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HomeMy WebLinkAbout150 Red Cleveland Blvd5-06-204 2:38PM FROM P.1 \ ^ CITY OF SANFORD PERMIT APPLICATION f Permit # : �tl Date: Job Address:Dvi c-C L- Lc,-k-� MDIv-� :131vo1 Cu.cl ' 2c1 CLtsv�la,.d �1vC� flRT`or¢ fn}ravtU Description of Work: C�'nS� + u c O� p� �r V0-1 J P �5 �11� CG�umr�S Historic District: Zoning: Value of Work: $_ 1 `b S 1 `{- . W Permit Type: Building Electrical Mechanical Plumbing Fire SprinWer/Alarm Pool Electrical: New Service — # of AMPS Addition/Altems on Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Rcquir d) Plumbing/ New Commercial: # of Fixtures k of Water & Server Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair -- Residential or Commercial Occupancy Type. Residential Commercial Industrial Total Square Footage: Construction Type: B )—OC IL_ #o(Stories: # of Dwelling Chits: Flood Zone: (FEMA form required for other than X) Parcel #' r1 (Attxch Proof of Ownership & Legal Deseriptiou) Owners Name & Address: I,a oo 'fed t31vc) at.F�c� F L 3Z)73 Phone: S 5 - 4O 1 4-') Contractor Name & Address: ''iay"ta �► ` I T u b Phone & Fax: o to Pe o 1 _ hone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: C-PN E T Phone � o / \ 1, �8 4- Address: —T— p ® Fax: Application is hereby made to obtain a permit to do the work and installations i tcatedj, f S a 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. OWN FFIDA V : 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- IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICl3: In addition to the requirements of this permit, there may be additional restrictions applicable w 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. OS -66 .. 04- Signature of Owner/Agent Date Signature of Contractor/Agent Date _7 l C'xne Ct'�W S W�� P :nt Owner/Agent's Print Contractor/Agent's Name Oaf G i o S )gjncure of Notary -State of FloridaI Lo cf Date Signature of Notary -State of Florida Date vt� WV-w -. Z:5'tx� 0. wY0 dC3 " 0 QZ APPLICATION APPROVED 13Y: Bldg:! I 6 /O U Utilities: (Initial & Date) Initial & Date) Owner/Agent is 1"/1 Personally Known to Me or Produced ID Special Conditions: Contractor/Agent is _ Personally Known to Me or Prod ucedID (Initial & Date) FD: I I 5 jI - v+t.. (Initiate 1 &.Daft) LOCATION: Rx TIME 05/06 '04 14:36 FILE No.807 05/07 '04 15:49 ID:ORLANDO SANFORD AIRPORT FAX:4073225834 PAGE 2/ 2 CITY OF SANFORD BUILDING DIVISION OWNERIBUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed S25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. in an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the tern `owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. 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 $25,000. 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 lure 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 supervising 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. I. e C_ r e w S , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. 1 will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. OwnerBuilder Signature Date (v,e G re v l - ..t b, o r , f V;ce-FrtSidenta�'1gC�rh�n,5frc�tcov1� Print owner/Builder Name .J JACQUEIIN.JM. COCKERHAM HpYAM OVK . STATE OF OA of Florida Date C°5� SIM eoc WTWR W14M14TARY Owner is ✓ Personally Known to Me or has ProducediD FILE No.806 05/07 '04 14:21 ID:ORLANDO SANFORD AIRPORT FAx:4073225834 PAGE 2i 2 i CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. 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 $25,000. 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 supervising 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. L ,. �_ �" �? W `� , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. Owner/Builder Signature Date DCxne Crews VJCC- Iry SiClan+ off' Ackr� «rstrcAt�a��.5s��•�o�c� A', po, f, ���tb•t�c fl Print Owner/Builder Narne Signature of Notary —State of Florida Date Owner is Personally Known to Me or has Produced ID 5-06-20d 3:08PM FROM ry NOTICE OF COMMENT Permit No. State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to Chapter 713, Florida Statutes, the following information is provided in 2. 3. 4. 5. A 7. 110111us11111111oil 11all HIII 1III Itall i1III isW I all MARYANNE MORSE, CLERK OF CIRCUIT:CIDURT SMIN©LE COUNTY 05309 FRG 07,82 CLERK' S # 2004076835 WWftW !1anloo (19i3E149 Am RECORDIND FEES 6.0 RECORDED BY t holden ain real property, and in accordance with Notice of Commencement. Description of property: (legal description of the property and street':address if available) New k T Dr i en+ran c.p opt of . Lo-1Crz- KCLCL I v a-n �2r-e lc ►� G� . I 3eneral description of improvement: Cor.-%+r v oLr�Dt . c.ml �mns � b ri s S'i )caner information t. Name and address S n4'0rD� Aki r- or } At 1,ar, I OD tZ2� Clp veCa.�-�d lv ,rod--d L- 3 DO73 �. , Interest in property -'W-- e Sim 1-2 Name and address of fee simple titleholder (if other than Owner), ►'1 .onuwtor t. Name and address I. Phone number ax ;urety ��h� u L. Name and address �. Phone number J`)(UG - C� (�2 Fax Amount of bond , ' 2QJ, DE:ca aT- g— C � number C40.F-) '77. 4 - (3c ,ender t. Name and address j b. Phone number Fax 'ersons within the State of Florida designated by Owner upon whor I Irovided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address LA2 fMf Do -,-Le, number notices or other documents may be served as is NW UQAreAa b. Phone number( j S $S - 8. In addition to himself or h rselE Owner to receive a col 713.13(l)(b), Florida Statutes. a. Phone number F. 9. Expiration date of notice of Commencement (the expiration date is 1 date is specified) Sworn to (or affirmed) and subscribed before me this I Y� day of � i A N1` t�' IEetil� Personally Known V OR Produced Identification_�� _ Type of Identification Produced _ " t -S' aturelof Notary Public, State of lorida ` ' ERTIFI a' CtiPY 0 ission Expires: " PANNE MORSE` - JIERK OF, CIRCUI'T-COUR'P:" BOMA ., LOCATION �Fa-L4. 0 .AAWt` — of the Lienor's Notice as l in .Section number :ar from the date of recording unless a different DiWXA- Crews Viceffe-<, AdM�n Signature o Owner ,20V+ ,by JACQUELINE M. COCKERHAM NOTARY PUBUC . STATE OF FLORIDA COMMISSION # 00100603 EXPIRES 03/19/2006 BONDED TNRU 1-BWNOTARY1 b