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Home My WebLink About1416 E 20 StCITY OF SANFORD C ED BUILDING & FIRE PREVENTIONEED I PERMIT APPLICATIONJUL112011 Application No: ==I ented Construction Value: $ Job Address: Historic District: Yes No Parcel ID: Zoning: Description of Work: FmA Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name i)DAk4rA_ Wmes Phone: Cp SStreet: Resident of property? S J City, State Zip: rd, i5t_ Contractor Information Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 13 Square Footage: — No. of Dwelling Units: I Phone: Fax:' State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Electrical 13 New, Service -Wo. of AMPS: Mechanical E3 (Duct layout required for new'systerns) Plumbing E3 No. of Stories: New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: W q16 Application is hereby made to obtain a permit to do the work and installations as indicated. I certify tiat no 1 7 , 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 pelpit is released. cwl" 'I 1 11111 Signature bf-Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name E 0 Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or . Produced ID Type ofibFh L- eK-o 1811 APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: MR" Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID _ Type of ED WASTE WATER: BUILDING:47 Rev 11.08 r___ OWNER BUILDER STATEM ENT/AFF1 DAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole Couinty, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exe mptions 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 1, as the, owner of the property listed, may act as my own contractor with certain restrictions oven 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 4 licensed contractor and having the permit filed in his or her name inst ad 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 ease. If a building or residence that I have built or substantially improved myself is sold or leased within in lyear 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 cbristruction. 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 pen -nit that erroneously implies that the property owner is providing his or her own labor and materials. L 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 Ishot 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 wil-1 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. C . e Esa-T—) Kroperty Address: JI/ T,) L do hereby state that I am qualifiedCa -\ r) 0 S, —5 and capable of performing the requested construction involved with the permit application filed and agree to the coiKitions specified above. I I I , WE, N 111 PM-T-Mre-6f-Owner-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 P OFFICE PPPMIT It k1bProduct Approval USER: Public User Product Apnroval Menu > Product or Anolication Search > Application List > Armlication Histo > Application Do FL# Application Type Code Version Application Status 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) FL4334-R4 Revision 2007 Approved Cp..Masonite International, ite Internati a ryry Suite 950 Tampa, FL 33609 615) 441-4258 sschreiber@masonite.com Steve Schreiber sschreiber@masonite.com I 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 PROD*%, J CERTIFICATION V Company: Masonite International Corporation Certification No.: 1955 Powis Road Certification Date: West Chicago, IL 60185 Expiration Date: Revision Date: Product: Metal -Edge Impact Rated Steel Door w/Hollow Metal Steel Frame Specifications Tested To: TAS 2011202/203-941ASTM E330 N1006591-112 Page 2 06114/2006 12/30/2010 12/18/2008 The "Notice of Product Certification" is only valid if the NAA1[I 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 within NAMI's Certified Product Listing at www.Nanjeertification.com. NAMI's Certification Program is accredited by The American National Standards Institute (ANSI). Configuration Inswing or outswing Glazed or Opaque Maximum Size Design Pressure Pos/Neg Missile Impact Rated Test Report Number Drawing Number & Comments X Single I/S Opaque 3 10" x 6'8" 80/-80 Yes NMMO-1915-1,2,3 Anchor Ddail-MA-FL0150-06 X Single O/S Opaque 310" x 6'8" 80/-80 Yes NCrL,210-1915-1,2.3 Anchor Detail-MA-FLDISM6 National Accreditation & Management Institute, IncJ11870 Merchants Walk Suite 202/Newport News, VA 23606 Tel-757.594.8658/Fax-757.594.8659 NAMI AUTHORIZED SIGNATURE: NAMI NOTICE OF PRODUCT LINE ERTIFICATION Certification No.; Date: Revision Date: Certification Program: Company: Code: N1006591-R2 Page 1 06/14/2006 12/18/2008 Structural Masonite International M-703-1 The *otice of Product Line Certification" is valid only when Administrator's Seat is applied to the upper left hand portion of Us 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.NAMICertification.co . Please review, and advise NAMT immediately if data, as shown requires corrections. Company: Masonite International Corporation 1955 Powis Road West Chicago, IL 60185 Product Line: Masonite Metal-Edae Impact Rated 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/Jamb comers 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 filled with rigid polyurethane. Section 2: Additional Supportive Test 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. 15977-104313. IThis inrortnation is piuvided as a convenitmce for consumm, building dcpartments and irispwtors and is nuL considered pad of this certification See additional Pages of Certification for Certified Product Line Matrix(s). National Accreditation & Management Institute, Inc. 11870 Merchants Walk Suite 202-Newport News, VA 23606 TEL(757) 594.8658 FAX(757)594-8659 SIDE -HINGED METAL -EDGE STEEL DOOR UNIT 6'-8"SINGLE OPAQUE DOOR IN HOLLOW METAL FRAME GENEPAL No I. EVALUATED FOR USE IN LOCATIONS ADHERING TO TH: FLORDA BUILDING CODE AND WHERE PRESSUREREOUIREM9NASDETERMINEDBYASCE7. MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES. DOES NOT EXCEED THE DESIGN PRESSURES USTED. 2. HURRICANE PROTECTIVE SYSTEM (SHUTTERS) IS NOT REQUIRED. z 1 9.3.3 jjq GA, HOLLOW VETAI FEAM TABLE OF CONTENTS SH ET 1TY"CA DESCRIPTION EL T'ON2 & GE jEp AllOrESL_ W_ CHLRI LOCA.ORS Ei _S FOVERALL FR4A(E 35-314' MAX PANEL WIDTHr- 13. Ell k SIN2 OU7SWING SINGLE LIN 40' MAX MAU. FFAWE 35-3/4" MAX. P,NEL WIDTH SINGLE INSWING SINGLE Lim AdkrAnbwm ClAfivimNa: Min q kL D* CL (o O__ — 0 I-_ LLJ ( j L< Lj LLj 00 0 1 0 t- 0 In N.11 1CHK. BY. IDRAMNG MD, cr WOOD OR STEEL 2X STUB3 USING COMPRFSSM4 AW-HORS F4CTCF car -PRESS[ 11 e EAICHC12RNER 0.187' CIA. ANCHOR WIRE ANCHORS IN CONCRVE OP. HASUNRY 3/8' CONCQE7E OR SASENRY USING CONCRETE SCREW ANCKlU NO x 2 WOOD S4) M.-A Af— A' IF+=t) me . 2' W3011 SCREW 2) e BOr. OF EACH JAMB BACK FILL FRANE /-C.KU /NASONRY OR COQ) e ENITERICR OF FACE--, 1,RYVALL L ADJACENT C.H.0 BU . TTERFLY CLIP NCRErE E4Dt) e EXTERICR OF FA CELLS VI I G NOT RE UIR T ': I CIOD OR STEEL STUDS T' AMETER VIRE' - OU' YP" GI 3/8' CIA. COxCR _T_ DOOR D013R SCREY ANC r-R DOOR FRA. FRA. F_ ECTIO, E RIOR SHEATHING 1 1/4' SECTUN A -A MINI" EMSEDNEfff. TkA AN003 Ift W06 OR STEEL 2X Sit-DS- 10 x 112 8 x 5/8" ST 'AP ANCH13R (TYP.) 14AYr po x I6) SCREWS IN EACH 8 -x 51 9 x !12" 10 X 11.2136' MAX 9 . x . 1, 12". 10 X 'IAfA- r—T HINGE DETAIL 118 WOOD SCREW (TYP.) . STRAP WOOD STUDS STRIKE DFTAI MACHINE SCREWS ANCHOR-\ /—# 10 S.H.S. TYP) MACHINE"SCREWS S;'TEP—.STVDS 40D OR -STEEL STUDS DOOR FRAH; 0.962't - 1.250' 1 1/8' HIM SECTION A A EMBEDMENT MTCV WOOD STUD A&vA]mlowm NSWING -THRESHOLD OUTSWING THRESHOL ATTACHMENT DETAIL 1. ANCHOR ANALYS:S FOR LOADING CONDITIONS PREPARED, SIGNED AND SEALED BY ERIC S. NELSON, PE rLORIDA #41323) FOR EACH INSTALLATION METHOD. 04 tr cj C\j z C) ul Lj C) cc < LLJ Ltj Ld RZ Ll_J 0 _J 01-0. HARDWARE SCEEDULE -I I I I I H XIMUM SECURITY SERIES GRADE 21. KWIKSET MA DAr= 6110106 CYLINDRICAL AND DEADLOCK HARDWARE TO BE INSTALLED srALF. N.T.S. ERLINE. AT 5-1/2" CEN. DWa I', SWS 2. 4" X 4" FJLL M.ORT:SE BUTT H!NGES. CH. BY. Dpwt+:? NO.: DWS-UA-FL02!O-O6 sHEEr _?_ oF-L