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Home My WebLink About117 1-2 Magnolia Ave 02-305 com int remodelPERMIT ADDRESS 6 Nc) I To Avt- i CONTRACTOR DU3I1E-r ADDRESS PHONE NUMBER PROPERTY OWNER 3O h, ADDRESS P.D. b z)X etc. FL 3)--73,�, PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE FEE SUBDIVISION PERMIT # Vd ' 3 (:) S DATE PERMIT DESCRIPTION T11T . (< ejy) 0c) Pal-1� PERMIT VALUATION 4 1 "I 3 O SQUARE FOOTAGE "i wo o _a H 0 Lh - - --It vlmlai Q��V ,\ 1 Permit No.: 0 Job Address: I 1 7y CITY OF SANFORD PERNHT APPLICATION �-3(D5 Date: I G No V 0 v Permit Type: ✓ Building ✓Electrical Mechanical `Plumbing Fire Alarm)Sprinkler Description of Work:Reo/GCe &-me- Recovifigvye t-es1-00a4 t/ wall5 31 rehecJ fr'T�x y�'p,5 11 o Meet EL Access We- RePlgce 4alVaht-ted P IPes. S¢Q �-Jj Additional Information for Electrical & Plumbing Permits Electrical: v"'A'ddition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS ) Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures___ Number of Water & Sewer Drainage Lines Number of Gas Lines 02 Occupancy Type: _Residential ✓Commercial _ Industrial Total Sq Ftg: boo Value of Work: $ 14 3 0 Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units: Parcel No.: Owner/Address/Phone: J o l n J -Demo r -� Qy e I , P-y. (Attach Proof of Ownership & Legal Description) (qo?) 3q5—go(o2- CIi.i e-) (t{o?) 3--4 `Ss lS (bu5iv,a55 Contractor/Address/Phone: 6 w v% e v- Contact Person: Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer Address: rno"e- Phone & Fax Number: State License Number: Phone No.: Fax No.: F- L 3 z 7 3 2- 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. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliancewith 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. 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. � 6 A). v 4 S' ature of Owner/Agent Date Print Owner/Agent's Name lorida Date of NrFLOe JO ANN M. JOHNSON COMMISSION # CC 921808 EXPIRES: March 23,2004 Banded 7Aru Budget Notary Servitea Own e Agent is Personally Known to Me or z'Produced No y 0'1 -7 8 Doll 10 Signature of Contractor/Agent Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: r/ o ,c g; Date: Zr- O Special Conditions: A S' ky 46,( 03 CiTY OF SANFORD BUILDING DIVISION OWNEWBUILDER 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 i 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 \,our 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 I 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. j J�>�yl � �r � e 1 , 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. /—O%yfferABuilder Signature Date Print Owner/Builder Name ignature of Notan- ate of Florida Date g°"0.Y VU�P JOANNM.JOHNSON MY COMMISSION # CC 921808 EXPIRES: March 23, 2004 Eov F�d+Ot Bonded Th. Budpet Notary sorv.as Owner is Personally Known to iv e or has _ Produced ID P4-I_X 0640 Y-7(5%,3WD Y CITY OF SANFORD PLUMBING PERMIT APPLICATION Permit Number: Date: I In / V b Vy The undersigned hereby applies for a permit to install the following plumbing: Owner's Name: �oh ti be ova �t � r I e Address of Job: I 1 �2 / `4q tno� ('Cc - Plumbing Contractor. Residential: 0WheV, Non -Residential: ✓ Number Amount Addition, Alteration, Repair Residential & Non -Residential New Residential: One Water Closet Additional Water Closet Commercial: Minimum Permit Fee $25.00 Fixtures, Floor Drain, Trap Sewer Piping Water Piping Gas Piping Manufactured Building Description of Work: Re lace. ev" �iH I wa Closet and /avu�br . 12 wqv-toa600doked ce_ u e -o f q,, lv a Application Fee: $10.00 TOTAL DUE: By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code. Applicant's Signature State License Number AP 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 $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 I 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 t]ie 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. Ii 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. 1, JOhr, o r te-1 , 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. Q�fner/Builder Signature II Date Print Owner/Builder Name 3�ii t, c1 Signature of Notary45tate of Florida Date Owner is Personally Known to Me or has Produced ID Tc L Ur � �0 4'� -710 JO ANN M. JOHNSON MY COMMISSION N CC 921808 EXPIRES: March 23, 2004 ""t F��Po, Bonded Thru Budget Notary Services 4 DATE: ' PERMIT BUSINESS NAME / PROJECT: 1`1 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 . 305 ADDRESS: i I r �. Maw n\, IIA AVe- r�L PHONE NO.: �2� FAX NO.: CONST. INSP. [ J C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW F. A. [ ) F.S. [ ] HOOD (] PAINT BOOTH [ ] BURN PERMIT [ J TENT PERMIT ] TANK PERMIT [ ] OTHER �� ( ] TOTAL FEES: S O� P ; (PER UNIT SEE BELOW) Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sa ford Fire Preven ' Division Applicant's Signature rr I �,.:r O l 1 �ha�ySl,S aT e�tS�'�►��' C-e-�-iv - Prat I y,sses y4ce4 �( a.c . v uv e e b e h ad dtd -iv 11�'1 it �l�l o. I � dii P rGa v' S _ 0. sc CL / (ohs- f�rv�1 SQ� In jet e; It . N-,Ld not bear +"-,L 2 zt en4i, L IoQd of ��. S�-rvc�vvc, bu-I rv,-- ►Vos a"ak/s(.s� we a'ssume- A due3• waIto, aded I'^ - VU41)ti 1 o�hd Sf��! bear 'tkt kve load j• hire �b /irniT Srt� oQ ZS x/•2 S = 3/ 7t/ftZ ivy goof d�� k � eft Z 2J_ z 3��'t' 4 ssu m e- -(" I . (.Jal(s P��fs 2-1 w, Pe-i-Tt d b —S`�o�t fotall�vhcdt.vdslo es fq�l) L�Qal o-- ca c t Z( K born-e loy }�w,�l- ly I f t L V. 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" C :ef fit. 1 � " ,r �. . .. � •t -� ' � ' .., - � CAt.c ,1iJ QUiI Gjr CQ PEPT. 1 T^(r.SAf C FL �b AFt_ rAEV1EGNLQ'AND C[�NDITiON4LLY ACCEPTEQ F.,R Fte.f.1IT A NLkMlr ISSUED SHALL BE s gNS'TIiUED a LL H Lt'�- ENEE To PROCEEd WIT}{ «jt d✓U?K ..NL) NJ i { A AU i HURITV TO VIOL.AT E; ALT>=,R. OR StT.4= tDE ANY. OF THH ' - X - Fwn:,Lt )ryS OF T HE! TECHNICAL CODES. NOR SHALL X I= $DANCE OF A PERMIT PREVENT. THE BUILDING' DEPT FRGt,4 THE REAFTER' riFq U1RING A CORRGC•.< t TtO:v OF• ERRORS ON THE FIJ�:f7='. bni6TRlICTIOtJ _ _ ;d. ••a — _ : _• P t_ OR UTHER VIOLATI7q>;CF va305 �r.��♦1_. t� G :.: :`t:r iSi�l•r ��. - � „+% � T `� i Lo pvq . t•"r) dial '- - j1 4�