422 Hansom Pkwy 17-369; REPLACE SHEDFEB 07M7 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
D _ 2
Application No:
J(_a9
Documented Construction Value: $ /1 -
7OT-)
Job Address: `'
4'2' 4A-NW114 4WV Historic District: Yes No
Parcel ID: / 2 -,'ZQ - 3 0 3 0-0' 0 / 3 0 -OD-M Residential ® Commercial
Type of Work: New 1 Addition Alteration Repair Demo Change of Use Move
Description of Work: L-/ EA / S -1-7 V G
CtS7T/n/544-e -1 N_
Plan Review Contact Person:
Phone: Fax: Email:
Title:
Property Owner Information
J
Name /'Vn/ / " X/Vt6-/e- PhoFCe: 50+/'5— g-q"SS
Street: -MSO KW _ Resident -of property? :
City, State Zip: FL- 3,277-3Name
Street:
City,
State Zip: Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Contractor
Information Ph(
3"'"'y,•+so`.• Fax:
State
License No.: Architect/
Engineer Information Phone:
Fax:
E-
mail: 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: 5th Edition (2014) Florida Building Code ) Revised.
June 30, 2015 infj
Permit ApplicationF• 58. -/
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 off -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.
Z4 /%
Signature of Owner/Agenr Date Signature of Contractor/Agent Date
Pr' t O er/Agent's Name Print Contractor/Agent's Name
02- "1-14
Signature of Notary -State of Florida at Signature of Notary -State of Florida Date
owl, FWft - sm VA rwwVa
Conaros ba a t36 OMO"I
Alp co". E*m din 14, t01/
Own
t '
e or Contractor/Agent is Personally Known to Me or
Produced ID Type of 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
NoJr- APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:,1'-17
COMMENTS:
Revised: June 30, 2015 Permit Application
REQUIRED INSPECTION SEQUENCE /
BP# I'7 - Z/_4 Address: Alg:)L
BUILDING PERMIT
Min Max Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Pre our
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building Other
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
Max Inspection DescriptionMin
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Final
Min Max Inspection Description
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014
rI
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)
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
the property listed, may act as my own contractor with certain restrictions even though 1 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 1 may build or improve a one -family or two-family residence or a farm outbuilding.,,,
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 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.
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 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
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.
1 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
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. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zonin regulations.
I am of aware of construction practices and 1 have access to the Florida Building Codes.
I 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 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
C( listed below.
I 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
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.
4A In / W,
do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditjons specified above.
Signature of
Form of Identification
Must be Photo ID)
Date
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
FEB 0 7 20V
City of Sanford
Shed Gazebo Permit Application Checklist
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
nclude the following:
Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
O Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value of the project.
AP
Copy of applicable contractor's license issued by the State of Florida (if contractor is
applicant).
O A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
O YWPCertificateof 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 rida (
must be submitted with each application if contractor is the applicant). Completed
and signed Owner Builder Statement / Affidavit (if owner is applicant). Two (
2) site plans indicating proposed location and distances to property line(s). O
Shed or Gazebo 10'x 12'or less: d Y - v Completed
and signed Statewide Product Approval Specification Form. Two (
2) copies of manufacturer's installation instructions. 2)
Two copies of a legible drawing showing all framing details, foundation details, and meet all applicable
code requirements (if applicable) Commonly
accepted construction practices with appropriate tie downs or; ANSI /
AF & PA WFCM wood frame construction manual for one and two family dwellings. WPPC
Guide to wood construction is high wind areas. Florida
State Department of Community Affairs Approved Building. O
Shed or Gazebo greater than 10' x 12' : Two (
2) sets signed and sealed engineered drawings. Wind design data required on drawings per FBC
1603.1.4 to meet 129 mph ultimate design wind speed for risk category I buildings. Completed
and signed Statewide Product Approval Specification Form. Two (
2) copies of manufacturer's installation instructions. Florida
State Department of Community Affairs Approved Building. These
guidelines were compiled to assist the applicant in preparing a Shed / Gazebo permit application and may
not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements.
Revised.
February 2015
EXTERIOR IMPROVEMENT REQUEST
rriu tq M / x vs,-0-
RESIDENT NAME
n-n w
TELEPHONE NUMBER
COMMUNITY NAME
IF —/5—/ (=1
DATE OF REQUEST
PROPOSED COMPLETION DATE
The above named Resident requests approval to build, add -on, or otherwise alter his/her manufactured home, its
associated structures, or site. Approval by the Community Management does not waive Resident's responsibility to
secure any and all permits required by the governing municipality whose name and telephone number is:
of Alteration: NC pb
Upon re ' itefinditisw'
dent will obtain any and all ,permits necessary to construct improvement.
If Resident hires an independegt•contractor, it is recommended that they be licensed and insured.
Upon review of the above request, we find it is not within our guideiines.
1 p
DATE
AND LOCATION ON YOUR HOME SITE.
ATTA C H SEPARATE SHEET IF NECESSARY)
ry
e spy p ri
uv- rtr-11 -
a ti300 -
c) W - ooc--Au FOLLOW-UP
INSPECTION Management reserves
the right to inspect the alterations described above upon completion. COMMUNITY MANAGER
DATE WHITE - Community
Files YELLOW -Resident SUN 045 EIR 7/06
SUPERIOR SHEDS, INC.
DATE STOCK MANUFACTURER SERIAL# SALES ORDER AGREEMENT
158455
hansom Parkway p M"rwur[t r u rFEF
ford FI.
COUNTY
Seminole
IP
32773
CITY CI
RIOR ORDER LOCATION S REP
Iwood Longwood
STYLE SIZE MATERIAL COLOR WINDOWS VEI
L oBODY Gr QQA—
X ROOF C
PEAK TRIM `
I
JG FIN —CASH
IPANY
E
kL - P
TIONAL +
C
RIPTION G I
A U
SIT $ 3 to K
CK_CASH_
ONCE DUE:
BUYER PROVIDE AN UNOBSTRUCTED PATH LARI
nONAL FEES SPECIFICATIONS ! INSTRUCTIONS:
b13er
TYPE WXH RHH LHH COLOR
c Ems-.
la--- 10 —ol
IOUGH TO MOVE SHED TO INSTALLATION SITE? OYES O NO
c KtsPONSIBILITY. A $100.00 FEE WILL BE CHARGED MUNICIPAETURNEDDELIVERIESDUETOSPACEPROBLEMS. OF PURCI, t ACCEPTS RESPNSIBILITY FOR DAMAGE INCURRED FULLY AS; STACLES THAT HAVE NOT BEEN REMOVED. ANY SITE BACKS. RIBYDELIVERYCREWWILLBEATADDITIONALCHARGE. ET OF BLOCK AND ANCHORS PROVIDED ADDITIONAL BUYER UK
IS A
ACED PER BL
MOVE SHEDS
KOVIDED AT TIME
HED DELIVERED
AWARE OF SET
KS. ANCHORS OR ROLL INS WILL BE CHARGEABLE.!1 TERMS AND l:vnDmONS OF THIS AGREEMENT.
NSTILL OUT SELIVERY REQUEST FOR DIRECTIONS
BUYER ` ^'
SITS: DEPOSITS REQUIRED WITH BALANCE DUE UPON Signature
ERY. UNITS WILL BE HELD AT LOG A MAXIMUM OF 3 Anna MixnerCSPENDINGDELIVERY, UNLESS PAID IN FULL BUILD - MANUFACTURED TO SPECIFICATIONS WILL HAVE A Print Name
HARGE FOR CANCELLATIONS.
S: ALL GOODS REMAIN PROPERTY OF SUPERIOR DATF SUPERIOR REPL Longwood SIGNATURE:LL-Q IS, INC. UNTIL PAID IN FULL. COLLECTION COSTS. IN- ING ATTORNEY FEES. WILL BE THE RESPONSIBILITY LOTDYER ADDRESS: 1057 N. Hwy 17-92. Longwood. FL 32750
PHONE: (407) 696-2006
SUPERIOR SHEDS DELIVERY REQUEST- INSTALLATION DETAILS
Date—_ Sates rep Longwood Shed location t—
Customer Anna Mixner
Phone (h) 7314158455 (c) Install address422 hansom Parkway City Sanford FI. z; 32T73MilesfromlotDirectionsP
Shed size- yC 1 f3 Style Sr.# Color C rOct0- Ramp_ Info Size
YardJs- Placement Diagram:
AC - Q
1 `P w,,o"\
V"Q q,0
LOAD DOOR TO: CAB REAR DRIVE PASSENGER MAX SIZE SHEDObstaclestoinIlonsite? Fen C units Y re Y , Overhang Y&P er Poles YnPowerLinesYN, Septic Y rinklersYP , ate ,qid wide enou-N
Underground cable & water rues marked and away from anchoring si a ,Crane in Yf-N
Turning radius ok for shed in yard if require6N Other v
Customer will remove or secure any of the above obstacles which will prohibit install before the delivery date Y-NDescription
Site Path must be dear/ready before delivery - *additional fees will a if deliverty crew must do site prep work. Install site must be "LEVEL and ACCESSIBLE" before eil . Lev I Y
Anchoring surfar- C V 1 p High set Issues/requests
Roll in Y-N, Distance of roll in feet. Any distinace above 25 feet will carry an additional charge to be collected attimeofdelivery.
One set of blocks and anchors is included as per size of shed and drawing requirements - however extra block needed forhighsetsorunlevelareaEMJIxapyanadditionalchargeandcollectedattimeofdelivery.
Customer Signature A - X. Amount due upon delivery $ 0
PLEASE CUT GRASS AND REMOVE A ANIMAL WASTE BEFORE DELIVERY. TREAT AREA FOR PESTS AT LEAST 48HOURSBEFOREDELIVERYIFYOUPLANTOTREATTHEAREA. DAMAGE CAUSED
BUYERS lTY BY OBSTACLES NOT REMOVED ISRESPONSIB/L PLEASE REVIEW WHAT EXTRA CHARGES MAY APPLY AS NOTED ABOVE. PLEASEREMEASURE - REMOVE OR SECURE ANY OBSTACLES - PLACE FLAGS PROVIDED TO MARK REQUESTEDPLACEMENTOFSHED /N YARD.
E; gt 71?..fl RECORD COPY
L FI.A tiiafil(et:i#dFia7d.Htt p(ctt9nt
Professional rr° a t ae, lclBe on2
Et fi i£E:rt i f/xc: c8'r.iarta• r: 4 a.s
Ken LWONsocro y
September 23, 2016
Alex Martens
Superior Sheds, Inc.
2323 S. Votusla Ave
Orange City, FL 32763
RE: Manufacturer Certification, ID MFT-113; Expiration Date: September 22, 2019
Dear Alex Martens
It Is my pleasure to inform you that Superior Sheds, Inc., located at 2323 S. Volusia Ave, Orange
City, FL 32763, has been approved under the Manufactured Buildings Program, as provided for
under Chapter 553, Part I, Florida Statutes, to manufacture Storage Sheds, Manufactured
Buildings for installation in Florida.
Construction or modification on a manufactured building cannot begin until the Third Party
Agency has approved the plans in accordance with the current Florida Building Code. Your Third
Party Agency Is a contractor for the Department and has statutory authority and responsibilities
that must be met to maintain approved status. You may expect and demand quality plansreviewandInspections.
Each Code change will make your plans obsolete until they have*been reviewed, approved and
indicated (on the cover page of the plans) for compliance with the Code by your Third Party
Agency for plans review. Please ensure that your plans are in compliance and are properly
posted on our website. All site -related installation Issues are subject to the local authorityhavingjurisdiction.
The Department's contractor will make unannounced monitoring visits at least once each year. You must grant complete access to your manufacturing facility and records to remain in
compliance with the rules and regulations of this program.
Your certification Is approved for three years from this date. You will receive a renewal notice byEmailgeneratedbytheSCIS (www.floridabuildino oro) for online renewal. If you have questions
You may contact Robert Lorenzo at 850-717-1835 or our FAX at 850-414-8436.
Please visit our website atwww.floridabulldino oro to see valuable information on the Florida
Manufactured Buildings Program. A copy of this letter must accompany applications for localbuildingpermits.
REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
1
DATE
o:: Professional Service Industries
SANFORD BUILDING DIVISItZN_
A PERMIT ISSUED SHALL BE CONSTRUED TO BE ALICENSETOPROCEEDWITHTHEWORKANDNOTASAUTHORITYTOVIOLATE, CANCEL, ALTER OR SETASIDEANYOFTHEPROVISIONSOFTHETECHNICALCODES, NOR SHALL ISSUANCE OF A PERMIT PREVENTTHEBUILDINGOFFICIALFROMTHEREAFTER
ORRECTION : ERRORS IN PLANS, REOUIRINGCONSUC ON OR V OLATTIIONS OF THIS ODE
Sincerely,
Robert Lorenzo
Manufactured Buildings Program
Riot 9 OWGovefnor
17-369`'
0: \\1DING
SAt4FOFtO
2