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HomeMy WebLinkAbout107 Rollins St 12-347 (addition)RR V Nov 2 2011 j D CITY OF SANFORD BY' _ BUILDING & FIRE PREVENTION r P MIT APPLICATION ev Application No: Documented Construction Value: Job Address: I i�. ll ►n.S - 1 r� F� Z77� Historic District: Yes ❑ NA Parcel ID: i (� -.�Z -� O (� - Zoning: i 9 1 1 / Description of "Work:6dd;&)kX C� )4-2 i"1 i✓i 1/i ' (� `T�GL- ` � �X 1 h i_Q S tOle," .ec Plan Review Contact Person: ( ii i -i2 l , j�C? ✓► Title: �Df1p),�P_R- Phone: Ij, Fax: E-mail: CV tt11ma i0 J,Ve ,C`om Property Owner Information Name J24 11 Hu 0. it II � Phone: Street: © c 1 t Vt S T : Resident of property? City, State Zip: a.►ti � ►d F1 Z2_171 Contractor Information flame Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: 17 ke L164 Phone: 9- 02- 5 A I S -5 f' % Street: 531 j S ,SR .q 3 Fax: `t a% - / - 5 Lf 3 V City, St, Zip: ►a>1 f Apr, n�S. �-� ,. 2 7iy- E-mail: Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION Building Permit 0 Square Footage: -W Construction Type: No. of Dwelling Units: Flood Zone: Electrical Or New Service - No. of AMPS: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical ® (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: 4, a, 22.6�- ti 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Owner/Agent is ✓ Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: U, tea � _ UTILITIES: ENGINEERING: 11- ZZ-#FIRE: COMMENTS: A )141(A14A— Signa f Contractor/Agent Date 01 Print Contractor/Agent's Name I�oCary ublic - State o �iida My Comm. Expires Feb 25, 2015 Commission # EE 60182 Bonded Through National Notary Assn. Contractor/Agent is Personall . Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: -1i // Rev 11.08 w., MAR 0 6 2012 CITY OF SANFORD BY: J= BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: r�" �' �Documented Construction Value: $ 5 ® d Job Address: / �� vti� ti-Yf �.� ►�c?l . �% Historic District: Yes ❑ No ❑ Parcel ID: -_ Zoning: Description of Work: - Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name 0-1-t ;I AL-0- //yVt"V I Phone: q O7- Street: l D l 1 w� 5 Resident of property? City, State Zip: �___') 2 -7-7/ Name 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: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service - No. of AMPS: Mechanical 11 (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 6-VIL jattA, ,� l Signature 6 Owner/Agent Date Print Ow t er/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personall wrx to Me or Produced ID Type t�!G : ��r•.�� APPROVALS: ZO �CJ UTILITIES: o CC3 r-i = ENG1 "G: COMMENTS: f�'3ytir�......,. Rev 11.08 FIRE: 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 WASTE WATER: BUILDING: 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 l the property listed, may act as my own contractor with certain restrictions even though I do not have a l/e 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 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. 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- Ce 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 4 4zoningregulations. understand that the construction must comply with all applicable laws, ordinances, building codes, and 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.myflon'da.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 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 property licensed and the status of the contractor's workers' compensation coverage. Property / 3 Z 7'7, I,ljhAl"Q . 'mGl/V�_ , 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 Ow r-Builder Date Form of Identification (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 �� �L� 1 Aral 5i �1877-11 City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: �i 7� �i ))M Firm: Address: City: State: Zip Code: Phone: Fax: Email: Property Address: /v/7 Property Owner: Parcel identification Number: Phone Number: W7- 3fy /016�' Email: G �i��mar ©�yQ morn, The reason for the flood plain determination is: ❑ New structure ❑ Existing Structure (pre-2007 FIRM adoption) Expansion/Addition ❑ Existing Structure (post 2007 FIRM adoption) Pre 2007 FIRM adoption = finished floor elevation 12" above BFE Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076) OFFICIAL_USE ONLYt. -Flood Zone: Base Flood Elevation: -j( / _ Datum: FIRM Panel Number: IZ% k 7 c dy70 Map Date: 9 2v.�0 7 The referenced Flood Insurance Rate Map indicates the following: ❑ The parcel is in the: ❑ floodplain ❑ floodway ❑ A portion of the parcel is in the: ❑ floodplain ❑ floodway O'The parcel is not in the: floodplain ❑ floodway ❑ The structure is in the: ❑ floodplain ❑ floodway [ The structure is not in the: loodplain ❑ floodway If the subject property is determined to be flood zone 'A', the best available information used to determine the base flood elevation is: ZZ Reviewed by: Date: TAEngr-Files\Ek-dation Certricate\Flood Zone Determination Request Form.doc I loll is III if Ili II III 11 ill 11 III It III 111 III 11 oil 1I III Il Ill I loll Permit No. J 4 Tax Folio No. ' J - j CI -3 L, 5 Z3 _c, Uv V.- 0 ,_� 3 NOTICE OF COMMENCEMENT I" IN State of Florida County of Seminole NAME C The undersigned hereby gives notice that improvement Al}DR' 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. MARYANNE MURSE, CLERK OF CIRCUIT COURT SEMINULE CUUNTY tat{ 0'&Y3 P4 0836; Upgi C1_CRt;" s # 2011129415 ' ir101/011 08:53:01 AN 'ES 10.00 T Van Nuys 1.Description of j`j�roperty: (legal description of the property, and street address if available)1 i _ � �'(i u�,,r J.�',-V -h...cam -7- A'. 1.16. � C", _—ZV i� 2. General description of improve ent: Gi I L t d v1 c1� /7 Z W' / I U r-V KA- K(X' 3. Owner information: Name: t4 f Address: 10 1 B01; +l (. `, 6d 2 l b. Interest in property: r c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: _ h l - Phone number: a 0"7 — _�2z.�� c. Address: 5. Surety Name �1 Address: b. Amount of bond: $ 6. Lender: Name: Address: b. Lender's phone number: Ta. Persons within the State of Florida designated by Owner upon wh m notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates / of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 71.3.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COM CE NT. 1 Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this day of earof person) as (type of author" .. e.g. officer, trustee, attorney in fact) for (name L7722tS t was executed) . MY COMMISSION # A EXPIRES: October:,;o:(SE ;t'�••''d�F Bonded Thru Notary Publ� L...._....._ .. _.... Signature of Notary blic Personally Known OR Produced Identification Type of Identification Produced CFR1IFI,E6 Copy Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have rea^V&rq w W t gE th acts stated An it are tru to e ; est of my knowledge and belief. CLERK OF CIRCUIT COURT c.- / SEMIOLE 0 NTY, ORIDA Sig re of Natural Person Signing Above BY p _ Cam. Rev. date 3/2008 ��DEPUTY CLERK kk 0 1 201, 14 x 14 103 cfm 4 LAUNDRag I A 0 1011 1133 cfm E DINING 40 cfm E DEN 167 cfm E KITCHEN 141 cfm Job#: TILLMAN ADDITION Performed by TIRICIA HIGGINS for EARNEST WATSON 915 W 2ND STREET SANFORD, FL 32771 Phone: (407) 3233517 �E MST 3 V`7 Level I NEW LIVING 262 cfm V 8 " EW MASTER 145 cfm Q3 6 " E M BAT -, 7 cfm [-`1 EDROOM 2 E BEDROOM 3 '0 142 cfm 112 cfm SPEEDY CALLS Scale: I : 93 Page I 2805 SIATEN DRIVE Rigtt-SLdeV Unwersal 8.0.11 RSLW373 DELTONA, FL 32738 2011-Nov-1613:06:18 Phone: (407) 314-8495 Fax: (407) 322-5788 ... tdsoft HVACkT LLM AN ADDrr K) N. rup (JFFICE PERMIT# .z--.?,7 FORM 1100A-08 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: R1011140 Builder Name: Street: 107 Rollins St Permit Office: City of Sanford City, State, Zip: Sanford , FL, 32771 Permit Number: /.2 _- yy % Owner: Tillman Jurisdiction: 691500 Design Location: FL, Orlando 1. New construction or existing New (From Plans) 9. Wall Types (1525.4 sqft.) Insulation Area 2. Single family or multiple family Single-family a. Concrete Block - Int Insul, Exterior R=2.0 957.30 ft2 b. Concrete Block - Int Insul, Exterior R=4.0 568.07 ft2 3. Number of units, if multiple family 1 c. N/A R= ft2 4. Number of Bedrooms 3 d. N/A R= ft2 5. Is this a worst case? No 10. Ceiling Types (1942.0 sqft.) Insulation Area 6. Conditioned floor area (ft2) 1942 a. Under Attic (Vented) R=30.0 1942.00 ft2 b. N/A R= ft2 7. Windows(137.1 sqft.) Description Area c. N/A R= ft2 a. U-Factor: Sgl, default 72.00 ft2 SHGC: Clear, default 11. Ducts b. U-Factor: Dbl, default 65.10 ft2 a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 175 ft2 SHGC: Clear, default 12. Cooling systems c. U-Factor: N/A ft2 a. Central Unit Cap: 33.6 kBtu/hr SHGC: SEER: 13 d. U-Factor: N/A ft2 13. Heating systems SHGC: a. Electric Heat Pump Cap: 33.6 kBtu/hr e. U-Factor: N/A ft2 HSPF:8 SHGC: 14. Hot water systems 8. Floor Types (1942.0 sqft.) Insulation Area a. Electric Cap: 40 gallons a. Slab -On -Grade Edge Insulation R=0.0 1942.00 ft2 EF: 0.97 b. N/A R= ft2 b. Conservation features c. N/A R= ft2 None 15. Credits None Total As -Built Modified Loads: 32.79 Glass/Floor Area: 0.071 /'� PASS Total Baseline Loads: 41.42 hereby certify that the plans and specifications covered by Review of the plans and j14E S7''4 this calculation are in compliance with the Florida Energy specifications covered by this calculation indicates compliance pti Code. �./ 01� with the Florida Energy Code. PREPARED BY: Before construction is completed DATE: 10-03-11 ----- this building will be inspected for 9 P compliance with Section 553.908 ,) a t? Ii,i�f „ �; - --- I hereby certify that this building, as designed, is in compliance Florida Statutes. cab with the Florida Energy Code. WE OWNER/AGENT:- BUILDING OFFICIAL: DATE: DATE: _ __ _ - Compliance requires certification by the air handler unit manufacturer that the air handier enclosure qualifies as certified factory -sealed in accordance with N1110.A.3. 10/3/2011 12:05 PM EnergyGauge® USA - FlaRes2008 Page 1 of 5 OFFICE FORM 1100A-08 PERMIT # ,a- ,zy-7 FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs Residential Performance Method A Project Name: TILLLMAN ADDITION Builder Name: OWNER Street: 107 ROLLINS STREET Permit Office: SANFORD City, State, Zip: SANFORD , FL, 32771- Permit Number: /a- - 31' % Owner: CYNTHIA TILLMAN Jurisdiction: Design Location: FL, Sanford 1. New construction or existing Addition 9. Wall Types (664.0 sgft.) Insulation Area 2. Single fatuity or multiple family Single-family a_ Concrete Block - Int Insul, Exterior R=4.2 664.00 ft' b. N/A R= ftZ 3. Number of units, if multiple family 1 c. N/A R= ftZ 4. Number of Bedrooms (Bedrms In Addition) 3(1) d. N/A R= ftZ 5. Is this a worst case? No 10. Ceiling Types (618.0 sgft.) Insulation Area 6. Conditioned floor area (ftZ) 618 a. Under Attic (Vented) R=30.0 618.00 ft2 b. N/A R= ft 7. Windows(45.0 sgft.) Description Area c. N/A R= fF a. U-Factor: Dbl, U=0.65 45.00 ftZ SHGC: SHGC�.35 SHGC: S 11. Ducts - b. N/A ftZ LI-FactSHGC: a. Sup: Attic Ret: Attic AH: Interior Sup. R= 6, 60 ftZ 12. Cooling systems - Replacement for wholehouse c. U-Factor: N/A ftZ a_ Central Und Cap: 34.0 kBtu/hr SHGC: SEER: 13 d. U-Factor. NIA ft 13_ Heating systems - Replacement for wholehouse SHGC: a. Electric Heat Pump Cap: 34.0 kBtu/hr e. U-Factor: N/A HSPF:8 SHGC: 14. Hot water systems - None (Baseline assumed) 8. Floor Types (618.0 sgft.) Insulation Area a. Electric Cap: N/A a. Slab -On -Grade Edge Insulation R=0.0 618.00 fr EF: 0.92 b. N/A R= ftZ b. Conservation features c. N/A R= ftZ None 15. Credits CF, Pstat Total As -Built Modified Loads: 10.22 Glass/Floor Area: 0.073 PASS Total Baseline Loads: 14.56 1 hereby certify that the plans and specifications covered by Review of the plans and E 574Z, this calculation are in compliance with the Florida Energy specifications covered by this �; 0� F. Code. calculation indicates compliance ��'<rr -� with the Florida Energy Code. PREPARED BY: Before construction is completed DATE: this building will be inspected for compliance with Section 553.908 I herebycertify that this building, as designed, is in compliance fY 9 9 Florida Statutes. ✓� C with the Florida Energy Code. OD tNb OWNER/AGENT: BUILDING OFFICIAL: DATE: DATE: - Compliance requires certification by the air handier unit manufacturer that the air handier enclosure qualifies as certified factory -sealed in accordance with NI1110.A.3. 11 /1R/7n11 11-nR AM FnPmvr'alvu4b I IRA - FIAPP.?(InR Pane 1 of 5