HomeMy WebLinkAbout1804 Chase AveRECEIVED
OCT 0 1 2010 r
CITY OF, SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $449"
Job Address: <ga aaw— 4yo . Historic District: Yes NoV
Parcel IID: Zoning:
Description of Work:
Plan Review Contact Person: 1"1(t,n ,I Q Title: n _
Phone: 32-1J55-/O 7`753 Fax: E-mail: Property
Owner Information Name
Phone: 2 -Onp -115 Street. 01
611 AV P Resident of property? City, State
Zip{ Contractor Information
Name Phone:
Street: Fax:
City, State
Zip: State License No:: ` Architect/Engineer
Information Name: F
Phone:
Street:
Fax:
City,. St,
Zip: E-mail: Bonding Company:
Mortgage Lender: Address: Address:
PERMIT INFORMATION
Building Permit
Square Footage:
Construction Type: No of<Stories, No. of
Dwelling Units: Flood Zone: hi% Electrical. .; Plumbing
11 New Service—,
Ao. of AMPS: New Construction - No. of Fixtures: - Mechanical (Duct
layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: o
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 THEJOB 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.
ID
Ag`nature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
10-01-- lo
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Pers9naff Contractor/Agent is Personally Known to Me or
Produced ID TyEw — m - Produced ID Type of ID
T 'J
APPROVALS: ZONIl 'ZQnuse oG5'4 UTILITIES: WASTE WATER:
ENGINEE
NNE v Y- e FIRE: BUILDING: c d
COMMENTS:
Rev 11.08
OWNER BUILDER STATE ENT/AFFIDAVIT
JAUtamonto Springs, %.#a lberry, ftry, LO.,,,,,..G ,-Ovied^, Ca nfnrd
Seminole County, winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions .for ---
homeowners from qualifyingas 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.
I
understand that building, permits are not required to be signed by a property owner unless he or she is VC,
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 DG
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 PC
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. 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 - 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
JC I am of aware of construction practices and I have access to the Florida Building Codes.
regarding- anaanmpoefrnuerstandthatlmayobinmoemrmtionrriyobligteyromthetIne
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.mnorida.com/dbpE/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.
s
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 Address: / 0 u 'C
1, Tp r I 2r l ,`'Tf : U , 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 Owner -Builder
Form of Identification
Must be Photo ID)
Date
ID-0I-III
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
OFFICE
MAN
iGS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts. PublicationsFBC Product
Approval I T 0 USER:
Public User rtnlA Product
Anwoval Menu > Product or Anplication Search > Application List > Application History > Application Di FL #
FL4334-R4 Application
Type Revision Code
Version 2007 Application
Status Approved Comments
Archived
Product
Manufacturer Address/
Phone/Email Authorized
Signature Technical
Representative Address/
Phone/Email Quality
Assurance Representative Address/
Phone/Email Category
Subcategory
Compliance
Method Certification
Agency Validated
By Referenced
Standard and Year (of Standard) Masonite
International'" i
rnth^Qa'1''IrXabry Suite
950 Tampa,
FL 33609 615)
441-4258 sschreiber@masonite.
com Steve
Schreiber sschreiber@masonite.
com PO
Exterior
Doors Swinging
Exterior Door Assemblies Certification
Mark or Listing National
Accreditation & Management Institute, National
Accreditation & Management Institute, Standard
TAS
201 TAS
202 TAS
203
NOTICE OF PROW T CERTIFICATION
Company: Masonite International Corporation Certification No.:
1955 Powis Road Certification Date:
Nest Chicago, IL 60185 Expiration Date:
Revision Date:
Product: Metal -Edge Impact Rated Steel Door w/Hollow Metal Steel Frame
Specifications Tested To: TAS 201/202/203-94/ASTM E330
NI006591-R2 Page 2
06/14/2006
12/30/2010 -
12/18/2008
The "'.Notice of Product Certification" is only valid if the NAAII Certification Label has been applied to the product as described within this document. The certification
label represents product conformity to the applicable specification and that all certification criteria has been satisfied. This product has been approved for listing withinNAMI's Certified Product Listing at w-%w.Namicertification.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI).
Configuration
X
Single
Inswing
or
Outswing
I/S
Glazed
or
O a ue
Opaque
Maximum
Size
3'0" x 6'8"
Design
Pressure
Pos/Ne
80/-80
11lisslie
Impact
Rated
Yes
Test Report Number
Drawing Number &
Comments
NC•TL.210-1915-1,2,3
Anchor Detail-M A-F L0150-06
X OYS Opaque 3'0" x 6'8" 80./-80 Yes NCT
Detail- A -FL
2.3
Anchor Detail-MA-FLO 150-06
Single
National Accreditation & Management institute, Inc.7118-7u Merchants WHIK 3une 4uLi1rcwp9J1t 1.r..3, • l+
Tel-757.594.8658/Fax-757.594.8659
NAMI AUTHORIZED SIGNATLRE:
NAMI NOTICE OF PRODUCT LINE
EK*l 11V ICATI®N
Certification No.:
Date:
Revision Date:
Certification Program:
Company:
Code:
N1006591-112 Page 1
06/ 14/2006
12/18/2009
Structural
Masonite international
M-703-1
The `Notice of Product Line Certification' is valid only when Administrator's Seal is applied to the upper
left hand portion of this form and a certification label is applied to the product. This certification seal
represents product conformity to the applicable specification and that all certification criteria has been
satisfied.
The products and systems listed below are approved for listing in the Directory of Certified Products at
www.NAMICertitication.com. Please review, and advise NAMi immediately if data, as shown requires
corrections.
Company: Masonite International Corporation
1955 Powis Road
West Chicago, IL 60185
Product Line: Masonite Metal -Edge Impact hated Steel Door with Hollow Metal
Steel Frame
Test Report: NCTL-210-1915-1,2,&3
Section 1: General Description of the Products and Systems under this Certification
1.1 frame: Jambs and head constructed from 4-5/8" 18 gauge steel.
Head/Jainb corners were mitered construction.
1.2 Door Slab(s) Construction: Slab constructed from 0.017" thick steel
skins. Top and bottom rail constructed from wood. Stiles of continuous
roll -formed steel employing a high impact styrene thermal barrier. Interior
cavity tilled with rigid polyurethane.
Section 2: Additional Supportive 'Pest or Acceptance Data Provided with
Certification Documentation included':
2.1 Anchor Performance Calculation Report -Performed by Eric S. Nielsen,
P.E (Florida P.E. No. 41323)
2.2 Surface Burning Characteristics for Foam Filled Door performed by
Omega. Point Laboratories to ASTM E84-98, "Standard Test Method
For Surface Burning Characteristics of Building Materials". Report No.
t# 15977-104313.
This intonnation is provided as a convenience for consumers, building departments and inspectors and is not considered part of
this ceM ication
Sec additional Pages of Certification for Certified Product Line Mauix(s).
National Accreditation &Management Institute, Inc.
11870 Merchants Walk Suite 202-Newport News, VA 23606
TEL(757) 594.8658 FAX(757)594-8659
400 --,R :TEi., 2X 4TLI33
Al!;G CGKRESS IN p4CH-IRS,
TPR
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II
J9011 S.!E
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OD S-.REV
R OF EACH JMB
P !N7-:?ICR OF A-":----, DPvVALL
WOC" OR STEEL SPUDS
RkF ANCiOR3 N; WO'--D OR
2 s , 3 iE:L X M,
37PAP AliCH----R T(P
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ME ST
STRAP Arq.-Hu"L\Ts P) STU-
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FL-. LA C I INS -.ALLA:1— PINKRETE
ECK,., ANCHN, A3r.'.R Ic
MAx :i i ii
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7'n<rAN::
1-; mA,
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FRAME
BU7TE.RFL'l Cl-lp ^3 r!p L CLL S
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Ell- 3/L 'HETER
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7I
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6'7"DOUBLE
ICANE SELLEVILLE FIBERGLASS DOOR UNIT
DOOR WITH / WITHOUT SIDELITES
GENERAL NOTES
1. EVALUATED FOR USE IN LOCATIONS ADHERING TO
THE FLORIDA BUILDING CODE AND WHERE PRESSURE
REQUIREMENTS AS DETERMINED BY ASCE 7, MINIMUM
DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES,
DOES NOT EXCEED THE DESIGN PRESSURES LISTED.
2. THIS PRODUCT DOES NOT REOUIRE THE USE OF
A HURRICANE PROTECTIVE DEVICE (SHUTTERS).
3. POLYURETHANE CORE FLAME SPREAD INDEX OF 50
AND SMOKE DEVELOPED INDEX OF 60 PER ASTM E84.
4. PLASTICS TESTING OF FIBERGLASS FACING:
TCCT t\CC!`OIOTI I'1N _ _
SELF IGNITION TEMP ASTM 01929 803 'F > 650 'F
RATE OF BURNING ASTM D635 0.79 IN/MIN C-1)
SMOKE DENSITY ASTM D2843 48.9%
TENSILE STRENGTH' ASTM 0638 1 -7.37 DIFF
UMVAKAIIVE ILN5ILL bIKLNGLH AFTER WEATHERING
4500 HOURS XENON ARC METHOD 1
ou
oil
SINGLE DOOR UNIT Il4 g711011 7•num"
TABLE OF CONTENTS
SHEET # DESCRIPTION
1 TYPICAL ELEVATIONS & GENERAL NOTES
2 ANCHOR LOCATIONS & DETAILS
3 IANCHORING LOCATIONS & DETAILS
Do:
Ll 00
SINGLE DOOR UNIT
WITH SIDELITE
SINGLE DOOR UNIT
WITH SIDELITE
20.5" MAX
D.L.O. —
149' MAX. OVERALL FRAME WIDTH
36.375" MAX.
PANEL WIDTH
W/ASTRAGAL
7i-ili EZ
DOUBLE DOOR UNIT W/SIDELITE$
37.5" MAX.
rFRAME WIDTH
Added m b*W
cam b m Ib: N11 in ORO - RakidOr
DeteR/ 7-114109 DOUBLE
DOOR UNIT W/SIV I IT 5 DESIGN
PRESSURE RATING WHERE
WATER INFILTRATION PERFORMANCE IS REOUIREO
TO BE 15% OF DESIGN PRESSURE CONFIC
I MAX WIDTH INSWING OUTSWING INSWING OUTSWING OUTSWING- X
1 37.5 70.0 -70+1.
7
70.0000
XX7450.5 55.- 5. OX
or XO__ 75 57000..05 -500..50 55.-50.5 19-19.0 4 Z±+:7rc.
0 0OXO
112.5 50. 55.-50.5411 9 4 0 749
50. 50. 90 0OXX0 niyn
vurn unesnow vesign cc
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2111/
0: SCALE:
N.T.S. DWO.
Br: SINS HN.
Bf: SHEET
1 OF
vq
DETAIL ,. — 6"
3 —I — I- 3
E
3
SEE OETAIL
6" 6" 6' I3" — T.,
0W
r
J
7o
w
B
AO B f
6" 3 —
Il
6" lr 6" I II
I
r 3 V
3„
6"
SEE DETAIL
8 x 2-1/2" #
10 x 2"
10 x 5/8"
8 x 2-1/2" #10 x 3/4"
Q #
10 x 5/8" #
10 x 3/4"
10 x 2"
DETAIL "C'
DETAIL "D'
r I I 3"f
3
6" '
1 /
io
aWU
as SEE DETAIL
v) .,D.
J
Q
Ow
Ir.
f
a (G
0
ry
n
6
EE DETAIL
C.
6
8 x 2-1/21
ASTRAGAL
REIAINER BOLT HOLE MUST
BE DRILLED THROUGH THE
THRESHOLD &INTO THE DETAIL "
E" ASTRAGAL STRUCTURE DEEP ENOUGH ATTACH
ASTRAGAL RETAINER BOLT FOR
A 1.375" THROW STRIKE
PLATE TO FRAME DETAIL "F" ASTRAGAL AS
SHOWN. 0.
124" ANNEALED DECORATIVE INSERT 0.
090' SAFLJEX IIIG (OPTIONAL)
0.
124' ANNEALED .0124 TEMP. ALUMINUM
OR BUTYL SPACERrti• /6 X 1-1/2" PHS yA. 0.
962" DOW
832 v.., DOWOR E 832 1.
75•' DR
EQUAL ' .: t.
375" 17.
047"' UAL CaCfip9dIN0.: N 1
x
aiOR ICIIE OE DaW
Rw, By. UateRaaewe
TIfTYPICALGLAZINGDETAILINSWING
THRESHOLD OUTSWING THRESHOLD HIGH DAM O/S THRESHOLD IMPACT RATED GLASS 2/
11/05 xAIE:
N.T.S. Xvc.
eY: SINS AK.
BY; Xamw
NO. WG-
MA-FLO120-05 HEET
2 OF 3
i
SEE DETAIL
C" SHT. 2
I
3"
N
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WU
a SEE DETAIL
r "D" SHT. 2
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a
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WGUf
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1 I
3"
I
ATTACHMENT DETAIL
1. ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED,
SIGNED AND SEALED BY HAROLD E. RUPP, PE
FLORIDA #15935) WITH THE LOWEST (LEAST)
FASTENER RATING FROM THE DIFFERENT FASTENERS
BEING CONSIDERED FOR USE. JAMB, HEAD, AND
THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE
10 WOOD SCREWS OR 3/16" TAPCONS. A PHYSICAL 1so"
SHIM MUST BE PLACED IN SHIM SPACE AT EACH ANCHOR MIN 0.25"
LOCATION. SIIM
2. THE WOOD SCREW SINGLE SHEAR DESIGN VALUES COME FROM CL—
ANSI/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT
OF 1-1/2" MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE
MINIMUM EMBEDMENT OF 1-1/4".
TYPICAL
3. WOOD BUCKS BY OTHERS MUST BE ANCHORED PROPERLY TO ANCHOR INSTALLATION
TRANSFER LOADS TO STRUCTURE. 4-9/16" MIN JAMB
4. MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 171 LBS.
6" — I— _ 6"
3" 3"
I- 3'
I I I I I
6"
6cn
I I I
a
0
a
a
0
1 II II II II I
D
e
3.
6"
HARDWARE SCHEDUL
1.
JKWIKSET
MAXIMUM SECURITY SERIES GRADE 2
CYLINDRICAL AND DEADLOCK HARDWARE TO BE INSTALLED
AT 5-1/2" CENTERLINE.
2. 4" X 4" FULL MORTISE BUTT HINGES.
AdkrdmIDWMA
CedWfimWa' N1 oss3o-R
flevlewed8
Date r 2-./ E
a
O N
Do
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g U
DATE: 2/ 1 1105
SCALE: N. T. S.
DWG. er: SWS
CHK. DY:
DRAWING NO.:
OWC-IAA-FLO120-05
SHEET 3 OF 3