HomeMy WebLinkAbout210 Mcuay DrCITY OF SANFORD
OEC 1 4 RECD BUILDING & FIRE PREVENTION
PERMIT APPLICATION
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Application No:
&ocumented Construction Value: $ 110 -DC7
t1 Mb Address: 10 Mo -iia v D AC gan4Ian )Ct— Historic District: Yes ❑ No 49
Parcel ID: Residential 0- Commercial ❑
Type of Work: New ❑ Addition/❑ Alteration ❑ Repair ❑ D/emo ❑ Change of Use ❑ Move ❑
OoWescription of Work: 0'1'0�Qk ga-, to y 0 pie9--e+.&2.
Do,z 1a1-�c -
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Plan Review�Contact Person: AMSO'l rnU 10 Z_ Title: 0w. rie/&-
Phone:181 Fax: Email: deK0-11114-1 Ofdt> �'t'OH'1
I' Property Owner Information p
Name Ah �/� Lso ✓L '► u K o 2 Phone:
Street: 2,1 D OA 0- V 0�, p 2-- Resident of„property? Ito
City, State Zip: 3, 3 Z 72�? .
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: 51A Edition (2014) Florida Building Code
Revised June 30, 2015 Permit Application -3q O a
Contractor Information
Name
Phone:
Street:
Fax:
City, State Zip:
State License No.:
Architect/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. 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: 51A Edition (2014) Florida Building Code
Revised June 30, 2015 Permit Application -3q O a
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
bed nem c nee with all applicable laws regulating construction and zoning.
Signature of Owner/Agent Date Signature of Contractor/Agent
yrdL
Name
12 t(.f-t(,
Signature of ota -S
ANNETTE SCOTT
,: ; � ; Notary Public -State of Florida
• •
• • € My Comm. Explres Jan 16. 2016
Commission # FF 071760
��''•••
°�•;,:•`` Bonded Tr au9b Ntdonal Notary Assn.
Owner/Aga
no�Yn to a or
L- 1)L
Produced ID
Type of ID
Print Contractor/Agent's Name
Date
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:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
# of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: 2' t -UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
WASTE WATER:
BUILDING:
Ok to replace and install approx. 170 linear feet of 6 foot high privacy fence with double gate as
shown on plan. Fence shall be constructed with finished side facing outward. Fence shall be
installed on subject property only.
Revised: June 30, 2015 Permit Application
t
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
1
the property listed, may act as my own contractor with certain restrictions even though I do not have a
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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.
I understand that, as an owner -builder, l am the responsible party of record on a permit. 1 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
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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 1 have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that 1 built or substantially improved it
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for sale or lease, which violates this exemption.
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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
1
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
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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
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. 1 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 1 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: k 1 o
D(?- - ,4 8 ?=L_ 3Z7,)3
1, /tbISoy1 I t' uv o- , , 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.
Form of Identification
(Must be Photo ID)
ate
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
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understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
1 am of aware of construction practices and I have access to the Florida Building Codes.
1 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 1 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
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
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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.
Property Address: k 1 o
D(?- - ,4 8 ?=L_ 3Z7,)3
1, /tbISoy1 I t' uv o- , , 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.
Form of Identification
(Must be Photo ID)
ate
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
1
MAR
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.
D Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
D 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).
Indicate the number of linear feet, height, number of gates, and type of material on application.
i Two (2) copies of site plan indicating where the fence will be located on the property.
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 fence permit application and may not be
complete. The applicant is required to meet all City of Sanford codes and requirements.
Revised.' September 2016
Legal Description
Lot 27• Block & except the Northwesterly 23 feet thereof as measured
perpendicular to the Northwesterly line of Lot 27. and the Northwesterly 38
feet of Lot 28. Block E, said Northwesterly 38 feet being measured
perpendicular to the Northwesterly line ofsaid Lot 28. REPLAT OFSANORA
UNITS I A 2. according to the plat thereof, recorded in Plat Book 17_ Pages
I1 and 12• of the Public Records of Seminole County. Florida.
Camrrrrrrtty number. 120294 Panel: 0045
Sujf= E F.I. RSI. Date: 411711995 Flood Zona X
Date ofJleld work: 11312007 Completion Data 11412007
Certified to.
Nelson Munoz. Ingrid Vaccart; Consultants Title. LLC: Ticor Title Insurance
Company of Florida. First Magnus Financial Corp. an Arizona Corporation.
us'successors and/or assigns.
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Legal Description nn o nu
TOAD
Lot 27, Block E, except the Northwesterly 23 feet thereof as measured 6 1 e KR I M 3
perpendicular to the Northwesterly line of Lot 27, and the Northwesterly 38 ,e a !i 123 !/ !s 1
feet of Lot 28. Block & said Northwesterly 38 feet being measured , 1 e e 1 • f e 0
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perpendicular to the Northwesterly line of said Lot 28, RE'PLAT OF SANORA t L • o ► e e i • e F,
UNITS I & Z according to the plat thereof, recorded in Plat Book 17_ Pages �, 21 21 ��� ! 1 1 e 17:
I I and I2, of the Public Records of Seminole County, Floridd p��� 1 t • e e : ' ! 0 Op t Yf
Cam,ruritynumber: 120294 Panel: 0015 .se.e ,. t 3 ' 32
Suffl:: EF-L&A.L Date: 411711995 Flood Zone: X I: .1
3e,t/ !D 113 ,
Date of f,eld work. 11312007 Completion Date: 1.""^^' � k . �e PARK
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Certified to:' Ok to replace and install approx. 170 linear 37 31 33 c
Nelson Munoz; Ingrid Vaccori; Consultants Tit, feet of 6 foot high privacy fence with e`1
Compmy of Florida; First Magnus Financial t 44its'successorsandlorassigns. double gate as shown on plan. Fence shall a .e i,�,e
Ar-t-KUVc-U I'LA14J be constructed with finished side facing i�3
outward. Fence shall be installed on subject
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042015097
Property Address:
210 McVay Drive
Sanford, FL 32773
Survey number: SL 83639
►�` f�; ;'.'T
370 .1
Legal Description Description
Lot 27, Block except the Northwesterly 23 feet thereof as measured
perpendicular to the Northwesterly line of Lot 27, and the Northwesterly 38
feet of Lot 28. Block F said Northwesterly 38 feet being measured
perpendicular to the Northwesterly line of said Lot 28 REPLAT OFSANORA
UNITS I & 2, according to lite plat thereof, recorded in Plat Book 17,. Pages
11 and 12, of the Public Records of Seminole County, Floridd.
Con:n;urin nunsber: 110194 Panel: 0045
Suff E F.l-I:.P.1 Date: 411711995 Flood Zone: X
Date offteld work: 11312007 Completion Date: 11412007
Certified to:
Nelson Munoz; Ingrid Vaccarl; Consultants Title. LLC; Ticor Title Insurance
Company of Florida; First Magnus Financial Corp, an Arizona Corporation;
its'successors and/or assigns.
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0420156'097
Property Address:
210 McVay Drive
Sanford, FL 32773
Survey number: SL 83639