The URL can be used to link to this page

Home My WebLink About410 Hansom PkwyIRIEC WEE CITY OF SANFORD JUL 2 8 2015 BUILDING & FIRE PREVENTION PERMIT APPLICATION i3Y: ----- -- Application No: 15 -d Vv Documented Construction Value: $ k fo C>00 Job Address: `1" RCcY1 ,nn aY1<<,. 1 . Ar V Historic District: Yes No Parcel ID: Residential'o Commercial Type of Work: New Addition Alteration El Repair E, Demo Change of Use Move Description of Work: 1 /\ Plan Review Contact Person: CO'CL44V Title: Phone: - 3 3 -Fax:' Email: Q` -7 Property Owner Information '' II Name rJ M i I Phone: 4o -i- 22 i^ t b s Street: 10 Resident of property? L-7City, State Zip: lr- I -73 Name Street: City, State Zip: Contractor Information Phone: Fax: State License No.: Architect/Engineer Information Name: '" T, S C—inszln4 Phone: Street: 5k. lJ . c=,2, 4M Fax: City, St, Zip: _ ` Vo_n,orlvo ncC TL 3 V E-mail: Bonding Company: Mortgage Lender: Address: 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: 5th Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application N 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. I 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. ggn—,ture o e gent Date Print Owner/Agent's Name Signature of Notary- S Date i n, .. Py DEBBIE BLANTON MY COMMISSION # FF 178648 EXPIRES: February 25, 2019RfShyBondedrhnrNotaryPubrrcUnderwriters Owner/Agent is Personally Known to Me or Produced ID Type of IDt— eyo 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 E] Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: 43:_ /S Revised: June 30, 2015 Permit Application 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) Rev. 9.14.2009 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 V 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 V 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'thaf `I built or substantially unproved it for sale or lease, which violates this exemption. t 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 bylaw 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 V/ 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 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 Property Address:_ » 4c.-NSom _Qy'1-tof/ r& 3271-5 I, o MQJ' V C oa , 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. Signature of Owner -Builder 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 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 aswell 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 fo 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 j Services, and the Florida Department of Revenue. I also understand that I may contact the Floridaj/ Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.conVdbpr/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:_ » 4c.-NSom _Qy'1-tof/ r& 3271-5 I, o MQJ' V C oa , 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. Signature of Owner -Builder 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 REQUIRED INSPECTION SEQUENCE BP# # 15 - 2 4 4 1 Address: Wfo Wz-W! M Pvwi 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 Z0 Frame 70 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) REVISED: June 2014 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 410 NOTICE OF PRODUCT CERTIFICATION k Q' r daccAy , ,( T fSjF.NT PFIfl RECORD COPY CERTIFICATION NO: DATE: CERTIFICATION PROGRAM: COMPANY: CODE: NI011624 08/08/2013 Structural JELD-WEN 822-1 so To verify that the "Notice of Product Certification' is valid, please visit www.NAMICertification.com to assure that the product is active and currently listed. This certification represents product conformity to the applicable specification and that certification criteria has been satisfied. A NAMI approved certification label must be applied to the product to claim certification status. Please review and advise NAMI if any corrections are required to this document. COMPANY NAME AND ADDRESS PRODUCT DESCRIPTION JELD-WEN Builders Aluminum Single Hung 3737 Lakeport Boulevard Window (4100)" Klamath Falls, OR 97601 w/Flange & Slip -On Nail Fin Configuration: O/X Glazing: Monolithic (Annealed) or Insulating Glass (Annealed) Frame: W-1324mm(52.13") H-1829mm(72") Sash: W-1276mm(50.25") H-921mm(36.25") SPECIFICATION PRODUCT RATING TAS 202-94 Design Pressure: 2394 Pa (^( 7.!5r, Negative Design Pressure: 2394 Water Penetration Resistance Test Pressure: Product Tested By: National Certified Testing Laboratories Report No: NCTL-210-3656-1 Expiration Date: January 31, 2018 Administrator's Signature: SA O AAJ 15-2441 NATIONAL ACCREDITATION AND MANAGEMENT INSTITUTE, INC. 4794 George Washington Memorial Highway Hayes, VA 23072 Tel: (804) 684-5124 Fax: (804) 684-5122 r r BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 Product Evaluation Report Of JELD-WEN, inc. Builder's Aluminum Single Hung Window 4100 Mechanically Fastened)_ for Florida Product Approval Report No. 3032 Current Florida Building Code 398 East Dania Beach Blvd. Suite 338 Dania Beach, FL 33004 954.399.8478 PH 954.744.4738 FX contact@buildingdrops.com Method: 1— A (Certification) Category: Windows Sub — Category: Single Hung Product: Builder's Aluntinunt Single Hung Window 4100 Mechanically Fastened) Material: Aluminum 6063-T6 Product Dimensions: 52.125"x 72" Prepared For: JELD-WEN, inc. 3737 Lakeport Blvd. Klamath Falls, OR. 97601 Prepared by: . SES F. . Hermes F. Norero, P.E. •;; •..poFloridaProfessionalEngineer # 73778 Date: 07/23/2014 = Contents: -v T T = Evaluation Report Paces 1 — 4 Installation Details Pages 5 — 6 0T D...OP' N` F Digitally signed by Hermes F. Norero, P.&,,`SS NAL 1 Cp Reason: I am approving this document ,,tI it1jXN-, Date: 2014.08.14 15:02:25 -04'00' Hermes F. Norero, P.E. Florida No. 73778 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 Manufacturer: Product Category: Product Sub -Category: Compliance Method: JELD-WEN, inc. Windows Single Hung State Product Approval Method (1)(a) Date: 07/23/2014 Report No: 3032 Product Name: Builder's Aluminum Single Hung Window (4100 Mechanically Fastened) Non -Impact) 52.125" x 72" Scope: This is a Product Evaluation Report issued by Hermes F. Norero, P.E. (FL # 73778) for Jeld-Wen Inc. based on Method 1a of the State of Florida Product Approval, Department of Business and Professional Regulation - Florida Building Commission. Limits of Use: Hermes F. Norero, P.E. does not have nor will acquire financial interest in the company manufacturing or distributing the product or in any other entity involved in the approval process of the product named herein. This product has been evaluated for use in locations adhering to the current Florida Building Code. See Installation Instructions BA4100_NCTL_210-3656-1, signed and sealed by Hermes F. Norero, P.E. FL # 73778) for specific use parameters. 1. This product has been evaluated and is in compliance with the current Florida Building Code, including the "High Velocity Hurricane Zone" (HVHZ). 2. Product anchors shall be as listed and spaced as shown on details. Anchor embedment into substrate material shall be beyond wall dressing or stucco. 3. When used in areas requiring wind borne debris protection this product complies with Section 1609.1.2 of the current Florida Building Code and does require a I n impact resistant covering. 4. Site conditions that deviate from the details of drawing BA4100_NCTL_210-3656-1 require further engineering analysis by a licensed engineer or registered architect. 5. See Installation Instructions BA4100_NCTL_210-3656-1 for size and design pressure limitations. Hermes F. Norero, P.E. Florida No. 73778 Page 2 of 6 BUILDING DROPS 2014 A Perfect Solution in Every Drop Date: 07/23 Report No: 3003232 Certificate of Authorization: 29578 Quality Assurance: The manufacturer has demonstrated compliance of products in accordance with the Florida Building Code for manufacturing under a quality assurance program audited by an approved quality assurance entity through National Accreditation and Management Institute (FBC Organization #: QUA1789) Performance Standards: The product described herein has been tested per: TAS 202-94 Referenced Data: 1. Product Testing performed by National Certified Testing Laboratory, Inc. FBC Organization # TST1589) Report #: NCTL-210-3656-1, Report Date: 2/24/2010 2. Quality Assurance National Accreditation and Management Institute FBC Organization #: QUA1789) Hermes F. Norero, P.E. Florida No. 73778 Page 3 of 6 BUILDING DROPS A\ A Perfect Solution in Every Drop Certificate of Authorization: 29578 Installation: 1. Approved anchor types and substrates areas follows: Nailing Fin Installation: Date: 07/23/2014 Report No: 3032 A. For two by (2X) wood frame substrate (Min. S.G. = 0.55), use #8 Wood Screw type wood frame anchors of sufficient length to achieve minimum embedment of 1.50" into wood framing. Through Frame Installation: A. For two by (2X) wood frame substrate (Min. S.G. = 0.55), use #10 Wood Screw type wood frame anchors of sufficient length to achieve minimum embedment of 1.50" into wood framing. B. For concrete (Min. f c = 3000 psi) or masonry (Conforms to ASTM C90) substrate where one by (1X), non-structural, wood bucking is employed, use 3/16" diameter ITW Tapcon type concrete screw anchors of sufficient length to achieve minimum embedment of 1.25" into concrete or masonry. C. For concrete (Min. fc = 3000 psi) or masonry (Conforms to ASTM C90) substrate where wood bucking is NOT employed, use 3/16" diameter ITW Tapcon type concrete screw anchors of sufficient length to achieve minimum embedment of 1.25" into concrete or masonry. D. For steel substrate (Min 18 Ga., Fy = 33 ksi), use #10 Tek Screw type steel frame anchors of sufficient length to achieve minimum embedment of 3 threads engagement into steel framing. Refer to Installation Instructions (BA4100_NCTL_210-3656-1) for anchor spacing and more details of the installation requirements. Design Pressure: Design Pressure Rating Positive 50 Negative 50 Hermes F. Norero, P.E. Florida No. 73778 Page 4 of 6 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 Date: 07/23/2014 Report No: 3032 Installation Method JELD-WEN, inc. Builder's Aluminum Single Hung Window (4100 Mechanically Fastened) Through Frame Installation) r WINDOW WIDTH (521/8" MAX.) — 4Yj" MAX. FROM CORNERS 7" O.C. MAX. Hermes F. Norero, P.E. Florida No. 73778 Page 5 of 6 BUILDING DROPS A Perfect Solution in Every Drop Certificate of Authorization: 29578 Date: 07/23/2014 Report No: 3032 Installation Method JELD-WEN, inc. Builder's Aluminum Single Hung Window (4100 Mechanically Fastened) Nail Fin Installation) C 13" O.C._ v MAX. WINDOW WIDTH (52v8" MAX.) 412" MAX. FROM CORNERS 13" O.C. MAX. Hermes F. Norero, P.E. Florida No. 73778 Page 6 of 6