HomeMy WebLinkAbout377 Fairfield DrJUN 13 2011
f i t+ Prooec&,f
S ems, CITY OF SANFORD
B`JILDING & FIRE PREVENTION
PERMIT APPLICATION
00,
Application No:
n
Documented Construction Value: $ -D u
cJob Address: ;1 r t 1`'t-L tGY 0 r Historic District: Yes No
Parcel ID• Zoning:
EDescription of Work: N.(, ria G, rC Q tri ('5
Plan Review Contact Person: Title: _
Phone: 3— g -1 1 S Fax: E-mail:
V/ Property. -Owner Information
Name t C. l Q U Phone:
Street: )r" Resident of property?
City, State Zip: Sang d 41 9 1
Contractor Information
Name
Street:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical
Phone:
Fax:
State License No.:
Arch itect/E ng 1 neer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address: -
011013 to bf6J • ,11yU9 Qi61 61 `'
MS ,a3 tl93 2311g93 .Mmo3 m
ff-
f: ; •
Y
PERMIT INFORMATION S8108 33 %N noiMn11no8 '`• P.
PW giON 1001161 dQtn f bsb808
Construction Type: No. of Stories:
Flood Zone:
New Service - No. of AMPS:
Mechanical (Duct layout required for new systems)
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, orfederal 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.
i
Signature of Owner/Agent Date
Print Owner/Agent's Name
ab . /_. //
TEB61E BLANION -
Notary Public - State o1 Florida
My Comm. Expires Feb 25, 2015
Commission #E EE 60182
Bonded Through National Notary Assn.
Signature of Contractor/Agent
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally own to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID 1__bL-eXD()f Produced IDType of ID
APPROVALS: ZONING: /go 63 UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
WASTE WATER:
BUILDING: 3 f
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)
n
I
Rev. 9.14.2009
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.
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
1in ' year after{the construction iscomplete, the law will-presumeithat I built or substantially improved it
for sale or lease, which violates this exemption.
t Fq
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 workers' compensationprovide
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk. ; =
Rev. 9.14.2009
1e
I, it k' t 6 Qa C-G kS , do hereby state that I am qualified
and c gable of performing the requested construction involved with the permit application filed and agree to the
Form of Identification
Must be Photo ID)
ate
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,pefforming work that requires licensure under
the permit issued. ''`''
r'
4.
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
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.mAorida.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.
I, it k' t 6 Qa C-G kS , do hereby state that I am qualified
and c gable of performing the requested construction involved with the permit application filed and agree to the
Form of Identification
Must be Photo ID)
ate
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person,pefforming work that requires licensure under
the permit issued. ''`''
r'
4.
Rev. 9.14.2009
DESIGN CRITERIA
THE DESIGNSHK7MLN ON THESE DRAWINGS W rTH
STPENGTHB41NGx KITS MEETS THE REOUIREI.1ENTS
OF THE 2007 FLORIDA BUILDING 000E Wl2009 SUPPLEMENT
TO THE 2007 FLGR13A BULOING CODE
WMiOUTTHE STRENGTFEWS MIT TL£SHEDS
MEET THE RECUIREMENTS OF ASTM ERASER
WITH A ROOF LIVE LOAD DE 1 D PSF
AND A 5 PSF WALL VVE LOAD.
WE LOAD: 20 PSF
W94D LOADS: 140 MPH PER2W7 FLORIDA SUILDINGCODE)
WIND IMPORTANCE FACTOR: 0.77
EXPOSURE S
MATERIAL SPECIFICATIONS:
PANG' S: ASTU .4535-76. Fy=50 KSI
CHANNELS do :
OTHER MEMBERS, ASTM A527-80, Fy=55 KSI
HOTEL THAT THE PANELS. CHANNELS AND OTHER WEMBERS '
ARE MADE DF STEEL PER THE ASIA NUMBER USTD. r
k
DDLTS do SCREWS- ASTM A1018, ty=30 KSI —
L - . - L
ANC103P, BOLTS: ASTM 4307, Fy-33KSF ITh" r" k=Wbath,= mdutth*^eiw6am.
REINFORUNG STEEL: ASTM A615-40, CRODE 40
441RE PJ H-. STkA A-185
COACRUE: 2.500 PSI COMPRESSNE STRENGTH 0 26 DAYS
cri
It
7co
cv
0O7 STATE Of FLORIDA LICENSED ENGINEER:
O ATL U W. AICGTNNS
OCENSE #57928
E% PIAES:2Tz$Tf011 -
Lr) CD 71403030
m
Q
lV
G
LOCD
I]C 11.68 ALL S LmPi[r}(
MC i L JK ndfi MW - IL'IS R{6 A O Q 1LIC
ie is t arras a Ra suc
SHED CONFIGURATI".A4S AND C4NENSIONS
a£ am 7 im 1.0610. CgLam wo so xa
MASTER FILE
EXPIRES ON:
na-t
L
ire. Ao4? f. Z
SEM INOLE COUNTY .
SCC# 09112
MASTER PIAN
Past-te Fax Nate 7671 D3"
p*ag,es
To L • j
Fram
u t ei
Co.0%,k
Phone N Phone #
Fax 1i 4, c -04ze—"CA
Fax N
fn
Lel
f—
n
D a
Z rz ,4 V
J W
LO
a
a
i.b z2•rrzaos
t -A
s
w
Z a
k
ma.aneee o.sa II
4 D -W
n ` 9L4I. 7:cS.
u— 4..;
PAKTE Fmsm SS'R£NGT44EN WO KIT
IYUMER FILE
EXPIRES ON:
NR+I
SIDEWALL
ANGLE
DOOR NOTT:
DOOR IS PART OF EXfUWR
BUILDING CLADDING AND IS
CDNSMCTEO OF THE SAME
M&TERULS AS THE WADS
D30R IS FIRWED WITH CRANNEL
TO SUPPORT CLADDING
MATERIAL
KI! END +1
EO;IAL SPACES
a.a
NaJ N
Z Q Z l+l
O
OLE COUNTY F rSIDING
SCC# 09772
MASTER PLAN
aw_
M-
nzxo
Z s
vizD:vg
Zr. Z J
JN
Z
L!}
d
N
a
a J W
m
O
ocf
Of
Q
bm 7R7fL0U9
Mei w4ft
2--
A
m
v
00
lD CV
111
00
lD
m
m
co
r-1
c -i
N
m
I
tLo
CD
9 19/32' 7YP.
2
6" REF N
28 3/4'
TYPIGL SClti PANEL
0.473'
D.717'
N
Ej
1.306"
23.503"
I P(
offmom` f10 MACHINE SCREW W1TH
OVWALL OR ROOF PANLES -
ROOF BEA1lS_
81Oi1J2"SEAS
L:xix6.O2B`
WALL OR
ROOF
BRACE O ROOF
BEAKS ONLY w/ #10
1'x4'x0.023' OR ii4CH. SCREWS & NUTS
1'x2"x6.023'
410 MWHINE 5CRFIK WITR MIT 8 SCREWS
O 8'O.C.
ROOF PANEL
R16 SCREWS
7/8'x7/8WALL PANEL
x.017' ANGLE
q) WALL CRhNNEL CORNER CONNEC710L
i
O
BEAM fSUP 3 j4xl CFf L4xlCFEL
N.M.M.-r s ar weempa r
67 r
rn
BOLT VERTICAL.
ANGLE
GABLEREPANELRETURN
4 TRACrSlLYr
3/B"-0X1O` LONG ANCHOR SO1.TSO 24' O.C.
O SIDE AND BACK WALLS. 12" MAX O.C. 0 FRONT WALL
ENABEDIYENT DEPTR - 7'.
ALTERNATE ANCHOR: HILTI KWN( BOLT 3 3/8"0,6` LG CONCRETE ANCHOR W/ #8 SMS
2 1/2' EMBEDMENT. 1AETR0 COLI)M ACCEPTANCE 193-0224.04 A 8'O.C.-
GABLE EFWISHEOGRADE
WALL
TR
66-tO/10 WELDED WIRE MESH Z PANELLEDOOR
ALTERNATE: #3 BARS 0 18"O.C. EkWAY
4x E
4 BARS CONTWUOLIS C.
n 1'-0" P[.I4.d fs fA(i'IS op4
sEc--no" ® Sta 1u-1r r tfs 1{rr' SDH
SECTION
2.193"
556'
a
MASTER FILE
EXPIRES 0
tbutm
U# 09132
MASTER PLAN
OLLTERNATE ANCHOR:
I01 318' KWIKBOLT 31
k
n v
c
YPI] JF ROOF 8 lid
LLJ
U)
0
d m
Z
0.226-
W
W
N
In N
X % %
jdMN JrctU
O
2! Ln
O :OO
IYY hMiRil! a
00i..nr
d
INT WALL PANEL DOOR or_
r-C3/4x 1 FA RIB F'MB Q
LJ .m 212712064
DDDR
reo..oe
3/4x1 O B' D.C.
C3/4x1 W/ 18 SMS O B" O.C.
SE_CTM ,@
as
n z
3
wrFRAWEZY
Lao
Q : Zw
n
3J8`0 ANCHOR 13 U to
SEE FOUNDA110N
PLAN AND SECTION
FOR REOUIREMENTS]
OLLTERNATE ANCHOR:
I01 318' KWIKBOLT 31
k
n v
c
YPI] JF ROOF 8 lid
LLJ
U)
0
d m
Z
0.226-
W
W
N
In N
X % %
jdMN JrctU
O
2! Ln
O :OO
IYY hMiRil! a
00i..nr
d
INT WALL PANEL DOOR or_
r-C3/4x 1 FA RIB F'MB Q
LJ .m 212712064
DDDR
reo..oe
3/4x1 O B' D.C.
C3/4x1 W/ 18 SMS O B" O.C.
SE_CTM ,@
as
LEGEND I BOUNDARY SURVEY I CERTIFICATIONS
A/C — AIR CONDITIONER
e — CEN7RAL ANGLE
SLK — BLOCK
CAL —CALCULATED
r_ a. —CHORD BEARING
GB.& —CONCRE7E BLOCK S7RUC7URE
GM. — CONCRETE MONUMENT
CONC. —CONCRETE
D —DEED
D.E —DRAINAGE EASEMENT
E —EAST
F.F.E. —FINISHED FLOOR ELEVA770N
FND —FOUND
ID. —IDEN71RCA77ON
I.p. —IRON PIPE
I.R. — IRON ROD
I.R.G — IRON ROD & CAP
L — ARC LENGTH
L.B. — LAND SURVE)1NG BUSINESS
LS — LAND SURVEYOR
M — MEASURED
N — NORTH
N&D — NAIL AND D15K
p — PLAT
P.C. — POINT OF CURVA7UR£
P.GG — POINT OF COMPOUND CURVATURE
P.C.P. — PERMANENT CONTROL POINT
p•% — POINT OF /N7ERSEC710H
P.L. — PROPERTY UNE
P.O.B. — POINT OF BEGINNING
P.O.C. — POINT OF COMMENCEMENT
P. a L. — POINT ON UNE
P.R.M. — PERMANENT REFERENCE MONUMENT
P.R.G — POINT OF REVERSE CURVE
P.R.M. — PERMANENT REFERENCE
MONUMENT
P.T. — POINT OF TANGENT
R — RADIUS
RAD. — RADIAL
R/W — RIGHT OF WAY
S/W — SIDEWALK
S — SOURI
U.E — U7/UTY EASEMENT
W — WEST
W.F.S — WOOD FRAME S7RUC7URE
X — FOUND X' CUT /N CONG
FOUND PROPERTY CORNER
4' x 4' CONCRETE MONUMENT
Q WELL
COVERED AREA ®= WOOD
CONCRETE= SCREEN
RIGHT—OF—WAY UNE
CEN7F,RUNE
BUILDING SE7 ACK LINE
CHAIN U 1A FENCE
VINYL FENCE
WOOD FENCE
ViP.
NVEYi N61 R.
LB No. 7589
4034 LAUREL BRANCH LANE
ORLANDO, F132817
Office 407-810-0838
Fax 1(866)-856-8920
WWW.VZPSURVEYING.COM
LEGAL DE'SCRIPTION.• LOT 39, CME1?YLAKESPHASE2, ACCORDEX TO THEPLAT THEREOFASRECORDED INPLAT BOOK 66, PAGE(S)
29-30, OF THEPVBLICRECORDS OFS.EMINOLE COUNTY, FLORIDA.
FND N&D ILS. 2494 P.C.P.
I
1
op /
FND N&D
LS. 2494 P.C.P. FND 5/8" I.RC.
N v LS. 2494
1C
f14D 5INOI.1Ip ,pv': Vii;', •.
lit
nom
o\ ^``
FND 5/8"].
NO ID
FND 5/8" I.R. ' N,
NO ID .-4
CITY OF SANFCRR - BUILDING PLAN REVIEW
PLANNING Aa SjC DEVELOPMENT
j
SER VICES
APPROVED /!L I rLO—
DATE '0' l
SCALE.• 1 "=30'
CURVETABLE
CURVE LENGTH RADIUS DELTA CH DISTANCE
9.4'
C1[P] 35.17' 75.00'
S`tO GO
34.85' N61°38'17"E
C1[L%l]
3
I o.
LOT 38 I
C2[P]
CN
75.00'
o`
0
N82'2 1'20"L
C3[P]
zo32.2'
50.00' 90°00'00"
FND 5/8" I.R. ' N,
NO ID .-4
CITY OF SANFCRR - BUILDING PLAN REVIEW
PLANNING Aa SjC DEVELOPMENT
j
SER VICES
APPROVED /!L I rLO—
DATE '0' l
SCALE.• 1 "=30'
CURVETABLE
CURVE LENGTH RADIUS DELTA CH DISTANCE CH BEAhTNG
C1[P] 35.17' 75.00' 26°52'13" 34.85' N61°38'17"E
C1[L%l] 35.96 75.00' 27°23'09" 35.61' N62°45'05"E
C2[P] 19.07' 75.00' 14°33'54" 19.01' N82'2 1'20"L
C3[P] 78.54' 50.00' 90°00'00" 70.71' N44°38'17"E
C3[M] 78.57' 50.00' 90°01'53" 70.73' N44°38'17"E
LOT 40
LOT 39
N89056152"W 1:15.18' [P]
N89048'46"W 154.70'[M]
NOT PLATTED
NO ID0.0'
I
I
W
Oi
zl
aCn
Cedric Bacchus; IIEL Title Insurance
Agency, Inc.; KEL Title Insurance Group;
FTagstarBank, F.S.B., ISAOA/ATIMA
PROPERTYADDRESS:
377 Fairfield Drive
Sanford, FT., 32771
ELQOD ZONE INFORMATION:
COMMUNITY N0:
120294
PANEL• SUFRX F./.R.M. DATE
0090 F 09/28/07
ONExFLOODZONE--
X
SURVEY N0. RELD DALE
V1596 2/03/2010
DWG BY: CHECKED BY:
NM AB
BEARINGS SHOWNHEREONARE BASED
UPONTHE CHORD BEARIIVG OF THE
CF.NTERLIIVE OFFAIRFIELD DRIVEBEING
N44038'I7'EPERPLAT
NOTES
1) 7hls survey Is based on the legal descrlptkn as provided by
the Client
2)7hls Surveyor hos not abstracted the /and shown hereon for
easementx rights or way or restrictions of record which may
affect the title or use o/ the /and
3) Do not reconstruct property lines from building flea
4) No rooting or overhangs have been located except as shown
5)No improvements or ute7ities have been located except as
shown
6)7hls survey Is not valid without the signature and the w)gJnd
raised seal of a Rorkio /kensed Survey and Mapper
7)7he flood data provided Is for informational purposes only. The
surveyor makes no guarantees as to the accuracy of the
information provided.
8)Th/s Sunny was prepared without the benefit of o
commitment /or Title /nsuronce.
CertlFication: / certify that this survey was made under my
direction and that !t meets the minknum technical standards set
forth by the Board of Professional Lund Surveyors and Mappers In
Chapter 61617-6, FloRdo Administrative Coda pursuant to Sect/on
472027 Ronda Statutes.
Slgnoture and robed sed
Angel M. F.awlue—pcloneo ;cense No. LS 6581
Rondo ProF.r:skwi)l :;;rrveyor and Mapper