HomeMy WebLinkAbout1505 Magnolia Ave 95-322, 95-322 2 Car garageN
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SUBDIVISION:
G14ZONEDATE ( `
PERMIT # LOT NO.
CONTRACTOR
JOB e CAA O C`Gi BLOCK:
ADDRESS
PHONE-#
SECTION:
1
COST $ )
LOCATION
SQUARE FEET:
FEE t
OWNER' T %Y t- ( 1
MODEL:
I ff STATE NO. OCCUPANCY CLASS:
ADDRESS MCA f) , +J,
I
PHONE #,
s PLUMBING CONTRACTOR FEE $
ADDRESS
PHONE #
ELECTRICAL CONTRACTOR J i t FEE $
i
ADDRESS
3.
s
I PHONE#
MECHANICAL CONTRACTOR FEE
i
ADDRESS
PHONE #
MISCELLANEOUS CONTRACTOR FEE $ ENERGY SECT. EPI:
ADDRESS
i SEPTIC TANK -PERMIT NO.
SOIL TEST REQUIREMENTS )
FINISHED FLOOR
ELEVATION REQUIREMENTS"( ) CERTIFICATE OF OCCUPANCY
A R C H I i ECTURAL APPROVAL DATE:
ISSUED # DATE: _
r -_---
FINAL DATE
j
2
CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMITADDRESS1 V Q J! PERMIT NUMBER s'
Total
Contract Price of J Describe
Work Type
of Construction Number
of Stories Occupancy:
Residential LEGAL
DESCRIPTION TAX
I.D. NUMBER OWNER _
ADDRESS
CITY -
1 TITLE
HOLDER (IF OTHER THAN OWNER) ADDRESS
Total
Sq. Ft • Hj Flood
Prone (YES umber
of Dwellings Zoning _ Commercial
Industrial lease
attach printout from Seminole County) PHONE
NUMBER .W_4'6 CITY
STATE ZIP BONDING
COMPANY ADDRESS
CITY
STATE ZIP CT
ADDRESS
CITY
STATE ZIP MORTGAGE
LENDER ADDRESS
CITY
STATE ZIP CONTRACTOR
NJ f1 0Z PHONE NUMBER ADDRESS
ST. LICENSE NUMBER CITY
STATE ZIP 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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'
S AFFIDAVIT: 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. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON
THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED':
FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE
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. QACCEPTANCE
OF PERMIT IS VERIFICATION, THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF THE
REQUIREMENTS OF FLORIDA LIEN LAW, FS713. O
D
C D
W C p
Q Signa Owner/A en & DaZe Signature of Contractor & Date 0 a ` J
c I
Type or Print Owner Agent Name Type or Print Contractor's Name d x
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J
a
SSA'
gna ure of Notary & ate Signature of Notary & Date t
p
1 le (Ofipgt4A.AQEA94A l) (Official Seal) My
Commission C0377342 Expkes
May. 13,1M O at, Bonded by ANB q
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a F Application
Approved BY: Date: FEES':
Building Radon Police Fire Open
Space Road<Impact Application. PERMIT
VALIDATION: ,CHECK i-, CASH DATE Lh14 BY ORIGINAL (
BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) C7
THIS
APPLICATION USED FOR WORK.VALUED $2500.00 OR MORE.
CITY OF SANFORD BUILDING DEPARTMENT
OWNER/BUILDER AFFIDAVIT
Disclosure Statement 489.103 (7) as amended by P
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
even though you do not have a license. You must supervise 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
at a cost of $25,000 or less*. The Building must be for your own use and
occupancy. It may not be built for sale or lease. If you sell or lease
more than one building you have built yourself within 1 year after the
construction is completed, the law will presume that you built it for sale
or lease, which is a violation of this exemption. You may not hire an
unlicensed person as your contractor. Your construction must be done
according to building codes and zoning regulations. It is your
responsibility to make sure that people employed by you have licenses
required by state law and by county or municipality licensing ordinances.
For your information, the Owner/Builder becomes liable and responsible for
the employees he/she hires to assist in the construction project. This
responsibility may include the following where required by law.
A. Worker's compensation (for workers injured on the job)
B. Social Security Tax (must be deducted from the employee's
wages and matched with the owner's funds)
C. Unemployment Compensation (may or may not be required)
D. Liability Coverage
E. Federal withholding Tax
I acknowledge that as an owner/Builder, I P 7p am
obligated to actually, physically, build the structure or do the work
which I have permitted.
I understand that if I am not physically_ doing the work or physically
supervising free labor from friends or relatives, that I must hire
licensed contractors,i.e electrician, plumber, mechanical(heating and
air conditioning, etc.). I further understand that the violation of not
physically doing the work, and the use of unlicensed contractors at the
construction site, will cause the project to be shut down by the Inspector
Staff of the City of Sanford Building Department. Additional State
Statutes allow for penalties up to $1,000 and up to 1 year in jail. I also
understand that if this violation does occur, that in order for job to
proceed, I will have a licensed contractor come in and sign on the permit -
as taking the job over. I understand that if I hire subcontractors under a
contract price, that they must be licensed to work in the City of Sanford,
i.e. masonry, drywall, carpentry, etc. All contractors licensed by City of.
Sanford Licensing Board have worker's compensation and liability coverage
and are registered with the_State of Florida.
I have hired , a contractor
to do the work for me under my permit.
I -will assume full responsibility as an Owner/Builder Contractor, and will
personally supervise or do all work allowed by law on the permitted
structure
Property Owner Address % .M&&)U, if -
Permit Address
Telephone ( dd )_Drivers License No.;2 — - - S =j
Other Ident'ificat.ion
I hereby acknowledge that I have read and understood the above
affidavit on this __day of A.D. 19
Owner/ l ng Sign ur
489-Part II only exempts from licensi g and owner doing or -'supervising
any electrical work on a one or two family residence. Commercial work
requires a licensed electrician.
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CITY gOF °SANFORD, FLORIDA
PERMIT NO. `"' DATE
t
1
r
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL-
LOWING ELECTRICAL WORK:
Ir 0 . OWNER'S NAME k / L
ADDRESS OF JOB /57 MAWL)O" At,
ELEC. CONTR. OUJ(1-1 Residential Non-residential
I
Subject to rules and regulations of the city and national electric codes.
Number AMOUNT
Alteration Addition Repair
Chanize of Service Residential
Commercial I
I
Mobile Home
Factory Built Housing
New Residential 0-100 Amp Service
101-200 Amp Service I
201 Am and above
New Commercial Amp Service
Application Fee
TOTAL
By signing this application I am stating I will be in compliance with the NEC including Ar!icle 110. Sec Lion 110-9 and 110 10.
a
Building Official
v
Master Electrician
STATE COMPETENCY NO.
Ij
ELECTRMCAL aAiND BXB=M.D=NCs
3'LCJ®3R pLAM
CITY OF SANFORD
ION w1w.
Ind- - -
7 Ole
3°r-uC3C>3R IP3:.-MLM
CITY OF SANFORD BUILDING DEPARTMENT
OWNER/BUILDER AFFIDAVIT
Disclosure Statement 489.103 (7) as amended by P.C.O. 88-38
State slaw 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
even though you do not have a license. You must supervise 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
at a cost of $25,000 or less*. The Building must be for your own use and.
occupancy. It may not be built for sale or lease. If you sell or lease
more than one building you have built yourself within 1 year after the
construction is completed, the law will presume that you built it for sale
or lease, which is a violation of this exemption. You may not hire an
unlicensed person as your contractor. Your construction must be done
according to building codes and zoning regulations. It is your
responsibility to make sure that people employed by you have licenses
required by state law and by county or municipality licensing ordinances.
For your information, the Owner/Builder becomes liable and responsible for
the employees he/she hires to assist in the construction project. This
responsibility may include the following where required by law:
A. Worker's compensation (for workers injured on the job)
B. Social Security Tax (must be deducted from the employee's
wages and matched with the owner's funds)
C. Unemployment Compensation (may or may not be required)
D. Liability Coverage
E. Federal Withholding Tax
I acknowledge that as an Owner/Builder, I .%i%' am
obligated to actually, physically, build the structure or do the work
which I have permitted.
I understand that if I am not physically doing the work or physically
supervising free labor from friends or relatives, that I must hire
licensed contractors,i.e. electrician, plumber, mechanical (heating and
air conditioning, etc.). I further understand that the violation of not
physically doing the work, and the use of unlicensed contractors at the
construction site, will cause the project to be shut down by the Inspector
Staff of the City of Sanford Building Department. Additional State
Statutes allow for penalties up to $1,000 and up to 1 year in jail. I also
understand that if this violation does occur, that in order for job to
proceed, I will have a licensed contractor come in and sign on the permit
as taking the job over. I understand that if I hire subcontractors under a
contract price, that they must be licensed to work in the City of Sanford,
i.e. masonry, drywall, carpentry, etc. All contractors licensed by City of
Sanford Licensing Board have worker's compensation and liability coverage
and are registered with the State of Florida.
I have hired , a
to do the work for me under my permit.
contractor
I will assume full responsibility as an Owner/Builder Contractor, and will
personally supervise or do all work allowed by law on the permitted
structure.
Property Owner Address / , /(l[[aGy lilif•
Permit Address
Telephone Drivers License No. - - - oZ,S = a
Other Identificationy,23;z_ oeej,< 9K- -?g&7,9eS-,s-1+! I
hereby acknowledge that I have read and understood the above affidavit
on this day of A.D. 19 Owner/
d'ng Signat re Ir 489-
Part II only exempts from licensin and owner doing or supervising any
electrical wobrk on a one or two family residence. Commercial work requires
a license,d)electrician.
BOUNDARY SURVEY FOR DONALD AND VIRGINIA WILLIAMS
SEMINOLE COUNTY, FLORIDA
DESCRIPTION
Lots 6, 7 and 8, Block 17, Tier 2, E. R. TRAFFORD'S MAP OF THE TOWN OF SANFORD, according
to the Plat thereof as recorded in Plat Book 1, Pages 56 through 64, of the Public Records
of Seminole County, Florida.
SURVEYOR'S NOTES
1. Street address is 1505 Magnolia Avenue.
2. No underground installations or improvements have been located other than shown.
This is to certify that I have consulted the National Flood Insurance Program FIRM
and have determined that the property lies in Zone C, not a special flood are, per FIRM.
Panel #120294 0005 B; City of Sanford, Florida, dated September 17,1980.
SURVEYOR'S CERTIFICATE:
This is to certify that this survey meets the Minimum Technical Standards as set forth !
the Florida Board of Professional Land Surveyors in Chapter 61G17-6, Florida Administrative
Code, pursuant to Section 472.027, Florida Statutes.
A % 19 APRIL 94
R. L. ROBERTS, P.L.S.
Florida Registration No. 3144
ROBERTS SURVEYING & MAPPING, INC.
185 N. COUNTRY CLUB ROAD
LAKE MARY, FL 32746
407)322-2213
CERTIFIED TO:
Donald &c_Virginia Williams
Jeffrey C. Metcalfe
Commonwealth Land Title Insurance Co.
LaSalle Talman Bank, FSB