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1011 W 6 St; 18-4136; ROOFCITY OF OCT 0 3 2018 NANF01 PERMIT APPLICATIONIDgy _ BUILDING DIVISION b Application No: Documented Construction Value: $CR Job Addres si::: 1©I 1 \lu . , `!' S' - v'f NA3rz-G fL._ -RZFF y Historic District: Yes No% Parcel ID: Residential N Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: ' ! "Czef)-mVaq I_ A Plan Review Contact lPerson: M.A/Z'Y Title: fiC101606,'/tki Phone: I Y )% 'T-zd l Fax: Email: lPfopefty- Owaer Information Name MA12 V `YqWQ92 Phone: 6f_-37)qt_?( Street: / d Resident of property?: City, State Zip:d5'hryb FL, Name Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone: Fax: State License No.: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST -INSPECTION. IF --YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of alllaws 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: 61h Edition (2017) Florida Building Code NOTICE: In addition to the requirements ofthis 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 ofpermit 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. d Signature of O er/Agent Date Print Own r/Agent's Line teofFlorida,.;;NE-TTE BLAND Date Notary Fuulic - State of Florida Commission # GG 060623 My Comm. Expires Jan 16, 2018 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date OWnei i f or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes []No WASTE WATER: BUILDING: 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 f' zoning regulations. IF 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. 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 andIProfessionalRegulationandthebuildingdepartmentmaybeunabletoassistyouwithanyfinancialloss 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'sworkers' compensation coverage. Pro y;Ad'dr:ess" 1 ;& 4 " )cu nd capable of p orming the equ conditions specified above. ure of Owirer-Builder J do hereby state that I am qualified construction involved with the permit application fled and agree to the Form of Identification Must be Photo ID) Date A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 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 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. 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 fled in his or her name instead of my own name. I also understand that a contractor is required by IAW.;to. be 0F' 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 n V7 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 Yl 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 ofthe 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 M_i comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 City of Sanford Building Division Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — NO PLAN REVIEW REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: Permit Card, posted in a conspicuous and weatherproof location Completed Residential Re -Roof Scope of Work Completed and Notarized Inspection Affidavit All Florida Product Approval and Corresponding Installation Instructions Product Approval shall match what is on the scope of work) Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit provided by a Florida Design Professional (architect or engineer), certifying FBC code. compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: r r!*' U Ln' t DZATE: e l PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work B,ADDRESS: IOVA W, d ' 17, 5AA1F01Z,0 FL-. _k=q a STRUCTURE TYPE:$INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE - ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BEREPLACED * * ROOF VENTILATION: DOFF -RIDGE RIDGE OFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YESL,4WO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 14:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL INGLE 1 fff4 '& FL# ;?, O O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# .. O TILE FL# O OTHER: FL# rn re lUnnrucc A rinc c rr 1 *eFTc Anne ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 P) 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE IrmeQz ,6z FL# /Q /o, 4- O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# SCPA Parcel View: 25-19-30-5AG-0813-OOIA Page 1 of 2 Property Record Card Ppa l! Parcel: 25 19 30-5AC 0813-001A s nserxx ec„cxxrry 4XIA. I Property Address: 1011 W 6TH ST SANFORD, FL 32771 Value Summary 2018 Working 12017 Certified Values Values Valuation Method Cost/Market j_ .. CostlMarket Number of Buildings 1 1 Depreciated Bldg Value $39,555 37,273 Depreciated EXFT Value Land Value (Market) $11,093 11,093 Land Value Ag Just/Market Value " $50,648 48,366 1 Portability Adj Save Our Homes Adj $1,798 1,141 Amendment 1 Adj $0 0 E P&G Adj $0 0 3 Assessed Value $48,850 47,225 Tax Amount without SOH: $460.00 2017 Tax_Bill_Amount $460.00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Legal Description W75FTOFN1/20FBLK8 TR 13 (LESS RD) TOWN OF SANFORD j PB 1 PG 112 Taxes 1 Taxing Authonty Assessment Value Exempt ValuesTaxable Value County General Fund W 48,850 1 23,526 25,3241 I Schools 48,850 23 526 25,324 City Sanford 48,850 23,526 1 25,324 SJWM(Saint Johns Water Management) 48,850 ` 23,526 25 324 1 County Bonds 48,850 23,526 25,324 Sales Descnption ww______ ....... Date w L ................ Book Page Amount Qualified Vac/Imp 5... ......_. j SPECIAL WARRANTY DEED 12/1/1992 02529 1 1821 $42,500 No Improved l CERTIFICATE OF TITLE 1/1/1992 02382 1194 $21,800 roved No ? Improved QUIT CLAIM DEED 9/1/1990 02223 1710 $100 No Improved QUITCLAIM DEED 5/1/1990 02185 0651 $100 i No j Improved i l j QUIT CLAIM DEED 2/1/1990 02151 0858 @ $100 No Improved WARRANTY DEED 7/1/1985 01652 1489 $41,000 Yes Improved h WARRANTY DEED 10/1/1978 011933 _..._.._ 0168 $27,3006 _ Yes Improved 3 Find 'Comparable Sales Land Method m Frontage Depth Units Units Price Land Value u. FRONT FOOT &DEPTH 75.00 = 81.00 i 0 174.00 { 11,093 E t http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=2519305AG0813001 A 10/3/2018