HomeMy WebLinkAbout209 Melissa Ct - E18-002575 - ELECTRICAL BREAKERCITY OF
ANFORD`. JUN o 6 zoo Building & Fire Prevention Division
PERMIT APPLICATION
FIRE DEPARTMENTBY• Application No: iD a' 51f
Documented Construction Value: $ -230 . O O
Job Address: 20 0% '0e1 I stc% c Historic District: Yes No
Parcel ID: 10-26- 30- So\- nnnn- %orn Residential ® Commercial
Type of Work: New Addition Alteration Repair® Demo Change of Use Move
Description of Work: Jmly,, S xem cent C=. / % -_ le c7L i L :?(,a; k pr
Plan Review Contact Person: Title:
Phone: Fax: Email:
Property Owner Information
Name Snnv% Vkcxcywj Phone: AGO- Iy0 C 3gY
Street: ROq NAo ,.tCo. Resident of property? : Yes
City, State Zip:
Contractor Information J
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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. 1 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: 61° Edition (2017) Florida Building Code
Revised: August I, 2017 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 1 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 ]CC 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.
e., OG 10K 1 M12
Sign re of er/Ag nt Date
71\,-Nov NAoYev-O
Print 9wmer/Agent's Name
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
gnature ofNota Estate of Florida ate Signature of Notary -State of Florida Date
PAY P 4., ANNETTE BLAND
Notary Public - State of Florida
i9 Commission a GG 060 223
o,r d};'* My Comm. Expires Jan 16, 2018
Ow o n. o Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of 1D
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas[-] Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: August I, 2017 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 1, as the owner of
y the property listed, may act as my own contractor with certain restrictions even though 1 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
4 v\ 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. 1
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 I year after the construction is complete, the law will presume that I built or substantially improved it
Sh for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
zH
1 understand that 1 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 1
SH 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
Z!1 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.
1 understand that 1 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
Sh 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.
h
1 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
h 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
Zy\ 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
ZH 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: ZOa d1e\ z iok Ceuyk ., SokY(%O A, V\, '3Z'4,43 I,
Zenv. `NOw. VV-) , 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. _,, Signatu Form
of
Identification Must be
Photo ID) Date OG
1061701g
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
DESCRIPTION AS FURNISHED: Lot 86, THORNBROOKE PHASE 4, os recorded in Plot Book 81, Pages
70 thru 71, Public Records of Seminole County, Florida.
BOUNDARY FOR/CERTIFIED TO: Andrew and Angela McCombs; First American Title Insurance
Company; Inspired Titld Services, LLC; TMHF
LOT 18
THORNBROOKE PHASE 1
P.B.79,PGS.3-7) le
S 00°1455" E JUN 6 REC.
1/2" I.R. No
I.D. 48.91 ' REC
I.R. NO
I.Of I/ H1y0yU
0.
1 Existing
Fenc
neighbor
5.
00, 19,
80' 48RICKo;
5.00, 8"
RECESS FOR POCKET
SLIDER LOT
85 GATE RDDI
w1 n
10hbo, Doto LOT
86 TWO
STORY RESIDENCE
66 .
01. H F.F.= 24.00' o
C
Oi
5.
00' 1
I 21.
3' 16,
BRICK
25.
20 DR' 25.21 xm'.
I-(0 r1 ESMTTIL. 0.91 ri 19.
80' . ' 1 5.
7' 113.9 9ATE
1
1
I
o U
1
vN I
5.
0' 113.
91' CO "
0. BRICK
I BRICK
1 WALK
I
0.3, ON
ry•
pb i
REC.
1/2- I.R. 5' CONC. WALK REC. 1/2- I.R. NO
I.D. NO I.D. N
00°1455" W 23.
91 ' ROCKY
GROVE LANE TRACT
I (5o' R/w) UTIL.
HIEACCESS R/W eqPROPOSED - FINISHED SPOT CRADE ELEVATION PER
DRAINAGE PLANS v -%--
PROPOSED DRAINAGE FLOW BUILDING
SETBACKS: FRONT -
25' LOT
GRADING TYPE B PROPOSED
F.F. PER PLANS - 24.00' A} REAR -
15' SIDE -
5.0' SIDE
CORNER - 10' PROPOSED
GRADE PER CONSTRUCTION PLAN 0
Ok
to install approx. t: linear feet of
G foot high Iv' fence and gate(
s) as shown on plan. Fence shall
be constructed with finished side facing
outward. N&
D I
D=
90°00'00" R=
25.00' L=
39.27' C=
35.36' CB=
S 45D14'55" E LOT
5,735 SOFT. LMNG
1.467 SOFT. GARAGE
455 SO.FT. ENTRY
71 SO. FT. LANAI
139 SO. FT. BREEZEWAY-
N/A SO.FT. DRIVEWAY
403 SOFT. A/
C PAD 18 SO. FT. WALKWAY
67 SO. FT. IMPERVIOUS =
45.7 X 2.
620 SO.FT. son
A IIS SO. FT R/
W = 2.000 SOFT. APRON -
110 SO.FT. SIDEWALK -
867 SO.FT. SOD -
1.091 So.FT. PROPOSED
INFORMATION SHOWN AREA - 7,735 S'O.FT. BASED
ON SUPPLIED PLAN DRIVEWAY - 513 SOFT. AND/
OR INSTRUCTIONS PER SIDEWALK - 934 SO.FT. CLIENT(
NOT FIELD VERIFIED) SOD - 4,136 SO.FT. CRUASENME'
YER-SCOTT LPL ASSOC, INC. - LAArD SURVEYORS. LEGEND -
LEGEND - 5400
E. COLONIAL DR. ORLANDO, FL. 32807 (407)-277-3232 FAX (407)-658-1436 P • PLAT r •
HELD PDL TT. POINT ON LINE TYPICALNOTES: V. .
IRON PIPE JtL POINT GE REVERSE CURVATURE 1. THE UNDERSIGNED DOES HEREBY CER11rr THAT THIS SURVEY MEEIS THE STANDARDS Of PRACTICE SET FORRI BY Off FLOMM HOARD Of IRIRONRODCAA •
CONCRCTC MONUMENT CC. RARPOINT Or COMPOUND CURVATURE RADIAL
PROFESSION4 SURVEM" AND NAPPRS IN CHAPTER W-17 FLORHDA ADMIUSTAATVE CODE PURSUANT TO SECTION 472.027. FLORNIA SYATUES 3CTMR. •
IR' IR. t/RLD ASlD III. NON -RADIAL • I UNESS EMBOSSED HTIN SURVEYOR'S SIGNATURE AND O)WUft RAGED SCAL IM SURVEY YAP OR COP10 ARE NOT VAUO NEC.
REC- IICC W. YTTINESS POD? x INS SURW WAS PROWED FROM TITLE DI ORMATpN ANNRNED TO THE SUAVEVOR. THERE MAY BE OTNEWREFIRICIIONS SR •
IO1NT W DCGIMNING TOFCALL. CALCULATED OR EASEUENIS ITNT AFFLCI TINS PROPERTY: PLC.
POINT Or CEMENT Fri ERNMCNT REFERENCE MORWENT 4. NO UNMOROUND MAAOMQM HAVE BIN LOCATED UNLESS 0"MMSE SHOWN. CCHTCRLIIC
ff. nNISTED FLOOR ELEVATION A INS SWWVCr 15 PREPARED FOR THE SOiE BQRPIT W TROSE CETVED TO AMP SHOULD NOT BE RCUM UPON Or ANY OTHER WITTY. ' ND • NAIL L DISK DST. DILDUR.OM SETBACK LINE 6 0194E4N7NS DOWN MR THE LOCAITON Of WPROVEYENTS HEREON SIHOWRD NOT BE USED TO RECONSTRUCT BWNOARY UNES. R/V RIONT-NT VAT D.D. LNCIOUAR DASESCARING7. 094R NM ARE BISED ASSIMTO DATUM AND ON THE LINE SHOWN AS BATE BEMIRE JIM) DCSmTRAL
DRAINAGE DRAIN, •DRAINAGE B. [LEVA1pNS, V SHOWN, ARE BlSZO ON 94110941. OEOOETIC MTVM OF 1079, UNLESS O7NEAtYSE NOTED. VTR.
UTILITY D. CERWIGRTE Of AUTHORIZATION NR 4M$. CL
FC. • CHAIN LINK FENCE VDFC. •
VOOD FENCE C/
D CONCRETE BLOCK P.
C. POINT or CURVATURE P.
T. POINT Of TANGENCY DESC.
DESCRIPTION R
LRADIUS ARCLENGTHD
DELTA C
CHORD CA
CHORD CARING CERTinE`
D.9Y.• NORTH ,
I
SCALE H- I- - 20'--4 1 DRAWN Dr ••• I PLOT
PLAN 03-29-2017 REVISED
PLOT PLAN 05-31-2017 FORMBOARD
FOUNDATION/aM. 08-01-17 F1NAL/
ELEM 12-07-17 ADDED
CERTIFICATION 12-13-17 1297-
17 3085-
17 5415-
17 THIS
BUILDING/PROPERTY DOES. NOT LIE WITHIN THE
ESTABLISHED 100 YEAR ROOD PLANE AS PER .1R1- TO RISEN EVER R.L j 4714 ZONE
7C' MAP j 12117C 0055 F. MUES W. SCOTr R.LS 1 4801
SCITY
Of UN 0 6 20 a' A j4O Building & Fire Prevention Division
1`i RESIDENTL9L FENCE PERMIT APPLICATION
FIRE DEPARTMENT
BY:
Application No: 12 —CC?- S-1`T
Documented Construction Value: $ 1500.00
Job Address: 451 Rocky Grove Ln Historic District: Yes No KI
Parcel ID:
Plan Review Contact Person: Andrew McCombs Title: Owner
Phone: 352-250.4387 Fax: Email: masterdrue@gmail.com
Residential Fence Information
Type of Fence: Wood Metal PVC/Vinyl IN Iron Other
Fence Height: 6' Feet # Gates: 2 Total Linear Feet: 65
Additional Information:
Fences with a height of over 6 feet will require signed & sealed structural engineering"
Property Owner Information
Name Andrew & Angela McCombs Phone: 352.250.4387 / 407.493.1676
Street: 451 Rocky Grove Ln Resident of property? : Yes
City, State Zip: Sanford, FI. 32771
Fence Contractor Information
Name Self Phone:
Street: Fax:
City, State Zip:
Please Note: The Building Department does not perform site inspections on Residential Fence
permits. A signed and notarized Fence Affidavit is required to be submitted along with this
permit application. Please see the attached Fence Permit Submittal Guidelines.
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.
Effective: August I, 2017
CITY OF
A FORD
FIRE DEPARTMENT
Building & Fire Prevention Division
RESIDENTIAL FENCE AFFIDAVIT
G FEET OR LESS IN HEIGHT
PERMIT #: j (J 915-7 q ADDRESS: 451 Rocky Grove Lm
Sanford, FI.32771
JUN 0 6 1018
BY.
I Angela McCombs , HEREBY AFFIRM THATALL OF THE FOREGOING
INFORMATION IS TRUE AND ACCURATE. THE FENCE WILL BE INSTALLED IN THE APPROVED LOCATION AS SHOWN ON THE APPROVED SITE
PLAN. THE FENCE WILL BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACE
OUT. IT IS THE HOMEOWNER'S RESPONSIBILITY TO VERIFY THE FENCE IS PLACED WITHIN THE PROPERTY LINES AND ANY DISPUTES
BETWEEN ADJACENT HOMEOWNERS WILL BE A CIVIL MATTER. I UNDERSTAND THAT FAILURE TO PROPERLY FOLLOW THESE GUIDELINES
AND ADHERE TO ALL CITY CODES (SANFORD LAND DEVELOPMENT REGULATIONS, SCHEDULE F) COULD RESULT IN THE FENCE HAVING
TO BE REPLACED, RELOCATED OR REMOVED AT THE OWNER'S EXPENSE.
FENCE CONTRACTOR
BY SIGNING THIS AFFIDAVIT, YOU ARE ACKNOWLEDGING YOU HAVE MADE THE HOMEOWNER AWARE OF THE FENCE AFFIDAVIT
STIPULATIONS AS STATED ON THIS DOCUMENT.
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
aX HOMEOWNER (OWNER/BUILDER)
OWNER/BUILDER NAME: Angela McCombs
OWNER / BUILDER SIGNATURE:
DATE:
DATE:
PLEASE NOTE"
THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON RESIDENTIAL FENCES. THIS
AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL
SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE FENCE.
STATE OF FLORIDA COUNTY OF
Sworn to and Subscribed before me this day of
identification)
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
20 by:
Who is 0 Personally Known to me or has 0 Produced (type of
as identification.
SE"
Effective- August I, 2017
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. 1 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
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.
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.
1, dln, Ulobe
Signatur o er/Agent Date
Anizela McCombs
Print Owner/Agent's Name
Jit
Signature ofNota -State ofFlorida
w _
Date
ra+Po,, ANNETTE BLAND
Notary Public - State of Florida
r Commission rr GG 060623
My Comm. Expires Jan 16.2016
Own ye or
Produced ID Type of ID
Signature ofContractor/Agent Date
Angela McCombs
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
PLAN REVIEWAPPROVAL: PLANNING: G • 6. 2-018 HISTORIC: COMMENTS: _
Ok to install approx. (f linear feet of
G foot high 16',ngl fence and 3
gate(s) as shown on plan. Fence shall
be constructed with finished side facing
outward. Effective:
August I, 2017