The URL can be used to link to this page

Home My WebLink About605 Sarita St (2)V NOV 2 8 2016 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ /(o- _3190 AMP 04100 Job Address: �y5 3AZijp ST Historic District: Yes ❑ No ❑ Parcel ID: Residential ® Commercial ❑ Type of Work: New ® Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use[] Move ❑ Description of Work: PEnC"- OL Plan Review Contact Person: U60fla 01 Title: Phone: ( y(,7 V7/ 9(pbb Fax: Email: 5SPMCr(_ (d 6MAiL. C'am Property Owner Information Name �qni�� 0EyJ4 Phone: yell - y7y - &bb Street: (nos S4e)Tp Sr. Resident of property? : 7 A> City, State Zip: J+�✓►FoaJ , F, - 3277-1 Contractor Information. Name Plione4A,-sr1 K` ' 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. 1 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: 5" 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 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. �1, // • Signature of Owner/Agent Date Prin er/Agent's Name Signature of Notary -State of Florida Date Owner/Agent Produced ID ANNETTE SCOT Notary Popk . State of Florida MY Comm- E011`0111 Jan 18, 2018 Signature of Contractor/Agent Date Print Contractor/Agent's Name 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: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps, Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads 1 APPROVALS: ONING: i UTILITIES: ENGINEERING: COMMENTS: FIRE: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised June 30, 2015 Permit Application 014 i 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 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. 1. understand that building permits are not required to be signed by a property owner unless he or she is fl„J 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 may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed Dry 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. 1 understand that 1 may build or improve a one -family or two-family residence or a -farm outbuilding. 1 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 DyJ in I 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. Irl 1 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 1 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 be held liable and subjected to serious financial risk for any D� 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 1j 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 r 1 Property Address: kU� SWiI-P Sr: 1, J/p�- h/"Y'/ , 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. Signature Form of Identification (Must be Photo ID) Date //-a,f-/G A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding I 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, 1 will abide by all applicable laws and requirements that govern owner -builders as well as employers. 1 also �vJ understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. bVi 1 am of aware of construction practices and 1 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. 1 also understand that 1 may contact the Florida bVJ Construction Industry Licensing Board at 1-850-487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. 1 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 D^/ listed below. 1 agree to notify the building department immediately of any additions, deletions, or changes to any of the b►./ 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 Irl 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: kU� SWiI-P Sr: 1, J/p�- h/"Y'/ , 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. Signature Form of Identification (Must be Photo ID) Date //-a,f-/G A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding I 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 LOT 1, BLOCK 12, DREAMWOLD A PORTION OF LOTS 1 AND 2, BLOCK 12, DREAMWOLD, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 3, PAGES 90 AND 91, PUBLIC RECORDS OF SEMINOLE COUNTY -FLORIDA, BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: S BEGIN AT THE NORTHWEST CORNER OF LOT 1, BLOCK 12, OREAMWOLD, AS RECORDED IN PLAT BOOK 3, PAGES 90 .447 AND 91, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA, SAID POINT BONG ON THE SOUTHERLY RIGHT OF WAY UNE OF SARITA STREET, THENCE S 89"53'10' E. ALONG SAID RIGHT OF,WAY UNE, 128.58 FEET TO THE POINT OF CURVATURE OF A CURVE. CONCAVE SOUTHWESTERLY, HAVING A RADIUS OF 40.00 FEET AND A CENTRAL ANGLE OF 13297'St THENCE ON A CHORD BEARING OF S 23'02'07' E. RUN 92.36 FEET ALONG THE ARC OF SAID CURVE TO A POINT, SAID POINT BEING ON THE NORTHWESTERLY RIGHT OF WAY UNE OF OSCEOLA DRIVE; THENCE ALONG SAID RIGHT OF WAY UNE, RUN S 43'42'30" W, 97.68 FEET; THENCE DEPARTING SAID RIGHT OF WAY UNE RUN N 11 POINT2 F B INNIN FEET; THENCE N 39.39'21" E, 7.39ET; THENCE N 00'21'38" E. 54.00 FEET TO THE POINT OF BEGINNING. �p J CONTAINING 16,109 SQUARE FEET, MORE. OR LES . ,O S !J D� c?) a /(`� was ASP.IIALT SARI A STREET \ ASPHALT 94cr d aura (BO' RICHT-OF-WAY) SACK'Of CURB L MAILBOX 0: /� A .—AS 8953'10"' ,26.58' (P&M)J s' motes . ' - no m Q A 'LOYIK aN' D 1� . ty � � Il &Q' �� 49.7' �• (�� o _ / S I .mak I J I 1. � :•rte-.•.� � � O � � ,�• 6 .6 19.6• � � �,�,. ri• �•''ti. y 1J277'51" y s BLOCK fZ - SM SM LOT 2j PtA /� ?'�i �. a 14.6• us `4�0M wr r ' . R — 40.00 L - 9236' 5,7' t. x "" • •,•. CB = S 2302'07" E \/l Y, 2 01 NDIESL C, ADD17IONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN SIGNING PARTY OR PARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE SIGNING PARTY OR PARTIES SYMBOLS NOT TO SCALE OWNERSHIP OF SUBJECT PROPERTY AND IMPROVEMENTS '\ "'V► - UNDETERMINED. THIS MAP IS INTENDED TO BE DISPLAYED AT A SCALE 0 - INDICATES 18' - 5/8" RESAR dt CAP (LB`6767) OF 1' " 40'. UNLESS NOTED 071HERMSE ROOF OVERHANGS & FOOTERS HAVE NOT BEEN LOCATED 0 - INDICATES PERMANENT COWROL POINT NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED. E) - INDICATES CONC. MON. / PRM BUILDING TIES ARE t= TO BE USED TO CONSTRUCT D ~ LEGEND OR PLATTED LINES THE LANDS SHOWN HEREON WERE NOT ABSTRACTm FORS/B " BUILDING SETBACK I.P. - IRON PIPE EASEMENTS. RIGHTS OF WAY, RESTRICTIONS USES. UTIL T MAINTENANCERIC OD AND CAP OWNERSHIP OR MATTERS OF RECORD BY THIS FIRM. THE RELATIVE ACCURACY OF FIELD MEASURED CONTROL 77FiFn rex. GONGa CONCRETE N/0 "FOUND' DISK. EXCEEDS 1 FOOT IN 10.000 FEET. CM a CONCRETE MONUMENT FMO. FUIL ND F.FIR. FINISHED FLOOR PZ PEDESTRIAN EASEI,HE147 NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL B• BLOCK R/W RIGHT OF WAY RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND VM WATER METER R a RADIAL MAPPER. ESMT. " EASEMENT N.R. a NON -RADIAL BEARINGS ARE BASED ON THE NORTHWESTERLY'U : ' MON MONUMENT CL CENTERUNE RICHT OF WAY LINE OF OSCEOLA DRIVE. HAVING Aro k`-:�', c .iJ a '1 uH J� TRANS. a TRANSFORMER PC POINT OF CURVATURE ASSUMED BEARING OF S 43.42'30' W. I.D. " MENTIFlGTION PT POINT OF PI " POINT OF TANCENCY INTERSECTION RECORD PUT CONTAINS ANGLES ANO DISTANCES ONLY. TYPSOFT a SQUARE FEET A ARC RECORD PLAT CONTAINS NO BEARINGS' TYPICAL L LENGTH --_�. PB. PLAT BOOK C13 a CHORD BEARING THE PROPERTY SHOWN HEREON APPEARS. TO UE IN ' '- PG. PACE zONE 1X` PER F.LR.M. MAP PANEL NO. 12117COD45 E. . - • + .: J o P e PLAT DISTANCE LE SIDEWALK EASEMENT DATED APRIL 17, 1995. THE ROOD INSURANCE RATE �'��1 r� j C e MEASURED DISTANCE DI m LANDSCAPE EASEMENT 1 C �O D.E = DRAINAGE SEEASEMENT MAP IS N07 A SURVEY. 8000 ZONE- DETERMINATION IS U.E � UTILITY EASEMENT AN OPINION ONLY. U.R. 4 UTILITY RISER S/w SIDEWALK POTENTIAL BOUNDARY INCONSISTENCIES, OBSERVED: lSt/JiG� SvIpI•KQ P.O.L POINT ON UNE FOUND CORNERS OUT OF POSITION AS NOTED 2L CONDITIONER NOVO CAIN TIONAL GEODETIC VERTICAL DATUM %ocr TT�- �'�� /w P A.E. " PRIVATE ALLEY EASEMENT ELEVATIONS. IF SHOWN. ARE BASED ON BENCHMARK y.l( 1 PERMANENT CONTROL POINT PROVIDED 8Y CLIENT (HCVD 29). ��'1/i W 'e PRM " PERMANENT REFERENCE MONUMENT 4/29/08 ADDED IMPROVEMENTS TO SU PCC ' POINT OF COMPOUND CURVATURE CAN UNDERGROUND CABLE RISER I CERTIFY THAT THIS MEETS OR EXCEEDS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61C17-8. FLORIDA ADMINISTRATIVE CODE. PURSUANT TO SECTION 472.027, FLORIDA STATUTES. CERTIFIED FOR ASSOCIATED • D SURVEYING APPINO, INC AVID M McOERNOTT. CERTIFICATE No. 4779 JACK D. REED JR., CERTIFICATE No. 5737 FLORIDA REGISTERED SURVEYOR AND MAPPER PREPARED FOR Davis Diversified PREPA MD BY Associated Land Surveying & Mapping, Inc. 101 WYMORE ROAD, SUITE 111 PHONE: (40) 869 5002 -FAX: (407) 869 FLORIDA -8393 Certificote of Authorization Number. LB 6767 EMAIL- olsmOolsm.net BOUNDARY SURVEY FORMBOARD LOCATION FOUNDATION FINAL BOUNDARY SURVEY' SCALE: 1" a 4,0' JOB N0. 07052