HomeMy WebLinkAbout2007 05 14 Informational 102 Standard Forms Building Division
COMMISSION AGENDA
ITEM 102
CONSENT
INFORMATIONAL X
PUBLIC HEARING
REGULAR
May 14, 2007
Meeting
MGR /DEPT
Authorization
REQUEST: The Community Development Department, Building Division would like to
inform the City Commission that the Building Division, in cooperation with Seminole County
and the other cities within the county, have developed and agreed to use standard forms
commonly used in the construction permitting process.
PURPOSE: The Board of Building Officials within Seminole County Have determined that
by standardizing these commonly used forms, the various Building Divisions can create a more
consistent method within Seminole County for the construction process and eliminate
unnecessary delays caused by unfamiliarity with paperwork between jurisdictions and, in turn,
better serve the citizens.
CONSIDERATION: The forms have been reviewed by the City Attorney and have been
approved for use in the City of Winter Springs.
FUNDING: None required
RECOMMENDATION: None required
ATTACHMENTS: Approved forms.
COMMISSION ACTION:
REQUEST FOR TUG & PREPOWER AGREEMENT
Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Date:
Project Name:
Project Address:
Building Permit #:
Electrical Permit #
In consideration for authorizing the appropriate utility company to energize the facility, we agree with and
understand the following:
1. This Tug/Pre-power application is valid only for one-and two-family dwellings.
2. The facility will not be occupied until a certificate of occupancy has been issued.
3. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has
been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service
without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the
jurisdiction will not be responsible for any damages or costs which may result from the exercise of such
right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly
and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including
attorney's fees.
4. Prior to pre-power, the building or structure shall be weather tight and secure. The electrical wiring in the
area designated for pre-power shall be complete and in safe order. All electrical services associated with the
area will be 100% complete unless specifically approved by the electrical inspector.
5. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors,
the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical
contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent
energizing circuits other than those that are safe.
6. This TUG/Pre-power approval is valid for a maximum of 180 days from date of approval.
7. If provided, the fire sprinkler system must be operational with water on the system prior to pre-power.
8. TUG approval is for service and outside GFCI outlets only.
9. Check with the local jurisdiction for fees associated with tugs.
Print Name of Owner/Tenant
Print Name of Gen. Contractor
Print Name ofEl. Contractor
Signature of Owner/Tenant
Signature of Gen. Contractor
Signature of El. Contractor
Gen. Contractor License #
El. Contractor License #
JURISDICTION EMPLOYEE NAME:
JURISDICTION:
CALLED INTO:
D Progress Energy
D Florida Power and Light
on
/ /
(Rev. 3/27/07)
STOCKING AND TRAINING PERMIT APPLICATION
INDEMNITY AND HOLD HARMLESS AGREEMENT
Altamonte Springs, Casselberry, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
BUILDING PERMIT NUMBER:
PROJECT NAME:
PROJECT ADDRESS:
Plumbing Inspector Approval:
Mechanical Inspector Approval:
Electrical Inspector Approval:
Fire Inspector Approval:
Building Inspector Approval:
In consideration for the Stocking Permit fee, the JURISDICTION and the OWNER, CONTRACTOR and TENANT listed below agree to the following:
I. The OWNER, CONTRACTOR and TENANT agree to indemnilY and hold the JURISDICTION free and harmless from any and all claims, causes of action, damages,
bodily injury(including death), losses, penalties or costs, including, but not limited to, all attorneys fees (whether from litigation or administrative proceeding, including
cost and fees on appeal), with respect to any person or government authority arising our of, either directly or indirectly, the construction, operation, training or stocking at
the premises covered by the above listed Building Permit number, whether the liability, loss or damage is caused by, or arises out of, the negligence of the
JURISDICTION or of its officers, agents, employees, or otherwise.
2. If the JURISDICTION shall be subject to any claim, demand or penalty or become a party to any suit or other judicial or administrative proceeding by reason of any
claimed act or omission by any party, or by reason of any act occurring on the subject premises, or by reason of any omission with respect to the construction or operation
on the subject premises, the OWNER, CONTRACTOR and TENANT shall indemnilY and hold the JURISDICTION harmless against all judgments, settlements,
penalties, and expenses, including attorney's fees, court costs and other expenses oflitigation or an administrative proceeding, incurred by or imposed on the
JURISDICTION in connection with the investigation of defense relating to such claim or litigation or administrative proceeding, and at the election ofthe
JURISDICTION, the OWNER, CONTRACTOR or TENANT shall also defend the JURISDICITON.
3. It is understood and hereby acknowledged between the parties hereto that the JURISDICTION shall not be liable for any act, debt, or other obligation to the OWNER,
CONTRACTOR or TENANT.
4. It is understood and hereby acknowledged between the parties hereto that this permit is for stocking and training of employees only for the structure or space covered by
the above listed permit number. This permit does not allow any occupancy of the structure for purposes beyond stocking, training of employees or completion of
outstanding construction work authorized by this or another permit. It is understood the structure or space shall not be occupied by the public until a Certificate of
Occupancy has been issued by the JURISIDCTION.
5. This INDEMNITY AND HOLD HARMLESS AGREEMENT will terminate upon the issuance ofa Certificate of Occupancy for property covered by the above listed
permit number. However, this agreement shall remain in effect for all events occurring prior to the issuance of the Certificate of Occupancy.
Building Owner Signature and Date
Printed Owner Name
Contractor Signature and Date
Printed Contractor Name
Tenant Owner Signature and Date
Printed Tenant Name
JURISDICTION APPROVED:
Signature and Date
(Rev. 4/20/07)
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of:
(Name of Company)
to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
o All permits and applications submitted by this contractor.
o The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this _day of
200_, by who is 0 personally known
to me or 0 who has produced as
identification and who did (did not) take an oath.
Signature
(Notary Seal)
Print or type name
Notary Public - State of
Commission No.
My Commission Expires:
(Rev. 3/27/07)
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
FSS 489.103 Disclosure Statement
State Law requires construction to be done by licensed contractors. You have applied for a permit under an exemption
to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction
yourself. You may build or improve a one-family or two-family residence or a farm outbuilding. You may also build or
improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for
your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after the construction is complete, the law will
presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your
responsibility to make sure that people employed by you have licenses required by state law and by county or
municipal licensing ordinances. You may not delegate the responsibility for supervision work to a licensed contractor
who is not licensed to perform the work being done. Any person working on your building who is not licensed
must work under your direct supervision and must be employed by you, which means that you must deduct
F.I.C.A and withholding tax and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
I HAVE ACCESS TO THE ADOPTED CODES.
I AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
I UNDERSTAND THAT FOR ANY UN-LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Address:
I, , do hereby state that I am qualified and capable of
performing the requested construction involved with the permit application filed.
Signature
Date
Form of Identification
(Must be Photo 10)
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. 4/20/07)
REQUEST FOR PRE-POWER
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole
County, Winter Springs
Date:
Project Name:
Project Address:
Building Permit #:
Electrical Permit #
In consideration for authorizing the appropriate utility company to energize the facility, we agree with and
understand the following:
1. The facility will not be occupied until a certificate of occupancy has been issued.
2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has
been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service
without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the
jurisdiction will not be responsible for any damages or costs which may result from the exercise of such
right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly
and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including
attorney's fees.
3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for
pre-power shall be complete and in safe order. All electrical services associated with the area will be 100%
complete unless specifically approved by the electrical inspector.
4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors,
the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical
contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent
energizing circuits other than those that are safe.
S. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on
the system prior to pre-power.
6. This pre-power approval is valid for a maximum of 180 days from date of approval.
7. Check with the local jurisdiction for fees associated with pre-power.
Print Name of Owner/Tenant
Print Name of Gen. Contractor
Print Name ofEI. Contractor
Signature of Owner/Tenant
Signature of Gen. Contractor
Signature of El. Contractor
Gen. Contractor License #
El. Contractor License #
JURISDICTION EMPLOYEE NAME:
JURISDICTION:
CALLED INTO:
o Progress Energy
o Florida Power and Light
on
/ /
(Rev. 3/27/07)
Page 1 of 4
David Alamina
From: Tony Apfelbeck [ACApfelbeck@Altamonte.org]
Sent: Friday, April 20, 2007 1: 11 PM
To: bward@lakemaryfl.com; floriand@cLsanford.fl.us; Dave Aldrich; David Alamina; Larry Goldman;
Mike Kraftsow; phubbard@cityofoviedo.net; Tony Apfelbeck
Subject: RE: [BOSeminole] FW: Final Forms and New Guidelines
I have changes the forms to address Winter Springs suggestions. (See attached.) I will assume
that everyone else is ok with these changes as they were very minor. I am heading over to get
David's signatures right now so I can have copies for everyone next week. So far, I have
signatures from Altamonte, Casselberry, Oviedo, Sanford and Seminole County. Longwood is
still checking and I have a call into Lake Mary.
Looks like we are in good shape.
Anthony C. Apfelbeck
MPA,CFPS,CBO
Fire Marshal/Building Official
City of Altamonte Springs
W: 407-571-8433
ACApfel beck@Altamonte.org
From: BOSeminole@yahoogroups.com [mailto:BOSeminole@yahoogroups.com] On Behalf Of David Alamina
Sent: Thursday, April 19, 2007 11:47 AM
To: BOSeminole@yahoogroups.com
Subject: [BOSeminole] FW: Final Forms and New Guidelines
Gentlemen,
I am sending the City of Winter Springs Attorney's response on the Owner Builder and Stocking forms.
Please see the attachments
I am sorry that I may be a bit late with the response but I was in the hospital since 4/6/07 (South
Seminole) for hearth-cat procedure on Monday and on Wednesday I was transferred to Orlando
Regional for another hearth stenth procedure. Today is my first day back to work.
Sincerely
{JiJ.(}(i/ i1. IflllMfira ceo
8wttltir? Ollieial
e~ 01 Mirtef' t;f'firjor
1126 Ead S'tate Roatl 134
Mirtef' t;f'f.i;p.r, fiof'{ifa 32708
5/7 /2007
Page 2 of 4
'107-327-1800 eJ;t 312
'107-327-'1755
iOlaJKlirll@<<IlirteN'Il'1irpll.o'1
From: Anthony Garganese [mailto:agarganese@orlandolaw.net]
Sent: Friday, April 06, 2007 3:30 PM
To: Randy Stevenson
Cc: David Alamina
Subject: RE: Final Forms and New Guidelines
Randy, I have reviewed the forms and they are acceptable. However, I have amended two of the forms to include
some key points and correct one type-o. The two revised forms are attached.
In addition to the amended forms, I recommend that the Guidelines indicate that, "The Forms are also subject to
variation by legal counsel in each jurisdiction." It just mentions the BO.
.~~
.~AJ"""
o ~Jr'
Anthony Garganese
225 East Robinson Street, Suite 660
P.O. Box 2873
Orlando, Florida 32802-2873
Phone (407) 425-9566
Fax (407) 425-9596
Kissimmee (321) 402-0144
Cocoa & Viera (866) 425-9566
Website: www.orlandolaw.net
Email: agarganese@orlandolaw.net
Any incoming e-mail reply to this communication will be electronically filtered for
"spam" and/or "viruses." That filtering process may result in such reply being
quarantined (i.e., potentially not received at our site at all) and/or delayed in
reaching us. For that reason, we may not receive your reply and/or we may not
receive it in a timely manner. Accordingly, you should consider sending
communications to us which are particularly important or time-sensitive by means
other than e-mail.
Confidentiality Note: This e-mail, and any attachment to it, contains privileged
and confidential information intended only for the use of the individual(s) or
entity named on the e-mail. If the reader of this e-mail is not the intended
recipient, or the employee or agent responsible for delivering it to the intended
recipient, you are hereby notified that reading it is strictly prohibited. If you
have received this e-mail in error, please immediately return it to the sender and
delete it from your system. Thank you.
From: Randy Stevenson [mailto:rstevenson@winterspringsfl.org]
Sent: Monday, April 02,20073:02 PM
To: Anthony Garganese
Subject: FW: Final Forms and New Guidelines
Anthony,
These forms have been adopted by the various Building Officials in Seminole County. Can you look at them and
5/7/2007
Page 3 of 4
see if, from a legal standpoint, we have any concerns. I believe we need to respond back to Tony Apfelbeck by
Friday, April 6th. Thanks,
Sincerely,
Randy Stevenson
Community Development Director
City of Winter Springs
1126 East S.R. 434
Winter Springs, FL 32708
(407) 327-5970
From: David Alamina
Sent: Monday, April 02,20079:20 AM
To: Randy Stevenson
Subject: FW: Final Forms and New Guidelines
Randy FYI
OatHiI J. 11!(/JKfira C80
8w'ltiirj Officia!
Cr'tj 01 Mirte,. .f;l'iirJo'
11.26 Ead ttate Roatl'l31
Mirte,. .f;l'iirp, fifflrfa 3.2708
'107-3.27-1800 ext 31.2
'107-3.27-'1755
ia!(/JKfira @rllfirte,.$'jJl'iirJo'ft'.o"1
From: Tony Apfelbeck [mailto:ACApfelbeck@Altamonte.org]
Sent: Friday, March 30, 2007 8:57 AM
To: bward@lakemaryfl.com; Dale Baker; f1oriand@cLsanford.fl.us; Dave Aldrich; David Alamina; Larry Goldman;
phubbard@cityofoviedo.net; Tony Apfelbeck
Subject: Final Forms and New Guidelines
Gentlemen,
Attached are finals of the:
1. The pre-power, TUG, POA and owner disclosure forms that we agreed to move forward on
at the last meeti ng
2. Consistency guidelines for implementing the above forms
3. Consistency guideline for implementing the new registered contractor program
Please let me know by next Friday if you have any objections to the above final
forms and guidelines. If I do not here back, the assumption is that the forms and
guidelines are a go from your standpoint. I will start getting signatures to
implement.
5/7/2007
Page 4 of4
I have also attached a draft of a stocking + training permit for your review along with a draft
consistency guideline. Please review and comment on this form/guideline also.
Have a great weekend,
Anthony C. Apfelbeck
MPA, CFPS, CBO
Fire Marshal/Building Official
City of Altamonte Springs
W: 407-571-8433
ACApfelbeck@Altamonte.org
This e-mail message has been scanned for Viruses and Content and cleared by NetIQ MailMarshal
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.
www.altamonte.org
Confidentiality Note: This e-mail, and any attachment to it, contains information intended only for the
use of the individual(s) or entity named on the e-mail. If the reader of this e-mail is not the intended
recipient, or the employee or agent responsible for delivering it to the intended recipient, you are hereby
notified that reading it is strictly prohibited. If you have received this e-mail in error, please immediately
return it to the sender and delete it from your system. Thank you.
This e-mail message has been scanned for Viruses and Content and cleared by NetIQ MailMarshal
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.
www.altamonte.org
5/7 /2007