200 Pine Winds Dr 17-199; fenceM
0}
CITY OF SANFORD
k (
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address:
r
L t e -, d fL 3277 Historic District: Yes n D. `v 3 No
Parcel ID: Residential Commercial
Type of Work: New ' "Addition ElAlteration Repair ElDemo Change of Use ElMove
Description of Work: .. C69 ', 1 t ak. e Ge-
Plan Review Contact Person:
Phone: Fax: Email:
Title:
j
Property Owner Information
Name Geinn, T-+' Phone: C'0-7 - q02-
Street: ,w r'R4L L l'.Ct`Dr.Resident of property? V e-5
City, State Zip: 3-!% -
Contractor Information
Name Phone:
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 COIIMENCEIIENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON TIES 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, O furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed frith the date of application and the code in effect as of that date: 5"1 Edition (2014) Florida Building Code
Revised: June 30, 2015 Pemik Applicalion
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: 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. 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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
ZL (Q A. //1.
Sig ture4._fOlhA'gedt e
67teo„
P ' Owner/Agent's N e
Cot
Owner/Agent is
Produced ID
APPROVALS
COMMENTS:
ANNETTE SCOTT
Notary Public - State o1 Florida
My Comm. Expires Jan 16.2018
Commission N FF 071760
Bonded Ttxeuph National Notary Assn.
Personally Known to kle or
Type of ID FL __
ZONING:. y(JTILITIES:
ENGINEERING:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
FIRE:
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
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 of
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 becelicensedinFloridaandtolisthisorherlicensenumbersonallpermitandcontracts.
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
owner -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 wno 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
r+- i__.._ n.._a..:L__a: A.. /T i!` \ l ..+.. F, id- —orker , com-en atio- uadei iu2 reu'e ai uwur aTice Contributions A ct "a 111-A, and --m- t pr ov.,.. S r_..S__._._
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, I 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
I am of aware of construction practices and I have access to the Florida Building Codes.
T 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.conVdbpr/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.
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.
Property Ad PC C 421-
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.
0 q /,/
ate
Form of Identification
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
City of Sanford
Building & Fire Prevention Division
Fence / Irrigation Permit Card
PERMIT NO. ... CA'9 ISSUE DATE: Ole /go/7.
CONTRACTOR:
JOB ADDRESS:,
O • VJ `INS TYPE
OF WORK: S C avi n % . Post
this permit in a conspicuous location outside Approved
plans must be posted with permit for inspection Leave
all work uncovered until inspected and approved Permit
expires 6 months from date of issue or last approved inspection PROTECT
FROM WEATHER FENCE
INSPECTION
TYPE APPROVED REJECTED INSPECTOR FINAL
FENCE IRRIGATION
INSPECTION
TYPE APPROVED REJECTED INSPECTOR IRRIGATION
ROUGH IRRIGATION
FINAL ELECTRICAL
FOR IRRIGATION INSPECTION
TYPE APPROVED REJECTED INSPECTOR ELECTRIC
ROUGH ELECTRIC
FINAL 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. 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 FBC105.3.3 REVISED:
OCTOBER 2014 Inspection Line: 855.541.2112
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00000199 Date 1/18/17
Property Address . . . . . . 200 PINE WINDS DR
Parcel Number . . . . . . . . 11.20.30.504-0000-0060
Application description . . . FENCE - RESIDENTIAL
Subdivision Name . . . . . .
Property Zoning . . . . . . . SINGLE FAMILY
Permit . . . . . . FENCE PERMIT
Additional desc . .
Phone Access Code 969576
Permit pin number 969576
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 125 BL25 FINAL FENCE / /
L "Dow1L— M L
370 Waympnt Court • Lake a iMary, FL 32746 • Voice 407,688.763I • Fax 407.688.7691 sandpsurveying@gmail.com
C •
H 1E;, Legal Description
Lot 6, Block C, REKSED PLAT OF HIDDEN LAKE UNIT .[A, according to the plat thereof as recorded in Plat Book 17, Page($) 99through100, ofthe Public Records ofSeminole County, FL.
Community number: 120294 Panel 0070
Suffix; FF.L.RM. Date.- 912812007F1ood.Zone: XDateoffieldwork: 81812013 Completion Date: 81912013
Certified to:
Glenn Kraft, All Florida Title; Old Republic National Title InsuranceComparry' Quicken Loans, Inc., its, successors and/or assigns.
CURVE TABLE - NO. RADIUS DELTA ARC TANGENT CHORD CHORD BEOMC1225. 00' 87'0 40ONO' J7' 99' 23.75' .3A 44' V 89 4713 E
m
U
z
0U
n
L vC;fl / IUN SKE!CH
Not to Scale
SCALE.- 1 -` 30'
e
LOT 4 Q
p BLOCK C
f . ,
RR 1/2"
I LOT 6 HOUSE { PR VED PL NS
O
jBLOCKC3,
T8.0 3 3'
I A/
2.9
nn ° rJ 1
t.
C _Ltj w o J w N ONE STORY
RESIDENCE'
WNG
I
WALL 11
h . , 30.6 37.3'
3
LOT
j N- f °I O 53,• a
V 1 0 2' N
1 INL£7I - ' F/P 1 " h W!!JG
PC) WALL WNG !t1
t] Z1,5' WALL
T5v9 ' 7.33
241
CCWCRE7E a
PP 3/4^ nN
PC)
o . W.M.
FIRE HYDRANT ;
W
e RP1-
1 8
2 CCNc CURS s D'
N-4640'51'E 66.63(M)
IV 46'40'51 E 66.69'(P) B-R-
PINE WINDS DRI VE
50' R/W OMPR0QED)
1
12-2' 1
LOT 5
BLOCK C
5.43='44-W, 101.98'(P)
S: 42 5129'W. 99,17'(M)
721E
6'WOOD FENCE 7 UE
0.4'0FF
I FIR f/2" P,P{ !
P D
7
BLOCK C
57, 94 (M)
57.94 (M)
N 4734 59 E
F1R 5/g'
Property Address:
200 Pine Winds Drive
Sanford, FL 32773
sGEND I —"I Yey nacmber; SL 133712
10 Asphalt ESMT Easement GENERAL NOTESmBlockwall
29 Brick E.O.P. Edge m Pavement PR.M.
P PermanGT Reiemnce Monument' Plat Y- L i .+ escription
Centerline E.O.W, Edge of water
EL Electric Box P.B. Plat Book
Provided by others.
2 The lands shown hereon were not 72. Unless otherwise noted, flood zoneCentralAngisVelta
Concrete Elevation
P.O.B. Point of Commencement abstract6dioreasemenfsorotherrecordedencumbrances 13. Septi bOn Provided ,
Covered Area E- EIUCA Encroachment
XX.XX' Ex st ng Elevation
P.O.C.
P.C.C.
Point of
Point of Co -Pound Curve
r'ot shown on the plat, 3. Undergroundportionsoffootin 9s. undations
and/ d rairifield locations are
aPPrcxknate and MUST be verified
Line Break Net to Scate F. Feld
P. Point of Cunratt ire or other improvements were not fora¢a i appropriate uL7ity local on comoan