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Home My WebLink About710 Hickory Aveg V'ED CITY OF SANFORD BUILDING & FIRE_ PREVENTION D JUN 07 2016 PERMIT APPLICATION g � Application No: �D 6 1 Documented Construction Value: S 7.7 w Job Address: 110 R IC KOk I AyC 5PAr1 F=9D. F 1132--++1 Historic District: Yes ❑ No ❑ Parcel ID: 2S -1 °1- SO - SAO- 090C -0030 Residential ® Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: IZFLPnR DW^Cqr- W00b I =t4WAL v'lgt, HE31i, RDPI -"Iatvecol rte, DI4 M W 1 n dowS. re elou ,.rco t doDf. . Plan Review Contact Person: M lA Title: Phone: BZ. � G Ck(v — \ 1'1 t( Fax: Email: F meet y.,x tG (n-1 fi� 1 C� oa Ce Property Owner Information Name r LL0 D IA C'OLlTSF Q AcS Phone: 321-696-11'48 Street: 7!a00 S PALMETTO AVE Resident of property? : 1`40 City, State Zip: 5AAE0Rb.'fL. '22413 Contractor Information Name AIA Phone: Street: City, State Zip: Fax: State License No.: Architect/Engineer Information Name: N 1A Phone: Street: City, St, Zip: Bonding Company: tJ/A Address: Fax: E-mail: Mortgage Lender: M /A 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, beaters, tanks, and air conditioners, etc. FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51° Edition (2014) Florida Building Code 1 / Revised: June 30, 2015 Permit Application VVVIII 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, stats 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. -0-7. lie `;gnature of Owner/Agent Date Signature of Contractor/Agent Date I -1� Print Owner/ gent's Nam / Print Contractor/Agent's Name nclo of Signature of Notary -State of Florida Date "' 0011160 5"CNEZ Nam VuOMti • 510 of Florms om CadUft I FF 934479 Y emir. Exon Nov 9, 2019 Owner/A N Contractor/Agent is Personally Known to Me or Produced ID T Type of ID CL 1 .i 0Pt'15 e Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building B1, Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑ Construction Type:n(7,, Use: CGM: I \I Flood Zone: �t Total Sq Ft of Bldg: kl,C)OC) Min. Occupancy Load: .3 # of Stories: New Construction: Electric - # of Amps Ll 11A Plumbing - # of Fixtures_Ulf�t Fire Sprinkler Permit: Yes ❑ No 0 # of Heads N Fire Alarm Permit: Yes ❑ No 30 r /y%. APPROVALS: ZONING: - "I UTILITIES: COMMENTS: WASTE WATER: ENGINEERING: FIRE: BUILDING: 5F 6•�� i(r Vjor-k. v Revised: June 30, 2015 Permit Application p 14 40r 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 1, as the owner of the property listed, may act as my own contractor with certain restrictions even though I do not have a lcj license. I understand that building permits are not required to be signed by a property owner unless he or she is CC � responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, l am the responsible party of record on a permit. l 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 ec J licensed in Florida and to list his or her license numbers on all permit and contracts. 1 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 Q� 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. e ecy 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 CCy 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 roe, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions CC 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: -IAO kA -% Tye �'(_ I, CACAt rVi Cl COC1W C MS , 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 suecified above. , J of Owner -Builder Form of Identification V �� t be Photo ID) Date - K)o -6-+- Gb--N- o 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 CCt understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. Cc 1 am of aware of construction practices and I have access to the Florida Building Codes. 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 QCT Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorid&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 CCy 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 CCS 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 eCJ 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: -IAO kA -% Tye �'(_ I, CACAt rVi Cl COC1W C MS , 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 suecified above. , J of Owner -Builder Form of Identification V �� t be Photo ID) Date - K)o -6-+- Gb--N- o 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 ;wle'ri ll 'rooF Ir,5441 ieotm NEW NC Cowmr,t P ,2x4 B STS F104Is14 PFO=1iy�( stlepp Logw tnt►►6p Tv spFi r4hAm a Eta EA wq ytn✓ekal. � �Z oSB the-dh;ng— / teL GonnmAn Amis.. 14 to pe urs * cbe iii on AVE sf%r+:F04zp,'pLJ.32-4-41 RECORD COPY V11A1-L 5.6cTiOM DeTA►I.- \o TO S 4.Lc f-KISTinq Im.4-ii0n ST►Aq pjjM1A REVIEWED FOR CODE COMPLIANCE PLANS EXAMINER _ -'YT- t4 DATE SANFORD BUILDING DIVISION A PERMIT ISSUED SHALL BE CONSTRUED TO BE A CENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE. CANCEL. ALTER OR SET SIDE ANY OF THE PROVISIONS OF THE TECHNICAL )DES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER 1EQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE #16--1610 7t:sd + go CAUCN IL_ V30-ei - RECORD COPY RA . .. ...... Fqr r9 .ARc?jAc;-: T,451io(> W% t3x>,)3 At " 1 RECORD COPY City of Sanford Building and Fire Prevention Product Approval S Permit # # 1 6" 1 6 1 0 Project Location Address 4 10 SANFORD 16, 4°AR-(09 on Form E As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floddabuildin-.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Florida Approval # Description include decimal 1. Exterior Doors Swinging 5T" DOOR Sliding Sectional Roll U Automatic Other 2. Windows Single Hung Horizontal Slider Casement Double Hung P&T FLANCvE Wt ova 1= S - Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 1 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Florida Approval # Description include decimal 6. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other B. New Exterior Envelope Products Applicant's Signature Applicant's Name 0U PP f (Please Print) June 2014 e 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: 16-1610 Date: June 16, 2016 Contact Person: Contact Fax Number: Contact E-mail Address: Enedina1967(a),icloud.com Project Description: Residential Alteration / Windows/Door Job Address: 710 Hickory Ave 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 conies of affected plan sheets and/or supplemental information as requested Permit submittals will not be accepted wit/lout two copies. COMMENTS: 1. Please provide two (2) copies of a floor plan showing the exterior walls of the house and the location/size of each window and door that will be replaced. 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@sanfordfl.gov . Office meetings with the plans examiner will require an appointment, arranged by prone or email prior to arrival. Respectfully, Steve Fiorey Residential Plans Examiner BP251I03 CITY OF SANFORD Application Tracking Action Log Inquiry Application . . . . . . . . : 16 00001610 Address . . . . . . . . . . : 710 HICKORY AVE Application type . . . . . . : INTERIOR & EXTERIOR REMODEL RESIDENTIAL Revision/Path/Step/Seq/Agency: A O1 00 BPR BUILDING PLAN REVIEW Action date . . . . . . . . . 6/16/16 Action type . . . . . . . . : CR CORRECTIONS REQUESTED Action by . . . . . . . . . : SJF FIOREY, STEVE Time spent . . . . . . . . . . .00 Date/Time/User added . . . . . 6/16/16 16:07:43 FIOREYS Comments Print 1. Please provide two (2) copies of a floor plan showing the exterior walls of the house and the location/size of each window and door that will be replaced. FBC 107 Press Enter to continue. F3=Exit F8=In/Out Status F12=Cancel 6/23/16 15:51:00 Bottom City of Sanford JUN 7 2016 Residential Alteration / Addition / Renovation AFD' BY: l0 Permit Application Guidelines y ' 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: PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS Building Permit Application completed, signed and notarized. N4 Floodplain development application completed and signed if any portion of the property is in a flood hazard area as identified on the most current flood insurance rate map. PCopy of a contract, signed by the contractor and the property owner, indicating the documented construction value C b Application must include correct address and complete parcel I.D. number. $A Contractor information is required to be included on the permit application (if contractor is applicant). & Applicant must include the name of the designated plan review contact person, their phone number and either a fax number or email address on the Building Permit Application form. t1 A Copy of the contractor's license issued by the State of Florida (if contractor is applicant). A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. N� 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). y / ' Completed and signed Owner Builder Statement / Affidavit (if owner is applicant). Two (2) copies of all applicable plans and related documentation. 0�N(A An accurate, signed and sealed, property survey which shows all improvements on the subject property and within 10 feet on adjacent parcels. Plot plan showing location of proposed improvement(s) and setbacks to property line(s). May need to include infill lot requirements. Contact Person information entered in Naviline? Application forms stamped received and initialed Hand -drawn submittals must be submitted on plain white paper and include accurate dimensions, all details that apply to the project, and roust be legible. Revised: February 2016 Page I of 5 Residential Alter/Add Permit Application Checklist REQUIRED INSPECTION SEQUENCE 1 . BP# IL- tG.tto Address: -1to }�te�2•( a,�IE 1( U LDING PERMIT Min Max IIns ection IIDescri tion Footer / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Pre our Lintel / Tie Beam / Fill / Down Cell o Sheathing - Walls Sheathing - Roof Roof Dry In �o 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 (ELECTRICAL PERMIT min Max Inspection Description Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final 77 M[in Max Inspection Description PlumbingUnderground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHANICAL PERMIT Min Max Inspection Description Mechanical Rough Mechanical Final IM[ion Max IIuos action IIDescri boon Gas Underground Gas Rough Gas Final 7AUG X� Tr, r -CITY OF SANFORD BUILDING & FIRE PREVENTION 0 9 2 116 PERMIT APPLICATION Application No: Documented Construction Value: S too Job Address: !N&OK�:A Historic District: Yes ❑ No ❑ Parcel ID: Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: �_ l t? G� �L. C� Plan Review Contact Person: Phone: Fax: Email: Property Owner Information Name MfjL,.lAt 0, C y A,.re yc> S Street: Z":ka0 S . 1-ak V,�_2.'C VcU %y e City, State Zip: Z'7_ -1 v Title: Phone: 7`9 \ C --A (;� - \\-12 Resident of property? : Contractor Information Name """'°"'� Phone: Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Fax: 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. 1 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: 511 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 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 1 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. N(Afe,\,w o-CA�� Signature o Owner/Agent Date Pri t Owner/Agent's Name .A .11 A Cga 03_01-(G Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Flo..............ur of of at f ori a Date -ussV AAloN XWlleN U6,.�nu P0PuoO , 0;;' o f"',• ;W P��e,, ANNETTE SCOTT 09LILO d3 # uolsslwwo0 Notary Public •Stale of Florida 810Z'91 uer saildx3 �wwo0 AW ?• • ' •F • : My Comm. Expires Jan 16, 2018 epltoli to aletS • allQnd A�eloN �; ;o?.= ;�,' '4- Commission p FF 071760 1100S 3113NNV "�•,`• 6ondedTtuOuplrNational NetsyAssn. Owner/ or 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: Revised: June 30, 2015 # of Heads UTILITIES: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: FIRE: BUILDING: Permit Application