HomeMy WebLinkAbout105 Blue Spruce CtXV
JUL 13 2015
BY:
74-7--
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 '5 - a30
Documented Construction Value: $ anD
Job Address- 1D,5 Q C t5u ,k Historic District: Yes No
v
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person:
Phone"' XI Z -1 Z 1 L) q,5 9, Fax:
Title:
Email: -. t" ,aj j 3 q NKt_i r C&O
Property Owner Information /'
Name Phone: `'"I 31 `'l qs qt
Street: Resident of property?
City, State Zip: Sa61A V 1 22 3 4 Contractor
Information Name
Phone: Street:
City,
State Zip: Fax:
State
License No.: ten
Architect/
Engineer Information Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
LA D-1 - A CL -I D ac( Fax:
E-
mail: Mpenu3r1!M'Qd .marl Mortgage
Lender: Address:
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.
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. ` FBC
105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5te Edition (2014) Florida Building Code Revised:
June 30, 2015 ti Permit Application
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
g-13-15
Signature of Owner/Agent ^ Date Signature of Contractor/Agent Date
Print bwne7Ageni's Name Print Contractor/Agent's Name
a,"A ACJR4_ q— il. (S
Signature of Notary -State of Florida Signature of Notary -State of Florida Date
014E7TE SCOTf
YP e c , Notary public -Slate of Florida
M.
Expires Jan 16. 2018YComm
Commission #
FF 071760
Assn.
y .
p- d Thrort9h glorw Not
Owner/Agent is, "' r n o e or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID FL i Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:7- - UTILITIES:
ENGINEERING:
COMMENTS:
Sc heme le 70.
r
FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: ' Le' e
Revised: June 30, 2015 Permit Application
C
C
L
i
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 Ido not have, a
license. f
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 or leased withinysold
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.
ny• r r
I understand that, as the owner -builder, I must provide direct, ofisite supervision of the constr'uction.'
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
onpersonsworking 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
t
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 tag 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
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 3'
I, 1 Da-e-la . 6y--.r , 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
ate
Form of Identification .
Must be Photo ID)
q
I
1,-
I
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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
SCPA Parcel View: 11-20-30-512-0000-1220 Page 1 of 2
David Johnson, CFA Property Record Card
PROPEM )fi Parcel: 11-20-30-512-0000-1220
APPRMSER Owner: PONDER TAMELA M
SWWOLSCOL*fY,FLORIDA Property Address: 105 BLUE SPRUCE CT SANFORD, FL 32773
I Parcel:11-20-30-512-0000-1220 1
Property Address: 105 BLUE SPRUCE CT
Owner: PONDER TAMELA M
Mailing: 105 BLUE SPRUCE CT
SANFORD, FL 32773
Subdivision Name: HIDDEN LAKE PH 3 UNIT 5
Tax District: Sl-SANFORD
Exemptions: 00-HOMESTEAD (2015)
DOR Use Code: 01-SINGLE FAMILY
Value Summary
2015 Working
Values
2014 Certil
Values
Valuation Method Cost/Market Cost/Mark(
Number of Buildings 1 1
Depreciated Bldg Value 58,188 52,593
Depreciated EXFT Value 801 851
Land Value (Market) 18,000 15,000
Land Value Ag
Just/Market Value
76,989 68,444
Portability Adj
Save Our Homes Adj 0 0
Amendment 1 Adj 0
Assessed Value 76,989 68,444
Tax Amount without SOH: $1,
2014 Tax Bill Amount $1,
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 122
HIDDEN LAKE PH 3 UNIT 5
PB 29 PGS 40 & 41
Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 76,989 50,000
Schools 76,989 25,000
City Sanford 76,989 50,000
SJWM(Saint Johns Water Management) 76,989 50,000
County Bonds 76,989 50,000
Sales
Description Date Book Page Amount Qualified Vac/Imp
WARRANTY DEED 5/7/2009 07184 0176 89,900 No Improved
CORRECTIVE DEED 11/1/2005 06001 1759 100 No Improved
WARRANTY DEED 11/1/2005 06031 1478
T
171,000 Yes Improved
QUIT CLAIM DEED 2/1/2005 05622 1266 100 No Improved
http://www.scpafl.org/ParcelDetaillnfo.aspx?PID=l 1203051200001220 7/13/2015
U
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Purpose of these plane Is to show the residence
co as It no. exists. Current owns Is trying to
refhonce the properly and during the oppralsd
process it was discovered the original 1-ear
0 Z garage was converted into a f—ey room by a
previous owner without obtaining a Building
1
Permit.
QQ Per the Seminole County Property Appraiser web
Q O(`
A, .Its the residence and 1-car attached garage
N ` _ were originally a In 1992 The saeen roam was
permitted in 2001. The current owner purchased
the properly In May. 2009.
Y I
Al the lime the current owner purchased the
property there were no disclosures by the safer
Indicating work had been done without o perm.!
Q. and current owns had na knoMadge work rae
done .Rhout a permit. .. o
1.
G
AREA CALCULATIONS U
Living 127a
Screen R w 240
Gawped perches e9
Total Under Real 1567
U)
2.o56 a_
APPROVED PLANS '
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EXISTING FLOOR PLAN sheet:
4•' = l -o
EX1NOTE:
plane win -.1. at x'-I'-0" on
9.12 paper
26-0 20•-0 J
SCREEN PORCH
a I
r — e" Slap -flown
I I
BEDROOM #2 Ic;alI=sNI
MASTER BEDROOM 8'-0' FLAT CLC Iwo I
VAULTED ac. I I
L — J
Es. Clq.
AC
FAMILY ROOM
CONVERTED FITOM GARAGE
e'-D• FUT ac 6'-0- Fur ac.
Fin. Ft. O —4'
a
Es. Elac
swRm Typ.
LIVING AREA DINING AREA
VAULTED CLC. VAULTED 0.C. r---
I KITCHEN
e•-Ir Fur ac.
32'-0"
roc
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Asphalt Sh"lee
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MINE
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LAD
MR L BEARING ti
6_B'M1ND HGT.
P
A
FRONT ELEVATION
1 /4" = 1'-0"
Ok to enclose garage and convert to living
I
space pursuant to property owner maintaining
proper off-street parking space per Schedule H,
h
Section 7.0.
Asphalt Shingle
11 a II
11 n 1 ® Stucco
S 11 --+----i I
Ak-W— Tee-Kkk
REAR ELEVATION
A
1/4" = 1'-0"
gIf l-S - 2-3d16
APPROVED PLANS
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ENG. DEPT.
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aan a..aw
aaemor.xsu
sheet:
NOTE: EX2
pleas n hams at A'-1'-0' oa
4.12 paps _..
A
RIGHT SIDE ELEVATION
7/4" = V-0"
LEFT SIDE ELEVATION
A
1 /4" = V—O"
13 Is-2-30<6
APPROVED FLANS
NG. DEPT..
Ok to enclose garage and convert to living
space pursuant to property owner maintaining
proper off-street parking space per Schedule H,
Section 7.0.
NOTE:
Flom w11 ...1..t W.V-0' on
9a12 p.pc
Co
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sheet:
EX3
BOUNDARY SURVEY OF:
Lot 122, HIDDEN LAKE PHASE III, UNIT V.
according to the plat thereof as recorded in
Plat Book 29, Pages A0 and Al. of the
Public Records of Seminole County, Florida.
THIS SURVEY IS CERTIFIED TO:
TAMELA M. PONDER
CENTRAL FLORIDA TITLE,LLC
FIDELITY NATIONAL TITLE INSURANCE COMPANY
FIDELITY FUNDING MORTGAGE CORP., and the
SECRETARY OF HOUSING AND URBAN DEVELOPMENT
OF WASHINGTON, D.C.
FLOOD CERTIFICATION:
This is to certify that I have consulted the
National Flood Insurance Flood Hazard Boundary
Map and found the subject property is not Within
a special flood hazard area, according to Map No,
12117C 0070F, dated 9/28/2007. (ZONE X)
PROPERTY ADDRESS:
105 BLUE SPRUCE CT., SANFORD, FL 32773
PROPERTY SERVED BY CITY WATER
BEARINGS'BASED ON RECORD PLAT --The Northerly line of Lot 122 being S.66'52'AA"E.(as calculated)
NOTES:
1) Subjecttpto restriormed ctions, reservations.
the benefit asementsaand rights -of -Way, if any, appearing of record.
3) Underground utilitee and other below ground features, not located, other than shown.
U. & D. E.-Utility & Drainage easement
1D))-
Deed data
P)-Plat data
Field measured data
F..-Found 5GALE Is=30'
F.C."Fence corner
P.C.-Point of curve
R/W-Right of way
LS-Land Surveyor
LB -Licensed Business
CS -Concrete slab O 3 6OWF-Wood fence
CLF-Chain link fence
rJ
17e1ta=62036'40"('P)
RadlusmSOD0' 10)
Chord=N54°2(2="E 51416"
N54°25W"E 51 a6M) i L.OT 123
ONA
A
l;zadlap
566°52'44"E aaeq7"
N66°52'44"E 100.00'(P) S66152'44WO) PIXPAXaT„
LOT 122 /\ ,
3•
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r:ecrLs >
e
A7$ a d d
06?
nw
o ` / —
8e9
bj
LOT J21
Delta=46°IL'23"M
ftadtus=.?.3.00i')
Chord= °336 20 e60"
10)
Thin su"8Y Is Certified to end prepared for
the excluelve benefit of the entities
and/or 1,Niriduele ehoen Aereon. There my be adtlltiansl reetrletlona a,M/ar other
rei tl on Me moat current date ahoen. mettero of record mt ehpan on this 8urray that
antl shell MID a relied won by any other say be found in the FLblic Paeards of the tbunty
entity Or indviduel ahateoevar. pr contained within the Title o aniteent.
Langford Surveying, L.L.G.
607 5. &odland 5IYd. #283
Deland, FL 52120
356-7 ameso80 Fax 800-654--2
m mlangfordsurvoging.com
Jim® langfordsurvogingecom
Date of Survey: Drawn by: Checked by:
5/05/2009 JPL I I JPL
V
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b71, / C7 0
0
a
LOT lib
V`
A?PROVED, PLANS
K
0a K
ENG. DEPT:
Ok to enclose garage and convert to living ,
space pursuant to property owner maintaining
proper off-street parking space per Schedule H,
Section 7.0.
of surrey may differ from date of sidnetora. if $a. the data of eurr`y Is the applicable date.
TE
Z, I File name/no.
30' 09-5/09
REQUIRED INSPECTION SEQUENCE
BP# K - Z 5 0& Address: SpAA&S
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Solar
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial — New
Final Commercial — Addition / Alteration
Final Commercial — Change of Use
Final Building (Other)
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
Electric Final
PLUMBING PERMIT
Min Max Inspection Description
Roof Storm Drain Rough
Plumbing Underground
Plumbing 2nd Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
t2b,
REVISED: June 2014