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HomeMy WebLinkAbout410 Hansom Pkwy (2)JAN 111 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I (P" L1 Documented Construction Value: $ j © Q - CJ—D M _ , v Job Address: Cf 1 r1 "_4Hi srt o-/rriic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration 0 Repair Demo Change of Use Move Description of Work: Ltovj Plan Review Contact Person: Title: Phone: A07 2Z I -4 3(05 Fax: Email: b ryi yq ,-C. L'22 Property Owner Information Name i Phone: I D -) I-c;lntsa tStreet: P Resident of property? City State Zip: J a - O—Jc FL. 11 Al.., W str 2 3 i9 : 16 Contractor Information s a! "' ` z"`'x ` •i: L ' 3Ctt" la's nntzzim , Name Phone: Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: 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,, CPNSULT. 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 ofthis 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. 11 1 Signa ofvmer/Agent Date Signature PVe ANNETTE SCOTTpY Notary Public - State of Florida c My Comm. Expires Jan 16, 2018 9 O,, Commission I FF 071760f °p 1/1111\\\ n__ PJYApd ThrNY1r1 L%"—,1AW..n.A.— Owner/Agent'-is=ersoria113 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: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Fire Alarm Permit: Yes No WASTE WATER: I -t irm lets i. BUILDING: 5r -Zd -/G Revised: June 30, 2015 Permit Application REQUIRED INSPECTION SEQUENCE DP# BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Foundation / Form Board Survey 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 Lath Inspection Final Solar Final Roof Final Stucco / Siding Insulation Final Final Utility Building Final Door Final Window Final Screen Room Final Pool Screen Enclosure Mobile Home Building Final Pre -Demo Final Demo Final Single Family Residence Final Building (Other) REVISED: June 2014 Address: ELECTRICAL -!PERXlT Min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final Pu[Ivmume min Max Inspection Description Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHAN [CAL IPLERMIT Min Max Inspection Description Mechanical Rough Mechanical Final Min Max Inspection Description Gas Underground Gas Rough Gas Final HIPJA DO GOMZZ Registered Architect 220 W. Wisconsin Ave. Deland, FL 32720 386-262-2303 hdogomezb(aD_gmail.com February 5, 2016 City of Sanford Building and Fire Prevention Dept. 300 N. Park Ave. Sanford, FL 32771 In Re: Application #16-241 410 Hansom Way Residential Alteration Dear Sir/Madam: I, Hernando Gomez, as registered architect, visited the above mentioned property on this 5th day of February 2016, and established the following: That I personally inspected the property located at 410 Hansom Way, Sanford, Florida, and do certify that the work completed was constructed in accordance with the 2014 Florida Building Code and all other applicable building codes. If you have any questions or concerns, or need any further information, please feel free to contact me. Sin er e He aVG 6'mLLIC#AR0014852 His or Architect Z JAN 112,0,$ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION . Application No: J (o LA Documented Construction Value: S 15 0 O CJ -D Job Address: all Irl" r` Historic District: Yes No Parcel ID: Residenti< Commercial Type of Work: New Addition AlterationEll Repair Demo Change of Use Move Description of Work: l,,- r1,.::, d,rcy ,A 06i Il / 'AF peraLL otv Plan Review Contact Person: Phone: 407 2 Z I - 43(oq Fax: Title: h Email:_V D m rA *-(-i n_ -z I Property Owner Information Name i Phone: C Street: C-(-,.,,, '^r, f f Resident of property? : City, State Zi zf -. a-. FL. Contractor Information Name Street: 1 Phone: Fax: City, Sfate Zip: State License No.: I ArchitectlEngineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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,' T, 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application ti % may.' Z JAN 112,0,$ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION . Application No: J (o LA Documented Construction Value: S 15 0 O CJ -D Job Address: all Irl" r` Historic District: Yes No Parcel ID: Residenti< Commercial Type of Work: New Addition AlterationEll Repair Demo Change of Use Move Description of Work: l,,- r1,.::, d,rcy ,A 06i Il / 'AF peraLL otv Plan Review Contact Person: Phone: 407 2 Z I - 43(oq Fax: Title: h Email:_V D m rA *-(-i n_ -z I Property Owner Information Name i Phone: C Street: C-(-,.,,, '^r, f f Resident of property? : City, State Zi zf -. a-. FL. Contractor Information Name Street: 1 Phone: Fax: City, Sfate Zip: State License No.: I ArchitectlEngineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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,' T, 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 ofthis 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. 1 r. Signa of weer/Agent Date r Signature Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Y PPV® ANNETTE SCOTT all Notary Public - State of Florida My Comm. Expires Jan 16, 2018 Commission I FF 071760 Thr Owner/Agent•is Im" , rsonaW U N assn. Contractor/Agent is Personally Known to Me or Produced ID Type of ID L ( Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Mn. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes No # of Heads of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No APPROVALS: ZONING: wit t t UTILITIES: WASTE WATER: ENGINEERING: KTL "1 '- lCQ FIRE: BUILDING: COMMENTS: Revised: June 30, 2015 Permit Application M sup MIMIuVniswiry ssruEws iw+uw uuuir u4uusr+w er rf urw uu w w nw wi 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 n the property listed, may act as my own contractor with certain restrictions even though I do not have a license. 4•, I understand that building permits are not required to be signed by a property owner unless •he or she is Qresponsible 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 P licensed in Florida and to list his or her license numbers on all permit and contracts. rJ 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. V 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 P persons working on my building or residence. It is my responsibility to ensure that the persons whom I l 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 v for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 011 Property Address: 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 cpnditions specified above. 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 by all applicable laws and requirements that govern owner -builders as well as employers. I also CI abide understand that the construction must comply with all applicable laws, ordinances, building codes, and V 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 n 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 J listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the J 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 Qwhether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: 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 cpnditions specified above. 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 https://www2.citizenserve.comlAdminlWorkOrderDocuments?Action=ViewDocument&D... 1/11/2016 https://www2.citizenserve.comlAdminlWorkOrderDocumeiits?Action--ViewDocument&D... 1/11/2016 RECORD COPY City of Sanford Building and Fire Prevention PERMIT CONDITIONS Application #: 16-241 Address: 410 Hansom Pkwy Description of Work: Residential Alteration 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: Close in portion of carport and convert to a bedroom Conditions It appears the work has already been completed. A signed and sealed letter from a registered design professional is required and must include the following statement: have personally inspected the property at lj 21 14 1,0 o,SDrr, RL -0Y and certify that the work completed was constructed in accordance with the 2014 Florida Building Code and all other applicable building codes. The signed/sealed letter will suffice as the final inspection. The building department will not perform any site inspections. Approval of the plans does not constitute approval for the work done * * OLDINc SANFORD PA R, 16_ 241,• If you experience any difficulty, please call 407.688.5150 for assistance.