HomeMy WebLinkAbout116 Sabal Palm CtCITY OF SANFORD
BUILDING & FIRE PREVENTION
rF 1 016
PERMIT APPLICATION
D 4. MAR /
Application No:
J
Documented Construction Value: $ ?00
Job Address: LLCD Socba I UM a Sa)4yd rL Historic District: Yes No 2
Parcel ID: G a Q O' 36 - 5 G T - OODO - o (o CO Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use MoveEl' Description
of Work: k l( C jI" 0 l( l N 1 %/ i l'e (c) u,
Plan
Review Contact Person: Title: Phone:
Fax: Email: Property
Owner Information Name
J+eycr) L 1 xon kmLtn Phone: l/ L4di 9 36 - J73-76 Street: Sa,
Y --=-t'OI.M z ',"t-M. Resident of property? : v Q City, State
Zip: JOi,(1'L'`-• '`{3a 7 3 Information Name
Phone:
Street: Fax:
City, State
Zip: State License No.: Arch itect/
Engineer"Information Name: Phone:
Street: Fax:
City, St,
Zip: 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 tttaas ofthat date: 5th Edition (2014) Florida Building Code Revised June
30, 2015 Nw' rCl I Wood 6 T / /%1 Permit
Application
7 feef
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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 froin`other govern enfal entities such as water
management districts, state agencies, or federal agencies. I ,'I tr t r ' ';
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 charge's 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.
l
Signature o wner/Agent Date
Pnn Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
go '0 JZ/ A
Sig ureofContractor/Agent Date
vd o n r7.e
Pnn oTntractor/Agent's Name
y
Signature of Nota -S a e o I Date
DEBBIE BLAWON
MY COMMISSION N FF 176648
EXPIRES: February 25, 2019e
Bonded Thru Notary Public Underwriters
Contractor/Agent is Personall nown to Me or
D...i. -A to T e of IDyP
745
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: 3-2J-IG-C-311 UTILITIES:
ENGINEERING: FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
r ' . • E064-
Revised June 30, 2015 Permit Application
ri•,ereof, as recorded in Plar Book 28, Page(s) 33-6, of the Public i
Records of Seminole Cozznoy FL.
Community number: 120294Panel: 0045
Suffix-,E F.I.Rlt1 Date: 4/I7/I995 Ftapd Zprre: X _ o
Date offseld worlr: 411812003 Completion Dates 41'2212003 4
r 2
Cerr fed to:
Steven 1,- Brookman; ;brokers Title of Longwood .11, LLC, American
Pioneer ?witle Insurance Compa?W, First National Bank ofArizona, its' C7
successors and/or assigns.
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Rep&ed Cerlificadons: 4124103
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PLArUUMS
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ONE STORY
REW 116
LOT 59
LOT 60
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i CURVE TABLE M
CURVE RADIUS LENGTH I DELTA I CHORD CHORD B£AR/NG
0-1 50. 00' 22. 95' 2r,18'12" 22.75' S34 14'15 "W
C-2 270. 00' 76.96' 1 &-1,9 55" 76.70' S16-01 08 "W
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CURVE I RAA/US LENGTH DEItTA ICHORD CHORD BEARING
C-1 50. 01 2-7 0$' 26-25'O,5" 22.85'
I C-2 270.00' 77.OB' 16-2>'18" 1 7,6.80' ProperVAddress:
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OWNER BUILDER STATEMENT/AFFIDAVIT
0
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
1.
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
1 ,(t
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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
U 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
I lease. If a building or residence that I have built or substantially improved myself is sold or leased within
L in l' 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
J1 Q 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
1 and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries by his hersustainedanunlicensedpersonoror 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
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 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.
r E 3 772
n
Property Address: b C I ifi
I %/ VDY-1 h a [ro b 1C "'fit=n , 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.
Sign4ture of Owner -Builder
Form of Identificatio
Must be Photo ID)
Date
3
1
Z2/ L&
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
City of Sanford
Fence Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Fences must be compliant with the City Land Development Regulations, Schedule F
Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
Copy
of a co ct, sign
con r n value
Cov-v-dithe
Certifidate of i
and the
if the
in2 worker's
applicant).
the documented
Sanford s cer ' e holder, or worker's compensation exemption issued by the
Florida (must be submitted with each application if contractor is the applicant).
I 'cate the number of linear feet, height, number of gates, and type of material on application.
Two (2) copies of site plan indicating where the fence will be located on the property.
City of
State of
All fences over six feet in height require two sets of signed and sealed sets of plans and drawings to a
readable scale. Structure details signed and sealed by a Florida licensed design professional.
Architectural drawings signed and sealed by architect.
Repairs
No Permit is required for Fence Repairs. A Fence Repair is qualified by one or more of the following:
Replacing individual slats; no more than 10% of the entire fence
Replacing a section; no more than 3 sections of the entire fence. A section is defined by the fencing
material between 2 posts.
Replacing a post; no more than 4 posts total. Posts must be placed in or directly around the removed
post without encroaching on neighbor's property.
Replacing a gate
Please contact the Building Division if you have any questions on Fence Repairs"
These guidelines were compiled to assist the applicant in preparing a fence permit application and may not be
complete. The applicant is required to meet all City of Sanford codes and requirements.
Revised: May 2015