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HomeMy WebLinkAbout2320 Cordova DrV t i= ti 3:n Application No: SEP 10 2012 CITY OF SANFORD BUILDING & FIRE PREVENTION BY:_... PERMIT APPLICATION Job Address: 3 alt. L.,av a Parcel ID: l Documented Construction Value: $ % 02 p 3 171 Historic District: Yes No Zoning: Description of Work: rvpw- c Nd Vecw_ , Plan Review Contact Person: Title: dwr)erz of gro&fj" Phone: %-1 ioy - p 9 a 3 Fax: E-mail: m Icy w yv--Twjse„i d3_ a nj&1 L, covs Property Owner Information Name VH I CIn ae L 14 = &Nse V\1 Phone: 4o -7 - -7oLj- oq A 3 Street: _ _ A 3a Cord o ul - ( City, State Zip: '3awforcl FL Resident of property? : __ye Contractor Information C(wn.evz u lc t2 Name y\n,c_hc..o Ic ao_vse__1 Phone: - -7o,4-awe-150 Street: A;s,;a Cnvc9ot)c, Dy2-. Fax: City, State Zip: 5c wRjrr) . FL 3a?7 1 State License No.: n,_"yc - 13u%ike-2 Architect/Engineer Information Name: Street: Z P la City, St, Zip: pr I,., cio FL_ Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electric New Se ice - No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical (Duct layout required for new systems) Pool Ek c 1 u t 4' No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: C I _' - e! 1 19" 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. 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 maybe 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 isnot submitted, we reserve the right to calculate the plan review fee based on. past permit activity levels. Should calculated charges exceedthe documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. a0-1 Signature of Owner/Agent Date J'A V, 7ra Y, s1% t Print Owner/Agent's Name 910%2 - Sign re of Notary -State of Florida Date 4r 1b • Stet"e''o7f Fbft l t nmi lon f cpires tOM812013 CORUAWI M EE 136118 Owner/Agent is Personally Known to Me,or Produced ID Type of ID APPROVALS: ZONING: JVM "'I(X UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: 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: 4-- 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) Rev. 9.14.2009 I understand that state law requires construction to be done by a licensed contractor and have applied for j an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 5 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. 1 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'l 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 1 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 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: ;215ao C0VP0V(#- 5)11eve_ 50.rv1Forcl. 3a 7- I, M , r In C"p- l K Z -e N sell') I 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 Identificatio Must be Photo ID) 9-/0 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 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. L 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 of 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: ;215ao C0VP0V(#- 5)11eve_ 50.rv1Forcl. 3a 7- I, M , r In C"p- l K Z -e N sell') I 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 Identificatio Must be Photo ID) 9-/0 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 s FFICL SE INOiE COLlNTY ftt .,,was NATURAL xlOICE BUILDING DI vISION acknowledge that a new swimming pool, spa or hot tub will be constructed or installed at Q.3D Cofd L*- gil. S,,wForc I FM= '3a-7-7 e and hereby affirm that the following method will be used to meet the requirements of Florida Statutes, Chapter 515. The_ pool will be isolated from access to the home by an enclosure that meets the pool barrier requirements of Florida Statute 515.29; The pool will be equipped with an approved safety pool cover that complies :with ASTM F1346-91 (Standard Performance Specifications for Safety covers for Swimming Pools, Spas, and Hot Tubs); All doors and windows providing direct access from the home to the pool will be equipped with an exit alarm that has a minimum sound pressure rating, of 85 decibels at 10 feet; All doors providing direct access from the home to the pool will be equipped with self-closing, self -latching, devises with release mechanisms placed no lower than 54" above the floor or deck; I understand that not haying_ the abovemethod_ installed at_the time of final inspection, or_____________ when the pool is completed for contract purposes, will constitute a violation of Chapter 515, F.S. and will be considered as committing a misdemeanor of the second deg reepunishgble_ by fines up to $500 and/or up to 60 days in jail as established in Chapter 775, F.S. Contracto s rinted Name Signature & Date 1,101 EAST FIRST STREET SANFORD FL 32771-1.468 PHONE (407) 665-7050 FAX (407) 665-7486 Designer: MICHAEL K JANSEN Address: 2320 CORDOVA DRIVE P City: SANFORD State/Zip: FLORIDA, 32771 I Phone: 407-704-0923 Cell: 407-704-0923 I Email: MKEVINJANSEN@GMAIL.COM Project: NEW POOL - OWNER BUILDER i '., .. g .. rr+ .3 a^.er'a r,.:.. .. .k - %. i., .,..:. Y.E ,4.... a .xa-2'," a It`*,. 'an .. m M ,.,,.. 'd ;:3z. a' ,a. `i« s'. •,.y t i` * 1'"Z a 34'3" ACCESS ACCESS ENTRY 18" Raised Tiled Beam Two 18" Sheer +18" Raised 'led Beam TO DIG AND HAUL DIRT! Descent Waterfalls 6" Raised Tiled Beam / Concrete rick Pavers N "' 181 +18" 1 Bullno a Brick 3'6" Deep POOL MAIN DRAIN Copin Pool Edge o-- 6 =' X24 in 5' Deep 4' 3 AND RETURN M , TRUNK LINES ARE ~ - 2" PIPE .18" POOL MAIN _ Sunshelf DRAIN BRANCH s, R Designer: MICHAEL K JANSEN Address: 2320 CORDOVA DRIVE P City: SANFORD State/Zip: FLORIDA, 32771 I Phone: 407-704-0923 Cell: 407-704-0923 I Email: MKEVINJANSEN@GMAIL.COM Project: NEW POOL - OWNER BUILDER i '., .. g .. rr+ .3 a^.er'a r,.:.. .. .k - %. i., .,..:. Y.E ,4.... a .xa-2'," a It`*,. 'an .. m M ,.,,.. 'd ;:3z. a' ,a. `i« s'. •,.y t i` * 1'"Z a 34'3" ACCESS ACCESS ENTRY 18" Raised Tiled Beam Two 18" Sheer +18" Raised 'led Beam TO DIG AND HAUL DIRT! Descent Waterfalls 6" Raised Tiled Beam / Concrete rick Pavers N "' 181 +18" 1 Bullno a Brick 3'6" Deep POOL MAIN DRAIN Copin Pool Edge o-- 6 =' X24 in 5' Deep 4' 3 AND RETURN M , TRUNK LINES ARE ~ - 2" PIPE .18" POOL MAIN _ Sunshelf NW Bullnose Brick Coping Pool Edge 1 - Standard 300 Watt Pool Light EXITING CARPORT 1)4 co, l^c S 309 = `,1335 C -A1 drvs 3"Vvi 2zK- A(n 6P ` n- 3(bZi )m) YV UY N OUB iL 1 a-t'_ - 4--ywaY`d '-" 4"4, k nes 10,5 a ( 40 DRAIN BRANCH 8" y.. U-) a18" Bench LINE IS 3" PIPE HOME WILL HAVE New ite Covered Roof o_' Concrete Brick Pavers CHILD SAFTEY DECO-DRAIN POOL DECK WILL w Standard Chi Safte Y Fence BE SCREEN ry p O0 °'- ENCLOSED 00 3, 24„ New Elite Covered Roof 18" 12" Co trete Brick Pavers 4' O HOUSE HOUSE 9 fX as i M1:f :.pg y RA;.! « 4M4l P4;i." a a kt'"'r. kfi.. Length: 24' Length: 34'3" Filter Pump: 1.5 Variable Speed Pool Return Line Size: 2" Width: 13'5" Width: 30' Filter Type: 100 sq.ft Cartridge Pool Vac Line Size: 2" Depth: 3'6" to 5' Deep Perimeter: 101' Pool Main Drain Line Size: 3" Perimeter: 81' Sanitation: Salt Generator PoolSkimmer Line Size: 2' Square Footage: 309 sq.ft. Square Footage: 713 sq.ft. Heater: N/A Returns: 04 Gallons: Coping: Bullnose Brick Coping Valves: Jandy Never Lube Vac Line: 01 Plumb W/Valve I i Material: Concrete Shell Decking: Concrete Brick Pavers Water Features: 2 - 18" Sheers Main Drain: 02 NW Bullnose Brick Coping Pool Edge 1 - Standard 300 Watt Pool Light EXITING CARPORT 1)4 co, l^c S 309 = `,1335 C -A1 drvs 3"Vvi 2zK- A(n 6P ` n- 3(bZi )m) YV UY N OUB iL 1 a-t'_ - 4--ywaY`d '-" 4"4, k nes 10,5 a ( 40 FRkmivtJ_l NOV 7 2012 F REVISION BY: Permit # 7 v -S Revision Project Address: Contact: _;a Ph: Fax: JEmail: J Trades encompassed in revision: General description of revision: uil n % Z o C B Plumbing Electrical Mechanical Life Safety ROUTING INFORMATION Department Approvals Utilities Waste Water Planning Engineering Fire Prevention RICHARDSON ENGINEERING 131 Zelma St.SHEET4INFICE No: of ORLANDO; FL 32803 CALCULATED BY DATE 407) 42,T-4002-. CHECKE0 8Y DATE FAX # (407) '841-7932 R 4.>; THIS INSTRUMENT PREPARED BY: Name: 'L14N5ew Address: _ 2, r (Z ji 75 a . e f• i ,•,. F i i q I ! I I a i MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07851 Pg 1779; ilpg) CLERK'S # 2012107668 RECORDED 09/10/2012 04:18:16 PM RECORDING FEES 10.00 RECORDED BY T Smith State of Florida County of Seminole Permit Number: Parcel ID Number: + 3 © - " 1 ^ 0100 - 00C) o 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) SOTS y C—d 5 IeSS-j-V% .+ poftIONN or I;c id. d,o+s L,/ nt 4,) -ktke- O Lo- _y) Nd La } ,1 { 1t 1 C-0 ea5-r- to IF4e* tF IA} 1 0 , Ck,i" ir& B)xw Ct 4 - gas Se-- „vale- (6u,—y... Flnm arf Lt GENERAL DESCRIPTION OF IMPROVEMENT: M9 W I M,M w Pv, L CTud ItRsF- OWNER INFORMATION: K of CO1hflACIRCUIT URT Name:M%Ll, C, -e- < 1,n S_. 6 SEMImoOUNTY " 1110, Address: Fee Simple Title Holder (if other than owner) Name: A 2 Address: CONTRACTOR: Name: c7w,veg- dui tr1 cvL i'vl lc Ig 11Sehr Address: i t' D r2 1::b rr-1 C -i_ t Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) WARNING "TO 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. Owndj Signature Owner's Printed Name Florida Statute 713.13(1)(g): " 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 SCJ 3 Yl d vT Q The foregoing instrument was acknowledged before me this day of 20(2- by 0(Z- by VA Who is personally known to me Name of person making statement OR who has produced identification type of identification produced: MIu" Vem q°ot1, Notary Pu*-- we Of FIOr)d9 Notary Signature Re AgyOortgMssla Expires tOl1EJ20t6 CauNsslal N0. EE 138118