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Home My WebLink About1912 S Lake AveRECEIVED DEL 0 9 CITY OF SANFORD , BUILDING & FIRE PREVENTION PERMIT APPLICATION o Application No: /_ Documented Construction Value: Job Address: C1 /— S -1 ` Historic District: Yes No Parcel ID: J (p ^l - 30 - s " ODCDO -Oro20 Description of Work: Plan Review Contact Person: cv-A-, c; L4P Phone: LA % L4 t 7 % Fax:. Zoning: Title: 4-7t ^ J- _ E-mail:. ' C-X `c7 % ,O Ceo I i .ce ram, Property Owner Information ( 1 Name L J o4(L-l-- Phone: `f o7 `1 l % - 0 6 % 6 Street: (q — 5, LktY-,6-- 4L . Resident of property? City, State Zip: 7-7 Contractor Information Name d L,) 0C42--Phone: Street: City, State Zip: Fax: State License No.: Architect/Engineer Information , l Name: (` S . fd - Phone:. "[ U%- 55-5-''7 Street: -31 S. SR, 4 -3 4 Fax: 110-7 5V ^ 7 `-C 3 Ll ' City, St, Zip: &-Uln2o SPc'-wo 41— 3 E-mail: I Bonding Company: Mortgage Lender: Address: Address: Building Permit 0- Square Footage: 1-7 No. of Dwelling Units: Electrical New Service - No. of AMPS: PERMIT INFORMATION a• r,ipe tea,.• Construction T e _. "'0No. of Stories: YP. Flood' Zone` f0 Mechanical ( Duct layout required for new systems) Plumbing'; New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of.heads: p J er !' 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., Z- 1 -0 Si ature of 01, er/Ag t Date Signature of Contractor/Agent Date cot , M--I Print Owner/Agent's Name Print Contractor/Agent's Name 1,4A, 12/ v Si ature of Notary -State of Florida Date Signature of Notary -State of Florida Date 0111111111111 Owner/Agent is Personally Known to Me ors 6, 20/per$ctor/Agent is Personally Known to Me or Produced ID Type of ID FL t' Q J, PrdMcsd ID Type of ID AOpc 0 : o J APPROVALS: ZONING Z LZ T•ILII9 WASTE WATER: o ENGINEERING. •el ,; .011 BUILDING: COMMENTS: Rev 11.08 4 OWNER BUILDER STATEMENT/AFFIDAVIT 4 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 doneby 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 J L 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 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. n 11 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 n , persons working on my building or residence. It is my responsibility to ensure that the persons whom I jl 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 unlicensed person or his or her employees while working.on my property. My by,.an 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'' insur" ' 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 ori, 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 J understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.. GQCT 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.myflorida.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 oremployee 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: ' 1 [_ S c 1. Avc ;PAJ(-D (z-Q 3 [.--7 I, (-X , do, hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed'and agree to the conditio specified above. C)Az- Signature of Own - uilder Date ASC Form of Identification NSSON9• Must be Photo ID) ' o a 16,a,s'•: A violation of this exemption is a misdemeanor, of the first dege;uni a 11 term of, imprisonment not exceeding 1 year and a $1,000.00 fine in addition to a ' civ s In addition, the local s%• I F na :° O s• permitting jurisdiction shall withhold final approval, revoke then®p`ue any action or remedy for unlicensed activity against the owner and any person performin%e^auoat requires licensure under the permit issued. Rev. 9.14.2009 OCT 26 2004 09:12 FR MARY RABOUER 419 666 9754 TO.9140?4304061 P.02%04 Florida Building Code Online Page 1 of 3 r J u r, 9 - OiWew Product Search rr Orjanitallw Product S nand+ User; Public User • Not Associated with Organization - Application #: FL85 Da a Submitted: 09/1512003 Product Manufactm.a: Owens Coroiag Addrzss/ P'hoae/ertteil: One Owens Car ing,Parkway Toledo, OH 43659 x 410) 248-7066 _ Category: Roofing Subcategory: Asphalt Shingles i Evaluation Method: Certification Mark or. Listing Referenced Standards from the Florida Building Code: Sasdgg Year 1505. 1 ASIM E.108, 2003 C1oas A UL790) a 15073.5 ASTM D 34b2 ; 2003 1507. 3.7 kFIM D 3161 - 2003' UL9n Modified to 110 h Certification Agency: Underwriters Laboratories Inc. Quality Assurance Entity: Validation Entity: Authorized Signature: Darml, Higgs dermLhig, gs@owtmcornmg,com EvatuationlTest Reports Uploaded: bataftion Documents Uploaded: Product Approval Method: Method 1 Option A ' r: , httpalwww. floridabuil&n&drgPpr/pr_detl.asp?Ryr=85&RV=O&fiio=RQSreh 9120W OCT 26 2004 09t 12 PR MARY RABWER Florida Building Code Online Application Status: Date Validated: 419 666 9?54 TO 914074304061 P.8-4 s Page 2 of 3 s f Approved 09/ t 5/2003 Page: Pages % I Ez pN Product Modd p or Name Model Description Linnets of Uoe: Products rpust be,install in ordance with Florida Code Non High H5.1 Lami,oatc All'Sections of the aBuilding Code that to all the co®tioe Dade,and Btoward be followed. ucts uddimg must be=install in dffitcc yrith Florida ing CodeNonHighiryHumcaaezone5.2 lassie AR 3-tab All wchodivf the a Building Code titan. to all the counties t Dadeand Bioward he followed.,; Products nmt belastall'in accordance with Florida BuddingCode Nan High Zonevel5.3 alaidge PRO 30 AR Laminate re A1ll sec of the JlFloods' bugdin&(ade that pply to ull the coprttie® ccpt Dade" and Bnoward be. followod, . ' prOdlK, ia must be uncap iO . ce' with Florida ing Code Non Highity Hurricm, .Zone5.4akridgePRO40ARLaminateAt1sectiamoftheVlohz-4BuildingCode that to all the countiest DaftandBtowatdbe followed.; Products [ Must be=install in ordence with`Floada uilding Code No High elocity!.. Iiurricane'?AMe 515 Dalcridge PRO 50 AR Laminate aa. All 8e6tiona of the orda Building Code that ly to all the counties, crept bade and Broward , the foUowetl. Products mu9t be'astaII in 5. 6 Prominence AR 3-tab t:t oidztn FlOdda uilding Code Non High d' ocIry'Hurricane Zo= ' a6. All sectia n of the bttp:// www.tlori0ftUding,org##-Odl.av?IPT=85&RV--O&fm=I OSnh