HomeMy WebLinkAbout700 E Airport Blvd (3)N
Permit # : ®� ` J 3 '
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT' APPLICATION
Z-0
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 #:
Owners Name & Address:
i
Contractor Name & Address
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Value of Work: $ IL) I //'
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 Ownershipf Legal Description)
,�(UCf IUt1K1 (Z/—SS rT>'hone 32-1 S 4 lii� to
t,.a S
66 66Nei �c
tate License Number:
Contact Person:
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 ma ad 'tional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance o er ver do that Iwill noti he owner of the property of the requirements of Florida Lien Law, FS 713.
Date Signature of Contractor/Agent Date
Name Print Contractor/Agent's Name
Sign r LEE
'&ca" — Date
SSION # DD 188491
: February 25, 2007
1$00-3-NOTARNetery Discount Assoc. CoOwn HT 0 0or
_ Produced ID r, L , iCJ 11/ r - °I i .1 I
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
_ Produced ID
APPLICATION APPROVED BY: B gZoning:
(Ini al & Date (Initial & Date)
Special Conditions:
Utilities:
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,
ordin ces, building codes, and zoning regulations.
I, qfi* , do hereby state that 1 am qualified and capable of performing the
requested construction involved with the permit application filed.
full responsibility as an Owner/Builder Contractor; and will personally supervise all work
v on the permitted structure.
Date
Name
PYA -S -
Signature of Notary—State of Florida Date
DEBBIE BLANTON
Owner i sanatlyaI�ri� w t#ccMt9841ta
Produce I ° EX PN? February 25, 2007
1 -800 -3 -NOTARY FL Notary Discount Assoc. Co.
2005-07-06 19:40
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Opaque Inswing Unit
(407)430-4068
MILLWORKS P 2/3
APPROVED ARRANGEMENT:
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NOW
Units of other sizes are covered by this
report AS long as the panel used does not
exceed 3'0' x 8'0".
SingleDoor
Uad.... WA AW - rr: sw
Deslpa Pnmrs
+70.0%70.0
ft" %"rden410trat wdealp.amu0.
Lerpe MWId lawact Resistance
Hurricane protective system (shutters) is NOT REQUIRED,
AOW Wp aftuft end OW IarWA nad.sme a fm a =ft WWft deelpo and jwro?k *Oon b OcwWrW by PMI-aWm *
maalzd buAdpq a0a:podhtAe eoloms rodred.
MINIMUM ASSEMBLY DETAIL
Compliance requires that minimum assembly delalls have been followed — see MAD-WI.-MAOD01-02
MINIMUM INSTALLATION DETAIL:
Compliance requires that minimum installation details have been lolfowed — see ARID-WL-MA0001-D2.
APPROVO 0008 STYLES:
W® 1313
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oaoam:.iv re0omd emm eee�.e.esetes qua. enb.+i oma+
2005-07-06 19:40 (407)430-4068 MILLWORKS P 3/3
Opaque InswingUnit
8111 WOOD -EDGE-- STEEL DORS
CERTIFIED TEST REPORTS:
C k919w
Certifying Engineer and license Number. Ramesh Patel. PZ / 20714.
Unit Tested in Accordance with WwW-Dade BCCO P01, PA202 and PA2M.
Door panels constructed from 24-0auge 0.020' thick sW skins. Both shies are constructed from wood.
Top end rats constructed from either wood or steel Bottom end rails constructed from ellher wood or
steel Irdedor cavity of sbb filled with rigid polyurethane foam core.
l Frartne constructed of wood with an wdruded aluminum threshold.
PRODUCT COMPLIANCE LABELING:
TESD N ACC DAAMIRH
PA201. PAM 8 PA20
COBPAKY HA IE
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fly
2005-07-06 19:40
FAX
(407)430-4068
MILLWORKS P 1/3
LOWE'S Store #1657
Home Improvement Warehouse
3780 Orlando Drive, Sanford, Florida 31,773
Date:
Number of pages including cover sheet.
eCM1-7 01-
Phone: Phone: 407-430-4060 �r
Fax: d o0� Fax: 407-430-4Q'68