HomeMy WebLinkAbout112 Ventura Dr (6)r
RECEIVED
01
Permit # : Q— `.
Job Address:
Description of Work:
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
of Work:
I n ,
FEB -1 2006
7-3
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential 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 .111*COmmcrcial Industrial Total Square Footage -
Construction
2
Construction TypeA of Stories: — # of Dwelling Units: Flood Zone: (FE MA form required for other than X)
Parcel #: / (Attach Proof of Ownership & Legal Description)
AOwnersName & Address:. .f/l.'rr %L/.i /1
Contractor Name &
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer
Address:
3 ,L"5dte License Number:
Contact Person:
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. 1 understand that a separate
permit must be wcured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
a;
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. 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.
N TICE: 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 verifrcatiotfthat I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/A ent Date Signature of Contractor/Agent Date
Pri n
ZgName
Print Contractor/Agent's Name
Si nature t Iva'. Date Signature of Notary -State of Florida Date
TI 781E BLANTON
I,
SION# DD 188491
wner/Agent `is•• •• `•Persuiiall'I nb i to a or Contractor/Agent is _ Personally Known to Me or
Produced ID i, t;o:arr Di-wnl Assoc. Co. _Produced ID
APPLICATION APPROVED BY: Bldg: M1 Zoning:
Initial & Date)
Special Conditions:
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
W_c2c)
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2
AkcCk L UETAI
0Avio JOHNSoN. CFA. ASA
PROPERTY
z,
APPRAISER
g
SEMINOLE COUNTY FL.
1101 E. FIRST sT
SANFORD, FL 32771-1468 407- -
7508r 49.
A 87.
A 2006
WORKING VALUE SUMMARY GENERAL
Value Method: Market Parcel
Id: 10-20-30-503-0500-0880 Number of Buildings: 1 Owner:
WILSON SUE B Depreciated Bldg Value: $101,285 Mailing
Address: 112 VENTURA DR Depreciated EXFT Value: $1,813 City,
State,ZipCode: SANFORD FL 32773 Land Value (Market): $20,000 Property
Address: 112 VENTURA DR SANFORD 32773 Land Value Ag: $0 Subdivision
Name: HIDDEN LAKE PH 2 UNIT 1 Just/Market Value: $123,098 Tax
District: S1-SANFORD Assessed Value (SOH): $123,098 Exemptions:
00-HOMESTEAD Exempt Value: $25,000 Dor:
01-SINGLE FAMILY Taxable Value: $98,098 Tax
Estimator SALES
Deed
Date Book Page Amount Vac/Imp Qualified CORRECTIVE
2005 VALUE SUMMARY 12/
2005 06018 1460 $100 Improved No DEED
Tax Value(without SOH): $1,720 WARRANTY
DEED 11/2005 06016 1794 $100 Improved No 2005 Tax Bill Amount: $1,004 WARRANTY
DEED 08/2005 05872 1405 $183,000 Improved Yes Save Our Homes (SOH) Savings: $716 WARRANTY
DEED 06/1997 03264 0791 $71,800 Improved Yes 2005 Taxable Value: $50,297 SPECIAL
12/
1987 01919 0002 $71,700 Improved Yes DOES NOT INCLUDE NON -AD VALOREM WARRANTY
DEED ASSESSMENTS WARRANTY
DEED 07/1981 01347 1366 $50,400 Improved Yes Find
Comparable Sales within this Subdivision LAND
LEGAL DESCRIPTION Land
Assess Frontage
Depth Land
Unit Land PLATS: Pick... Method
Units Price Value LEG
LOT 88 BLK 5 HIDDEN LAKE PHASE II LOT
0 0 1.000 20,000.00 $20,000 UNIT I PB 24 PGS 15 TO 17 BUILDING
INFORMATION Bid
Bid
Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Num1
SINGLE
1981
6 1,250 1,814 1,250 BOCK ONC $101,
285 $112,539 FAMILYAppendage /
Sgft GARAGE FINISHED / 528 Appendage /
Sgft OPEN PORCH FINISHED / 36 NOTE:
Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch
Finished,Base Semi Finshed EXTRA
FEATURE Description
Year Bit Units EXF T Value Est. Cost New ALUM
SCREEN PORCH W/CONC FL 1997 240 $1,429 $2,040 ALUM
UTILITY BLDG NO FLOOR 2005 100 $384 $400 NOTE:
Assessed values shown are NOT certified values and therefore are ,ubjr ct to change before being finalized for ad valorem
tax purposes. If
you recently purchased a homesteaded property your next ear's ro e,!X ax will be based on Just/Market value. http://
www.scpafl.org/pls/web/re_web.seminole_county_title?pa .,tel=l 0203050305000880... 2/28/2006
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S!ZE NOT AVAILABLE IN 1 CCC CP, rc 15v^. c GK S. FLORIDA
EXTDER" I STERNA"IDNAL, INC. PZANFOR'D,
FLORIDA TITLE:IhSTA',
1—;TiG',: DFA..:1_. SGL. k;!!
NDCwa — SER;-S 10O0 150,1O & 2000 DRAW N
BY: 3 APPROVED BY: _ DATE:. i
J% 0 3 ' `' I, CALL %. T I DWG.: F i , X i I(-' 1 6
LINE BY WOC_
DUCK. BY GTHE?S
CAULK BETWEEN
WINDOW FLANGE
6 WOOD BUCK
4
STUCCO
BY OTHERS
PCRIME-ER
CAW4K —
SY OTHERS
1 R:GiL vtvrl
CLAZiNG BEAD
HEIGHT)
CAULK BETWEEN WINDOW
FLANGE a PRECAST SILL
W/ VULKEM 116 ADHESIVE
CAULK, OR APRV'D, COL.
PER)METER /
CAULK.
BY OTHERS 1
CONCRETE GR
MAS_ONPY CPENiNG
L'A;LK B.?WE_N
DO EU%K a
MAS' Y. OPENIIJC
BY OTHERS
i-I/4' M,N
EMBEDMEN-
nSTALLAT;ON &NCHnR
DIA. 'APCCN
SHIM AS I<EG'C '
4' MAX
SEE NOTES) i
i
i
F, ANGE TYPE
w NIDOV : RAME
GLASS
CTYP.: ,Srr NOT.-S)
I
b.H.
BUCK
i
o
FLANGE TYPE
SILL
I
i
B.W.
BUCK WIDTH.)
INSTALLATION ANCHE
ONE HY WOOD 3/16' DIA. TAPCC
BECK BY OTHERS
SHIM7AS REO'D.
RIGID VINYL
4• MAX.
GLAZING BSA^ (
S.NOT_S)
TYP,
T Y=.)( SCE
FLANGE TYPE
WINDOW FRAME
JAMB CAULK BETWEEN /
WINDOW FLANGE ___...... pERIMET.
a WOOD PUCK
CAUI
BY QTHEI
W.W.
WINDOW WIDTH)
SECTION B—B
W.W. PRECAST SILL
a
i
vBYOTHERS
I i / _
NOTES SE
JNSTAL-AT!ONA-. ' A
1
B c1) S41M AS R O'D. AT EACHA HC.RF. MAX. AL60WAS ESHIMSTACKTOBE1 /4-.
2) WINDOW FRAME MATERIAL; ALUMINUM ALLOY 606-t I I C
3) INSTALLATION ANCHOR MUST BE OF SUFF!C!ENT LTH. 70 ACHIEVEMIN. EMBEDMENT OF 1-1/4- ;NTG MASONRY ORCONCR-ETE, j 4) USE SILICON;ZED ACRYLIC CAULK BEH;ND W,NDOW FLA" AT HEAT; j j r JAMBS. SILL MUST BE ATTACHED TO THE SUBSTRAT- V'
JLKEM116 ADHESIVE CAULK OR APPROVED EQUAL, S)
USE S;LICON;ZED ACRYLIC CAULK FOR PERIMETER SEAL ARO C ' EXTERIOROFWINDOWFLANGE. G
6) 1, EXACT WINDOW S;ZE 'S NOT LISTED IN ANCHOR C-4ART. USE rr ANCHOROLIANT;TY L!STED WITH NEXT LARGER SIZE. FOR THE APPROPRIATEDESIGNPRESSUREPEC'C. J I I 7) GLASS THICKNESS MAY VARY PER 'nE = OU;R ME ErE1300
GLASS CHARTS. NTS OF .AS-M i
8) LETTER DES;GNATIONS ON THE TAPCC4 LOCAT;ON CHART INDICATE WHEREiAoCONANCHORSARETOSEINSTALLEDWHENUSINGTHEi EX!
Ll
RIpR
ELEVAT:*N AS A KEY 9)
ALL FACTOP,Y APPLIEC HOLES NOT DESIGNATED FOR TAP --ON ANCHOR
SHOULD BE F;LLEC WITH 98 SCREWS CF SuFFICIEN7 LTH. '1 TOPROVIDEMIN. 5/8 IN. EMBEDMENT INTO WOOD FUCK. A 10)
FLORIDA EXTRUDERS 1 CO; SERIES S:NGLE HUNG IS SiOwN. THIS PRINT
ALSO APPLE_ '0 THE FLOP.!DA EXTRUDERS 1500 AND 200? SERIES
SINGLE RUNGS. 1
1) WHERE W:NDGW IS INSTALLED IN MASONRY OPENING WITH A — V I STRUCiJAL
TWO EY WOOD BUCK, USE #10 SCREWS OF _ SUFFIC;
ENT LENGTH -G ACM!EVE 1-3/ 8 MiN. EM°EDIJEN T A' •.i E 'w C FROM EX T _ = R I 0 R ALL !
NSTA:-LATION FASTENER LOCATIONS. CAULK
WOOD
MAS'
Y 3` ;
Tr ceNC4:
MASCNI
BY
CT!
EEN
r-
I TYPICAL MULLION TO CONCRETE 0 JAMB t 17=TAIL a
APPLIES ;O JAMS WHERE 1" X 4°
Q
I
2" X 4" TUBE MULLIONS ARE USED)1
CONCRETE OR MASONRYBYCTHERS
ICt.'0 P.W./DESIGNER
SILL ',TYP.)
s#6 X 3/ 4 SELF
TAPPING SMS
ONE BY
BUCK BY OTHERS
Q
INSTALLATION ANCHOR 3/16' DIA,
TAPCON SCREW ANCHC;R (TYP.1
EXTERNAL MULLION
INSTALLATION CLIP
I j 1r
I QI
1 1/4' MIN.
EMBEDMENT
2X 4X3/8
TUBE MULLION
MULLION
1
L+. A
el
48 ' X 3/4 SELF ELEVA T ION
TAPPING SMS
1000 S.H. SECTION A -A U.7 I VIEVJEO FROM EXTERIOR
11LMJ.:
INC
FLORIDA EXTRUDERS INTERNATIONAL, ,
FLORIDA
TITLE: SERA,, . 1 nn0! 1 5DO FLANGE SHEET 1 Or E
I! M'' SEA ; GNSHCRTZGNALIIVLL1L,i`
i
p
Jr L D I H K S S LE JnLL 1 C Ur t L.[
DES i GIB PRE `` TT -SJJR CAPAC T tS
i DRAWN BY: M S H APPROVED BY:
r m 15 win , DATE: 0 2 SCALE: i v i S
r 1000 F.W,/DESiGNER
SILL CTYP.)
I
1 ;!e X 3/4' SEL`
I TAPPING SMS
IX %X1/8
TU'3E MULLi:N
SEALANT 3ETW_EI
WINDOW FLANGES -
MULLION
SEALANT DETWEEN, U __48 X 3/4 SELF
WINDOW FLANGES T A?PINS SMS
MULL4014 - ;NCO S:j.
HEAD (! YR.)
SEALANT BETWEEN'
WINDOW FLANGES SECTION A -A,
MULLION
1 .
000 P,W./DESiGNER
SILT_ (TYP.)
8 X 3/4 SELF
TAPFiNG SMS
i X P 7/1E X 1/8
n r---tc7r-111 TUBE MULLION
SEALANT BETWEEN
WINDOW FLANGES-
MULLION
k8 X 3/4 SELF
1000 S.H. TAPPING SMS
HEAD (TYP,)
SEALANT BETWEEN SECTION A -A
WINDOW FLANGES
MULLION
1000 F.W./DESIGNER SEALANT BETWEEN
SILL ' CTYP.) WINDOW FLANGES —,
8 X 3/4 SELF &
MULLION
TAPPING SMS
1 X 4 X 1/8
n atom / IOBE MULLION
1"18 X 3/4 SELF
TAPPING SMS
i000 S.H.
HEAD CTYP.)
S CTiON A —A (5)
000 P,W,/DESIGNER
SILL
S X 3/4 SE!.F
TAPPING SMS
i x E x sso
rn
TvBE MvLL.:.N
r--#8 X 3/4 SEL"
c00 C.•. TAPPINCu SMS
HEAD (It.?.)
SECTION A -A (2)
rr i000 P.W./DESIGNER
SILL (TYF.)
E X 3/4 SELF
LAPPING SMS
1 X c 7/16 X
I F TUB--- MULLION
J SEALANT
WINDOW F
8 MULJ 10'
8 X =/4 SELF
TAPPING SMS1000S.H.
HEAD (TYP.)
SECTION A. -A (4)
i
1000 P,W./DESIGNER
SILL CTYP,)
8 X 3/4 SELF
TAPPING SMS
iX4X318
IU BC I`iJLi- 1Ltt 8
X 3/4 SELF i000
S.H. TAPPING
SMS HEAD
CTYP.) 7r/,
r; rA--n i6 ccC VTII y
SERIES 1000 & 1500 FLANGE SINGLE HUNG WITH TRH
WINDOW 1
CALL
SIZE
CAPACITY CAPACITY
WINDOW UNIT 1 X2X1 /8 1 X2X 1 /B
TIP -TO -TIP TUBE MULL TUBE MULL
SIZE 2 ANCHORS i 4 ANCHORS
i SECT. A -A 1! SECT. A -A 1
CAPACITY CAPACITY ! CAPACITY 1 CAP
1 X2X3/8 1 X2X3/8 11X2 7/16X1/811X2
TUBE MULL 1 TUBE MULL i TUBE MULL ; TUBI
2 ANCHORS ; 4 ANCHORS i -2 ANCHORS ; 4 A
1 SECT. A -A 2 ^SECT. A-A(2) SECT. A-A(3)1 SEC1
12+HC 119 1/8 X 35 9/16 839.88 1679.7 839.88 11511.80 i 839.88 1 167'
13+HC 119 1/8 X 47 15/16 ! 535.96 i 1271_9.3 635.96 1 1144.74 635.96 127
14+HC 119 1/8 X 60 3/16 512.73 1025.47 512.73 1922.92 i 5.12.73 102
145+HC i19 1/8 X 65 13/16 i 470.84 1941.68 1470.84 1847.51 470.84 1941
15+HC 119 1/8 X 72 9/161428.80 857.60 428.80 1771.84 428.80 857
1 6+HC 119 1/8 X 81 9/16' 383.18 i 766.36 ' 383.18 1689.72 383.18 1766
17+HC 119 1 /8 X 92 9/161339.08 678.17 3'39.08 610.35 339.08 678
1 H2+HC 6 1 /2 X 39 1141516.41 1032:83 516.41 1929.54 i 516.41 1 103
1 H3+HC 6 1 /2 X 51 5/& 407.78 1815.57 407.78 1734.01 1407.78 5
1 H4+HC 6 1 /2 X 63 7/I3 335.12 1670.25 1335.12 1603.22 - 335.12 i 670
i
1 H45+HC 6 1 /2 X 69 1 /2 309.78 1619.56 309.78 1557.60 1309.78 1 619
1 H5+HC 6 1 /2 X 76 1 /4, 284.00 568.01 284.00 151 1.21 1284.00 1 568
1 H6+HC
1 H7+HC
6 1 /2
26 1 /2
X 82 1 /4 255.64
X 97 1 /4 225.60
1511.28
451.21
1255.64
1225.60
1460.16
1406.09
1255.64
1225.60
1511
451
22+HC 37 X 44 1 /2 1273.64 1346.70 1273.64 1478.99 273.64 1521
23+HC 37 X 56 7/8 1253.51 321.20 1.253.51 1443.75 1253.51 1483
24+HC 37 X 69 1/8 .212:98 1269.85 11212.98 372.81 11212.9 405
245+HC 37 X 74 3/4 1198.41 1251.39 198.41 1347.31 1198.41 378
25+HC
26+HC
i 37 X
37 X
81 1 /2 1 183.37
90 1 /2 166.53
r232.32
210.99
i 183.37
1166.53
1320.97
1291.49
i 183.37
1166.53
349
27+HC 37 X 102 1 /2 1148.36 1187.97 1148.36 259.69 1 1.48.36 11 282
32+HC 53 1/8 X 51 9/16188.34 88.34 1122.05 122.05 11132.85 1132
33+HC 53 1/8 X 63 15/16178.25 78.25 1108.11 1108.11 1117.68 1117
34+HC 53 1/8 X 76 3/16 i 74.77 174.77 1103.30 1103.30 1112.44 112
345+HC 53 1/8 X 81 13/16172.20 172.20 799.75 99.75 1108.58 i 108
35+HC 53 1/8 X 88 9/161 67.38 167.38 193.08 93.08 101.33 101
36+HC 53 1/8 X 97 9/161 61.87 61.87 185.48 185.48 193.04 - 93.(
37+HC 53 1/8 X 109 9/16' 55.79 55.79 177.07- 177.07 83.90 83_S
SERIES 1000 & 1500 FLANGE HORIZONTAL
MULLION DESIGN PRESSURE CAPACITIES 'S-4
SHEET 2 OF 2
NOTE: 1) NUMBER OF ANCHORS NOTED FOR TAPCON ` +"
FASTENERS REQUIRED AT EACH END.
2) DESIGN PRESSURES GIVEN ARE FOR 1.5 X
ULTIMATE LOAD PER FBC 1707.4.5.4. ' , 22
m
OM HORIZONTAL DESIGN PRESSURE CAPACITIES
Y ! CAPACITY ! CAPACITY 1 CAPACITY 1
c1/8iX2 7/16X3/8 1X2 7/16X3/8: 1 X4X1/8 1LL
i TUBE MULL i TUBE MULL TUBE MULL; IRS
I 2 ANCHORS ' 4 ANCHORS., I; .4.,ANCHORS, A(
3)1 SECT A-A(4)1 SECT. A-A('4 "SECT` '-4(5)1I CAPACITY
1 CAPACITY I CAPACITY j CAPACITY 1
X4X1/8 1 X03/8 1 X4X3/8 2X4X3/8 TUBE
MULL TUBE MULL TUBE MULL TUBE. MULL' 6,
ANCHORS 1 4 ANCHORS 6 ANCHORS 1 6 ANCHORS SECT.
A-A(5) ! SECT. A-ACqL SECT. A -A 6 `SECT. A -A 7 839.
88 1 1679.78 Mdl'T67.9.78Ti ' 25-1'9.66 ! 1679.78 1 2519.66 1
Z519.66 635.
96 1271-.93 1271.93 i 1907.91 11271.93 i 1907.91 i 1907.91 1512.
73 ' 1025.47 1025.47 11538.21 1 1025.47 11538.21 11 1538.21 470.
84 941.68 1941.68 1 1412.53 1 941.68 1412.5.3 ! 141.2.53 . 428.
80 ' 857.60 857.60 11286.40 857.60 1285.40 1286.40 383.
18 1766.35 .766.3 wo! 339.
08 1 678.17 678.1 iG,v 1 ,
9.54 j.,; 01f7
2'5lw j"678.17 66.
36 1 149.54 11017.
26 114:
9_54 1017.
26 1516.
41 1032.83 1032.83 1549.24 11032.83 1 1549.24 1549.24 407.
78 1815.57 ^ 11815.57 1223.36 1815.57 1 1223.36 11223.36 1335.
12 i 670.25 670.25 1005.38 1670.25 11005.38 11005.36 1309.
78 1 619:56 f 619.56 1929.34 1619.56 929.34 929.34 284.
00 i 568.01 568.01 1852.01 j 568.01 852.01 1852.01 255.
64 1511.28 , 511.28 1766.93 1511.28 1766.93 766.93 225.
60 1 451.21 451.21 676.81 451.21 1 676.81 676.81 1
273.
64 1547.29 1547.29 820.94 547.29 1820.94 1820.94 1253.
51 1507.02 507.02. 760.54 507.02 760.54 1760.54 212.
98 1425.97 425.97 1198.
41 1396.83 396.83 638.
95 595.
25 1425.
97 396.
83 638.
95 1595.
25 638.
95 595.
25 183.
37 1366.74 • 366.74 1550.1 1 1366.74 1 550.1 1 550.11 1166.
53 1333.06 1333.06 1499.51 333.06 1499.59 1499.59 148.
36 1296.72 1296.72 1445.09 296.72 1445.09 1445.09 148.
14 1189.45 .296.28 444.42 296.28 444.42 444.42 1131.
02 1167.82 1262.04 1393.06 1262.04 1393.06 393.06 1125.
12 1160.35 1250.25 375.37 1250.25 375.37 375.37 120.
77 11154.83 1241.55 362.32 1241.55 1362.32 362.32 1112.
62 144.49 1.225.25 337.88 1225.25 1337.88 1337.88 1103.
33 11132.-68 1206.67 310.00 1206.67 1310.00 310.00 93.
09 1119.64 186.18 279.28 1279.28 279.28 FLORIDA
EXTRUDERS INTERNATIONAL, INC SANFORD, FLORIDA
TITLE: DES
I GN PRESSURE- CAPACITIES FLANGE HIDR I
ZDN I AL IMULL I ENS - S`R, 1000 & 1500 DRAWN BY:
i B ^ APPROVED BY: DATE: 02/
04 /02 1 SCALE: CULL DWG.: 1 HMF L.G PG 2
OFFICE PLANS REVIEWED
CITY OF SANFORD
r, - _
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER 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.
I, ,e_0 l/11J , do hereby state that I am qualified and capable of performing the
reque ed construction 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.
o
Owner/Builder Signature Date
S 4 E: (l ),'(-Cl o/y '0,&
Print Owner/Builder Name
Signature of Notary —State of Florida Date
Owner is Personally Known to Me or has
Produced ID