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HomeMy WebLinkAbout119 S. Magnolia AveCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / 5 - o7 7 Documented Construction Value: $ L S, Is 40 t a 0 Job Address: , ` q 5 , A a c,, x nVl & . J -k 'S ov p . Historic District: Yes W No Parcel ID: 1-3 Residential Commercial @ Type of Work: New Addition ® Alterati Repair Demo Change of Use Move Description of Work: Plan Review Contact Person: Title: t" Phone: Fax: Email: Property Owner Information Name COS\ 0-- Phone: Street: o n d ovx ' -o o, W N,Resident of property? : N p City, State Zip: cx_, A n r L-2 7-:^17 1 1 Name Street: City, S Name: Street: City, St, Zip: Bonding Company: Address: rmation Phone: Fax: State Li ense No.: Architect/Engineer Information Phone: Fax: E-mail: 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: 5t6 Edition (2014) Florida Building Code n Revised: June 30, 2015 14 &. 1 v Permit Application 1 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. gnature of Owner/Age Date CtrU,_ Print Owner/Agent'!-Name 0- 3.a9, Si nature of Notary -State of Florida Date DEBBIERMON Y IIIt MY COMMISSION # FF 178646 EXPIRES; February 25, 2019 Rf tt4 Banded Thu Notary Public Underwriters Owner/ Agent s Personally Known to Me or Produced ID Type of ID 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 BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No # of Heads APPROVA ONING: UTILITIES: ENGINEERING: COMMENN. Ce AFMtb cs FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 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're ulations. 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 5J` 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 I, L,'. /\ and capable of performing the conditions specified above. Signature of s, M AJQ. t 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 1- ,LR -15 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 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. 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 - 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 0 App'cation For a Certificate -cif Appropriatenessi City of Sanford Historic Preservation Board 1877 - P.O. Box 1788 Sanford, Florida 32772-1788 Phone: 407.688,5145 Fax: 407.688.5141 Email: www.sanfordf.gov Answer all the questions on this form and submit all required attachments. Incomplete applications will not be reviewed. If you have questions about application requirements contact the Historic Preservation Officer at 407.688.5145 to ensure your application is complete. A building permit may be required for the activity detailed below. Please contact the Building Department at 407.688.5150 for more information. Failure to obtain a building permit may result in fines and/or double permit 1. General Information I Downtown Commercial Historic District J Residential Historic District :1 Is this a retroactive request? :1 Yes :1 No Is this application filed in response to allotice of Violation from the Code Enforcement Department? :3 Yes :1 No Property Address: 119 S. Magnolia Ave Sanford, FI 32771 Property Owner Information Print Name: Cindy Acosta Mailing Address: 119 S. Magnolia Ave Sanford, FI 32771 Phone: 407-416-2539 Signature: Applicant/Agent Informa- Print Name: Cindy Acosta Fax: Email: cindysdancestudio@cfl.rr.com Mailing Address: 119 S. Magnolia Ave Phone: 407-416-2539 Fax: Email: cindysdancestudio@cfl.rr.com Signature: Qos—A .Ac i I certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant/Owner Signature: D Would you like to receive emails regarding Historic Preservation and Community Planning within your community? 2. Application Category (check all that apply) Proposed improvements will affect the following elevations: :1 North El South D East El West D Site Improvements/Driveway/Walkway D Storage Shed D Replacement Siding/Floor/Porch 1 Replacement Windows or Doors :1 Underskirting :1 Signs/Awnings 1 New Construction/Additions :1 Paint :1 Fences/Gates/Pergolas D Roofs/Gutters/Downspouts D AC/Mechanical 0 Other 3. Description of proposed work Completely describe the entire scope of work, including changes in material and color, and methods that will be used to accomplish the proposed work. For large projects an itemized list is required. Use the reverse side if necessary. Stucco Repair - remove all loose and damaged stticco. Put back new conventional sttleco. Prime new and existing sttieco. Bryvit 18E)%— Awylie •figish w/ integrai eel er ever I . - J stasse This certificate must be prominently displayed on the site M6-b rop, 5 Pl e.s ofm CO r+ Nu Q'C( Nz Cz 3002-10 4, National Trust for 4 Historic Preservation C AN National Trust or C Historic Preservation K 7-A T_ - 3002-10A 3002-1013 3002-10C Warm Buff Filoll Antique Lace Churchill Hotel Ecru OpnoD )S x FO-*--4 0 National Trust for O'Dr. National TMst ftr Historic Preservation Historic Preservation 4 Wrvi 3008-10A 3008-10B 3008-10C Cincinnatian Hotel Briggs Beige Light Raffia Del Coronado Tequila DPrrD/JS F6k -TRODy p. - a a 4 CITY OF SAN.FORD JIUN 1 - 2 0 . 15 LANN!NG AND DEVEI OPMENT 6WOA36 fvk-rk'14 b C, I C 2 i iq c ' . r r -, , 4005-3 Y s 4005-3A Tinsel Beam aim4008-4 mwX%AI rxln 1wrv.n .., 4008-4A Jeky11 Club Pulitzer Blue 4005-3B Glacier Mist I * I 4008-4B Cornflower Blue NATIONALTRkIST F..OR? 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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 t ® Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'l) Building Ceiling Grid Final Roof 000 Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Mobile Home Tie Down Mobile Home Building Final Pre -Demo Final Demo Final Single Family Residence Final Commercial —New Final Commercial — Addition / Alteration Final Commercial — Change of Use Final Building (Other) REVISED: June 2014 ELEGTRICAI PERiVIIT 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 2w r.•.:'t:..grc.;wr. ---+r• wnurr +ems a . i'N"v rC 4: 3k'+.71: ry..,.V {:. PLU. -1'NNc PE , 1 ><• ,qqttyy;; .. . ', ,::;: , S :.,.a . ,,.. ;-•;' L-"..R.. _.-'L•L_ _. i.^i:".-.. .-:W.:•c+.va_.-1 1fiN a'ni . 'i'i s6 Min Max Inspection Description Roof Storm Drain Rough Plumbing Underground Plumbing 2"a Rough Plumbing Tubset Plumbing Sewer Plumbing Grease Trap Rou h Plumbing Steam / Chill Water Rough Plumbing Final MEGI3ANICAL P-.ERNiI-T 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 RECORD COPY F D City of Sanford Building and Fire Prevention PERMIT CONDITIONS Application #: 15-2468 Address: 119 S Magnolia Ave Description of Work: Stucco Repair — Historic District These comments are provided for the permit listed above only. This sheet must remain with the approved set of plans and be made available to the inspector at the time of inspection. All conditions must be met and strictly adhered to. Scope of Work: Repair stucco on building — see attached paperwork Conditions 1. All work must comply with the provisions of the Florida Building Code 51h Edition (2014) 2. All work must also satisfy any requirements stated on the Certificate of Appropriateness. 3. Lathe inspection required prior to placing 1st coat of stucco for any applicable areas. REVIEWED FOR CODE COMPLIANCE PLANS EXAMINER S9•/S DATE SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT aTHEBUILDINGOFFICIALFROMTHEREAFTER REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE 15-2,4-68 Ifyou experience any difficulty, please call 407.688.5150 for assistance. 1111111111111111111111111111111111111111 gill lollTHISINSTRUMENTPREPAEDBY - Mime: ' _ I — Address: Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Z — d- Parcel ID Number: MARYANNE MORSE? SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8518 Ps 451 (Ifts ) CLERK'S ` 2015083385 RECORDED O7/3]/2015 02:21:15 PM RECORDING FEES $10.00 RECORDED BY hdevore The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided In this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) GENERAL DESCRIPTION OF IMPROVEMENT: S.zcco r ree simple ime Holder (if other than owner) Name: Address: CONTRACTOR: Persons within the State of Florida Designated by Owner upon whom notice or other documents may be servedasprovidedbySection713.13(1)(b), Florida Statutes. Name: I to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. of To receive a copy of the Lieno?s Notice as Provided In Expiration Date of Notice of Commencement (The expiration date Is 1 year from date of recording unless adifferentdateisspecified) WAKIVIN& I OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. \ e Signature Owners RiInted Name Florida Statute 713. 1)(a): "The owner must sign the notice of commencement and no one else may be permitted to sign In his or her stead.' State of County of The foregoing instrument was acknowledged before me :tjd.y of 20J•J c by Who is personally known to me Nam , person making statement OR who has pr d e ation produced: DEBBIEBUINTON MY COMMISSION A FF 178M a jas PI(jF,S: February 25, 2019T rirJJotaryPubficlMde ' CE1111FIE COPY —MA NNE MOR CLERK 0 HE CIRCUI OURTAND Notary Signature COMPTR LLER i ry', ,l,i SEMINOLEC UNTY ORIDA fit O Lra O BY DEPUTY CLERK