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HomeMy WebLinkAbout3995 St. Johns Pkwyt aro-%I'] CITY OF SANFORD FEB 0 9 2016 BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: lb -*5 7I #A_! F(Ns u- Documented Construction Value: $D Job Address: 9 ` ale S"(Z Historic District: Yes No El Parcel ID: Type of Work: New Q Addition Alteration Repair Description of Work:)V 0 " ,av6 Residential Commercial Demo Change of'Use Move W16 -k -z nl9fr__0M-n n, Plan Review Contact Person: OLa c/ 2/y! n0 iZ Title: U•"2e 2 Phone: 134 040(l Fax: 1 eO-7 ?2_-)C13009( Property Owner Information Name S-4 Z Phone: Street: Resident ofro e . " ? P P Y City, State Zip: SR o2 -4 2 f.', •.,, ; n , . 1•: Contractor Information Name Street: City, State Zip: Phone: Fax: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: 00V4! 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: 5'h Edition (2014) Florida Building Code 011) Revised: June 30, 2015 Permit Application 5\ 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. be done in tify that all of the foregoing information is accurate and that all work will all applicable laws regulating construction and zoning. 2/09 11A Signature of Owne'dAgent Date V C-W V gent's Y6me 41117A7 LISA ANTONINI Notary Public - State of Florida My Comm. Expires May 21, 2018 Commission # FF 125242 111111. Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date e oo,A—to Me or Contractor/Agent is Personally Known to Me or Produced ID i,, Type of ID 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 APPROVALS: ZONING: 6 14 Z -F -/(- UTILITIES: ENGINEERING: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: P-16 COMMENTS: OK -N ,, / / (, Lo- 1( ,Ot t Ya y :2.1 2 r,0 L-4-0 rl rl S'1C t t I I& C Q r ng%w-re a/ 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 property listed, may act as my own contractor with certain restrictions even though I do not have athe 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. 1 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 Icomply 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: -r9r 54. _: o H NS RWk(j VAN!z-,Z3) L. ?2 f I, _ and Signatulq of Owner -B do hereby state that I am qualified ling the requested construction involved with the permit application filed and agree to the nvP 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 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 the legallyamparty and financially responsible for the proposed construction activity at the address listed below. MI agree to notify the building department immediately of any additions, deletions, or changes to any of the that I have provided on this disclosure or in the applicationJinformationpermit 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: -r9r 54. _: o H NS RWk(j VAN!z-,Z3) L. ?2 f I, _ and Signatulq of Owner -B do hereby state that I am qualified ling the requested construction involved with the permit application filed and agree to the nvP 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 rk R/jr jfAjCj) ROW T:1 ji zll 47 rAt%* 1plyt FICE-1 RALWMU46 uynh rvcw sbA% Alp 4-1v4il*44OAD A -4F irisi v4!k. .1 LNre OATH V_v P,us S 89'45'Y2' W 7 A4 . RM I PC 43 g_ 17APP-R0V. td i , I 3382 v -r27.,- f st'.PC 21 a_'4 -i ....•, #, - `..{, ,t a5 F tp• \ ", MD FY MAT Eft, mFgH Dv_ X A& j V.Fl U.) 77 m I Z' 3, 213, 37, 0 Tf 1 , N jW P;IA 4", ThortoDo140" MIX 1- 1 - ng 5c, r A F- Itp- 4 77 ele LOCA7u, 15 . iER 4-4r(TYP.] -, TELP., 7— goplo 0101 M ITPER rk R/jr jfAjCj) ROW T:1 ji zll 47 rAt%* 1plyt FICE-1 RALWMU46 uynh rvcw sbA% Alp 4-1v4il*44OAD A -4F irisi v4!k. .1 LNre OATH V_v P,us S 89'45'Y2' W 7 A4 . RM I PC 43 g_ 17APP-R0V. td i , I 3382 v -r27.,- f st'.PC 21 a_'4 -i ....•, #, - `..{, ,t a5 F tp• \ ", MD FY MAT Eft, mFgH Dv_ X A& j V.Fl U.) 77 m I Z' 3, 213, 37, 0 Tf 1 , N jW P;IA 4", ThortoDo140" MIX 1- 1 - ng 5c, r A F- Itp- 4 77 ele LOCA7u, 15 . iER 4-4r(TYP.] -, TELP., 7— NA, 3a35 - M==0.LL BE CONSTRUCTED % INNZ DupABLALaw KAINTENANCE. AND OPAOUEMATERUJ-5, Dock 0 F Tlnl:sh IW HWA POST 0M.) Qll_ 3D.60 X cohnW, to lox 12 SINGLE ENCLOSURE DESIGN PAD LOOCAME DOUBLE HUNGdATE5 vagaeDa36b1ATE)MARD17-9. F= WXTS EROSION, C iCt)NTHACIOR i0 7N 4NGING.ON CENTF) r'.1W wtiox12SINGLEENCLOSUREELEVATION% !'WkH0X3 MAI ELY. -JO n v ARK vilml: 11, A.- goplo 0101 NA, 3a35 - M==0.LL BE CONSTRUCTED % INNZ DupABLALaw KAINTENANCE. AND OPAOUEMATERUJ-5, Dock 0 F Tlnl:sh IW HWA POST 0M.) Qll_ 3D.60 X cohnW, to lox 12 SINGLE ENCLOSURE DESIGN PAD LOOCAME DOUBLE HUNGdATE5 vagaeDa36b1ATE)MARD17-9. F= WXTS EROSION, C iCt)NTHACIOR i0 7N 4NGING.ON CENTF) r'.1W wtiox12SINGLEENCLOSUREELEVATION% !'WkH0X3 MAI ELY. -JO n v ARK vilml: 11, A.- I I J Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Profit Corporation CENTRAL FLORIDA BAKERY INC. Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 3995 ST JOHNS PWY SANFORD, FL 32771 Changed: 06/15/2012 Mailing Address 3995 ST JOHNS PWY SANFORD, FL 32771 Changed: 06/15/2012 P00000102743 59-3681240 11/01/2000 FL ACTIVE Registered Agent Name & Address SASTRE, RUBEN 311 FALLING LEAF WAY CASSELBERRY, FL 32707 Officer/Director Detail Name & Address Title D SASTRE, RUBEN 311 FALLING LEAF WAY CASSELBERRY, FL 32707 Title D SASTRE,ANA 3995 ST JOHNS PWY SANFORD, FL 32771 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 2/9/2016 SCPA Parcel View: 28-19-30-5NR-0000-0290 DavicJJohnson,CFA Property Record Card CSEMROPERTY Parcel: 28 -19 -30 -SNR -0000-0290 APPRAISER Owner: CENTRAL FLORIDA BAKERY INC INOLECOUNTY FLORIDA Property Address: 3995 ST JOHNS PKWY SANFORD, FL 32771 Parcel: 28 -19 -30 -SNR -0000-0290 Property Address: 3995 ST JOHNS PKWY Owner: CENTRAL FLORIDA BAKERY INC Mailing: 311 FALLING LEAF CT CASSELBERRY, FL 32707 Subdivision Name: SANFORD CENTRAL PARK PH 2 Tax District: Sl-SANFORD Exemptions: DOR Use Code: 48-WAREHOUSE-DISTR & STORAGE 3S o J Legal Description LOT 29 SANFORD CENTRAL PARK PH 2 AMENDED PB 54 PGS 8 THRU 10 Taxes I Value Summary l Tax Amount without SOH: $14,865.94 2015 Tax Bill Amount $14,865.94 Tax Estimator Save Our Homes Savings: $0.0 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2016 Working Values 2015 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 556,990 563,952 Depreciated EXFT Value 18,208 18,947 Land Value (Market) 147,564 147,564 Land Value Ag 1 102_ 5 I JusVMarket Value 722,762 730,463 Portability Adj SJWM(Saint Johns Water Management) 722,762 r` Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 Assessed Value 722,762 730,463 Tax Amount without SOH: $14,865.94 2015 Tax Bill Amount $14,865.94 Tax Estimator Save Our Homes Savings: $0.0 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value 07517 County General Fund 722,762 0 i 722,762 WARRANTY DEED —` 10/1/200 1 03936 1401 Schools 722,762 i 0 ., 722,762 6/1/200 03877 1 102_ 5 I City Sanford 722,762 0 I 722,762 SJWM(Saint Johns Water Management) 722,762 r` 722,762 County Bonds 722,762 ! 0 722,762 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 1/1/2011 07517 0710 111 00,00 1 Yes Improved WARRANTY DEED —` 10/1/200 1 03936 1401 I 147,900 } Yes Vacant WARRANTY DEED 6/1/200 03877 1 102_ 5 I 89,800 Yes Vacant WARRANTY DEED 6/1/1999 I i 036750734i 143,000 Yes v Vacant rina c:omparawe sales wimin tins suoarvlslon Land Method Frontage Depth Units Units Price Land Value SQUARE FEET 1 49188 ' $3.00 ' $147,564 Building Information Description Year Built Stories Total SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 201 ! 1 15,510 I $556,990 + $696,237 i Page 1 of 2 http://www.sepafl.org/ParcelDetailInfo.aspx?PID=2819305NR00000290 2/9/2016 INSPECTION SEQUENCE BP# 16-463 ADDRESS: 3995 St. Johns Parkway BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Slab / Mono Slab Lintel / Tie Beam / Fill / Down Cell Sheathing — Walls Sheathing — Roof Roof Dry In Frame Insulation Rough Firewall Screw Pattern Drywall / Sheetrock Lath Inspection Building Ceiling Air Barrier Insulation Roof (Com'l) Building Ceiling Grid Final Roof Final Stucco / Siding Final Insulation Final Firewall Final Door Final Window Final Utility Building Final Screen Structure Final Pool Screen Enclosure Pre -Demo Final Demo Final Single Family Residence Final Commercial — Final Commercial — Addition / Alteration Final Commercial — Change of Use 1000 Final Building (Other) Fence 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 Rough Plumb 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