122 Hays Dr 13-2038; REMODEL INTERIOR EXTERIORi P -Ci l
AUG 12 2013 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: j 3' CT?, b Docu
Job Address:
Parcel ID:
Description of Work: DpAr;cr .. E1u_061 .t
Construction Value:
Historic District: Yes No
Zoning:
Plan Review Contact Person: Title: c^ayer 41/
0 Phone:
33.1- 861- SriG SS Fax: t4l A E-mail: 1 oy'i0 waWn. r r)*) Property Owner
Information U Name Phone:
Street: 1aa
1 LCA . k6\jc- Resident of property? : S City, State
Zip: .FL- &a*111 I Contractor Information
Name Phone:
Street: Fax:
City, State
Zip: State License No.: Architect/Engineer
Information Name: tiro
A, L-sehe j rr ca, Phone: Street: Bpl
d, gac&Ae: c,4r. c`'ti4P Li Fax: tj City, St,
Zip: 6ufy A 1?h Sam'19 E-mail: ix C Bonding Company:
Mortgage Lender: Address: Address:
PERMIT INFORMATION
Building Permit
Square Footage: )
tc)o Construction Type: \On No. of Stories: No. of
Dwelling Units: t Flood Zone: ark Electrical 51'
Plumbing !'=3 New Service —
No. of AMPS: New Construction - No. of Fixtures: _ Mechanical (Duct
layout required for new systems) Fire Sprinkler/Alarm No. of heads: A 4
DD 3
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.
A a, aoi 3
Signature of Owner/Agent Date
s ea`, L • La 11 a 5 r
Print Owner/Agent's Name
Owner/Agent is
Produced ID
APPROVALS:
COMMENTS:
0e'/-)1_3
DEBEIE BLANION
Notary Public - State of Florida
My Comm. Expires Feb 25, 2015
Commission # EE 60182
Bonded Through National Notary Assn.
Personally Known to Me or
Type of ID L
ZONIN UTILITIES:
ENGINEERING: W FIRE:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
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
122 HAYES DR. SANFORD, FL. 32771
Building Permit Application Number: 13-2038
BREAKDOWN OF BUILD OUT
FRAMING QUANTITY
2 x 4 x 16 #2 Prime
Pressure Treated
Lumber 85
2 x 8 x 16 #2 Prime
Pressure Treated Lumber
30
2X10X16 ACQ TOP
CHOICE TREATED 15
DRYWALL
Gold Bond 5/8-in x 4-ft
x 8-ft Drywall Panel 95
ELECTRICAL
Certified Electrician
will be evaluating
existing electrical panel,
wires, and all plugs and
switches to dertermine
what needs to be
installed and or
upgraded.
PLUMBING
1/2" X 10' CPVC PIPE
Lx'a
PRICE TOTAL
7.18 $610.30
18.96 $567.90
23.71 $355.65
6.25
1-4
AU0 2 213i3
ny
593.75
HOT/COLD) 20 $3.05 $61.00
NSF® 2" x 10' Plain
End PVC SCH-40 Pipe
6 $6.06 $39.60
Keeney Mfg. Co. 1-1/2-in
Chrome Roller Ball with
Plastic Pipe 3 23.73 71.19
Plumb Pak 1/2" x 300"
Teflon Tape 3 1.06 3.18
Genova 3/4-in x 3/4-in
x 1/2-in Dia Tee CPVC
Fitting 4 0.47 1.88
Genova 1/2" CPVC
Male Adapter (Slip x
MIP) 4 0.20 0.80
AMERICAN VALVE
1/2" Brass Boiler Drain
Valve 4 4.85 19.40
Genova 1/2-in Dia
Adapter CPVC Fitting 4 0.76 3.04
Oatey 8 fl oz LO-VOC
CPVC Cement 3 5.67 17.01
Oatey 8 fl oz LO-VOC
Primer 3 5.01 15.03
Charlotte Pipe 2-in x 1-
1/2-in x 2-in Dia PVC
Reducing Tee Fitting 3 3.44 10.32
Charlotte Pipe 2-in Dia
PVC P-Trap Fitting 3 9.37 28.11
Charlotte Pipe 2-in Dia
PVC Cleanout Plug
Fitting 2 0.94 1.88
Charlotte Pipe 2-in Dia
PVC Fitting Adapter
Fitting 3 1.69 5.07
Genova 1/2" CPVC Tee
4 0.16 0.64
Charlotte Pipe 2-in Dia
PVC Coupling Fitting 2 0.50
Charlotte Pipe 3-in x 3-
in x 2-in Dia PVC
Sanitary Tee Fitting 3 3.19
Genova 1/2" CPVC
Coupling - 20 Pack 2 3.59
Keeney Mfg. Co. 1/2-in
Brass Socket In -Line
Angle Valve 6 9.28
1/2"90D ELL CPVC
50705 25 0.20
COST: $ 2477.80 Materials $ 3000 Expecteed Labor cost
TOTAL:$5477.80
1.00
55.68
5.00
PEFIMIT # L2:-
0FRCE
MIAMIDADE MIAMI-DADE COUNTY, FLORIDA
e METRO-DADE FLAGLER BUILDING
BUILDING CODE COMPLIANCE OFFICE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603
PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563
305) 375-2901 FAX (305) 372-6339
NOTICE OF ACCEPTANCE (NOA) www.miamidade.eov/buldingcode
Gensteel Doors Inc.
4950 Hickmore Street
Ville St. Laurent, Quebec, Canada 114TIK6
SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of
construction materials. The documentation submitted has been reviewed by Miami -Dade County Product
Control Division and accepted by the Board of Rules and Appeals (BORA) to be used in Miami Dade County
and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right
to have this product or material tested for quality assurance purposes. If this product or material fails to
perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may
immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA
reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control
Division that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building
Code, including the High Velocity Hurricane Zone.
DESCRIPTION: Series Genstorm Opaque Outswing Steel Doors — L.M.I.
APPROVAL DOCUMENT: Drawing No. AD-09-001, titled "Genstorm Opaque Outswing Steel Door
LMI)", sheet I through 8 of 8, dated 10/22/09, with Revision I dated 05/24/10, prepared by MCY
Engineering, Inc, signed and sealed by Yiping Wang, P.E., bearing the Miami -Dade County Product Control
approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product
Control Division.
MISSILE IMPACT RATING: Large and Small Missile Impact Resistant
LABELING: Each unit shall bear one of the following permanent labels:
Gensteel Doors Inc. Gensteel Doors Inc. North American Doors Corp.
4950 Hickmore Street 2335 Industrial Park Drive 6 Industrial Blvd.
Ville St. Laurent, Quebec, Canada H4T1K6 Cornwall, Ontario, Canada K6H7M4 Plattsburgh, NY 12901-1911
and the statement: "Miami -Dade County Product Control Approved".
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in
the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of
any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to
comply with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed
by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then
it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of this page 1 and evidence pages E-1 and E-2, as well as approval document mentioned
above.
The submitted documentation was reviewed by Carlos M. Utrera, P.E.
NOA No 10-0125.01
Muu ao aoecouNTr Expiration Date: July 14, 2015
Approval Date: July 14, 2010
23/111 Page 101
MIA M I-DADE MIAMI-DADE COUNTY, FLORIDAOEMMMETRO -DARE FLAGLER BUILDING
BUILDING CODE COMPLI.ANCE OFFICE (BCCO) 140 WEST FLACLER STREET, SUITE 1603
PRODUCT CONTROL DIVISION MIAMI, FLORIDA 33130-1563
305) 375-2901 FAX (305) 375-2908
NOTICE OF ACCEPTANCE (NOA) www.mianridade.14ov/bug4jRgc2de
JELD-WEN Inc.
3737 Lakeport Blvd.
Klamath Falls, OR 97601
SCOPE:
This NOA is being issued under the applicable riles and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes_ If this product or material fails to perform in
the accepted mariner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including High Velocity Hurricane Zone of the Florida Building Code.
DESCRIPTION: Series "Premium" Vinyl (PVC) Sliding Glass Door W/ Reinforcements-L. M. Impact
APPROVAL DOCUMENT: Drawing No. 09-JNVN-0004, titled "premium Atlantic Vinyl (3800)" Sliding Glass
Door, sheets 1 through 15 of 15, prepared by Engineering express, dated 06/07/10, signed and sealed by Frank L.
Bemzardo, P.E., bearing the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance
number and approval date by the Miami -Dade County Product Control Division.
MISSILE IMPACT RATING: Large and Small Missile Impact Resistant
Limitation:
1. See applicable limitation of use per Design Pressure tables.
2. Pocket wall is not part of this approval and to be reviewed by AHJ
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of this page I and evidence page E-1, as well as approval document mentioned above.
The submitted documentation was reviewed by Ishaq I. Chanda, P.E.
APPROVED "Ra
NOA No 10-0308.04
Expiration Date: August 04, 2015
Approval Date: August 04, 2010
Page 1
MIAMI'ME MIAMI-DADE COUNTY
PRODUCT CONTROL SECTION
DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY 11805 SW 26 Street, Room 208
AFFAIRS (PERA) Miami, Florida 33175-2474
BOARD AND CODE ADMINISTRATION DIVISION /
r !'
T (786) 315-2590 F (786) 315-2599
NOTICE OF ACCEPTANCE (NOA) ' www.niianiidade.gov/pern
JELD-WEN Inc.
3737 Lakeport Blvd
Klamath Falls, OR 97601
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The
documentation submitted has been reviewed and accepted by Miami -Dade County PERA -Product Control Section
to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section
In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this
product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted
manner, the manufacturer will incur the expense of such testing and the "AHJ may immediately revoke, modify, or
suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this
acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to
meet the requirements .of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: The Jeld-Wen Series "Custom Collection" Single or Double or V Clipped Mullion
APPROVAL DOCUMENT: Drawing No. JEND0022, titled "Clipped Aluminum Mullion" Sheets_ 1 through 8 of
8, prepared by Engineering Express 08/02/10 and last revised on 04-12-12, signed and sealed by Frank L. Bennardo,
P.E., bearing the Miami -Dade County Product Control Revision stamp with the Notice of Acceptance number and
expiration date by the Miami -Dade County Product, Control Section.
MISSILE IMPACT RATING: Large and Small Missile Impact
Limitations:
1. This Clipped Mullion to be used with JELD-WEN windows products having current NOA(s) with calculated
average tributary width and span per elevation sheet 1 and using Design Pressure charts per sheet 6, 7 and 8.
Deviations from this clipped mullion approval will require one-time approval from Miami -Dade County.
2. Un-clipped mullion detail 4/4 in sheet 4 is for illustration only, such installation is under se arate NOA approval
shall meet unclipped mullion end anchors, embedment, edge distance and OC spacing.
3. Design pressure charts in sheets 5 & 6 are only applicable with anchor clip into wood substrate per sheet 4.
4. Design pressure charts in sheets 7 are only applicable with alternate anchor clip into wood or concrete
substrates per sheet 5.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, Bend, Oregon and
series and following statement: "Miami -Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal, applicationmhas been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product,
for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any
section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the
expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be
done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and
shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA # 08-1015.07 and consists of this page 1 and evidence pages E-1, as well -as approval
document mentioned above.
The submitted documentation was reviewed by Ishaq I. Chanda, P.E.
NOA No 10-1115.03
MlAh14E)14DEC0 NTY
Expiration Date: August 19, 2014
v Approval Date: May 03, 2012
4 +
Page 1
M IAM 1•DA®E MIAMI—DADE COUNTY, FLORIDA
LMANUM
PRODUCT CONTROL SECTION
BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) 11805 SW 20h Street, Room 208
BOARD AND CODE ADMINISTRATION DIVISION Miami, Florida 33175-2474
T (786) 315 2590 F (786) 315 2599
NOTICE OF ACCEPTANCE (NOA) www.miamidade.gov/building
Jeld—Wen, Inc (OR)
3737 Lakeport Boulevard
Klamath Falls, OR 97601
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction
materials. The documentation submitted has been reviewed by Miami —Dade County Product Control
Section and accepted by the Board of Rules and Appeals (BORA) to be used in Miami —Dade County and
other areas where allowed by the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami —Dade County Product
Control Section (In Miami --Dade County) and/or the AHJ (in areas other than Miami —Dade County) reserve
the right to have this product or material tested for quality assurance purposes. If this product or material
fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ
may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction.
BORA reserves the right to revoke this acceptance, if it is determined by Miami —Dade County Product
Control Section that this product or material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building
Code, including the High Velocity Hurricane Zone.
DESCRIPTION: Series `Builders 4100" Aluminum Single Hung Window — Non Impact.
APPROVAL DOCUMENT: Drawing No. JW007, titled "Series Builders Aluminum 4100 Single Hung
Window (Non —Impact)", sheets 1 through 6 of 6, dated 11/09/10 with the latest revision dated 12/27/10,
prepared by CertWorks, LLC, signed and sealed by Kristina S. Daugherty, P. E., bearing the Miami —Dade
County Product Control Approval stamp with the Notice of Acceptance number and Approval date by the
Miami —Dade County Product Control Section.
MISSILE IMPACT RATING: None.
LIMITATIONS: Miami —Dade County Product Control Approved Shutters or Protection Devices Shall Be Required.
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami —Dade County Product Control Approved", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in
the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of
any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to
comply with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami —Dade County, Florida, and followed
by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then
it shall be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its
distributors and shall be available for inspection at the job site at the request of the Building Official.
This NOA consists of this page 1, evidence submitted page E--1, as well as approval document mentioned above
The submitted documentation was reviewed by HelmyA. Makar, P.E., M.S.
gt,""d NOA No.10-0810.02
MIAMI.11 COUNTYI Expiration Date: 01/20/2016
FINKNOISEMP
01 /zo /2,o I) Approval Date: 01/20/2011
Page 1
d
I
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
W 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
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. 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
fit j for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
7
q
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
v
zoning regulations.
I am of aware of construction practices and I 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. w
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
JV
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
Z(r1 } individual or firm is injured while working on your property, you may be held liable for damages. If you
v 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.
I, --T-I1" JVM U( : - 1 A )1.C" I
and capable of performing the requested
conditions specified above.
Signature of Owner -Builder
Form of Identification 1r%y1? r 't i EU1 S
Must be Photo ID)
do hereby state that I am qualified
involved with the permit application filed and agree to the
Oak•
w. I -
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
Address: lZOl \U] a%*CA 5:1rer+
FL— :s, xn Ill 1
N()1 tCE OF C0PU IN11 G CEIN]EIN T
State of Florida
County of Serninola
Permit Number: 1 3 C 0 SY Parcel ID Number:
MARYANNE MORSE,-SEMINOLE COUNTY
CLERK OF CIRCUIT`COURT & COMPTROLLER
8K 08101 Fig 0264; Qpg)
CLERK'S # 2013104369
RECORDED 08/12/2013 03:09s52 PM
RE CppOgRDDIING FEEES 10.00
35193(jSoTdDUBd We(ir D
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement
DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
GENERAL DESCRIPTION OF IMPROVEMENT:
OUIPIER (INFORMATION:
Name: 15.` td
Address: \3d k lit aml—
Fee Simple Title Holder (if other than owner) Name: ---
Address:
CONTRACTOR(-
Name:
Address:
Persons within the'Stateof Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name: —
Address: —
In addition to himself, Owner Designates
of
To receive a copy of the Lienor's Notice as Provided in
Section 713 13(1)(b), Florida Statutes
Expiration Date oT Notice o'r Comrencement (The expiration date is 1 yeas- from date of recorclinmg r.lrlless a
different date is specined)
WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE Of -
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CAN 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 LEtIDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR, NOTICE OF COMMENCEMENT
Under p2rlaliias o; parjury, i declare that- I have read the foregoing and that the facts Staiod in it are U'U--3
to the best o; my hno-wledgp and belief.
Owner's Signature Owner's Printed Name
Florida Statute 713 13(1)(g) " The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.'
State of County of—Y
The -foregoing instrument rlas acktinwle•dged be care me this day
by ?La G!`— W 1 _— ____._—__ 'Pine is oersnnal-y :;no•./n to me
Name of person making statement
C3r;-uulIr) has !roc?raeeU
a.'N DEBBIE BLi+NTON
Notary Public - Stale of Florida
My Comm. Expires Feb 25. 2015 /yam///\{\• _ /
F
ss
Y Commission # EE 60182
National Nolary Assn. niup•• 6e?Q?J ' h((!t7 h
T..._ . _ QERK
Alf
aK
1InW13
SkAart tot.t CC71
REQUEST FOR P
Altamonte Springs, Casselberry, Lake Mary, Longwoc
Seminole County, Winter Springs
Date: March 4, 2014
Project Name: 122 (Hays Re -Model project Address: 122
Building Permit #: 13-2038 Electrical Pemut tk _
In consideration for authorizing the appropriate utility company to en
and understand the following:
1. The facility will not be occupied until a certificate of. occupancy ha
2. If the jurisdiction hereafter finds that the facility has been occuplei
occupancy has been issued, the jurisdiction will have the unflaten
terminate electrical service without nonce. Furthermore, we under
the jurisdiction exercise such right, the jurisdiction will not be resp
costs which may result from the exercise of such right..Also., in th,
damages from ilje exercise of such right, we agree to jointly and i
harmless the jurisdiction from all such damages and costs, includ
3. The building or structure shall be weather tight and secure. The e
designated for pre -power shall be complete and in safe order_ All
with the area will be 100% complete unless specifically approved
4. Interior electrical rooms shall be lockable or if electrical panels ari
locked by doors, the panels shall be equipped with an AHJ appro
licensed electrical contractor or his licensed representative shall I
access to electrical panels to prevent energizing circuits other the
approved by the jurisdiction.
5. If provided, the fire sprinkler system must be operational, per the
water on the system .prior to pre -power.
G. ThW pre -power approval is valid for a maximum of 180 days from
Richard Williams. Jr
Print %tame d ownodTt mud
igno'faerlTena<"—
N/A
Print Name of Gen. Qontnctor
t 1
SignWuro o nn. Contraotor
N/A.
Gen. Conlraetor t,lceme 0
1111I N 0 111llri 0/10111111
YA4ttt_TiftiRy<izi4-TioNAi. Oviedo,
Sanford, Dr.
Sanford Fl the
facility, we agree with been
issued_ before
a certificate of right
to direct the utility to j And
and agree that should i risible
for any damages or event
any third party claims tividually
indemnify and hold', g
attorneys fees. ctrical
wiring in the area lectfical
services associated y
the electrical inspector. in
an area that cannot ba d
locking mechanism. The Id
the keys(s) for such those
that are safe and AHJ
requirements, with of
approval. C
Electrical ER13013736
JURISDICTION
EMPLOYEE NAME: JURISDICTION:
CALLED
INTO: Progress Energy l`lodda power and Light -ion,_ _I /, Rev.
8IM13)
Deen, Joy
From: Richard Williams [Richard.Williams2@halliburton.com]
Sent: Monday, August 26, 2013 11:30 AM
To: Deen, Joy
Subject: RE: 122 Hays drive
Plumbing- 1500.00 -
2 ( 77. F0
Electrical- 2500.00 _
HVAC- 8500.00
TOTAL- $12500.00
This is the total I plan on spending and have budgeted for this project. This would be the
total to base the permit of of.
Richard L. Williams Jr.
MWD/LWD Field Professional I
Halliburton - Sperry Drilling Services
4607 Hwy 90 EastBroussard, LA 70518
Cell: (337)-351-8793
The content of this email is confidential and is intended to be read only by named
recipient. Unauthorized disclosure, copying, distribution or actions based on its content
are prohibited. If you are not the named recipient, please notify the sender immediately
and delete this message from your mail system.
From: Deen, Joy [Joy.Deen@Sanfordfl.gov]
Sent: Monday, August 26, 2013 9:31 AM
To: Richard Williams
Subject: 122 Hays drive
Permit fees are based on total construction cost. Need Plumbing, Electrical and HVAC
construction cost.
Joy Deen
City of Sanford
Plans Examiner
PH: 407.688.5064
Fax: 407.688.5152
PLEASE NOTE: Florida has a very broad public records law. Any written communication to or
from City officials regarding City business is a public record available to the public and
media upon request. Your e-mail communications may be subject to public disclosures.
This e-mail, including any attached files, may contain confidential and privileged
information for the sole use of the intended recipient. Any review, use, distribution, or
disclosure by others is strictly prohibited. If you are not the intended recipient (or
authorized to receive information for the intended recipient), please contact the sender
by reply e-mail and delete all copies of this message.
1
v
CITY OF SANFORD
BUILDING &-FIRE PREVENTION
PERMIT APPLICATION
l.pplication No: Documented Construction Value:
Job Address: 1&Q Hov, c , %Qn c3(6 F1. 'nari 11 Historic District: Yes RNo
Parcel ID• Zoning:
Description of Work: jkc F
Plan Review Contact Person: Kluy'a'CA 1), Title: ncxJtnQt'
Phone: Fax: J\1 E-mai1: & rdll; ams aP 4C'I ' cuf CIS
YY Property
Owner Information I,CC ,27oti Name
RC 'f6 Phone: 31- 351-8'lG 3 Street: lold
tk sAS ar• Resident of property? : 2 City, State
Zip: S,-xn c d Ft 3a'1'A 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:
Address: Mortgage
Lender:
Address: PERMIT
INFORMATION
Building Permit
Square Footage:
Construction Type: No. of
Dwelling Units: Flood Zone: Electrical New
Service -
No. of AMPS: Mechanical (Duct
layout required for new systems) lJr/.firrl4c /
ems C No.
of
Stories: Plumbing New
Construction -
No. of Fixtures: Fire Sprinkler/
Alarm No. of heads:
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.
r
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.
4 - `() --f b 11')
Signature of Owner/Agent Date Signature of Contractor/Agent Date
PrirlWwner/Agent's Name
Signature of Notary-StN\,
laT 101V -qr;i. Date
SE C5tie3cJ0O < y'
m.a
y .• tip,, i a
Owner/A ends°9'•. P Sown to Me or
Produced ID ,rypad {b =' L _
APPROVALS: ZONING: UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING: e7,?
l.ME291l l
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 or
an owner -builder permit under an exemption frorn the law. The exemption specifies that 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
w
l
T W
j .
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 pen -nit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the pen -rut 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 pennit and contracts.
I understand that I may build or improve a one -family or two-family residence or a faun outbuilding. 1
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 constriction 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 riay 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 any 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 nay building who is not licensed
must work under ray direct supervision and must be employed by me, which means that I must
comply-w-ftlr-l-a-ws-redui-ring t~he f hh r1€ itrg o-I €ederal-iarcotrae tamaard,ociai seenait Eo tribaatians--
under the Federal Insurance Contributions Act (FIFA) and rraust 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
zoning regulations.
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more i.nfonnation 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.myflon'da.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building pen -nit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
g
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 pen -nit 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: 1 oft } aw.fz !)K '
1, 7;OiA-t-ly-k L. 1),- i 1aYY1-z' , do hereby state that 1 am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
earl. - t Q-'
Signature of Owner -Builder Date
Form of Identification
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a terns 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, revolve 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
Revision
Response to Comments W_;TY ; -)
JUL -2 8 Z013
Permit # o 1 T- -' "Subiiiittal Date
Project Address: L NQ 4
Contact: 1('N1af fj) 1 cws 0-f
Ph:
Email:
Trades encompassed in revision:
uilding
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
Department
Utilities
Waste Water
Planning
Engineering
Fire Prevention
uilding
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
1_a3-1.,
ax• 1 I
r (`
General description of revision:
ROUTING INFORMATION
Approvals
SCPA Parcel View: 35-19-30-522-OB00-0040
iq PRq®PgA ® Pt-`
A u
Back < Previous Parcel Next Parcel > FS.ve Layout
Parcel: 3 5-19-30- 522-OB00-0040
Property Address: 122 HAYS DR
Owner: WILLIMAS RICHARD L JR
Mailing: 1301 W 2ND ST
SANFORD, FL 32771 - 4149
Subdivision Name: COUNTRY CLUB MANOR UNIT 3
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
Page 1 of 2
Property Record Card
Parcel: 35-19-30-522-01300-0040
Owner: WILLIMAS RICHARD L JR
Property Address: 122 HAYS DR SANFORD, FL 32771
Reset Layout New Search
Value Summary
2013 Working 2012 Certified
Values Values
Valuation
Cost/Market Cost/Market
Method
Number of
Buildings
1 1
Depreciated
g31,733 31,449
Bldg Value
Depreciated
EXFT Value
Land Value
7 000 7,500
Market)
Land Value Ag
lust/Market
g38,733 38,949Value *'
Portability Adj
Save Our Homes
0 0
Adj
Amendment 1
0 0
Adj
Assessed Value S38,7331 38,949
i 1 Tax Amount without SOH:
2012 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Map Aerial Both Footprint + Extents Center Does NOT INCLUDE Non Ad Valorem
Larger Map Advanced Map Dual Map View - ExternalE Assessments
I
769
769
0
Legal Description
LEG LOT 4 BILK B COUNTRY CLUB MANOR UNIT 3 PB 12 PG 75
Tax Details
I
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 38,733 0 38,733
Schools 38,733 0 38,733
City Sanford 38,733 0 38,733
SJWM(SaintJohns Water Management) 38,733 0 38,733
County Bonds 38,733 0 38,733 I
Sales
Deed Date Book Page Amount Vac/Imp Qualified
TAX DEED 06/2013 08060 1253 8,800 Improved No
3
PROBATE RECORDS 09/2008 07067 1892 100 Improved No
WARRANTY DEED 04/1999 03628 1259 57,000 Improved Yes
SPECIAL WARRANTY DEED 01/1999 03586 1072 44,000 Improved No
SPECIAL WARRANTY DEED 09/1998 03510 0191 100 Improved No
CERTIFICATE OF TITLE 08/1998 03482 1513 5100 Improved No
WARRANTY DEED 03/1996 03047 1089 42,900 Improved Yes
Find Comparable Sales within this Subdivision
Method Frontage Depth Units Unit Price Land Value
LOT 0 0 1.000 7,000.00 $7,000
Building Information
http://www.scpafl.org/ParcelDetails.aspx?PID=35-19-30-522-OBOO-0040 7/8/2013
1
THIS I
Address:
BY:
NOTICE OF COMMENCEME
MARYIIINF MOOSE, rJ.FRN OF CIRCUIT COURT
COUNTY
MO48 Pq 06191 (1 py )
LERK'S # 2013102633
WaIR06 00/07/013 021541pS pN
RF:(;ffift NGI FETE 10.00
9Ef;[IROH) NY T >3a th
Permit Number: 13- I'2 1C
Pa calIDNumber:a-A-6n-taa-6&n-[oy{)
The undersigned hereby gives notice that improvement will be made to certain reel property, and in accordance with Chapter 713, Florida Statutes, the
following Information Is provided In this Notice of Commencement.
1. DESCRIPTION OF PROPERTY, (Legal description of the property and street address If available)
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: `ai j&nTrA L.1 1 Clams S`r . 11 u) aftA tA` r'
Interest in property:._CjL>Jt`Et'
Fee Simple Title Holder (If other than owner listed above) Name:
Address:
4. CONTRACTOR: Name; % Phone Number: 33'' 3 l 2?,Iq
Address: % rrDt f t r4- A -a4fl L. un rxrl . rt %_L 11 L I _enE\^ .ems
CONNW, 6. SURETY (If applicable, a copy of the payment bond Is attached): Name:
Address: Amount of Bond'
S. LENDER: Name: Phone Number;
Address:
1. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as
713.13(1)(a)7., Florida Statutes.
Name: Phone Number:
Address:
a. In additlon, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
S. Expiration Date of Notice of Commencement (The expiration is t year from date of recording unless a different date Is specified)
WARNIN.Q TO.OWNER ANY PAYMENTS MADE BY THE: OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated In It are true to the beet of my knowledge and
belief,
Q
aec,l t,f lY as!'-r' `Y'I, 1.,1,\\.au+n r•. nt L11Q.r
Signature of wner arteaee4 or owner's or LeMe's ( sin Nano and Provide 81grialoys Till efoflloe)
Authorized OrtlreNOlroelarrPerinoNManage
State. of ," 1 k County of _)Oe t:4 ,
The fore oinnpoino rumentwas acknowledged before me this day of
by 'Y
7 f r. a/ . Who Is personally known to me Q OR
Name of per on making statement
1
who has produced Identificstlo3 type of Identification produced: I L • `Y 1 /0 f
y
rr, DEBBIE BLANTON
Notary PUDIIC State of Florida
5 My Cornm, Expires Feb 25, 2015
Commission N EE 60182
AontleU Through National Not Assn,
LZL8 "N
4
Notary Signature
MHA3H Wd9Z:E EH6 'L '21d
13
PIEDRO A. ECHE VERRIIA P.E. FL. RIEG -11f PE36783
RESPONSE TO COMM, FONTS .
DA'IFE: MLY 13, 2013
41ROJECT: 122 IJAYS DRIVE. SAN FORD,
ARCH ITE-_CTURAL:
Au 3
1. submit two sets off[6rida',product "P:pl,p
acceptance f0r.Fo ingespdrise: ``'gbr-ieral"-tvoMra6tor willsubmit, product appr6yal.
2. No
roof slope, indicated on plans. Response: Revised. See plans. 3. Sheet
A-1. No Wind Load Design Criteria. Response: Revised. See Plans. STRUCTURAL: 1.
Submit
Span Chart for 2x10's indicate species of wood. Response: 2xI0-
has been re -designed to use BLI beams instead due to long spans (
26'-3"). See Pre-enginering beam shop drawings attached.
lati'i'l'T 1USS C0 IAlC Bob
1233 N US HWY :. OIMAO:NID SEAC o, FL. 3%1.17 -
Uu11r1"A Si erTN 01996-2012 R.'u.==inx Coro
Projec" RIclLAIR DINILL.A`11,l3 aI
J I Usage : ,
Joist (Roof) 386)
673-0441 122
Hags Orive,-Samord idsiax
Deli : t__ = J2-10 T L = IJ180 Ccmposita cPion -. '\;o 15
Jul 2013 3:59 pm Version:
13.0 Spacing (
in.) : 24.0 Siooe :
0 25i121 H
LOA
DsProject Des;go Loads : Root: Live=20'.sf Daad=, psi Live-, (
Dead Ld(T) Live Ld(L) LDE Location' T
agape -@Start @End @Star:o3`nd Sor Starrs Ends Additionallno Spcg
Sen U,iform(psf) 27 20 125% 0 0' 0" 29' 3" 24" o.c_ Base Uniform Load (Spacing Sensitive) Dia7ansions
rnews're rcm ie ` enc / ^soma( is 0. ot;,e, w-is =fOM refendoft- ' Si ctfed S an. LOAD PAT+.-
Tr`IS=spa loaded) 1 2
3 I t
3 t
t
SUPPORTS(
lbs)
i 2
Max R'
n 792 792 Max 125%
587 587 Min R'
n 205 205 Min 125%
60 60 DL R'
n 205 205 Min Brg(
in..) 3.50 3.50 Stiffener NO
NO SUPPORTS(plf)
1 2
Max R'
n 396 396 Max 125%
293 293 Min R'
n 102 102 Min 125%
30 30 DL R'
n 102 102 Min Brg(
in.) 3.50 3.50 Stiffener NO
NO DESIGN Value
Span
X Group Allow LDF Ratio V(lbs)
7 02 2 0' 2" 4 2462 125% 0.29 M(ft-
ibs) 4636 2 13' 2" 43 6188 125% 0.75 IntRn(lbs)
792 0 1' 6" 44 3125 125% 0.25 See Note #5 LLDefl(in.)
0.12 1 0101, 43 0.20 2U303 TLDetl(in.)
0. 16 1 010. 43 0.20 2U226 LLDefl(in.)
0.r;9 2 13' 2" 43 1.31 U456 TLDefl(in.)
0.93 2 13' 2" 43 1.75 U339 LLDefl(in.)
0. 12 3 1' 6" 43 0.20 2U303 TLDeft(in.)
0.i 6 ---- 3 1 6 43`_ m 0.
20
2U22o USE: BLI
40 15.00" P24" o.c. i meets/exceeds APA-16" PRI--=01 Grade selected bV User onCENTERTm BLI
joist by BlueLinx NOTES: 1.
Designed
in accordance vri th National Design Specifications for Wood Construction and applicable Approvals or Research Reports. 2. Provide
full depth lateral support at the bearing location nearest each end of the member. Continuous lateral support required for compression edges. 3.
Increase
in moment capacf ry for repetitive member usage is no longer applicable per NDS 2005. 4. Loads
have been input by the user and have not been verified by BlueLinx Engineered Lumber Technical Services. 5. This
reaction is based on the combination of loads & duration factors that produces the highest stress ratio and may be less than maximum reaction. Therefore,
when reaction values are required, use Max R'n from 'Supports'section above. 6. Bearing
length (Min Brg(in.)) based on allowable stress of support material (Brg Str(psi)); support material capacity shall be verified by others). '
a 7. When
required by the building code, a registered design„professional or building official should verify the input loads and product application. 8. Analysis,
valid for dry -use Aly,(less than 16% moisture content).
TRUSS CO GC Bob s AA yg 9Pm
2 aN US HWY;,ORMOgD BEAC7I .8247- / )SZy q
9 --- -- q- -- -- -- _ . .. . . _o :]%gSi !g! 6-2012
2 Wit: I HARD' \SS 4 Hays ems mow
I duct or brand masarencG e m J r o' ¥e o. 10
Gmmmcuts ;r eonly xall the ero gm »m ;£ cut a±a_end ae g A +a not «eke% mJ 3 used. 4 -_
aGG m a .
r& 7e J 3a a ear?_t , iJ 2 J e by Me @cfor ,m; l DeffA
above beam e . r D fa % 7=
eel001& 2=J+s ,c=Jew -. 2=D .60e =+z3(1 9 ± 3=0, 0.06 aI e 0 a7M Qf1 «
S %m=ID--- 2 e53 113=0-55Dl13,2a Jew =mom G R 2e esE7 :mom !ym 7«: », sir-- fo-4
0 attarnems «r(er/mo ;a,i palfe, n_=, for LL, Jfor :
FF!CF
Legal Description: Certified to/ for the exclusive use of Flood Insurance Rate Map:
Lot 4, Block B, COUNTRY CLUB MANOR UNIT 3, Community Number. 120294 Panel: 0070
according to the Plat thereof as recorded in Plat Book Suffix F Flood Insurance Rate Map
12, at Pages 75 and 76 of the Public Records of Dated September 28, 2007 Flood Zone: "X"
SEMINOLE County, Florida.
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LOT-3
BLOCK-B
C Z)
FNn 21RON a
h NO ro o 4 CHAIN LINK FENCE (IYI
At- LOT-4
BLOCK-B
LOT-7
BLOCK-B
IN, S
LOT-6
BLOCK-B
I
SCALE 1':30"
S89'55'56"W
181.60'(M)
EAST
181.78(P)
TjN
N
WILKENS CIRCLE
LOCATION SKETCH
Scale 1 = NT.S.
m
60.00'
TOTAL R/W
i o PER PLAT)
rF0112'1 M
RDD W R 1
36.00'
ONE STORY
r RESIDENCE
19.36' #122
4•0 10.00'
U
nc en'
F01/2VIX 95.00
ROD W ID r AC
94.90'(h
S89'5214
Address: 122 Hays Drive Sanford, FI.32771
LeB/on G/oUP A LB17615 Legend:
y— = 6.0' WOOD FENCE
LAND SURVEYING AND MAPPING CORP. a = 4.0'CHAIN LINK FENC
sasnwr * RFOCRAPNY *CaVSTR Aw SUPPatr TELEPHONE RAISER
nDxolos *do
WOOD POWER POLE
V1055PalosVerde Dr. Orlando, Florida 32825J2825 SET I.R. = 1/2 ' I.R. LB 7615
Phone (407) 781-9329 Fax (407) 517-4393 —
Website WWN:LEBRONGROUP-COM =
Fmofl inf.04- rm mup-com
t,,t, RESC. DESCRIPTION 3Abbreviations: 13 CONCRETE BLOCK
P PLAT L ARC LENGTH six BLOCK
F FIELD A CENTRAL ANGLE P-C. = POINT OF CURVATURE
IRC IRON ROD AND CAP C.D. = CHORD DISTANCE
P.T. = POINT OF TANGENCY
LP.
I-R.
IRON PIPE C.B- CHORD BEARING
IRON ROD P.O.L.= POINT ON LINE O.R. = OFFICIAL RECORD
C.M. CONCRETE MONUMENT D.U.E. = DRAINAGE AND UTILITY EASEMENT O.H-L = OVERHEAD LINES
covo COVERED P.R-C. = POINT OF REVERSE CURVATURE CATV = CABLE TV RAISER
P.O.B. POINT OF BEGINNING P.C.C. POINT OF COMPOUND CURVATURE. ® _
DOCK
P.O.C. POINT OF COMMENCEMENT A/C = AIR CONDITIONER
C-L CENTER LINE N.R. = NON RADIAL
WITNESS POINT COVERED AREA
N&D
R.O.W.
NAIL AND DISK W.P.
RIGHT OF WAY CONIC. = CONCRETE
CONCRETE
R/W RIGHT OF WAY P.R.M. = PERMANENT REFERENCE MONUMENT
ESMT. EASEMENT CK = CONCRETE CORNER
DRAIN. DRAINAGE M = MEASURE I HEREBY CERTIFY THAT THIS SURVEY IS A TRUE AND CORRECT
UTIL UTILITY LB = LICENSES BUSINESS RFPRESENTARON OF A SURVEY PREPARED UNDER MY DIRECTION.
C.LFC. CHAIN LINK FENCE B.B. = BEARING BASE
FD. FOUND D/W = DRIVEWAY
PCP PERMANENT CONTROL POINT FND — FOUND
IV& PG PAGES ENCR. = ENCROACHMENT
P.B. PLAT BOOK
Basis of Bearing:
Bearings shown hereon are based on the EAST line of Lot 4, Block
YYY
B, being NORTH per plat
OVIDED IS ORDATAPOSESINtORFLOONALPURDONLY. T11E
SURVEYOR MAKES NO GUARANTEES AS TO THE raoE 2i141, SDR VEC/J 3
JOSEFLAa JI.NEORLTN,PSMM50ACCURACYOFTHEINFORMATIONPROVIDED.
THE LOCAL F.E.M A. AGENCY SHOULD BE
Rarida ayar.ad>
CONTACTED FOR VERIFICATION.
NOT VAW wTNOUT AN AUTHENRCATED ELECTRONIC SIGNATURE AND
ANuR Tws a NOT VALIDAUTHENTICATEDnEcmroraCsEN_ MwTHOUTTHESIIIATUREANDTHEOPoGNAL RNSEDNAP SEAL OF A
4" DRNEWAY . Z
FW 1/2'1Rolil
Ron No 1a '
LOT-5 a
BLOCK-B
Cd
v
The lands shown hereon were not abstracted for easements or
other recorded encumbrances not shown on the Plat.
i- Underground portions of footings, foundations or other
improvements were not located.
Wall ties are to the face of the wall and are not to be used
used to reconstruct boundary lines-
1. Only Visible encroachments located.
No identification found on property corners unless otherwise
shown.
Dimensions shown are Plat and Measured unless otherwise
shown.
i. Fence ownership not determined.
I. This survey depicted here forms a dosed geometric figure.
0. No underground improvements or visible installations have
been located other than shown.
T- This survey is prepared for the exclusive use and benefit of
the parties listed hereon liability to third parties may not be
transferred or assigned.
2. Notice this drawing may not be scale due to electronic
transfer.
3. This survey does not reflect or determine ownership.
4. Fence comer and building
or
are witness monuments to
obstructed comer, dimensions ore as shown.
5. Subject to any dedication, limitations, restrictions,
reservations, and/or easement of record no examination of
Title made by Surveyor.
6. This Survey is valid in accordance with F. S. 627.7842, for a
period of 90 days from the date of certification. This Survey
is not on ALTA/ACSM Land Titte Survey.
7- This Survey was prepared without the benefit of a
This Survey is Intended far mortgage or refinance purposes only- Exclusively fc
this used by those to whom it is certified. This Survey Is not to be used for
Construction, permitting, design, or any other use without the written consent
TAofLRON GROUP SURVEYING AND MAPPING CORP. PHOTOCOPYING FORBIDDEN
FIELD DATE: 6/20/2013 '
SHEET NO.: 1
REVIEWED BY: MLA.
1SURVEYEDBY: J.R.N.
DRAWN BY: I.C.
Revision
Response to Comments
Permit # :a) -
r-
20 f,Zf
City of Sanford
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
Submittal Date
Project Address: & &4- 1'i k ys- I/
Contact: h.'C 4 al-
Ph: 3 3 7 , 5-1 S Z 73 Fax:
Email: "-I - 3,( 3'FS , r7 a. , 4
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
Department
Utilities
Waste Water
General description of revision:
ROUTING INFORMATION
Planning
Engineering
Fire Prevention
uilding
Approvals
0
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L
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Sl_=AN1 OtL' COUNTY
t t(N@.)A 5 NARK t "k_ Ka _..'.
Revision
BUILDING DIVISION
use when permit has been issued)
Commercial ($70.00 min) Residential ($35.00 min)
Required Fields
Date: *Permit #: Received Bv:
Job Address: V r
Owner / Contractor Name: R r c4 C4 a t.,s
3 7 37 Fax: Phone:_3
Email:
List Items being Submitted: C_
Square
Footage: FROM: TO:
Valuation: FROM: $ TO: $
Value
difference:
AP / COR By FeesReviewsDateSentDate
Addressing
P&D
Zoning
Building
Electrical
Fire
Mechanical
Plumbing
Other
0q v (~ TOTAL FEES
13
1101 EAST FIRST STREET SANFORD FL 32771-1468 PHONE (407) 665-7050 FAX (407) 665-7486
Revision A1JCity of Sanford Response
to Comments j>013 Building & Fire Prevention Division 13
Ph: 407.688.5150 Fax: 407.688.5152 Permit #
Submittal Date N Q%)FA.- l?4 aOl Project
Address: 1aa { Contact:
w
Email
Trades
encompassed in revision: Building
Plumbing
Electrical
Mechanical
Life
Safety Waste
Water Department
Utilities
Waste
Water Planning
Engineering
Fire
Prevention wilding
Fax:
General
description of revision: ROUTING
INFORMATION Approvals
act, ,
G%
SCPA Parcel View: 35-19-30-522-OB00-0040 Page 1 of 2
fa?ivlSl ,gt u,4aQ,, ORA Property Record Card
PROPEHTV Parcel: 35-19-30-522-011300-0040
PRAMER Owner: WILLIMAS RICHARD L JR
eMwnt_E STY; KO.Rltoti Property Address: 122 HAYS DR SANFORD, FL 32771
Back I < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
Parcel: 3S-1 9-30-522-0800-0040 Value Summary
Property Address: 122 HAYS DR 2013 Working 2012 Certified
Owner: WILLIMAS RICHARD L JR
Values Values
Valuation
Method
Cost/Market Cost/MarkeMailing: 1 301 W 2ND ST
SANFORD, FL 32771 - 4149
Number of
Buildings
1SubdivisionName: COUNTRY CLUB MANOR UNIT 3
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01-SINGLE FAMILY
Depreciated
Bldg Value
31,733 31,44.(
Depreciated
EX FT Value
Land Value
Market)
7,000 7,50(
i
I
i
Land Value Ag
lust/Market
Value **
38,733 38,94!
Portability Adj
Save Our Homes
Adj
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F. i }
i
I
I
Amendment 1
Adj
0
Assessed Value 38,733 38,94(
fro i Tax Amount without SOH: $76
2012 Tax Bill Amount S76(
Tax Estimator
x i Save Our Homes Savings: $(
Map Aerial Both Footprint + - Extents Center * Does NOT INCLUDE Non Ad Valorem
Larger Map Advanced Map Dual Map View -External
Assessments
Legal Description
LEG LOT 4 BLK B COUNTRY CLUB MANOR UNIT 3 PB 12 PG 75
a. Details
i
Taxing Authority Assessment Value Exempt Values Taxable Value
I County General Fund 38,733 0 38,73--
Schools 38,733 0 38,73--
City Sanford 38,733 0 38,73_
SJWM(Saint johns Water Management) 38,733 0 38,73-
County Bondsi 38,733 0 38,73--
I
Sales
Deed Date Book Page Amount Vac/Imp Qualified
TAX DEED 06/201 3 08060 1253 8,800 Improved Nc
j PROBATE RECORDS 09/2008 07067 1892 100 Improved Nc
WARRANTY DEED 04/1999 03628 1259 57,000 Improved Ye!
SPECIAL WARRANTY DEED 01/1999 03586 1072 44,000 Improved Nc
http://www.scpafl.org/ParcelDetails.aspx?PID=35-19-30-522-OBOO-0040 8/12/2013
Revision
Response -to -Comments
Permit # I 3 ^ D R
Project Address:
Contact:
Ph: 3 " : 9 q J
Email:
Trades encompassed in revision:
Building
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
City of Sanford
ouiiding ix Fire -Prevention Division---- -
FEB . 6 2014 Ph: 407.688.5150 Fax: 407.688.5152
Email: building@sanfordfl.gov
J
Submittal Date
d
Ftw:
General description of revision:
ROUTING INFORMATION
Department Approvals
Utilities
Waste Water
Planning
Engineering
F' P hireeven kin
01119uilding 11 J 14f 4 11
PROJECT #:
RICHARD WILLIAMS
122 HAYS DR. SANDFORD FL. 32174
JANUARY 30TH, 2014
E
PEDRO A. ECHEVERRIA P.E.
801 S. Yonge St. Suite # 4 Ormond Beach FL 32117
Ph: ( 386) 676 2686
PROJECT ADDRESS: 122 HAYS DR.
OWNER: RICHARD WILLIAMS
DATE; JANUARY 30h 2014
REFERENCE: ADDITIONAL INFORMATION.-REV-4
FLINPLASTIC SBS MODIFIED
BITUMINOUS ROOFING MEMBRANS
OVER FLINPLASTIC NAIL BASE OVER
5/8 PLY —OVER 2X10 ROOF JOIST
SIMPSON H10A W/(4)10d
NAILS TO TOP PLATE &(4)
1/4"X2"TAPCON INTO
CONC. 0 EA. MEMBER
26 GAUGE GALV.
METAL DRIP EDGE
2X—
FLINPLASTIC SBS MODIFIED
BITUMINOUS ROOFING
MEMBRANS
OVER FLINPLASTIC NAIL CONT. ZXAO
BASE OVER 5/8 VYNIL
PLY —OVER 2X10 ROOF VENT. jJOISTSOFFIT
2x8
2x8 ROOF JOIST
24" O.C.
2)j"ANCHOR 48"0.(
INTO CONC.BEAM
O RAFTER ® 24" O.C.
I TOP OF WALL
MATCH EXIST.
2X8 BLOCKING ANCHORED INTO CONC,
48" O.C. W/5/8 ANCHORS
ROOF JOIST
0 24" O.C.
SIMPSON H10 LUS28Z ESR-2523
W/ 14-10d NAILS ® EA. JOIST
42"DRYWALL MIN. OVER 1X2 FURR.STRIP
24"O. C.
INTERIOR
EXISTING CONC. TIE BEAM.
1"x6"BOLT 24"O.C.
NOTE: FASCIA TO MATCH
EXISTING
EXTERIOR
MPSON USP SKHTZSI
14-10d NAILS
EA. JOIST
PFDRO'lk_E AlvtR
FL REG.# OX3.67'83
u
ENGIN ER PEDRO-A. ECHEVERRIA, PE. 01-30-14
FL REG.40636783 rdL
f
4","' --0-- _
Revision City of Sanford
Response`to Comments DEC 17 2013
1 3 -
Permit # Submittal Date
Project Address: ' r P-)
Contact:
I -
Ph: 2 4- - 3 Lfs
Email:
Trades encompassed in revision:
kBuilding
Plumbing
Electrical
Mechanical
Life Safety
Waste Water
Department
Utilities
Waste Water
Planning
Engineering
Fire Prevention
Building & Fire Prevention Division
Ph: 407.688.5150 Fax: 407.688.5152
V
Fax: AL te 4
General description of revision:
ROUTING INFORMATION
e Building
fk C, 0 17
y
Approvals - - -