HomeMy WebLinkAbout120 Borada Rd 03-2956 Garage enclosurer__
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CITY OF SANFORD PERMIT APPLICATION
Permit # :'50 Date:
2 Z
Job Address: [Z O 8ha do Rd - , S5 W r1L7' ` F(- f
Description of Work: NC%ri Ai-1 (,-1 .0ra g'Q
r
Historic District: Zoning: v 114 Value of Work: $ 209- D 0
Permit Type: Building ft— Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures of Water & Sewer 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: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
Owners Name & Addre %L
Z d 7GLZ34r6qStfPhone:.
Contractor Name & Address:
State License Number:
U10 — 3 44f q O rPhone & Fax: Contact Person. Phone:
Bonding Company:
t
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
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 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.
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
o-
Sig i
is verjfilaln at ill notify the owner of theprop2 of the requirements of Florida Lien Law, FS 713.
of Ow er/gent/
D rn c . rin Agent's Name
j15 o
scow _
Z2
tzr .GO to Signature of Notary -State of Florida Date
ro C7
rl i
Owner/Agent is P pally Known to Me or
M Produced lD 1 y2-i 0S'Z1 1
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID _
APPLICATION APPROVED BY: Bld ^` _15 O 'Zoning: Utilities:
Initial & Date) (initial & Date)
Special Conditions:
Personally Known to Me or
FD:
Initial & Date) (Initial & Date)
4 QD
CITY OF SANFORD BUILDING DIVISION
OWNER/BUfLDER 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 fdnn
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. Tlxe
owner may not delegate the owner's responsibility to directly supervise all work to any other persot.Z
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 ovm
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 presurr.;.c that
you built or substantially improved it for sale or lease, which is a violation of this exemption., a. oa rr,a
not hire an unlicensed person to act as your contractor or to supervise people working on your bul.c ? r;. IT
is your responsibility to make sure that people employed by you have licenses required by state lave :f.,rrci.
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, D, &4tr, 1,n , 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.
b k", 41 3
Ox ner/Builder Signature at
T
rint Owmer/Builder Name
L_
no
St, of Notary —State of Florida ate 0 EL
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CONC. CONC. / ` SE G0 10 OFF LS • AD85 HIDDEN
LAKE PHASE 11 UNIT I y
PLAT
BOOK 24, PAGES 15, 16 6 0, 16 , 21•p; SEMINOLE
COUNTY, FLORIDA.\ 2 0 5 °
Q
69• `
Q,P SCALE
1 INCH • 30 FEET 0®
SURVEYOR'
S NOTES: NOTE:
THIS SURVEY 'NOT VALID WITHOUT THE
SIGNATURE NO THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSED SURVEYOR UO
NAPPEIL NOTE:
THERE NAY BE ADDITIONAL RESTRICTIONS
THAT ARE NOT SHOWN ON THE PLIJ
THATMAY BECOUNTY. OOUNDIN THEPUBLIC RECORDS OF imON - LINE
LOT
109PLAT
OF
SURVEY
FOR: JAN D. PUTERBAUGH LEGAL DESCRIPTION: LOT
110, HIDDEN LAKE PHASE II,UNIT II,AS RECORDED IN PLAT
BOOK 25. PAGE 62-63, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA ALSO
CERTIFIED TO:
STEMART TITLE GUARANTY COMPANY CENOANT MORTGAGE CORP.
JAN D. PUTERBAUGH
THIS IS TO
CERTIFY THAT I HAVE REVIEWED THE FLOOD INSURANCE RATING
MAP PANEL NUMBER JZiJlt_DA4 f
DATED __9IJ?LJ995___ AND DETERMINED THAT
THIS PROPERTY LIES IN FLOOD ZONE ___X'____-
TYPE TGOINEART B IPADYFYIS p AENGIVEERING ANDF-
FTLO' LEGAL OESClIPTTONA
A SURVEY
1 NG, I NC.PROVIDED eT aIENE 107 LAKE NOMELL
N0. SUITE f01K11B0.1SEDu IID N;S"2266' J1 E MAITLAND. FLORIDA 32751
07) 677-nail
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1999 1
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