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Home My WebLink About607 Grovewood AveRECEIVE® CITY OF SANFORD PERMIT APPLICATION % JUL 1A �AA� Permit # : /� ,- �Sm Date: 7/ �3/ S `� w � ob. -Ad`dcess: Fd a % Descr ipf of Work: - Historic District: Permit Type: Building ..) 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 fNr Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owner -s -Name -Bi" Address: Contractor Name & Address: ESU (Attach Proof of Ownership & Legal Description) State License Number: Phone Phone & Fax: q h ~% -.-Z, t. i Contact Person: Phone: Bonding Company: S-�E 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 ofthe 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 permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. J 19S re of Own'ed'A'gent " Date Y Signature of Contractor/Agent �nnt Owner/Agent's Name Print Contractor/Agent's Name ,Signature of Not; *I Owner/ . gent is _ roducedID JOANN fV, JOHNSON Date My COMMISSION # DD 285622 EXPIRJS: March 23, 2008 APPLICATION APPROVED BY: Bldg: 1 l - /I C Zoning: — (Initial & Date) Special Conditions: Signature of Notary -State of Florida .3 r tq Ctractor/Agent is 140 (J Produced ID _ Utilities: Date Date Personally Known to Me or FD: (Initial & Date) (Initial & Date) (Initial & Date) 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. /r . 6 OtW , 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. L Owner ./Builder Signature 4- rvs7-4-il0 A, 6 v ff cy Print Owner/Builder Name Y P • 1' i ature of Nip R22 EXPIRES: March 23, 2008 4"'OF FAV' Bonded Thru Budget Notary Services Owner is Personally Known to Me or has Produced ID � (— # Wills , � e 4� >( ?I,X 'CZ's= �� 0,7 Xcwl�r %il, -2 ll� '.pun -IT "YE21, ol.'#"ITY OF SANFORD � 5DO V- I PLAT OF SURVEY LOT 31, REPLAT OF GROVEVIEW VILLAGE FIRST ADDITION, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 26, PAGES 4, 5 & 6. OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA PC REC AXLE NO NUMBER 1211�JJ, O�F 66. ob WALKON 0-,�I'FN� / /ry F O / FENCE IS LOT 32 o.r Orr S a LOT 31 i WALK Is 0.I' ON \ \ / O �.0, A / W0001) SHEDi:a«..'' ON COMM TE v POOL REC 5/5' IRON ROD A CAP LB /3225 Qf lko 00 R cOR,oOR�n )`S 00, LEGEND: STGNA�VR ®WALK DENOFES REC 'X• -CUT IN EB LAND SURVEYING BUSINESS NO NUMBER LS LAND SURVEYOR - R DENOTES RAMJS PRM PERMANENT REFERENCE M(XIUMENT - C DEN0fE5 DELTA ANGIC PCP PERMANENT CONNUX P(11NI L DENOTES ARC LENGTH P1 POINT OT INTERSECTION CERTIFIED TT} CB CIWRO BEARING PI POINT OF IANCENCY PC POINT OF CURVATURE GUSTAVO A. & ROSA M. BUESO — — RIGHT OF WAY UNE .CLF CHAIN LINK FENCE COMMONWEALTH LAND TITLE INSURANCE COMPANY (P) M) PLATTED wFENCE MEASURED TYP TYPI YPICAL BENCHMARK TITLE AGENCY REC RECOVERED A/C ADR CONDITIONER RANDALL MORTGAGE CORPORATION cew CONCRETE WALL RP RADIUSCONCRETE PENTNT 1. THE SURVEYOR HAS NOT ABSTRACTED THE I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL LAND SHOWN HEREON FOR EASEMENTS, RIGHT NO 120294 0045 E DATED 4/17/95 AND FOUND OF WAY, RESTRICTIONS OF RECORD WHICH THE SUBJECT PROPERTY UES IN ZONE X. MAY AFFECT THE TITLE OR USE OF THE LAND AREA OF MINIMAL FLOODING. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCA IED EXCEPT AS SHOWN. 3. REPRODUCTIONS OF THIS SURVEY ARf: IIUI BEARINGS SHOWN HEREON ARE BASED ON iii VALID UNLESS SF_ALED PATH IHE F.MROS5FDHIF SOUIHERLY LINE OF GROVEVILW AVENUE SURVEYOR'S SEAL. BEING S 61.27'00- E. PER PLAT. DATE:) n,� i a 0H.1 (FIELD 2/5/961 I?LVISf:D.e�,r ,f thnht^hverAlw v�y r30 I_EEIu„•SCALE:_t MI, .v,,, tom• In ,ton Is .�1 1 n APPROVED BY: D --- _._._.___----'thy � fn l cnrrPl.�rrcTcv � I,r u• ,1a n, nln;.r..,r„ - r I AMERICAN SURVEYING & MAPPING Code PUr s,un _.027, 11. 4n Stab,te,. JOB N0. ASM9999 300 Ng7M PARI( AVENUE SUITE 202 DRAWN BY: JUA WINTER PARK, FLORIDA 32789- (407) 539-2274 1 BRETT A. MOSCOVITZ,'PSM X15011