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?
HISTORIC PRESERVATION
71ra
s
p
r
4005-3C
Cincinnatian Hotel Lindner Blu
FINISHES & COATINGS
HIGH PERFORMANCE FINISHES AND COATINGS
More and more architects, contractors and building owners around the world are
relying onDryvit finishes and coatings todeliver high performance protection and lasting
beauty they demand. Whatever the building type, new construction or remodeling,
there is a Dryvit product that provides the durability they are looking for. And,
OrymitSystems, Inc. iocertified toISO SOO1:2OOBand ISO 14001:2UO4 standards, the worldwide common denominator
for product consistency and excellence. This certification helps identify
Dryvit as the recognized leader in finishes and coatings technology. n
w What's more,
Oryvit standard,
specialty and elaobomehcfinishes, aewell aocoatings, offer low maintenance advantages such ooDPR(Dirt
Pickup Resistance) ondpK0Rrm New American Home, 1»*o Proven Mildew Rooiodonce).Ogwitpresents mwide range cfcustom
colors and baxtu ov textures ' Nevada for any architectural style on new or
retrofit
projects —
all
with written Dryvit materials warranty. For Application over sRange mfSubstrates Dryvit finishes are ideally suited
to provide oprotective and decorative coating
over masonry, stucco, concrete, CMU and BF8substrates. Avariety oftextural efeotsmoybaupocifioddapendingonthoDryvit finish selected and the application technique
employed. m7AmoAmo sLASTOssmC Cmoopum@ vxuathedaoUo@Oueopmz 0' Govubleumy vxoathudaohv4DGondpobule pmestylem Weatheoumic@8ondpeub|eFine
Gondpebb|em Weathedooumm*
mvbo Gondpobb|
m0Rno Weethvdastimg)
Gmvmh
oo4TINmm aPscmL7Y
oomanou@ (Weotharcvat=Gmvvth)
Amahomna= nevymxm(maathorcvo`"Textured)
monaMisxlD TuovanG|aza`m
Tcnawnw0 LymestoneTm
Or — Consult Dryvit first .'
Dryvit finishes offer unequaled
proven performance. Call your
Dryvit
technical
representative at 8OO'55O-7752nrvisit our wmboita.D2vvd1Systems, for complete information about selecting the optimum
Dryvitproduct for your project. Dryvit Systems, Inc. This information conforms mthe standard detail recommendations One Energy Way
and specifications
for the installation of Dryvit Systems, Inc. West Warwick, RI 02893
products as of the date of publication of this document and is
800)556-7752 d e) l www.dryvit.com expressed or implied, as to the architecture,
engineering or r workmanship
ofanyproject. To ensure that you are using the latest, most complete information, contact
Dryvit Systems, Inc. Printed mUSA. Issued owmm woow,Systems, Inc. 1mw
For more information onDuuit Systems or Continuous Insulation,
A%AU %4 a./ J.1 \ IJA A.:I,%, A A V l • "JJ'v AJt \ \IJ.:J
BP# - Address: I f 1 S L— rA Ar v i-
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
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