HomeMy WebLinkAbout109 Woodfield Dr (5)M;tIVED
Permit # : 1799
Job Address: I' Al. W G-"
CITY OF SANFORD PERMIT APPLICATION
MAR 2 0 2006
9
Date:
Description of Work: _j ram-- S-4-r (k 4
historic District: Zoning: Value of Work: S
Permit hype: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMI'S Addition/Alteration Change of Service Temporary Pole
t
Mechanical: Residential Non-Residcrttial Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FENIA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Contact Person:
lach Proof of Ownership & Legal Descriilion)
n
Phone: L r 07 3 ;— c/ A( d (
Stale License Number:
Phone:
Fax:
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.
OWNER'S AFFIDAVIT: 1 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, then; 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.
a6
Signature of Own iAgeni Date Signature of Contractor/Agent
Print. wncl' is Name Point Contractor/Agent's Name
t
Signature? vuotary-Fib` 0401° IlCD
Date Signature of Notary -State of Florida
1:Y.61 S(8+''tlryatzygcsv
Date
Date
Owner/ ff y Known to Me or p Contracter!Agent is _ Personally Known to Me or
Pr tf3 Ivy C,C ' (P 11— - y1 l p j _ Produced ID
APPLICATION APPROVED BY. Bldg: Zoning: Utilities: FD:
Initial &Dale) (Initial & Date) (Initial & Dale) (Initial & Date)
Special Conditions: /
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CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
State law requires construction to be done by licensed contractors. You have applied for a permit under
an exemption to that law. The exemption allows you, as the owner of your property, to act as your own
contractor with certain restrictions even though you do not have a license. You must provide direct,
onsite supervision of the construction yourself. You may build or improve a one -family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building, provided your -
costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You 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 your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
do hereby state that I am qualified and capable of performing the
requested con truction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
6
Owner/Builder Signature ` Date
wry
Print Owner uilder Name
Signature of Notary —State of Flohda Date
Owner is Pers Wally Known to Me or has
Produced ID l[
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Florida Building Code Online Page I of 4
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PRODUCT APPROVAL jct T, p Dto Application
4: Date
Submitted: Code
Version: Product
Manufacturer: Addy
mftondemail: Category:
Subcategory:
New
HOW ? FL4940
07/
2*2005 2004
Masaaite
International One
North Dale Mabry Suite
950 Tampa,
FL 33609 615)
4414258 Swinging
Evaluation
Metbod: Ceitifieatiwr Made or Listing R
femaced Standards from tba Florida Building Code: ft—stion soxdard X0, TAS
201 1994 TAS
202 1994 TAS
203 1994 AS7'
M 1998 E1300
ASTM
2002 E1300
Section
2612
HVHZ PI
Certificativa
Ageaey: National Accreditation &- Managanett
Institute, Quality
Assurance Entity: Validation.
Entity: Authorized
Signature: Steve Schreiber a9chre'
ber&asonite.com M
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SIGNED AND SEALED BY HAROLD E: RUPP. PE
FLORIDA 115035) WITH THE LOWEST (LEAST)
FASTENER RATING FROM THE DIFFERENT FASTENERS
BEING CONSIDERED FOR USE. JAMB, HEAD, AND
THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE • 1. KWIKSET OR SCHLEGE ANSI/9NMA GRACE 3 OR BETTER
I10 1MUST OR 3/118" SATRPLACED
CYLINDRICAL AND DEADLOCK HARDWARE TO BE INSTALLED
AT 5-1/2 CENTERLINE. BEODINSHIMSPACEEACHANCHORLi• HIMLOCATION. 2??' 2. 4- X 4" FULL MORTISE BUTT HINGES 2.
THE -WOOD SCREW SINGLE SHEAR DESIGN VALUES COME 'FROM CL ANSI(
F&PA NDA FOR SOUTHERN PINE LUMBER AND ACHENEMFNT 3 Of11 /2' MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE MINIMUM
EMBEDMENT OF 1-1/4". NriNim.116 W ICALIWOODBUCKSBYOTHERSMUSTBEANCHOREDPROPERLYTOANCHORINSTALLATIONTRANSFER
LOADS TO STRUCTURE. 4.
MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 171 LBS. e
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Florida Building Code Onlinc - Page 5 of 5
ax DP = +40.01-45.0.
n large missile Impact
esistance is required,
urricane protective
ystem is required. See
Ilafion drawing DWG-
05 for
itional information.
Evaluated for use in
adhering to the
Building Code
nclu ng the High Velocity
urricane Zone, and
um
equirernents as
tertnined by ASCE T.
nimurn Design Loads
r-W Gazed OIS
Buildings and Other
dge Steel Sift- Dow wl or w/o
trims• does not
Door Units the design
Sk*NWS ressures fisted. 170 x
max nominal site.
ax DIP = * 45.01-40.0.
n large missile impact
noe is required.
rrirane protective
stem is required. See
stallation drawing DWC-
0131-05 for
C9 , MjfiWAr—I6DWujM; amo Ibe Stm ol Fhmft. AN d9h%
y Florida Building Code Online Page 4 of 5
tions adhering to the
rida Building Code
ncluding the High Veloci
unricane Zone, and
here pressure
urrernents as
etermined by ASCE 7,
inimurn Design Loads
Buildings and Other
tructures, does not
8,-0,
ceed the design
dge Steel Side-
opaque sires listed. Ir-cr x
Door Units
w/ or w/o 14r max nominal ske.
idelites ex DP = + 50.0 / 45.0.
an large missile impa
sistance is required,
cane protective
ystem is NOT required
opaque panels, but is
equired on glazed
nets. See installation
rowing DWG-MA-
L0129-05 for additional
Evaluate0 Tor use in
lions adhering to the
bride Building Code
ncluding the High Velocity
urricane Zone, and
ere pressure
as
etermined by ASCE 7,
inimum Design Loads
W-r Glazed VS
Buildings and Other
dge Steel Side- and OfS Door w/ .
res, does not
goDoorUnitsw/o Sidelites
design
or ns listed. 17-0" x
e max nominal size.
ax DP = +1- 50.5. When
ge missile impact
Wwce is required,
urricane protective
stem is required. See
n drawing DWG-
FL0130-05 for
un
luated for use in
bons adhering to the
da Building Code
ding the High Veloci
ricane Zone, and
tr-0" Glazed i/Srepressure
7Steel Side- Door w/ or w/oirements as
inged Door UnitsSidermined by ASCE 7, mnum
Design Loads Buildings
and Other ctures,
does not ed
the design sures
listed. 1Z-0" x r
max nominal sae.
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Florida Building Code Online Page 3 of 5
edge Steel Side- ir6-4r Opaque US
Door Units
rid O/S Doorw/
w/o Sidelites
Steel Side- V=r: OpaqueIISdgew/ or w/oDoorUnitst;
max nominal size. Max
P = +1- 70.0. When large
ssile impact resistance
required, hurricane
atective system is NOT
quired. See installation
awing DWG4AA-
0129-05 for additional
aluated for use rn
etions adhering to the
ride Building Code
uding the High Velocit!
Tirane Zone, and
re pressure
uirements as
ermined by ASCE 7,
iimum Design Loads
Buildings and Other
uctures, does not
geed the design
ssures rated. 12'-0" x
r max nominal size.
x DP = +/- 55.0. When
le missile impala
istance is required,
ricane protective
tam is NOT required
opaque panels, but is
u red on glazed
lets. See installation
wing DWG-MA-
128-05 for additional
aluated for use in
etions adhering W the
rich Building Code
tiding the High Veloci
Titans Zone, and
ere pressure
uirements as
ermined by ASCE 7,
iwnum Design Loads
Buildings and Othw
uctums, does not ,
eed the design
ssures listed. 12*-0* x
1" max nominal size.
xDP=+45.0/-50.0.
ien large missile impa
istance is required,
ricane protective
tem is NOT required
opaque panels, but is
juired on glazed
lets. See installation
wing DWG -MA-
D129-05 for additional
Evaluated for use in
Florida Building Code Onli De Page 2 of 5
i3valuation/Test Reports Uploaded:
Installation Documents Uploaded:
Product Approval Method:
Application Stators:
Date Validated:
Date Approved:
Date Certified to the 2004 Codc:
Pange: .
EURU2Q,4 j„ Install 68 WE
itazed.pdf
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Approved
09/27/2003
10ro6rzoos
e Steel Side- 13ndOpaque
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hi=dg
Door Unfls
O/S Single
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dge Steel Side- 13nd
r
S ShVe /S
Door Units
Page 111
Urro is of Use
valuated for use in
motions adhering to the
r lda Buid'a g Code
Juding the High VeloA
orricarte Zone, and
oars pressure
quirem rots as
temroned by ASCE 7.
nimum Design Loads
Buildings and Other
ructums, does not
teed the design
assures listed. X-W x V,
max nominal size. Max
I = +1- 76.0. VA" large
ssile impact resistwm
required, hunirane
otectve system is NOT
quired. See installation
arum DVVG-MA-
012"S for additional
Evaluated for use in
ovations adhering to the
Iorids Building Code
ncluding the High Velocitl
lurricane Zone, and
where pressure
requirements as
ietarorined by ASCE 7,
Mlnimum Design toads
for Buildings and Other
5tnrcwres, does not
exceed the design
eressures listed. 3'-W x W
var4piZvv0 av:Ua avou4ovai-It
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Page 1 of 5
p PR,y
s
the Flon aeartm eni a1jG-'5-nrmunity ffa rs
Buiidln Code` '/nfQrmatl'n _Sys
4i o
pR0 j)UCT APPROVAL
Evaluation Method:
Refers need Standards from the Florida Builftg Code -
Quality Assurance Entity:
Validation Entity -
Authorized Signawn-
one North Dale Mabry
Suite 950
Tampa, FL 33609
615)441-4259
National Accreditation &
Mar"emwtt Instintte,
Steve Schmiber
sschreiber@masoaite.corn
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PERMIT #M' UkO
OFFICE
pLANS REVIEWS
CITY OF SANFORD