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HomeMy WebLinkAbout2610 Hartwell AveDEC 19 1017 ev:_ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / % — -3%/O Documented Construction Value: $ Da Job Address: a o/ U /f/fl/2%I EZL ` !%E ayA/l 29, Z 3,;2%%jHistoric District: Yes No Parcel ID: &- d - 3 S Dye ©Q / t7 Residential ©'Commercial Type of Work: New Addition 2 Alteration //Repair El Demo El Change of Use El Move Description of Work: ; i¢Ce / CH d/<ZOOK IS" 1 u vrfrsr c %o/_ A'oo1-1-1•t/c . 01W •ci crw Plan Review Contact Person: /¢/V /1//q/(//,F Title: d r,. AJ&:2 Phone: { Oi- %d,? brio 6 Fax: Email: Property Owner Information Name i/ /Z/yi9/S/ C Phone: Street: Resident of property? City, State Zip: Contractor Information Name / WAII ` Street: City, State Zip: Phone: Fax: State License No.: Ar hitect/Engineer Information Name: E IVN Phone: ` % ` 3,-S Street: " 3 V / 12 " -_ camgv/C,' L Fax: City, St, Zip: n, E-mail: 04ri C- CO,yC1,Q_ Q e CU, Bonding Company: Address: 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: 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 frolm 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 gulating construction and zoning. Signature of Contractor/Agent Date Pr t O Agent's N e Print Contractor/Agent's Name ifgnatur a^ ate Signature of Notary -State of Florida Date LISA ANTONINI Notary Public - State of Florida b .tg My Comm. Expires May 21, 2018bb Commission # FF 125242 Owner i e'sona y no to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID 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: # 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: SF 1— 8.1 % COMMENTS: Revised: June 30, 2015 Permit Application PFA G 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) 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 ot- 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. I 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 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 caner -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 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 r F, G i v 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 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 Service, the United States Small Business Administration, the Florida Department of Financiale/4RevenueServices, 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 that I am the party legally and financially responsible for the proposed "construction activity at the address listed below. 1 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 Ovthat 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: WE / k_7 liE /S?V /[IiCD/2/ TZ . 302 %/ J I, Cu„zzit/G%2/Z , 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. Builder Date Form of Identification ' ` ' ' L ' 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 requires licensure under the permit issued. Rev. 9.14.2009 REQUME11D E[ SPECTION SEQUENCE BP#- \' I - 3"1_1_ o Address Ze— i o L- i- 1 mjD1,rrG PIRT Min Max 1(ns ectio n IlDescri Lion. Footer / Setback Stemwall Foundation / Form Board. Survey Slab / Mono Slab Prepour Lintel / Tie Beam / FilI / Down Cell Sheathing— Walls - Sheathing — Roof Z o 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 u ¢ 1P'rP g ...... . lLIln I Max. I Inspection JfDescIl°IljjDltion Electric, Underground Footer / Slab Steel Bond Electric Rough T. U.G. Pre - Power Final Electric Final Min Max on IDescri2 tion Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final Min I axa Inn ection Description Mechanical Rough Mechanical. Final Min Mast 1Cns ection.IlDescr 1tion Gas Underground Gas Rough Gas Final REVISED: June 2014 SCPA Parcel View: 01-20-30-504-3600-0140 Page 1 of 2 oson, CFA SEMYJOLL' CAl.Nf1; FI.QFtlLl1 Parcel Information Property Record Card Parcel: 01-20-30-504-3600-0140 Owner: FERNANDEZJUAN Property Address: 2610 HARTWELL AVE SANFORD, FL 32771 Parcel 0 1 -20-30-504-3600-0140 Owner FERNANDEZJUAN Property Address 2610 HARTWELL AVE SANFORD, FL 32771 Mailing 2610 HARTWELL AVE SANFORD, FL 32773 Subdivision Name DREAMWOLD Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2015) County GIS Value Summary 2018 Working 2017 Certified Values Values Valuation Method Cost/Market CosUMarket Number of Buildings i 1 1 Depreciated Bldg Value` 69,521 5,562 Depreciated EXFT Value 275 i $288 Land Value (Market) Fit0,200 — 10,200 — — Land Value Ag Just/Market Value `--- — t 79,996 ' 76,050 Portability Adj Save Our Homes Adj f $11,906 0 9,360 Amendment 1 Adj 68,090 i $66,690AssessedValue Tax Amount without SOH: $660.27 2017 Tax Bill Amount $585.68 Tax Estimator Save Our Homes Savings: $74.59 Does NOT INCLUDE Non Ad Valorem Assessments Land http://pareeldetail.scpafl.org/ParcelDetailInfo.aspx?PID=O 1203050436000140 12/19/2017 Boundary Survey Legal Description: Lot 14, Block 36, Dreamwold, according to the Plat thereof as recorded in Plat Book 4, Page(s) 99, Public Records of Seminole County, Florida. Flood Zone: X Panel: 0070F Community Number: 12117C Date: 09/28/07 CERTIFIED TO: Juan Fernandez Consumer Title & Escrow Services Inc. Prospect Mortgage, LLC First American Title Insurance Company NE Comer of t Lot 9, Block 36 Fnd. 'VT Rebar Cap "LB 3382" I I j^ a VCDO Lot 13 I o 6 00Lot39I Block "36" I o M CO Block "36" ' O I z 129.72'(P) Fnd. W Reber 0.0' N 89°24'34" E(M) 131.92'(M) No Identification) w 0 T 0.3' Z 0.1' 0.3' O 28.. O o• cre aCnt A A I rn Patio,' '''' ::::: 1: Roofed .:' Entry iLot38 Lot 14 concrete p isoe : Block "36"I A/C Pad a cBlock36 0 . One StoryConcrete 4.0' rn cnC' Concrete B:I:c:k ResidenceN":.:-:''. :' II 1a.a Pad V:::::::: I',".;:.......... O # 2610 . 00 ow I I 0.5' n? Fnd. 5/8" Rebar No Identification) Concrete Driveway Concrete Sidewalk 0' 28.8' — 18.0' q \ a.5...•,Jr. w O 00 0 0 U OO V rn 18.0' 2 0 1 0 2 Fnd. 5/8" Reber Yv Fnd.'%" Reber I S 89°53'52" W(M) 131.89'(M) No Identificatior) No Identification) I 129.72 (P) Fire Hydrant is V 10.8'E & on line I i Lot 37 Lot 15 waco Block "36" I Block "36" M o Lo o N o o ' SE Comer of Lot 23, Block 36 fn Fnd. M.' Rebar No Identification) Note: All Bearings Shown hereon are ASSUMED LOADED BY CHECKED BY DELIVERED BY DATE DELIVERED LOG # LuMBER CO. Building on ... THOK8ASLUMBER COMPANY, INC. 2u1West Gore Street Orlando, FL 32808 Phono:4U7' 841-125O Fax:407' 648'1G03 Visit Our Webebofor Complete Terns of Sale onLo JDAN FEBNAooEZ nmp TO: TO: 2610 BARTWELL AVE 43839 10/ 23/2017 CASH SALE Total Ship Units: 22.000 EACH Important: Signature below acknowledges acceptance of terms as stated on www. th maslumber.com, as well as, receipt of invoiced items. 1496.33 6.SOO 97.26 1633.59 Errors or damage must be noted and corrected on receipt of goods. Thomas Lumber Co. will not be responsible for damage due to loading and unloading of vehicles. REC'D BY PRINT NAME DATE