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Home My WebLink About418 S Palmetto Ave14 0S- 330 Permit # : Job Address: Description of Work: .I C 1 Q-1k.'N Historic District: -1 ()-.S Zoning: Permit Type: Building Electrical Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Construction Type: # of Stories: Parcel #: CITY OF SANFORD PERMIT APPLICATION r k Date: 0 Value of Work: Mechanical Plumbing Fire Sprinkler/Alarm Pool _ Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair — Residential or Commercial Industrial Total Square Footage: _ # of Dwelling Units: Flood Zone: (FEMA form required for other than X) (Attach Proof of Ownership & Legal Description) Contractor -Name -&- Address: Tho ei� & Fax: Bonding Company: Address: Mortgage Lender: _ Address: Architect/Engineer Address: Contact Person: eVhone: Phone: 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 Isom other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of nit is verification that I will notify the owl er of the p opperttyyyof the requirements of Florida Lien Law, FS 713. VJ Sighre o wner/Agent DateSignaFune of Contractor/Agent —Dat Print Owner/Agent's Name Print Contractor/,Agents:-Name Date MY COMMISSION # DD 285622 #* EXPIRES: March 23, 2008 OwnediL b �'�P BoF�eisf�l� 4 aSerr fts e or �+ oduced ID C, (,t) 2- Z •HCl � '5(O - bO -0 APPLICATION APPROVED BY: Bldg: 4/"'r fXY Zoning: Signature of Notary -State of Florida Date Contractor/Agent is Personalty Known to Me or Produced ID Utilities: FD: (Initial k Lve) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: 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. do hereby state that I am qualified and capable of performing the requested construction involveU with th I 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. OwnerBuilder Signature Date P int Owner/Builder Name NU6 yzignature of Nota State of For da Date'; riY -'-. `'� J�� "+ y M. JOHNSdN * 4 MY COMMISSION # DD 285622 EXPIRES: March 23, 2008 nfarFoc F`( aN'P ilonded Thru Budget Notary Services Owner is _ Personally Known to Me or has ProducedlD -k---C P L , Jul 28 2005 3:05AM City of Sanford Planning 407 330 5679 P.1 CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 330-5672 Fax: 407 330-5679 TO: THE HISTORIC PRESERVATION BOARD OkPE CITY OF SANFORD, FLORIDA D Downtown Commercial Historic esidential Historic District O This application is filed lin rrmpoine to a notice from the Code Enforcement Department ADDRESS OFFROPERTY:— Property OnTqA1r^, Signature:Pript Name: 1�rr e- Lou SO n-9Mailing Address: (.1� Phone: �:; c)I 1 Fax: -7 Applicant/Agentj Signature: (� t) Print Name: c i r l e Wsorq Mailing Address: Phone: Fax: I certify that all info !�nc tained in this application is true and accwate to the best of my kn wledge. Applicant/Owner; Date: lo5 Please use the atbiched criteria checklist -as a' e to completing the application. Incomplete applications cannot be reviewed and will be returned to you for more . ation_ You are encouraged to contact the preservation planner at 407-330-5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) 0 Site Itnprovements/dnveway/walkway 0 Storage shed 0 Moving structures 0 Replacement windows or doors 0 Underskirting 0 Awnings 0 New construction/additions 0 Signs 0 Demolition jltoofs/gutters/downspouts Cl AC/Mechanical 0 Fences/Gates/Pergolas 0 Replacement siding/flooring/porch 0 Paint 0 Other Completely desenbe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For Iargg projects, an itemized list is recorlapended. Attach Witional pages ifAcpessary. 'a ( n ,� A Certificate of Appropriateness is valid for six months unless otherwise noted Histone Preservation Board Meeting Date: Application is Approved Conditions: OFFICIAL USE ONLY. Staff Review Date: Approved with Conditions t WIIJZRM��Ti�► u : lGt-7l1C Denied 'This Certificate must be prominently displayed on the building when work is in progress— F:1SHA ENG\Histccic Prcwvation Board\C of AApplication_doc inio NAME _ ADDR. �� (,��Yti1�9F7F COMMENCEMENT a Permit No. Tax Folio No. State of Flon County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. DescriAti description of the property 1- % —T-�) W r\ Com'' if available) L4 l t NO 2. General description of improvement: r �' 3. Owner information j� jj�� j a. N4jne and address �} �. ( �� g _ - Ya I il/�`'Z b. Interest in property' _ c. Name and address of 4. Contractor (if other than a. Name and address f CERTIFIED; COW _-n b. Phone number 5. Surety a. Name and address b. Phone number _ c. Amount of bond 6. Lender a. Name and address Fax number Fax number b. Phone number Fax number Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address b. Phone number In addition to himself or herself, Owner designates Fax number of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from e date of recording unless a different date is specified) Signature of O er Sw rn to (or affirmed) and subscribed before me this day of _1 , 20, by Personally Known OR Produced Identification Type of Identification Produced }�L� A ANN M. MHN" Rid 00,,YMIS510N # DD 285622 :ft 23,M i ture of Notary PubI State of Florida Enc �� C ssion Expires: Yi t CLERK W CI"IT t310T ELM OF SEMINOLE COLWYBK 05875 PG fi FILE NUM 2005146220 t, r.. WtMING FEES 10,00