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Home My WebLink About409 Pine AveA I� Permit # )� Job Address: Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: O 7 D DJ 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 Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer: Address: Contact Person: :h Proof of Ownership & Legal Description) State License Number: Phone: Fax: z�re 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. Acceptanof permit is verification at wil notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature er/Agent Date Signature of Contractor/Agent Name J ^ d D S� t Date v�ki131E Bl-ANTON MY COMMI;�SION # DD 188491 gXPIfIES: February 25, 20M07 _(`�tApY PerSbllal�yy[�$l�r�sac:�`or Produced ID _ APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is. Produced ID _ Zoning: Utilities: (Initial & Date) Personally Known to Me or FD: (Initial & Date) (Initial & Date) 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. I, , o hereby state that I am qualified and capable of performing the req e nstruction 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. OOJffnVlder Signature Date Print O erBuilder Name Signature of Notary—State of Florida Fr(, s lE 13LANTON �YezlCjN # DD 188491Owner is nown to Me;,IM�s2oor Produced ID ;;;aF,ry Ciscount Ass PLAT OF SURVEY a I a - DESCRIPTION: (AS FURNISHED) THE SOUTH 68.80' OF BLOCK 19, CHAPMAN AND TUCKER ADDITION TO S:.NFORD, ACCORDING TO THE PLAT THEREOF. AS RECORDED IN PLAT BOOK 1, PAGE 24, OF THE PUDUC RCCCI,3DS OF SEMINOLE COUNTY. FLORIDA REMAINDER OF BLOCI< '19 NOT INCLUDED 114.03' S 89'20'37" - S I IL.3' ❑ A/C J 1 50.0• LJ I 9 SINGLE STORY CONCRETE OLOCK JI I mW RESIDENCE ' II•t 23'A .cJ4A Y �G END CUP C; a _ Q C ,.. NTEASCCTION �.9 I 89.23.44- 30.00' W I W I bl. $I� w =' I REMAINDER OF BLOCI< '19 NOT INCLUDED 114.03' S 89'20'37" - S I IL.3' ❑ A/C J 1 50.0• LJ I 9 SINGLE STORY CONCRETE OLOCK JI I mW RESIDENCE ' II•t 23'A .cJ4A Y �G END CUP C; a _ CD--DrI 69'2O'37' w 326.96' Sheol CERTIFIED TD: WARGAACT LCNON FIRST SECURITY SAVINGS DANK _ FIOEL1TY,t1ATIUNAL TITLE ...._ 11?1 %OC• (EXAMINED TILE F.I.R.M,: PANEL 10 120294 0045'E1_OAIED 4/17 3 ANO'FOVND ME DWEUJIIO APMARS TO UC,IN ZONE X. OF WNILIJV:' FLOODING:" i • : BEARINGS SI10WN HCRCON ARE BASED ON ... 't1HE•EASTERLY'UNE OF PINE SIR KEY. <• FOEINO kJORTH PER PLAT. (FIELD DATE, 8/23/95 J' dEVI5E0, SCAL c, I' - 30 FEET APPROVED BY, TAO ,108 NO.-A5/fa3a3 DpAv*4 CY: JLH/TAD Zoom LEGEND: Q C ,.. NTEASCCTION �.9 I DCIIOTC3 RA01U3 C) I 27.4 01!107[3ARC LENGTH C4, +D 9EAWNO PONT OF TAIIGENCY RICHT O/ W.Y UNC LOT 9, BLOCK F 5 1 •HE S,68.8-- NEAVE S :ADDITION TO SANFORD '.' PLAT BOOK 1;' 1.23 s Hwy w ass;cr y{ W r . ti '^ 1 OF BLOCK 19. .PAGE' '/ �.. '... L - IL�`e5 E7..i;.dr•,i Cow CONCRETE OLOCK WALL RP _XOUND.I/s' IRON OPE N 89'20'37." W SS C"UN� 3.o'T '.. '... 0 (NO NUMBER)... ,. I ..... ... 41.87' .. ....... .. .. .. . E.R.TRAFFORD'S MAP OF THE JJ_ TOWN OF SANFORD rl22 PLAT 8001< 1, PACE 56 CD--DrI 69'2O'37' w 326.96' Sheol CERTIFIED TD: WARGAACT LCNON FIRST SECURITY SAVINGS DANK _ FIOEL1TY,t1ATIUNAL TITLE ...._ 11?1 %OC• (EXAMINED TILE F.I.R.M,: PANEL 10 120294 0045'E1_OAIED 4/17 3 ANO'FOVND ME DWEUJIIO APMARS TO UC,IN ZONE X. OF WNILIJV:' FLOODING:" i • : BEARINGS SI10WN HCRCON ARE BASED ON ... 't1HE•EASTERLY'UNE OF PINE SIR KEY. <• FOEINO kJORTH PER PLAT. (FIELD DATE, 8/23/95 J' dEVI5E0, SCAL c, I' - 30 FEET APPROVED BY, TAO ,108 NO.-A5/fa3a3 DpAv*4 CY: JLH/TAD Zoom LEGEND: 0 DLNOTL9 SCT 1/2' IRON A00 NTEASCCTION A, CAP L■ 14)93 R DCIIOTC3 RA01U3 o DEI IOTC!OLLTA AN Lc L 01!107[3ARC LENGTH CSI C4, +D 9EAWNO PONT OF TAIIGENCY RICHT O/ W.Y UNC (p> rtAnco u Y[ASLRtED FCC I1Lco"C.c. TY►ICAL CONCItt TE. AMERICAN SURVEYING do MAPPING 300 NORTH PARK AVV40C SU11E 201 WNTLR PARR, FLCAIDA 3Z70.- (4071 539-2271 DUD uv19DV'I3 I)" Or"CLA. RCCORa9 DOOk WTX NTEASCCTION CLIP COMUCAT90 ar TAL PV -t PRu PERMANENT RC►LRnAct NOLRA4EM7 T PI 1 I W 0047 OTOIUCInaw PT PONT OF TAIIGENCY PC PONT Or CURVATURE CLF CHAIN LINK FEACC w WOOD ►OacE TYP TY►ICAL A/O AIR COtI01TioI4CP Cow CONCRETE OLOCK WALL RP W RADS P0.1CMA cORNCR NoT ACCEIIMOLK 0 STORM DRAINAGE W -OLE 1. THE SURVEYOR HAS NOT ABSTRACTED THE LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF WAY, REg1RICTIONS OF REGARD VAHICH NAY AFFECT THL TI1LE OR USE OF THE L"40 2: -NO 'UNDERGROUND IMPROVEMENTS HAVE BEEN - LOCATED EXCFYT AS SHOWN. 3.LREPRODUCTIONS OP THISI•SURVEY-'►RG NOT . VALID UNL.E$S SCALED W1TM Tme yu4osS;D ... SURVEYOR'S SEnL_ ._ .. _ I herby —Lily That ..e now portorriIad o 114 .urvoy of the hereon de.crtUed property. /or Ih. p—p.. N.reen d.e.rlb.d• Uwl Lh I. Oro -MO pr•c.n lolian of Lhol .--y er mwl. lh. Mlnlmum Teannlcof Chopt•r 6IG17-e of In r vnl.voa,v. CW purwenl Ie C 1100 SloWlee- Zb'8996LLT2 YV3 TZ:CT 90/QZ/bo