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HomeMy WebLinkAbout409 Orange Ave - BR18-002738 - ShedCITY OF SkNFORD FIRE DEPARTMENT Building & Fire Prevention Division PERMIT APPLICATION Application No: S- ?7A6 Documented Construction Value: $ r-Q- l Job Address: 46T 0RAA1,1,E A/C- S,4.1F13,e Historic District: Yes No Parcel ID: _3b -19 -3 / - 5 / . -IDS© Residential R Commercial Type of Work: New Addition® Alteration Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: L/L t/ D//,1/SILI/ Title: Phone: 732-' 2M- 1Q/ 7s Fax: Email: Property Owner Information Phone: Resident of property? : c City, State Zip: sszy<dP 3277/ ,,-•,,,w,+'" ltli i' Contractor Information. Name A1144 Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: N /i Street: City, St, Zip: Bonding Company: Address: 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. 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. 0 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 4ii 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 and that all work will be done in compliance with all applicable laws regulating construction and zoning. v e ls -avl Sig-naattu (Owner/Agent Date Signature o Contractor/Agent Date Print OwnerfA en 's Name Print Contractor/Agent's Name ZFil Signatur fNotary -State of Florida Date Signature of Notary -State of Florida Date wwwv" uolssp" o,16 ao # N=kzl " WIsq=;Cp ltpy r WAN Jo 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: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No SW- I APPROVALS: ZONING: 117.2yISUTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: OK Gortyc euc4- S",e /O' Sfu! SAS a.s o^ 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 the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 1 understand that building permits are not required to be signed by a property owner unless he or she is VVresponsibleI''' l.r for the construction and is not hiring a licensed contractor to assume responsibility. 1 understand that, as an owner -builder, 1 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 l r 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 n 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. rK 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. 1 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. 1, 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. 1 I understand that 1 may not delegate the responsibility for supervising work to a licensed contractor who is T 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 r 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 9, I agree that, as the party legally and financially responsible for this proposed construction activity, 1 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. 1 also understand that I may contact the Florida I Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ forVmoreinformationaboutlicensedcontractors. 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 1 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 1 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: E, Q, do hereby state that I am qualified and capable of performing the requeste construction involved with the permit application filed and agree to the conditions specified above. Signature (f owner -Builder _J Date Form of Identification /(--2 D 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 tSTREET Y OF SXNFORD- FIRE DEPARTMENT 0f1, &Skk ,-O('0 i PAZZ.,-Z Building & Fire Prevention Division SHED / GAZEBO PERMIT 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: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. O py fa ct, sig a contrac rand the propert caner, indicating the documented constvalu the project. D Cop of cable contr or's license i d e State of Florida (if contractor is ap i t). O A site specific notarized er of attorneys quired from Welicensed contractor if he/ a poi an em oyee of his/her company to sign the permit applic contractor. O Ce ificate o rance indicating w er's co sation i ance coverage and naming the City of S ford as certifica holder, or opy of a worker's compensation exemption issued by the State of Fl ida ust be submi ' each application if contractor is the applicant). v Owner Builder Statement /Affidavit (if owner is applicant). Two ( 2) site plans indicating proposed location and distances to property line(s). Shed 10'x 12'or less: CKI • Signed and notarized Shed Affidavit O Gazebo 10' x 12' or less: Two ( 2) copies of Construction plans (legibly hand -drawn or drafted) indicating in detail how the structure will be built. All framing members and sizes as well as framing connectors must be specified. Foundation detail — how will gazebo be secured to the foundation O Shed or Gazebo greater than 10' x 12': Two ( 2) sets signed and sealed engineered drawings. Wind design data required on drawings per FBC 1603.1.4 to meet 129 mph ultimate design wind speed for risk category I buildings. Completed and signed Statewide Product Approval Specification Form. Two ( 2) copies of manufacturer's installation instructions. Florida State Department of Community Affairs Approved Building. These guidelines were compiled to assist the applicant in preparing a Shed /Gazebo permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federalcode requirements. Effective: August 1, 2017 ICI STREET la ma h— I I I I I I I I I I.— O,k44:y U9 D,e w CITY OF SkNF0RD FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL SHED AFFIDAVIT 120 SQUARE FEET OR LESS PERMIT ##: / f I — _' ADDRESS: 49 O,PAn/c L— 1. V6 1 , 1)o ! '- J-4 c 'V'grke- i , HEREBY AFFIRM THAT ALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE. TH 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. EJ LICENSED CONTRACTOR LICENSE #: COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: IMHOMEOWNER (OWNER/BUILDER) OWNER/BUILDER NAME: OWNER / BUILDER SIGNA PLEASE NOTE" DATE: DATE: 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 L dayof -' k-7e, 20 L by: tjrn2 iYJ chAl/Who is 0 Personally Known tome or has 0 Produced (type of 7nflfi, tion 1 /v . as identification. WuregrR- otary Public State of Florida it oi hmad DIa2 s a Prinailic Mj9l{Rll i@n6cp W'12A8=0*" of No CoMM1& lonW.GG=I Effective: August 1, 2017