234 Scott Ave 17-1306; FLAG POLECITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: % q -
Documented Construction Value: $ 1500
Job Address: Z Sao -TT Historic District: Yes NoJiQ
Parcel ID: 2() -q- ` - ram»% - llrI? - ® Residential Commercial
Type of Work: New Addition R Alteration Repair Demo Change of Use Move
Description of Work: Ci q--c-r
Plan Review Contact Person:
Phone: Fax: Email:
Title:
Property Owner Information,----'---------_
Name MU Phone: '>'2_ Z 118 O
Street: N S(..D-T-r -Is. Vim. _. Res den—t o_f-property? : - - --
City, State Zip: SPNF t»R C) _"--)-1._ 3"7 1
Contractor Information
Name a' P'y- 2- Phone:
Street:
City, State Zip:
Fax:
State License No.:
ArchitectlEngineer Information
Name: -YA-C.0 (7hk-rT yAr ,n Phone: ' - 71-0 S"
Street: 0fZ0y%n! C K)Tit_- 17fL.
City, St, Zip: L020E>'yVb0D _ -44,—
Bonding Company:
Address:
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: 5" Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 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.
Signature of Owner/Agent Date
Print O /Agent's ame
LISA ANTONINI
Notary Public State of Florida
s ; My Comm. Expires May 21, 2018
Commission # FF 125242
Me or
Produced ID t/ Type of ID
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
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ZI Electrical Mechanical Plumbing[] Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING: - G - P UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: SIF 5,;4 i7
Ok to.erect flag pole as shown on plan. Setback from property line shall be equal to the height of the flag
pole.
Revised: June 30, 2015 Permit Application
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 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 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.
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
have licenses by law byemploytherequiredand 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 who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
n 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
l ajJ{ 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, I will
n abide by all applicable laws and requirements that govern owner -builders as well as employers. I alsoSI- 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 information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
n Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
j jY{ 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
listed below.
4
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
10 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 Address: l-J • SC.0 --(—I
I, Al k&tuDA. `- F V_R ,1Os , 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.
Signature of Owner -Builder
Form of Identification 1!L bC—
Must be Photo ID)
Date
5 /4 117-11_
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
SCPA Parcel View: 30-19-31-502-0100-0050 Page 1 of 2
Property Record Card
Parcel: 30-19-31-502-0100-0050
Owner: BERRIOS ANTONIO & AMANDA
Property Address: 234 N SCOTT AVE SANFORD, FL 32771
Parcel Information
Parcel 30-19-31-502-0100-0050
Owner BERRIOS ANTONIO & AMANDA
Property Address 234 N SCOTT AVE SANFORD, FL 32771
Mailing 234 N SCOTT AVE SANFORD, FL 32771
Subdivision Name MARVANIA 1ST SEC
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2005)
Legal Description
LOTS 5 TO 8 BLK 1
1 ST SEC MARVANIA
PB4PG100
Taxes
Value Summary
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 372,513 374,474
Depreciated EXFT Value 11,800 12,150
Land Value (Market) 59,364 45,512
Land Value Ag
Just/Market Value " 443,677 432,136
Portability Adj
Save Our Homes Adj 132,534 127,393
Amendment 1 Adj
P&G Adj 0 0
Assessed Value I $311,143 304,743u
Tax Amount without SOH: $7,849.00
2016 Tax Bill Amount $5,295.00
Tax Estimator
Save Our Homes Savings: $2,554.00
TRIM Notice Help
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund 311,143 50,000 261,143
Schools 311,143 25,000 286,143
http://parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=30193150201000050 5/4/2017
RECORD COPY
lsm-julhermanSTRUCTURAL
April 21, 2017
Tony Berrios
234 N Scoff Ave.
Sanford, FL 32771
Flag Pole Installation
Peryour request, we have reviewed the flag pole installation information provided by you. The installation of the pole into 3'-
6" deep, into 25" diameter concrete is appropriate for meeting the wind design criteria of the Florida Building Code 5th Edition
2014) chapter 16. The flagpole support foundation has been designed to withstand forces from 139 MPH wind speeds.
Please feel free to contact this office should you have any questions regarding this matter.
GUTHERMAN STRUCTURAL INC.
GVT H ERN '4e
q
No.60880
o STATE OF =
0-R110P..`a` .
ss,oNA
ntt
Jack Gutherman, P.E.
Gutherman Structural, Inc.
130 Crown Oak Centre Dr.
Longwood, FL 32750
P.407.701.0875 REVIEWED pop CODE COMPLIANCE
1W
PLANS EXAMINER
g "Z4. i'7
DATE
SA_NFORD BUILDING DIVISION
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
7- 306
LDI/VG
SANFORD
OFPAR.
Gutherman Structural, Inc. :• 130 Crown Oak Centre Dr. 4• Longwood, FL 32750 e P.407.701.0875
AV
5' =`14 gauge spun aluminum ball
gold anodized
Double sheave truck, cast aluminum
revolving, non -fouling type
2 Bronze swivel snaps with covers
per halyard
2 Sets of halyards: #10 poly
2- T Cast alur
Aluminum flash collar
3000 PSI concrete
Hardwood wedges
supplied by others
Dry sand tightly tampe
after aligning poi&
Foundation sleeve -16
hot dip galvanized;
Steel centering wedge
1/4'' Steel base plate
1/4" Steel support plati
welded to grounding
12"
1EF
Truck Detail
Revolving, non -fouling truck
Cast aluminum body
Stainless steel ball bearings
Nylon sheaves
Cast aluminum spindle
All shafts with overall
length of more than
38'-6" are shipped in
two sections.
Each section snatched marked
for field assembly. Exposed
portion,ofjam sleeve must
be well lubricated prior to
assembly.
1-1/2 maximum shop
gap allowed for field fitting
ram for tight joint)
25"
Filename ECX25 double sh _revomng truck.aiPrpiGroundsettotaperedaluminumflagpole: ALLOY: 6063T6 ' c bate: Location: Exposed height: 25'-0" Overall het ht 2T 0" a3
i 5 Co f Aue Contractor
Ship
in 1 section Butt diameter: 5" a Q nO r 1- Revision: Contractor
To diameter. 3" Wail thickness: .125 Customer. T0/
1! Finish 100 grit polish Job:
cyaau scnpaon
Lots 5, 6, 7, and 8, Block 1, 1ST SECTION MARVANIA, according to the plat thereof as recorded in Plat
Book 4, Page 100, of the Public Records of Seminole County, Florida.
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SCALE: .1"=30'
Ok to erect flag—--- - - - - pole as shown onfrompropertylineshallbee plan. Setback
of the flag Pole.equal to the height
REQUIRED INSPECTION SEQUENCE
BP# i I - 13n G.
BUILDING PERMIT `
Min Max Inspection Descri ti®n
p Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour
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
POD I Final Building (Other)
Address: 234 j• 5ce7T
ELECI'RI;CAL FERMI I
Min Max Insnection Description
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
ME'OIIAN I,CABE'1 M;1
Min Max Inspection Description
Mechanical Rough
Mechanical Final
Min Max Inspection Description
Gas Underground
Gas Rough
Gas Final
REVISED: June 2014