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HomeMy WebLinkAbout2209 Mitch CtT copl'e's i RECEIVED JUL 11 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION BY: PERMIT, APPLICATION v 1 Qom' Application No: J I g Documented Construction Value: $ 4 301 Job Address:0 Cve r o n- Y1+ter a o Historic District: Yes No Parcel ID• c i.b Zoning: - • Description of Work: Plan Review Contact,Person: Title: Phone: r • Fax: E-mail: Property Owner Information / e r /p Name C e 1 = o U/o v Phone:• `4 6 I J 2 9_^ / g l 1_ Street: 2010q WVC V\ . l , ay+ Gcts_ II Resident of property? lCity, State Zip: Soly-o . r7 el Contractor Information y Name Phone: Street: 7 Fax: City, State Zip: State License No.: Architect/ Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E- mail: Mortgage Lender: Address: L40TVA 18 818810 m WWI 10 0161a - 0ddu9 y16,100 ° PERMIT INFORMATION MS ER do3 aongx3 .mmoD yM • SUN 33 N noviminoo Building Permit Square Footage: Construction Type No. of Dwelling Units: Flood Zone: Electrical , y New_ Service — No. of AMPS: Mechanical ( Duct layout required for new systems) vaA pslati ISnoW, dpooldT tobno8 No. of Stories: 1 Plumbing,• 2 j ' New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: i Applicatiow 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 wlillybe performed to : meet standards of all laws regulating construction in this jurisdiction. I understand ihai-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. P_\_k Signature of Owner/Agent U Date M \ 0- e Tau Prints Owner/Agent's Name 0 9— //-/1 DEBBIE BLANTON -- Notary Public - State of Florida My Comm. Expires Fetr 25, 2015 W Commission #E EE 60182 Bonded Through Nallonal Notary Aun. Owner/Agent is . Personally Known to Me or Produced ID Type of ID F1 tsVC or "I I APPROVALS: ZONIN 0-11-VILITIES: ENGINEERING: COMMENTS: 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: Rev 11.08 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. 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.' n 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. 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 - y I 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 MTJ risk. Rev. 9.14.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, I will 4 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 Address: 11,Po q W and capable of performing the reque conditions specified above. Signature of Owner -Builder 6 a - + e 0 S- d V- do hereby state that I am qualified construction involved with the permit application filed and agree to the Form of Identification Must be Photo ID) Date 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 T 1 r ilCS\ro•uct j3proval' roauct or Arn TT• 1 A? 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 r Masonite International IL a ry Suite 950 Tampa, FL 33609 615) 441-4258 sschreiber@masonite.com Steve Schreiber sschreiber@masonite.com aw+ 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, .'T CERTIFICATION Company: Masonite International Corporation Certification No.: 1955 Powis Road Certification Date: West Chicago, IL 60185 Expiration Date: Product: Metal -Edge Impact Rated Steel Door w/Hollow Metal Steel Frame Revision Date: Specifications Tested To: TAS 201/202/203-94/ASTM E330 N1006591-R2 Page 2 06/14/2006 12/30/2010 12/18/2008 The "Notice of Product Certification" is only valid if the NAAU Certification Label has been applied to the product as described vAthin this document, The cerflfication label represents product conformity to the applicable specification and that all certifiention criteria has been satisfied. This Product has been approved for Lc;dIng within NAMI's Certified Product Listing at wwwAamicertification.coirt. NAMI's Certification Program is accredited by The American National Standards Insdinte (ANSI . Configuration Inswing or outswing Glazed or Opaque Maximum Size Design Pressure Pos/Neg Missile Impact Rated Test Report Number Drawing Number & Comments X - Sin le I/S Opaque 330" x 678" 80/-80 Yes NCTLr210-1915.1,2,3 Anchor Detail-MA-FL0150-06 X Single O/S Opaque 310" x 618" 80/-80 Yes NCTL-210-1915-1,2,3 Anchor Detail-MA-FL0150.06 National Accreditation & Management Institute, Inc./11870 Merchants Walk Suite 202/Newp+ort News, VA 23606 Tel-757.594.8658/Fax-757.594.8659 NAMI AUTHORIZED SIGNATURE: N NE4.All NOTICE OF PRODUCT LINE ERTIFICATION Certification No.: Date: Revision Date: Certification Program: Company: Code: I,UO06591-R2 Page 1 06/14/2006 12/18/2008 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 thin aU certification criteria has been satisfied. The products and systems listed below are approved for listing in the Directory of Certified Products at www.NAMICertification.com. Please review, and advise NAMI immediately if data, as shown requires corrections. Company: Masonite International Corporation 1955 Powis Read West Chicago, IL 60185 Product Line: Masonite Metal -Edge Impact Dated 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: Jzmbs and head constructed fiom 4-5/8" 18 gauge steel. Head/Jamb 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 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. This information is provided as a convenience for consumms, building departments and inspectors and is not considered part of this certification See additional Pages of Certification for Certified Product Line Matrix(s). National Accreditation. & Management Institute, Inc. 11870 Merchants Walls Suite 202-Newport News, VA 23606 TEL(757) 594.8658 FA%(757)594-8659 o '* SIDE -HINGED METAL -EDGE STEEL DOOR UNIT 6-8" SINGLE OPAQUE DOOR IN HOLLOW METAL FRAME GENEM N0OT I. EVALUATED FOR USE: IN LOCATIONS ADHERING TO THE FLORIDA BUILDING CODE AND WHERE PRESSURE REQUIREMENTS AS DETERMINED BY ASCE 7. MII,.,I)AUM DESIGN LOADS FOR BUILDINGS AND CfiH-,R STRUCTURES. DOES NOT EXCEED THE DESIGN PRESSURES LISTED. 2. 14URRICANE KOTaCTIVE SYSTEM (SHUTTERS) IS NOT REOUIRED_ z cNll 18 GA HOI LOW' META t FPAM TABLE OF CONTENTS SHEET ol DESCRIPTION ELEVATIONSATI GENERAL NOFES4CLOCATIONSS &_DETAI:_S 40* AlAV. OVIPALL FRAME 35-3/4' MAX. PANEL WIDTH St-1407E OUTSIVING SINGLE QN1 40" AV FrOV11, 111 IPAIII 35-314" MAX. PANEL WIDTH 13 M Li SINGLE INSWING SINGLE UNIT Date Is— N.T.S. jova. Sws IZHK. BY. 314EEr 7 CF 9L• WOOD OR STEEL 2X STUDS USIUG COMPRESSION ANCHORS FACTORf APPL!EO COMPRESSION ANCHOR U a EACH JAMB/r!EAD CORNER (2 TOTAL) B8 x 2' WOOD SCREW U Total A A 48 x 2' WOOD SCREW 2) a BUT. OF EACH JAHB C) a INTERICR OF FACE 4tRYVAILL(1) a EXTERICR OF FACETYP.) OOD OR STEEL STUDS DOOR FRAN. SECTION 4-4 R SHEATHING STRAP ANCHORS 1N WOOD OR STEEL 2X S103 12' MAX 1 STRAP ANCHOR (TYP.) 6) SCREWS IN EACH1 I I X8 WOOD SCREW CTYP.) WOCIL STUDSSTRAPANCH B10 S.M.S..TYP) STEEL STUDS t WOOD 62 STEEL STUDS DOOR FRAME 1 3/8' M1N. SECTION A -A EMBEDMENT INTCr WORD STUD 0.IB7' DIA. ANCHOR. ATTACHMENT DETAIL 1. ANCHOR ANALYSTS FOR LOADING CONDITIONS PF.EPARED, SIGNED AND SEALED BY ERIC S. NIELSON, DE FLORIDA #41323) FOR EACH INSTALLATION METHOD. WIRE ANCHORS IN CONCRETE OP. HASONRY 1/8' DIA. SCRI CONCRE7E CR WCN«Y USING CONCRETE SCREW ANCHORS BACK FTLL FRAME L ACJACENT C.M.U. M'U' BUTTERFLY CLIP ASONRY OR CONCRETE CELLS WITH GROUT _ NOT REQUIRED TYP.) 3/16' IAMETER WIRE , NC3/8' DIA. CDRETo ` DOOR. FRAME 1°.' SCREW 4NCHOR ' DOOR FRAME I 1/4' SECTI=N A -A MINIMUM EMBEDMENT 8 x 5/8" 1 #'8 x 5/8" 0 STRIKE DETAIL MACHINE SCREWS 10 x 1/2\ 10 x i/2" I #0 x 1/2 10 x 1/2" 4 x 1/2" 10 x 112'/ HINGE DETA!_ MACHINE SCREWS 1 o.s6z"fT .250" TT zu AftdM?DMU !NSWING THRESHOLG OUTSWING THRESHOLD I;a 01h: 4 -p2_ HARDWARE SCHEDULE 1. KWIKSET MAXIMUM SECURITY SERIES GRADE 2 Imm 611C/06 CYL !NDRICAL AND DEADLOCK HARDWARE TO BE INSTALLED i SC.s(F• N.T.S. AT 5-1/2" CENTERLINE. D— BY SWS 2. 4" X 4" FJLL MORT SE BUTT HINGES. CHB. Br: DRAWN-3 NO.: Ot_0-06 or 2