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HomeMy WebLinkAbout825 E Seminole BlvdMAY 4 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I I -_ I Documented Construction Value: $ J w Job Address: E SEn4tNOLE BLV•D • Pr /lsun,r po" Historic District: Yes 81 No Parcel ID: 30 OAOO . 6000 Zoning: Description of Work: .§q4ba0ev.? Plan Review Contact Person: _TAni l IENt2y Title: SuP 2 i'C v,iv`/" Phone: 4 -7 . (W& S000 E7 S017 Fax: E-mail: Property Owner Information Name C,ry Phone: 40?, (853 , S000 Er, Sot? Street: Sao N, PrlplL A r,. Resident of property? City, State Zip: S.oZ7 71Contractor Information 01 S1 C Name: Street: City, St, Zip: Bonding Company: Phone: 1-42Z :1 7 4-'MFax: State License No.: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: Address: No. of Dwelling Units: Electrical New Service — No. of AMPS: Flood Zone: Mechanical ( Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 No. of heads: f f I. 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges- exceed the documented con ction value when the executed contract is submitted credit will be applied to your permit fees when the nis released. \ of Owner/Agent Date Owner/Agent's. Name ao 1 S' ure of Notary-Stitel6f Flori a Date e ose s a1 Y P JUUE A ELLENBURG MY COMMISSION # bD 852007 V EXPIRES: May 15, 2013hq4rBondedThruNotaryPublicUnderm ters Owner/Agent is "Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: Print Date 3-I Z-oi Date JUUEAELLENBu r 11MYCOMMISSION # DD 7 P EXPIRES: May 15, 2013 Bonded Thru Notary Public Unde ' Contractor/Agent ' Personally Kllskwn to Me or Produced ID Type of ID WASTE WATER: BUILDING: OWNER BUILDER STATEMENT/AFFID"IT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo., Sanford, Seminole County, Minter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor anti nave appiiea ror an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own contractor with certain, restrictions even though -I do not have a license. I understand "that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand. that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may. protect myself from potential, financial risk by hiring a, licensed .contractor and having the, permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume,that.I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the,construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. r I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk, for any injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I 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 my building who Is not -licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 I agree that, as the. party legally and financially responsible for this proposed ;construction activity, I will abide by all applicable laws and requirements "that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations: I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the, Internal Revenue Service, the United States Small;Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida. Construction Industry Licensing Board .at 1-850-487.1395 or at www..myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensed contractors are regulated by laws designed to protect the public. If you contract with 'a person who does not have a license, the Construction Industry Licensing Board; the Department of Business and Professional Regulation and the building department may be unable to assist you with. any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firm is injured while'working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor- is property licensed and the status of the contractor's workers' compensation coverage. Property Address: &21g, E, Sf_-- M wLF &y , I, TAN H rti and capable of performing 1 conditions specified above. do hereby state that I am qualified sted construction involved with the permit application filed and agree to the J / Signature of Owner -Builder Date Form of Identification Must be Photo ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding-, 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 Permit No;O'l7- .31 , D7- Uw—noa a Tax Folio No. NOTICE OF COMMENCEMENT State of Florida 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. HARYME WR5'E, CLERK OF CIRCUIT CCUtT SFAINOLE COiTY AK 075€5 pg 0,0471 U pg l CLERK%S # 201104E.543 MVRDED'05104Mll 09:4168 AN W11RDING. FEES 10.00 REMDED BY T Saith 1. Description of property: (legal description of the property, and street address if available) ttA- / t r Y ANN . t• - G00R 2. General description of improvement: SjLkc L9 3. Owner information: Name: Gnu o Sm N Co/Li, ERF Njq- Address: 3cvo tN , PAR—L.— AVE M1N b. Interest in property: It CAE. K c. Name and address of fee simple titleholder (if other than Owner): Name: Address:. 4. Contractor Name: i' e-!CeA 66 Phone number: O ..37 c. Address: ( Lf r n_ S © r s 5. Surety Name Address: b. Amount of bond: $ 6. Lender: Name: J Address: b. Lender's phone number: Ta. 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: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expirationdate of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O'V,. tN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF Signat Owner or Owner's Au ho- —ed Of tc /Director/Partner/ anaager Sig atorys Title// ce The f oing instrument was acknowledged before me this SQ day of ! e (fiaiZ of person) as (type of authority, .: e.g-officer, trustee, attorney in fact) oF" rt me o w m instrument was executed) . MY COMMISSION # 5, 201 07 EXPIRES: May 15, 2013 R ` A ogled Thru Notary Public Uridenwiters gnature of Notary Public so ly Known _ . OR Produced Identification Type of Identification Produced ifica on pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that fac stated in it ar true t best of my knowledge iq b lie 111; I%t kiatV i:N t I K *'AKl.L' 8Y: ature of Natural NAME i. date 3/2008 AWR. 2D Zi.