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HomeMy WebLinkAbout1217 S Oak AveMCRIV—ED ln JUN 06 oil CITY OF ANFORD R Vz ENTION PERMIT AP LICATION Application No: -Documented Construction Value: $ OEJCJ Job Address: 12 11 S • Oak 4VO, Historic District: Yes No Parcel ID: :25-19 - 3o - 5A4rp—jqoq - p i o A Zoning: Description of Work: --19-yy\ P0 rCL" O-CA Z.> 5 C,- Y-amn Plan Review Contact Person: Title: Phone: Fix: E-mail: Property Owner Information Name 0:, ID t2 A Phone: L40 -7- Street: Z Resident of property?'e. City, State Zip: Swn"rsl C— L FD, -I I• Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: j Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage. Lender: Address:, PERMIT INFORMATION Building Permit E3 4 - / 34/ Square Footage: 4/Construction Type: Woo 0 FRAW No. of Stories: Z• No. of Dwelling Units: Flood Zone: Electrical [3 Plumbing 11 New Service No:. of AMPS: New eo riitruction No. of Fixtures: Mechanical Q (Duct layout required for new systems) Fire pS rinkler/Alirin - 13., 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. Signature of Owner/Ageen Date A Print Owner/Agent's tXne— Signature Carol H. Avant State of Florida Notary Public COmmleelon No, 'DD766908 My GbmmlaSIN Expires 2MWO12 2 Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: COMMENTS: s tr i 1.cnL d 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: 11.i Rev 11.08 ril 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 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. j 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 sidence must be for my own use or occupancy. It may not be built or substantially improved for sale orZrease. 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 work under my direct supervision and must be employed by me, which means that I mustoust 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 r C C 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. 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 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 r-L 3,Q 7? / I, 6102ri4 . Mpz,&I (%G 1 , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the condit pns specified above. 7 Signature of Owner-B Form of Identificatio Must be Photo ID) Date ee 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 POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That GLORIA M. HARBAUGH SSN:XXX-XX- 3110, 1217 Oak Avenue, Sanford, Florida 32771, has made constituted and appointed, and by these presents does make, constitute and appoint DAVID A. KING, JR., true and lawful attorney for GLORIA M. HARBAUGH, in her name, place and stead to act in the behalf of and for GLORIA M. HARBAUGH, as to any and all matters pertaining and regarding, the obtaining of any and all permits, giving and granting unto DAVID A. KING, JR., as her said attorney, full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises as fully, to all intents as purposes, as she might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that DAVID A. KING, JR., as her said attorney or her duly appointed substitute shall lawfully do or cause to be done by virtue hereof. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this day of March in the year two thousand and eleven. Sealed and Delivered in the presence of. GLORIA M. -C::j STATE OF FLORIDA COUNTY OF SEMINOLE BE IT KNOWN that on the -21 ay of March, 2011, before me, a Notary Public, in and for the State of Florida, duly commissioned and sworn, dwelling in the County of Seminole, personally came and appeared GLORIA M. HARBAUGH, to me personally known and known to me to be the same person described in and who executed the foregoing Power of Attorney and produced her Florida Driver's License, No. M L ( 0- - q YS - D A 0 - Q and she acknowledged the within Power of Attorney to be her act and deed. IN TESTIMONY WHEREOF I have hereunto subscribed my name and affixed my seal of office the day and year last above written. Notary Pub ' , ateo orida My Commission Expires: Carol H. Avant State of Florida r Notary Public Commission No. DD756908 My Commission Expires 2125/2012 THIS STRUCTURE HAS BE10 DESIGNED IN ACCORDANCE W11TL AND MEET THE REQUI2EMENTS OF ALL APPLICABLE STRUCTURAL SECTIONS OF RESIDENTIAL FLORIDA BUILDING CODE 2007 EDITION AS WELL AS ASCE7 FOR 120 MILES PER HOUR OR LESS WIND SPEED CERTIFICATION BY ENGINEER APPLIES TO STRUCTURAL DESIGN ONLY. BASIC WIND SPEED =120 MPH WAND IMPORTANCE FACTOR =1.0 WIND EXPOSURE CATEGORY = B INTERNAL PRESSURE COEFFICIENT - +/- 0.18 FULLY ENCLOSED WIND PRESSURE FOR COMPONENTS AND CLADDING FOR WALL ELEMENTS SHALL BE SHOWN ON FLOOR PLAN AND/OR ELEVATIONS. ktlxxi Deck All 4x4 PT Post shall be secured in a 2' a--- deep post hole and secured with Sackrite s o 11 .R _533aNSL1JIR. Premix. 6' Rice) RAMP'A' J i I. [, 16[ 1 (10'Rise)' • 1• All wood materials are to be fastened in g ! accordance with FBC 2007 TABLE 10 1 2304.9.1 unless otherwise specified. T-10' Fenced Rear WD Deck KITCHEN SUN ROOM 14' 4'.0' (' LIVING AREA Law ku> Oy Tr x,— C0.l'p I 4'-11 ItT- 6" WIDE rOOD GATE W; q 0,0Y b UrtAir. I- p woo &Q-k• i COVERED CARPORT Asphalt r S- / 1 Conc ee on Level Grade diiy any COVERED FRONT PORCH Slope in EX , that Exceeds 1:12 Pitch en cover w/ Asphalt o 4" C Slab ` W S'Cr} p : ZEE ppCS No.17402 STATE OF x 4 LORX Concrete Walkway S tONAL Ell anrnEtA'aTcN.:F-- SLNRO:M 1 ` : « 74INTERMEC•I'!E ? FFLATW 7C@l416' c x•g F4[y. -• , T Pipp u4 1`X3WD K^iP •••1 : ESI'T WP'W111.ER:. 1TR1NGERSO16.0C. 4AWL• PT PJ:P RAMP "A" R-AAPRCPMTYLM a wP Fn1L - E=05 4/4• RAISED 3a 1MEPIASMTE '' : ` FLAT WD PLATFORM WD PM RPI,+•P - 78+'C S•^'.F 1• I:' :'t.[ 'TF IN•.FF- EITSTGWC, TFIN•3EP'.4W STFIN:.EF: iJ':v[• FT 1 - mam r.-t•, Ter .i . SIDEWALKWALKWAYTOSID ' EW 1 —I- I—LCON(PACTED FILL I — UNDISTURBED SOIL TS - 1.0 6.6NIO W.W. MESA RAMP "C" ADA RAMPS a DEral.s i p,[ M a f L O T u T n a1 i 5$, aa S' PERMIT # 91MM P" ACC CONSTRUE THE WORN CANCEL. PROVISIO1` ISSUANCE L)EPT r-'R( t?R OTHi=i' ANFORD BUILDING DEPT• -- 4'-' 0• REVIE'wED AND CONDMON"I 15 AREPERMIT. A PENT ISSUED SH"19E TO BE A LICENSE TO PROCEED wrMANDNOTASAUTHORITYTOVIOLATE, 1 OR SET ASIDE ANY OF THELTER,OF THE TECHNICAL CODES, NO SHALLFAPERMITPREVENTI7BUILDINC1ERR= G ACORREC- T• r-- CONSTRUCTION lln` 5 ae wAl.u w/ P-'[7Ati CQrP I't 4'-10' wry d dl.c,k . C 61 Modify Exfg Wood Deck All 4x4 PT Post shall be secured in a 21 deep post hole and secured with Sackrite Premix. RAMP* B" 6- Rise) s 61 Fenced Rear WD Deck SUN ROOM 14' RAMP• C 14" Rise) 8' T- 6" WIDE 1 OOD GATE I COVERED CARPORT or Concrete o el Grade 1 any Slope in xiseg Grad hat 6, ae4s A n Pitch ten cover w/ Asphalt or Conc. Slab Concrete Walkway 4'-i0• All wood materials are to be fastened in accordance with FBC 2007 TABLE 2304.9. 1 unless otherwise specified. 4'.10• KITCHEN LIVING AREA COVERED FRONT PORCH AAIt IIIII/,,/// w SCE No. 17402 STATE OF : x 4-12- 11w 0RS 4 \ sjONAL ,AAA rlrljll\ THIS STRUCTURE HAS BEEN DESIGNED IN ACCORDANCE WITH, AND MEET THE REQUIRENIENTS OF ALL APPLICABLE STRUCTURAL SECTIONS OF RESIDENTIAL FLORIDA BUILDING CODE 2007 EDITION AS WELL AS ASCE7 FOR 120 MILES PER HOUR OR LESS WIND SPEED CERTIFICATION BY ENGINEER APPLIES TO STRUCTURAL DESIGN ONLY. BASIC WIND SPEED -120 MPH WIND RAPORTANCE FACTOR - 1,0 WIND ENPOSURE CATEGORY a B INTERNAL PRESSURE COEFFICIENT a +/- 0.18 FULLY ENCLOSED WIND PRESSURE FOR COMPONENTS AND CLADDING FOR WALL ELEMENTS SHALL BE SHOWN ON FLOOR PLAN AND/OR ELEVATIONS. 1 1— 1 REARpECOERTYLPE W WD MIL IA73I'O S 3/4• RAISED2x41NTM Tyr MEDIAT8FLATWDPLATFORMWDMIL LOWBRPIAOIt 8% ISTG WD STRING8R5 DasrGWD RJNGMtS6I6. 00 SIUNGBRS 4vO WD.PT POST 1 7. 21M I 0'-BI14' RAMP "B" FPBNCBGAM Y P 2x6 WD RAI 341NTRRMBD 4v4WD PT Pori WALKWAY TO SIDEWALK COMPACTED 2, mwD.+em RINGBRS016.00 BXCAVAT86:R8FIL ;p FILL r- 2• yf•iS AS R9QtgF6DP0RRA4 UNDISTURBED SOIL. INSTALLATION I 2 TS - 1. 0 6.6#10 W.W. MESH RAMP 11CII ADA RAMPS 3 DETAILS a Q ue E o- W mz th tK