HomeMy WebLinkAbout120 Country Club Dr (3)'L
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
ion No: • 1 Lo
Historic District: Yes ❑ No E '
I altiVA it"; Residential e Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ' Repair -❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person: �, )�
Phone: `►/o L &Y7- Z06 I Fax:
Title: a ) 0C.�
Email: Pr► CQt�glrn �. (2 V__1
1 Property Owner Information
Name � V l0. > r �, Phone4bp7
Street: / Resident tif'propei•ty
n
City, State Zip: — 07 , �41"�.".'�� '`.;
.,.,:z
Contractor Information
Name Phone:
Street: Fax:
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
State License No.:
Architect/Engineer Information
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,"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.
oz- 01 FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51 Edition (2014) Florida Building Code
Revised June 30, 2015 Permit Application
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NOTICE: In addition 'to the requirements of this permit, there may ,be additional trdstrictiorts 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.
II
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. t
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will
be4re in compliance wi h all applicable laws regulating. construction and zoning. I ti
IV
116
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Date
I
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID J Type of ID % Produced ID Type of ID
l
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Flood Zone:
Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
3LX&^
'b
APPROVALS: ZONING: (,A -Ko �5" UTILITIES:
ENGINEERING:
COMMENTS:
Revised June 30, 2015
FIRE:
1
Plumbing - # of Fixtures S
1,
Fire Alarm Permit: Yes ❑ -No ❑
I
WASTE WATER:
BUILDING: %r
1
Permit Application
I
Property Address: I Au uu
-6
Tmm
_tan, do hereby state that I am qualified
capable of herforming the requested construction involved with the permit application filed and agree to the
o itions specified above. '
.... M �, I I lip
. at.All A of O ner-Bui er Date I N4
i .V. Q Q a
Form of Identification Fi, )�>L W -r 52
(Must be Photo ID)
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 re ires licensure under
the permit issued. � � f
FARHANA CHOWDHURY
OCommission # EE 213239
-GExpires Jury 2, 2016
Rev. 9.14.2009 WNW�019
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. 1 also
nderstand that the construction must comply with all applicable laws, ordinances, building codes, and
'
zonin 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 a aware of, and consent to, an owner -builder building permit applied for in my name and understand
at 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 beheld liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whe er the contractor is property licensed and the status of the contractor's workers' compensation
_.,,pwerage.
,
Property Address: I Au uu
-6
Tmm
_tan, do hereby state that I am qualified
capable of herforming the requested construction involved with the permit application filed and agree to the
o itions specified above. '
.... M �, I I lip
. at.All A of O ner-Bui er Date I N4
i .V. Q Q a
Form of Identification Fi, )�>L W -r 52
(Must be Photo ID)
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 re ires licensure under
the permit issued. � � f
FARHANA CHOWDHURY
OCommission # EE 213239
-GExpires Jury 2, 2016
Rev. 9.14.2009 WNW�019
�l
OWNER BUILDER STATEMENT/AFFIDAVIT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, r
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.
I
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
�r 1
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
:I
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
license. �
I understand that building permits are not required to be signed by a property owner unless he orsheis
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
1 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 l year after the construction is complete, the law will presume that' I built or substantially improved it
f r sale or lease, which violates this exemption.
ii
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction!,
)I
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. 1, as an owner -builder, may beheld, 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
omeowner'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
us t 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,th"at"my-,ifailui6"tb:foll6'w-thesse laws may subject me to serious -financial
risk.
Rev. 9.14.2009
REQUIRED INSPECTION SEQUENCE
BP#= 16 - m-Atr .address: l't.o
I ffe I rvma, PERmv
']Alin
Inspection Description
Footer / Setback
Stemwall
Foundation/ Form Board Survey
Slab / Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathin — Walls
' 1 o
Sheathing — Roof
p
Roof Dry I'n
10
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
10 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' Sin 'e-Eamily 'e—FamilyResidence
Final. Building Other
REVISED: June 2014
min Max. Inspection IlDescri tion
Electric. Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
linin Max- Inspection Description
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
kMECfi.Rk+if ALPElYlir T
la ji
Minn I Max
Mechanical Roug
Mechanical Final"
Gas Unde
Gas Roug
Gas Final
Revision E3
Response to Comments ❑
Permit # / I(/ 3?"7
Project Address: �� 0 oktut&�
Contact:
Ph:
Email:
Trades encompassed in revision:
Ld Building
❑ Plumbing
❑ Electrical
❑ Mechanical
❑ Life Safety
❑ Waste Water
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Submittal Date
Fax:
General description of revision:
ROUTING INFORMATION
Approvals
Sr I-II-tc,,
Department
❑
Utilities
❑
Waste Water
❑
Planning
❑
Engineering
❑
Fire Prevention
❑
Building
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
Submittal Date
Fax:
General description of revision:
ROUTING INFORMATION
Approvals
Sr I-II-tc,,
CITY OF SANFORD
BUILDING AND FIRE PREVENTION DIVISION
300 N. PARK AVENUE
SANFORDj, FLORIDA 32772
PHONE: 407.688.5150
Fax: 407.688.5152
PLAN REVIEW COMMENTS
Application Number: 16-1546
Date: July 11, 2016
Contact Person: Shanjerica Johnson
Contact Fax Number:
Contact E-mail Address: Shan ierica(a)gmail.com
Project Description: Car Porch
Job Address: 120 Country Club Drive
2"d Plan Review
COMMENTS:
The following comment from the I" review has not been answered.
2. Please submit two (2) copies of Florida Product Approval and Installation Instructions for the roofing
material and roofing underlayment.
FBC 107
Any error or omission in this plan review shall not be construed to grant approval of any violation of any of
the adopted codes or municipal ordinances of this jurisdiction.
Please direct any questions you may have to Steve Fiorey at 407-688-5065 or by E-mail at
steve.fiorey(a)sanfordfl.gov . Office meetings with the plans examiner will require an appointment,
arranged by phone or email prior to arrival.
Respectfully,
Steve Fiorey
Residential Plans Examiner
-I-
Revision ❑
Response to CommenUs
Permit #
Project Address:
Contact:
Ph:
Email
Trades encompassed in revision:
❑
Building
❑
Plumbing
❑
Electrical
❑
Mechanical
❑
Life Safety
❑
Waste Water
City of Sanford
Building & Fire Prevention Division
JUL - 6 2016 ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
By: #
Submittal Date
Fax:
General description of revision:
D �J
ROUTING INFORMATION
Department Approvals
❑ Utilities
❑ Waste Water
❑ Planning
❑ Engineering
❑ Fire Prevention n
0 Building
11
CITY OF SANFORD
BUILDING AND FIRE PREVENTION DIVISION
300 N. PARK AVENUE
SANFORD, FLORIDA 32772
PHONE: 407.688.5150
FAx: 407.688.5152
PLAN REVIEW COMMENTS
Application Number: 16-1546
Date: June 16, 2016
Contact Person: Shanjerica Johnson
Contact Fax Number:
Contact E-mail Address: Shanierica(a),gmail.com
Project Description: Car Porch
Job Address: 120 Country Club Drive
The following is a list of the areas of the submitted plans that contained violations of the codes adopted by
the City of Sanford and enforced by the Building Division. The violations noted must be addressed before
the plans can be approved. Changes to plans shall be submitted on the same size format as the original
submittal. Changes to construction documents that require an Architect or Engineer's seal must be
submitted with the appropriate seal. Provide two copies of affected plan sheets and/or supplemental
information as requested. Provide two copies of affected Plan sheets and/or supplemental information as
requested. Permit submittals will not be accepted without two copies.
COMMENTS:
1. The plans have been designed to meet the 2010 Florida Building Code. The current code in effect is the
5`h Edition 2014 Florida Building Code. The plans are required to be designed by the current code in effect.
Please revise the plans to meet current code.
FBC 107
2. Please submit two (2) copies of Florida Product Approval and Installation Instructions for the roofing
material and roofing underlayment.
FBC 107
**No Review Conducted**
Any error or omission in this plan review shall not be construed to grant approval of any violation of any of
the adopted codes or municipal ordinances of this jurisdiction.
Please direct any questions you may have to Steve Fiorey at 407-688-5065 or by E-mail at
steve.fiorey@sanfordfl.gov . Office meetings with the plans examiner will require an appointment,
arranged by phone or email prior to arrival.
Respectfully,
Steve Fiorey
Residential Plans Examiner
-1-
BP200I01 CITY OF SANFORD 5/31/16
Application Inquiry 11:47:06
Application number . . . . . : 16 00000746
Application status, date . . : PERMIT ISSUED 3/08/16
Property . . . . . . . . . . : 120 COUNTRY CLUB DR
Parcel Number. . . . . . . . : 35.19.30.520-OA00-0110
Old CID . . . . . . . . . . . .
Subdivision . . . . . . . . : COUNTRY CLUB MANOR UNIT I
Zoning . . . . . . . . . . . : SR1 SINGLE FAMILY `
Application type . . . . . . : STOP STOP WORK ORDER
Application date . . . . . . . 3/08/16
Tenant number, name . . . . .
Master plan number, rev'wd by: DB
Estimated valuation . . . . .
Total square footage . . . . . 0 +'
Public building . . . . . . . NO
Work description, qty . . . .
Pin number . . . . . . . . . . 922866
Application desc . . . . . . : per steve r
Press Enter to continue.
F3=Exit F5=Land inq F7=Appl names FB=Tracking inq F9=Bond inquiry F10=Fees
Fll=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys
BP200I01 CITY OF SANFORD 5/31/16
Application Inquiry 11:47:17
Application number . . . . . : 16 00000399
Application status, date . . : PERMIT ISSUED 2/02/16
Property . . . . . . . . . . : 120 COUNTRY CLUB DR
Parcel Number. . . . . . . . : 35.19.30.520-OA00-0110
Old CID . . . . . . . . . . . .
Subdivision . . . . . . . . : COUNTRY CLUB MANOR UNIT I
Zoning . . . . . . . . . . . : SR1 SINGLE FAMILY
Application type . . . . . . : ROOF ROOFING APPLICATION
Application date . . . . . . . 2/02/16
Tenant number, name . . . . .
Master plan number, rev'wd by: DB
Estimated valuation . . . . . 700
Total square footage . . . . . 0
Public building . . . . . . . NO
Work description, qty . . . .
Pin number . . . . . . . . . . 240459
Application desc . . . . . . : carport only
Press Enter to continue.
F3=Exit F5=Land inq F7=Appl names FB=Tracking inq F9=Bond inquiry F10=Fees
Fll=Receipts F12=Cancel F13=Val calcs F14=Misc info F24=More keys
SCPA Parcel View: 35-19-30-520-01700-0220
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Parcel Information
Page 1 of 2
Property Record Card
Parcel: 35-19-30.520-OF00-0220
Owner: JOHNSON SHANJERICA L
Property Address: 120 COUNTRY CLUB DR SANFORD, FL 32771
Parcel 35-19-30.520.OFOO.0220
Owner JOHNSON SHANJERICA L
Property Address 120 COUNTRY CLUB DR SANFORD, FL 32771
Mailing 112 DREW AVE SANFORD, FL 32771 -
Subdivision Name COUNTRY CLUB MANOR UNIT 1
Tax District St-SANFORD
DOR Use Code 01 -SINGLE FAMILY
Exemptions
i
'0 ' 2
Y
i
% � 8
Se rr note C uRD GISO
Value Summary
Tax Amount without SOH, $771.44
2015 Tax Bill Amount $771.44
Tax Estimator
Save Our Homes Savings $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=3519305200F000220 5/31/2016
2016 Working
Values
2015 Certified
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1
Depreciated Bldg Value
$27,736
$25,656
Depreciated EXFT Value
$536
$536
Land Value (Market)
$10,500
$12,000
Land Value Ag
JusVivarketValue"
$38,772
$38,192
Portability Ad/
Save Our Homes Adj
$0
$0
Amendment 1 Ad/
$0
$465
P&G Ad)
$0
$0
Assessed Value
$38,772
$37,727
Tax Amount without SOH, $771.44
2015 Tax Bill Amount $771.44
Tax Estimator
Save Our Homes Savings $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=3519305200F000220 5/31/2016
SCPA Parcel View: 35-19-30-520-OF00-0220
Page 2 of 2
Method Frontage Depth Units Units Price I Land Value
LOT 000 1 0001 1 1 $10,500.01)1$10,500
Building Information
Is Bed/Bath count incorrect? Click Here
Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Rept Value Appendages
Actual/Effective
1 SINGLE 1958 3 1 10 720 1,183 720 CONC $27,736 $48,227
FAMILY BLOCK
Permits
Description
Area
OPEN PORCH
100 00
UNFINISHED
MISCELLANEOUS
CARPORT
20900
UNFINISHED
ENCLOSED
PORCH
99.00
UNFINISHED
UTILITY
55.00
UNFINISHED
Permit #
Description
Agency
Amount I CO Date Permit Date
03202
MISCELLANEOUS
SANFORD
$5,200 1 19/612007
Extra Features
Description Year Built Units Value New Cost
WOOD UTILITY BLDG 12/1/1970 140 $336 $840
SHED 12/1/1960 1 $200 $500
http://parc'eldetaii.scpafl.org/ParcelDetailInfo.aspx?PID=3519305200F000220 5/31/2016