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HomeMy WebLinkAbout2009 S Oak AvePermit #: Job Address: ll Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: Value of Work: S 2)aon , 0 d 6, 9,00 r 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 & Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: _ Address: Architect/Engineer Address: (Attach Proof of Ownership & eng!'E <f �– &e C E ' Phone:' - State License Number: Contact Person: Phone: 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 perntit 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. Acceptance ermit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. L `7I6 Sign e of Owner/Agent Date Signature of Contractor/Agent Date J47 -e N w �Pririt 6 er/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of FI( IDnte Signature of Notary -State of Florida Date Deborah A Bray Owner/Agent is Personally Known t ontractor/Agent is. _ Produced ID M MY �m�m D0�T0i Produced ID w o Expires duly 29.2008 — – APPLICATION APPROVED BY: BI Zoning: Utilities: l t (Initia & Date) (Initial & Date) Special Conditions: 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, ng A. I 1 I , do hereby state that I am qualified and capable of performing the readsted 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. Vt• �I�bl©.� ,Omer/Builder Signature Date JQAW U . ALL I aV Ak(I it) Print OwnerBuilder Name J:11, j �, /C— I Z, ature of Notary—State of Florida VDate Owner is Z-�Personally Known to Me or has Produced ID �:5 d Deborah A gray ° My Commission OD340708 oe t4 Expires Juy 29,200a unto my children, THOMAS H. McELRATH, JR. and JEAN 'A. McCLANAHAN, in equal shares, per capita and not per stirpes. In the event I am predeceased by either of my said children, it is my intention that the surviving child take my entire residuary estate. ARTICLE V. "' I hereby nominate and appoint my husband, THOMAS H. McELRATH,' SR. , �askPersonal Representative of this, my Last Will and Testament, and of my 'Estate,' to serve without bond; and I hereby give and grant unto my personal representative full right and power to hold, manage, invest, reinvest, sell, convey, mortgage, pledge and lease all or any portion of my property, whether real, personal or mixed, tangible or intangible, wherever situated, of which I may die seized or possessed; and I further give and grant to my personal representative the right to otherwise dispose of the assets of my estate at public or private sale and upon such terms or conditions as he may see fit, and the further right to make, execute and deliver any and all contracts, options, deeds or other instruments carrying out the authority herein given as he may deem necessary or proper for the convenient and advantageous management and settlement of my estate; and he may make distribution in cash or in kind, without regard for any law or statute limiting the power of personal representatives. In the event THOMAS H. McELRATH, SR. fails to survive me,'or for any reason fails to qualify as Personal Representative, or if having qualified is unable to continue as such Personal.,Representative, then and in any of such.events, I hereby appoint my children, THOMAS H. McELRATH, JR. and JEAN A. McCLANAHAN, to serve as Co -Personal Representatives of my estate, to serve without bond, and with the same powers as bestowed above. Company: Own AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS License #: formation 11 Permit #: Os ' 3 C'�' � v Subdivision: cam( - �, " Lot #: phone I, affiant, hereby affirm that I am the duly licensed contractor of record for the above referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: signature printed name STATE OF FLORIDA COUNTY OF This instrument was acknowledged before me this day of 20 by the above referenced individual, , who acknowledged that he/she is a duly licensed contractor with , and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced as valid identification. WITNESS my hand and seal this day of 20 Notary Public