDITION TO SANFORD, according
to the Plat "here6f, as recorded in Plat Book 3, Page(s) 3 through 5, of
OCT 5 j mil& Zecords of Seminole County, FL.
l out '11iity, nnut ber: 120294 Panel: 0070
O fix F .LR.M. Date: 912812007 Flood Zone: X
P Dateloffield-ltvo•rk: 112912018 Completion Date: 113012018
Certified to:
Songlith Sayprasith; Sylivanh Sayprasith; First Signature Title, Inc.;
uIN 14e y,fjp/4/¢314 Republic National Title Insurance Company; Space Coast Credit
df 4 le-,z Ali U rion, its successors and/or assigns.
tt 3 S kL w/r— p n 7/
c4v
1. 121PLATTED ALLEY
1tt Qr+L, a,,(ql%/ftlrl,,n 100/RT l,`j0.00'(D)
rC Ian lm pre oGAnL A w TWO STORY 150. O3'(M)... / %
EOP
FIR 5/8!'..1. be. - - o _> s•, :.ro . i—GARAGE ... .
sk-1Afi
A Ih' e—P.
d 07 Y1101
raJr S%•1
1 i nlc a l d
OP y AA
2 CONC GUTTER
129.86'(M)
1 JO. 00'(0)
INLET
HIBISCUS COUR r
90' R/W (IMPROVED) ASPHALT _
Where areas of structures are locked
or otherwise inaccessible property
appraiser dimensions may be used.
CONC
LOCATION SK TCH
Nor 1O SCALE
U
O8
N
I
SCALE: 1 "= 40'
a
fn PER PLAT
O
I
CoW N
0Cc O
O z
M. c
W
J
CURVE TABLE NO.
RADIUS DELTAARC rANCENr CHORD 1(M)
2aoo' 8952,31' 31.37' 19.98' 2a25' Property Address:
2008 Hibiscus
Court Sanford, FL
32771 Survey number:
PS 1384 LEGEND 0--:—
Wire
Fence D---D--
Wood Fence D Description
or Deed P.B. Plat Book GENERAL NOTES OHu— Overhead
Utilities D.E.
D.U.
E. Drainage Easement
9 Drainage & Utility
Easement P.E.
P.O.
B. Pool Equipment
Point of
Beginning 1. Legal description provided by others. 2. There
7. Unless otherwise noted, flood zone Information P.P.
Power Pole DNV Driveway P.O.C. Paint of Commencement may be
additional easements and/or restrictions either
recorded or unrecorded not provided by
others. O W.
M. Water Meter ESMT. Easement P.C.C. Point Of Compound Curve shown hereon that may affect this property. e. Septic
lank and dralnfieltl location shown hereon Is EQ or
a Electrical Facility E.O.P. Edge Of Pavement P.C. Point of Curvature 3. Only visible encroachments located. APPROXIMATE end are based upon visual location only. g. Fence
locations along property line may be exaggerated for Asphalt E.
O.
W. Edge of Water 9 P.I. Point of Intersection 4. This is a BOUNDARY SURVEY unless otherwise clan ty Block Wall
ENCR. F
Encroachment
Field
P.
R.
C. Palm of Reverse Curvature noted. 5. This
survey or the copies thereof are not valid 10. This survey meals or exceeds the Standards of Practice BrIcWPavars FO
Found P.T.
Point of Tangency with the signature and the original raised seal promulgated by the Florida Board of Professional Land t•%' Concrete/
Hard Surface Found Nail & Di P.O.
L. Point on Line of s Fiod surveyor and mapper. m Surveyors, 5J-17. of the Florida Adminlstra0ve Code, Section 472.027.
Florida Statutes. Covered Area
F.C.M. Found Concrete Monument P.L.
R. Line
Record
Record
y Is
not to e. ThissurveyIsnottobeused for construction of any kind.
Centerline F.
I.
P. Found Iron Pipe R/W Right of Way Central Angle/
Delta F.I.
R. Found Iron Rod S.I.R. Set Iron Rod & Cap 0— Line
Break Not to Scale L LENGTH
SWK Sidewalk A/C
Air Conditioner L.B. Licensed Business TEL. Telephone Facilities B.R.
Bearing Reference M FIELD MEASURED T.O.B. Top of Bank B.M.
Bench Mark M.H. Manhole TYP. Typical CATV Cable
Riser O.R.B. Official Records Book U.E. Utility Easement C Calculated
C.L.
F. Chain Link Fence PG. Line Page p
W.F.
Wood Fence Jeffrey S. Hatten P SURVEYOR AND MAPPER NO. e193 L.B. e222 C. Chord
W.C. Witness Corner C.B.
Chord Bearing P.V.
C. Vinyl Fence 1 hereby certify that this su s a true and correct representation of a survey prepared under my direction. CBS Conc. Block & Stucco PVMT. Pavement CONC. Concrete
P.C.P. Permanent Control Point C.M.
Concrete Monument P.R.M. Permanent Reference Monument COV. Covered
P Plat
SXRFOR'DBuilding &Fire Prevention Division
FIRE DEPARTMENT
RESIDENTIAL SHED AFFIDAVIT
120 SQUARE FEET OR LESS)
PERMIT#: 18— c4I eV ADDRESS: ` lcff6 V
I \(' A , 1 V wn HEREBY
AFFIRM THAT ALL OF THE FOREGOING INFORMATION
IS TRUE AND ACCURATE. THE SHED TO BE INSTALLED ON THE PROPERTY LISTED ABOVE WILL BE REQUIRED TO MEET THE FOLLOWING:
INSTALLED TO MEET ALL MANUFACTURER REQUIREMENTS, PROPERLY TIED DOWN PER MANUFACTURER RECOMMENDATIONS,
AND LOCATED ON THE PROPERTY IN ACCORDANCE WITH THE APPROVED SITE PLAN. SITE BUILT SHEDS MUST ADHERE
TO COMMON CONSTRUCTION PRACTICES. I UNDERSTAND THAT FAILURE TO PROPERLY LOCATE THE SHED IN THE APPROVED LOCATION
WILL BE A VIOLATION OF CITY CODES AND COULD RESULT IN THE SHED HAVING TO BE RELOCATED OR TAKEN DOWN AT THE OWNER'
S EXPENSE. LICENSED
CONTRACTOR LICENSE #:
COMPANY/
CONTRACTOR: CONTRACTOR
SIGNATURE: DATE: HOMEOWNER (
OWNER/BUILDER) OWNE
UILDER NAME: OWNER /
BUILDER SIGNATURE: DATE: Y J PLEASE
NOTE" THE
BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON SHEDS SIZED 120 SQUARE FEET OR LESS.
THIS AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL
SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE SHED. STATE
OF FLORIDA COUNTY OF ` Sworn
to and Subscribed before me this day ofyC,-,+ 20 1O by: 4 S /'
Z !WVAo is Personally Known tome or has Produced (type of 4nfi'fication) , `.
b
U,91tlification. t Signature
of
Notary Public State of
Florida dt Yc`Yap; DEBBIEBUMON Print/Type/
Stamp Name of Notary
Public MY COMMISSION
S FF 178648 EXPIRES: February
25, 2019 Bonded Thru
Notary Public Underwriters Effective: August
1, 2017