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Home My WebLink About2009 02 17 Entered into the Record as 'WS 6' for 500.1Date: February 17, 2009 ENTERED INTO THE RECORD AS `WS 6' FOR 500.1 ~ V f ~..~ TS bd _1 o V' ~~ ~ Z ON t.o ~.o,~,+~tw ~t - ~.l1pT b lD~.sSbd .~-~,n T ~t~~~ewol,~s ZI /~.,0~5~~ ~.py~ajs~I ~~. CZ tt •-a-v~o ~ov S ~ -~Z ' av~0 ~ ~S z ~- ~~ ~~~,~~~ ~~ L~'~ s~.~,-~~ vQ r..~~c#~su j CITY OF WINTER SPRINGS Permit #: ORFR 200702581 Issue Date: 05-NOV-2007 Parcel #: 1021305DSOJ000060 Site Address: 207 W PANAMA Building Division 1126 East SR 434 Winter Springs, FL 32708 Office: 407-327-5963 Inspection Line: 407-327-7596 ORPHAN ROOF RESIDENTIAL Lot #: 006 Owner: (OWN) Barros Cisco Phone: 407-492-5289 NO`S' 207 W Panama Rd Noy ~9 f 9 is ~. N..s, Winter Springs, FL 32708 Contractor: (OB) OWNER/BUILDER Phone: License #: OWNER / BUILDER Work: ORPHAN RE-ROOFING WORK Description: SHINGLE TYPE: 3 TAB NUMBER OF SQUARES:21 PITCH:5/12 PERMIT APPLICANT MUST VERIFY COMPLIANCE WITH NEW HURRICAN MITIGA Value of Work: $600.00 Square Footage: Floor Footage Total: Construction Type and Occupancy: Code Description Sprinklers: Fees: Code Account Description Amount Paid ~ ROOF_SBC PERMBG ROOF $45.00 $0.00 45.00 Total: $4s.oo $o.oo $4s.oo Notice This permit becomes null and void if work or construction is not begun within six (6) months after its issuance, or if the work authorized by this permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. Certification I hereby certify that I have read and examined this document and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not..Grantin~ of a permit does not presume to dive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Sign ture of Contractor or Authorized Agent ~~~~~ Date NA~I~a~ t-SEcuN~~Ry wAZC~2,, g,~F~eR~~. ~ ~~°~~ u~so)n~ 3f i~`og - a,~pk~ne~Q ~r,spec~ero„ s ~ Ars ~ t a ^ti C o v v`~~D W r'1'1~ t ~ ~ r~~ Z rt ~. ~i~~ Acx.d~-.~ ~ f ~o ttsS C ~~ N oT~ c ~ q1'" S d B S .~r~ \ C„~, t ". ~.:; ~~ . ,~ "~ EG K t wfi' a .c.. bfi ~ ~ rt. y ",<,N ~ooP D ~ T 0 ~' ~}~~ M~l~-ScN~2.410 ~ ~~ ;,,, `i~~'L~~y 1 NPR~~R~rSt C~~K o~-'Hovt~r aN~~~. ~I~ ~~,~ /) /C , ~ COPYRI HT KIVA 1997 - 2007 v I ` ~.~ 3~~ ' ~ CITY OF WINTER SPRINGS PERMIT APPLICATION Permit # C~L'CJ /Uq'~,~J ~ Date Time Type of Permit: (Check all that apply) Building F.Icctrical Plumbing Mechanical Fence Pool Shcd ~ Rooting t'nnrrart Valnr~ ~ p Orphan R.O.W. Pods Sign Arbor Permit # Septic Permit # ame ~i ,~~ ~G!/L2~~ Phune # D Hit - $~ ~ ~ (Fee Simple) Owner's N g t~ Mailing Address ~~ / / a~'lA Gt-tq ~_~. J r N ~ CY SdYI (~14.C ~ ~. 3 2 ~ ~ ~ Construction Address $ Iq-{'y) -G. Lot # Living sq.ft. ls'. floor l_Living sq. tt. 2°`l. fluor Living Other sq. ft. Sq. ft. Of: Garage Entry Rear Porch Other non-conditioned Subdivision Zoning Section Township Range Contractor,,/fs~se.`7 /~~~ Address ,~jj~ ~C~[QGft~NG _~~ t.l i '~'~QY $~,~/~S Phone #~+~~!lyr,~=~j,~ 84c # Expires Wurkman's Comp Expires E3onding Company Address ArchitccUEngineer Address Mortgage Lender Address Work Description ,C(Q ~ /~. Haectrical: Contractor Address License # Expires _ Phone # Amperage Work Description _ ___ _ _____ Amperage Voltage Phase T-Pole: Yes No__ Contractor Address license # Expires Phone # Contract Amount $ Work Description System Type EER SEER Plumbing: Contractor Address License # Expires Phone # Contract amount $ Work Description # of: Fixtures to be added Sewer Water Heaters Vacuum Breakers UG Water Drains Commercial Fixtures: As defined by 1994 Standard Plumbing Code Fixture Unit-Table 713.1 O"1'HER: Type Cunn-actur Address Licensc# _ _ __. Expires ___ _ _ Phone __ _ Contract Amount: Work Description Srvimmin~~ Paol Lut Grading Typc: ~ AD B, C, Other ~+ Yes, No. Will Existing Drainage E3e ~)~red? OF WINTER s'~RIN Distance from edge of pool to: PB'Tn'n~na - lc,~~st~ ~~tcar Yard, Side Yard 1, Sidc Yard 2. Engineering Division may require a survey for final inspcctiun. j 1 Fence Type of Material for Fence Fence Height Linear Feet of Fence to be Installed Contract Amount $ Sign: Name of Business. OFFICE USE ONLY Owner/Manager Phone # InstallerlSign Co. Phone # Existing Sign (Y/N) Description Proposed Sign Description Size of Sign X Contract Amount $ Type of Sign Outdoor Advertisement (on-site) Construction Real Estate Outdoor Advertisement (off-site) Identification Other CALCULATED VALUE PERMIT FEES Building Permit Plan Review Electrical Permit Mechanical Permit Plumbing Permit Right-of--Way Permit Arbor Permit Other PERMIT TOTAL: IMPACT FEE TOTAL Community Dev: Reviewed By Date: Approved: YES NO Engineering: Reviewed By Date: Approved: YES NO Fire Marshall: Reviewed By Date: Approved: YES NO Building: Reviewed By Date: Approved: YES NO WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING A NOTICE OF COMMENCEMENT. APPLICANT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BE DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONING. I FURTHER UNDERSTAND THAT WORK MUST COMMENCE WITHIN 60 DAYS AND BE COMPLETED WITHIN ONE YEAR FROM DATE OF ISSUANCE OR THE PERMIT WILL EXPIRE. COMPLIANCE CERTIFICATION: 1 CERTIFY THAT THE POOL CONSTRUCTION WILL COMPLY WITH ALL APPLICABLE N.S.P.I. DESIGN REQUIREMENTS AND THE POOL COMPLIES WITH SECTION 1803.1.3 OF THE 1997 STANDARD BUILDING CODE. OWNER MUST SIGN ALL PERMIT APPLICATIONS. EXCEPTION: CONTRACTOR PROVIDE AN "OWNER SIGNED" CONTRACT OR A NOTARIZED POWER OF ATTORNEY, FROM THE OWNER, GRANTING AUTHORITY TO THE CONTRACTOR. SIGNA'I'URE~~~~^ /,~f,~i~,Z (Owner/Agent) The foregoing instr ment was ackno ed ed B f me 's of 2By , as iUent~t~ fon a j Notary __ (seal) =b` ~`: Commission # DD529692 %~~~~ Expires March 16, 201 C ~~~ ~ii1~~` Bonded Troy Fain • Insurance, tnc. 800.385701 IMPACT FEES Transportation Impact Police Impact Fire Impact Other r SIGNA'I'l1RE ~~~ /~5(rt~-. (Contractor) The foregoing instrument was acknowled ed Be m his y ofw / Zo~r~ _~ a, ~ - w o 's p on y k w to e o d as identi i ~ t an oath. '~ S Notary (seal) ~ =: - ___ Commi Ion ,~ `~ Expires March 16, 2010 ~~'/~i~~~,pondedTroyRtln•InWanoe,lnc. 800.3857019 ~. ' 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 cone-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. G THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. Q, THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE. rf 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: ~0 ~ ~ ,~.u~co~- I~c.Gt I~~,~` S.~~t~~ ~ /_ .~2 h 6~ I, ~~ /3~t .~~-- , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. /~~~~ a Signature Date Form of Identification ~( Q ~- (Must be Photo ID) ~~: ~ ~ ~~ A violation of this exemption is a misdemeanor of the first degree punil~~ ~~Lm of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. n i the local permitting jurisdiction shall withhold final approval, revoke the permit, or purStT6~rgnyvauf~i~-~~rN emedy for unlicensed activity against the owner and any person pertorming work that requires"il'~'@4tsfr;~,un~r the permit issued. (Rev. 4/20/07) RE-INSPECTION NOTICE CITY OF WINTER SPRINGS BUILDING DIVISION Customer Service Office: (407) 327-1800 Ext. 305, 307, 326 Schedule Inspection Line (407) 327-7596 Contractor: . . Permit Number: ~ G ~ 7~ ~S`c,Gl Lot Number: Address: ~ ~ ~ ~ /~~ ^~~ ~'-~ Inspection Performed: /~~'~ ~ ~ ~ ~ ~' ~ ~-~' '~ I ~ 2 ~~~`~ ~~ ~ r- ~'' Date: //-3 ~ - ~~ Remarks / Comments: ~ ~~ E r ~ ~ ~ G ~ ~ l M ~ c ~-i ~ ,~ / S' c 1-1 c 2 ~f ~ j ~,~ ~ 1~v~(~~~ ~JL~I ~~y RE- INSPECTION FEE: $ T NOTE: RE-INSPECTION FEES MUST BE PAID PRIOR TO RE-INSPECTION. THIS NOTICE AND ALL APPROVED PLANS MUST BE ON SITE FOR ALL INSPECTIONS AND RE-INSPECTIONS. PLEASE NOTE ADDITIONAL PAGES: ^ Y L~ N ,~ r~ ~ ` B DING INSPECTOR InspectdTContact Available 7:30 a.m. - 8:30 a.m. • (407) 327-5973, 5974, 8988 Page 1 RE-INSPECTION NOTICE CITY OF WINTER SPRINGS BUILDING DIVISION Customer Service Office: (407) 327-1800 Ext. 305, 307, 326 Schedule inspection Line (407) 327-7596 Contractor: ~ UJ rt ~ j hn ~ ~ O~ . Permit Number: C i ° C~c~S°~ ~ Lot Number: Address: ~~ (~~ ~-J ~ ~~~ n ~; r-7 ~ Inspection Performed: Date: ~~ ~ Z7 ~ ° ~ Remarks /Comments: P~., ~ ~ , ~ n ~ c.~ m ~_ ~ c_.c.:, ~~, , ~~ , .~ ~, >, t~ ~ ~' fOJ~~~~g pc2r'm ~~• , ~. - RE-INSPECTION FEE: $ ~4~-`'`- ~`"~ ..- NOTE: RE-INSPECTION FEES MUST BE PAID PRIOR TO RE-INSPECTION. THIS NOTICE AND ALL APPROVED PLAN~~UST BE ON SITE F ALL INSPECTIONS AND RE-INSPECTIONS. PLEASE NOTE ADDy~;IONAL PAGES: ^ Y ~N NGINSPECTOR Inspector Contact"Available 7:30 a.m. - 8:30 a.m. • (407) 327-5973, 5974, 8988 Page 1