HomeMy WebLinkAbout1410 Mara CtCITY OF SANFORD PERMIT APPLICATION
Permit No.: - al () Da
Job Address:
Permit Type:
Description of Work:
Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service _Temporary Pole New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: sidential Commercial — Industrial Total Sq Ftg: . D 0 Value of Work: S /40ri0
Type of Construction: & OaVO r— Flood Zone: Number of Stories: ' Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: 1 ,AA Cj • qnf] - ` ^ 71 q
Contractor/Address/Phon
State License Number:
Contact Person: (?_,r-'}' Phone & Fax Number: LY1- 339
Title Holder (If other than Owner): Sf00 e ob,%J
Address:
Bonding Company:
Address:
Mortgage Lender:
Address: . I J,c 3 1 a0 'Tout P I ILA, a o - -aa 1 2 O
Architect/Engineer
Address:
Phone No.:
Fax No.:
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 FINANCINCe, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. A
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. v
Acceptance of permit is verification that I will notify the owner of thproperty of the requirements of Florida Lien Law, FS 713.
oee, 0-7-
Siiipature of Owner/Agent Date
Print Owner/Agent's Name
Z //.3/6 2.
fate Florida
sa Cameron
Commission # DDOMB
Bspirm Dec 20, 2005
Bonded Thru
Atlantic Bonding Co., Inc.
er/Agent is Personally Known o Me or
oduced ID D 7 (0 2, -7(o 4 q r?,36
APPLICATION APPROVED BY: 06 /60 r-f-
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
Date: Z - / q - O Z
Special Conditions:
CITY OF SANFORD BUILDING DIVISION
OWNEWBUELIDER 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 cf 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 qualifi 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 lays,
ordinances, building codes, and zoning regulations.
I, Pj6xr+'D DL-kpm do hereby state that I am qualified and capable of performing the
requested 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.
Owner/Builder Signature Date =? c
94
Print Owner/Builder Name. H
Sh rD
p
SigTure of Notary -State of Florida Date
p
Owner is Personally Known to Me or has
Produced ID D (o276 (-/ 14b) Z3O
BOUNDARY SURVEY FOR MEDCU DEVELOPMENT CORPORATION
SEMINOLE COUNTY, FLORIDA
DE SCR I PTION
Lot 89, SAN LANTA, THIRD SECTION; according to the Plat thereof"as,
recorded in Plat Book 13, Page'75, of the Public Records of Seminole County,
Florida.
SURVEYOR'S NOTES:
1. Bearings based on the centerline of Mara Court, per Plat of San Lanta, Third
Section, PB 13/75, Sem. Co., Fla., as.being:EAST.
2. No underground improvements or installations have been located other than shown.
3. This is to certify that I have consulted the National Flood Insurance Program FIRM
and have determined that the property lies in Zone C, not a special flood area,
per FIRM Panel #120294 UOIOB, City of Sanford, Fla., dated September 17, 198U.
SURVEYOR'S CERTIFICATE
This is to certify that this survey meets the Minimum Technical Standards
as set forth by the Florida Board of -Professional Land Surveyors in Chapter
21:HH-6, Florida Administrative Code, pursuant to Section 472.027, Florida
Statutes.
CERTIFIED TO:
14 MAY 93
R-. L. ROBERTS, P.L.S.
Florida Registration No. 3144
ROBERTS SURVEYING & MAPPING, INC.
185 N. COUNTRY CLUB ROAD
LAKE MARY, FL 32746
407)322-2213
UPDATED BOUNDARY SURVEY:
AMERICAN PIONEER TITLE INSURANCE COMPANY
ROBERT & DORIS DICKERSON
FIRST UNION NATIONAL BANK OF FLORIDA
SOUTH EAST TITLE GROUP, INC.
FINAL SURVEY:
2 JUNE 94 I IROBERTS,
P.LLS. #3144 ``J
30,
iT14E1. {ASfMfEN
FOUNDATION SURVEY:
11 JULY 94
R.L. ROBERTS
P.L.S. No.3144 Cr N
o —
Z
SANFORD BUILDING DEPT.
THESE PLANS ARE REVIEWED AND CONDITIO 4ALLYACCEPTEDFORPERMIT. A PCRMiT ISSUED SHA LL BE
CONSTRUED TO BE A LICENSW TO PROCEED WITHTHEWORKANDNOTASAU'1 HORITY TO VI _ATE. CANCEL. ALTER. OR SET AS:DC ANY OF THEPROVISIONSOFTHETECHNICALCODES. NOR . HALLISSUANCEOF ,: PUrMIT PREVENT THE DUI DINGDEPTF;p'.j 7*:-:'.:RcA,_•F-,, R _OWRING A CO REC- TIOi: _ f i=..';r:i ,; •} [; • o :.
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PERMIT # 02 -5b
5CPLE: 1"=30
hb survey m e9 the mi*m tedrkd standards o3 eet forth by the FlaWo ttowd of Reiemlond lod Sureyors In Owtr 21:M1-6• nofWo AdminWhOw Code, frvi =t to Salim 472.027.
IorWo Stotutes IN stereyor tws not atlstrocted the lald shown hereon for eownellte, rtpht—of—wM or otter moors of record that moy ofhct the vAjed p WwtA
ii* of thb survey = WN Trim embossed with the nd of the wwyor.
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