HomeMy WebLinkAbout510 S Palmetto AvewW�=1VE
,L MAY 2 6 2015 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No:/ /.53/
Documented Construction Value: S
Job Address: d S .\:Cc� Historic District: Yes El�iq ❑
Parcel ID: Residentialff-Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Rep��Z,
'❑o ❑ Change -of UseEl Move ❑
Description of Work: Ca (� ��\� �� �typ - �-�(` \.���Q
Plan Review Contact Person:
Phone:
Fax:
Email:
Property Owner Information
Name L bc�X-A Q��C�
Street: "S LO S- \-G.� e. t&s 2
City, State Zip:
Name
Street:
City, S
Title:
Phone: 46,)' a7)—
Resident
7)—
Resident of property? :
Contractor Information
Fax:
State License No.:
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
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.
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 Pennit 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 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.
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.
gnature of Owner/Agent Date
Print Owner/Agent's Name
Signature of N aD®BIE BLANTON Date
COMMISSION 0 FF 178648
EXPIRES: February 25, 2019
8oeded Th" Nolary Pubk Ude- ten
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Kn wn to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID �— Produced ID Type of ID
e V -V. I I I fz-I ) e
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: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Revised: June 30, 2015 Permit Application
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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
1 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 or she is
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 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
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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.
1 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 be held liable and subjected to serious financial risk for any
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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.
1 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: c,—N,6 S. N"'t-mss"`
I, VL oc\ r i� Co , do hereby state that I am qualified
e
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Bu
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. 1 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 1 have access to the Florida Building Codes.
I understand that 1 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
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that I am the party legally and financially responsible for the proposed construction activity at the address
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listed below.
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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.
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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: c,—N,6 S. N"'t-mss"`
I, VL oc\ r i� Co , do hereby state that I am qualified
e
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Bu
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
CERTIFICATE. OF APPROPRIATENESS
HiISTORIC PR'ES,E-RVATIO,N' BOARD
C11YOF SANtFOR<D
300 S. Park Avenue
Sanford, Florida 32771
407.688.5145 • ,www.sanfordfl.gov/H:P
THIS DOCUMENT MUST BE POSTED AT ALL TIMES, U.NTI L
PROJECT IS COMPLETED.
ISSUED TO:
Richard Compton
for
510 S. Palmetto Avenue
Sanford, FL 32771
DATE ISSUED:
May, 26; 2016
DATE EXPIRES:
November 26, 2016
B.P#164529
Approved to install' 3' wood picket fence and 6' wood privacy fence ,in location
depicted on Figure 1.
Christine Dalton, AICP
Historic Preservation Officer/Community Planner
Please be advised it is the owner and/.or agent's responsibility to, notify staff of any, potential changes from
the approved COA that .arise and' obtain approval prior to, commencing the changes. This: Certificate of
Appropriateness does not constitute final development approval. The, applicant is responsible, -for obtaining
all,necessary- permits and, approvals from. applicable departments before,,initiating• development.
IS A BUILDING' PERMIT REQUIRED' FORT ACTIVITY LISTED ABOVETC YES D' NO
Building Department ,Repeesentative
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APPLICATION # 16, Asa 9
FOR A CERTIFICATE OF APPROPRIATENESS
Answer all the questions on this form and submit all required attachments. Incomplete applications will not be
reviewed. If you have questions about application requirements contact the Historic Preservation Officer at
407.688.5145 to ensure your application is complete.
General Information
Downtown Commercial Historic District❑ Residential Historic Districtois this a retroactive request? Yes[:] No[:]
Is this application filed in response to a Notice of Violation from the C de Enforcement Department? Yes[] No
Proposed improvements will affect the f (lowing elevations: NorthEg� South a— East2, We
Property Address: 4:;�` d S . G�MQ 'R C) fie -
Property Owner In ormation
Print Name:
Mailing Address: S S • CC,
Phone��r CaTVTAyl Email -,1:1- � �-� E,�k rca,,A 6ignature:
Applicant/Agent
Print Name:
Mailing Address:
Phone:
Email:
Signature:
BY SIGNING BELOW YOU ACKNOWLEDGE THAT A BUILDING PERMIT MAY BE REQUIRED FOR THE
SCOPE OF WORK LISTED BELOW. YOU MUST CONTACT THE BUILDING DEPARTMENT TO
DETERMINE IF A BUILDING PERMIT IS REQUIRED. FAILURE TO OBTAIN A BUILDING PERMIT WILL
RESULT IN A STOP WORK ORDER, DOUBLE PERMIT FEES, AND POTENTIAL FINES. BY SIGNING
BELOW, YOU ALSO ACKNOWLEDGE THAT THE INFORMATION CONTAINED IN THIS APPLICATION IS
TRUE AND ACCURATE TO THE BEST OF YOUR KNOWLEDGE.
Signature:. QDate:
❑ Would you like to receive emails regarding Historic Preservation and Community Planning within your community?
Description of proposed work
Completely describe the entire scope of work, including changes in material and color, and methods that will be used to
accomplish the proposed work. For large proje s an itemized list is required. Use the reverse side if necessary.
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HISTORIC PRESERVATION BOARD • 300 S. Park Avenue • Sanford, Florida 32771 •407.688.5145 • www.sanfordfl.govMP
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370 Waymont Court • Lake Mary, FL 32746 • Voice 407.688.7631 • Fox 407.688.7691
Legal Description
The South' 35 feet of Lot 3 and the North 10 feet of Lot 4, Block 7, Tier
2, FLORIDA LAND AND COLONIZATION COMPANY LIMITED
E.R TRAFFORD'S MAP OF THE TOWN OF SANFORD, according
to the plat thereof, as recorded in Plat Book 1, Page(s) 59, of the
Public Records of Seminole County, FL.
Community number: 120294 Panel: 0045
Suffix: E F.I.R.M. Dale: 4117/1995 Flood Zone: X
Date of field work: 10/13/2005 Completion Date: 10/14/2005
Certified to:
Richard E. Compton; Amy Compton; The Closing Agent 11, Inc.;
Commonwealth Land Title Insurance Company; Fidelity Mortgage
Services, its'successors and/or assigns. `
► SCALE: 1 " = 30'
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Property Address:
510 South Palmetto Avenue
Sanford, FL 32771
SOUTH . PALMETTO AVENUE
66'RIY .CAnrn.........1 -... nr -----
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
O Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
O Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
O Copy of the Business Tax Receipt (if the contractor is the applicant).
O Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
O Indicate the number of linear feet, height, number of gates, and type of material on application.
O Two (2) copies of site plan indicating where the fence will be located on the property.
O 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