HomeMy WebLinkAbout1503 Wynnewood Dr (3)CITY OF SANFORD PERMTf APPLICATION O
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Permit No.• Date:
Job Address: W y!yi11jC— wvo,V -,P17.
Permit Type: _1.,:-$uilding Electrical Mechanical Plumbing Fire Alarm/Spriukler
Description of Work: SAG
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration c,-ICIange of Service _Temporary Pole New AMP Service (# of AMPS 2CJi. )
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: _Residential _Commercial _ Industrial Total Sq Ftg:$$
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Value of Work: S
Type of Construction: L rW:@ood Zone: Number of Stories:_ Number of Dwelling Units: I
Parcel No.: Attach Proof of Ownership & Legal Description)
45710 .3 14/
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Phone & Fax Number:
State License Number:
Mortgage Leader:
Address: -
Architax//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 PROPERIFY. 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 er:tities 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.
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P. "; KO 1, 1.6 Q 7
SibAure of Owner/Agent e
I
E1161
Date
W COMMISSION # DD02201
EXPIRES: June 5, 2004
Dombo Thru 90000 Xftq soft"
Ow9er/Agent is Personably Known too grProduced 37U'
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
APPLICATION APPROVED BY: 71 . -et Date:
Special Conditions: _ A—,
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
4 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, 3,4'&-S , 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.
wner/Bmlder Signature 46ate
Print Owner/Builder Name
of
2 2'76 lrV0-.
4_rJSHANNAHAWIGNSSignature ofNot — late of Florida Date :w
cOMMISSION0 DD.0224. iEXPIRES: June5, 2W4i! ean0edT1xu
9udpM Nowt 9urvi..Owner
is Personally no to Me or has +-_-- --- Produced
ID : [A - SU'
I
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: 0/ Date:
The undersigned hereby applies for a permit to install the following electrical:
Owner's Name:--
t-F A,4F
Address of Job: t,S G ;3 .ciiVI7J Gvr'i> f fZ
Electrical Contractor:
Residential: Non -Residential:
Number I Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial:
AMP Service
Change of Service:
AMP Service to AMP Service
Manufactured Building
Other: '/2 E
Description of Work:
IADDlication Fee: 1 1 $10.00 1
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
Applicant's Signature
State License Number
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a faun outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $25,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $25,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within I year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. 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.
1,_, do hereby state that 1 am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an 0%%=/Builder Contractor, and will personally supervise all work
allowed by law on the permitted structure.
Z poierBuiderSignatureate
71:<
Print OtmerBuilder Name
1• / % I ,,RY. itl6(,, SI'W'IM fL'n1 N V
f ( * MY COMMISSION M DID 022471AC_
r o —State of Florida Date * EXPIRES: June 5, 2004
a+'
Fai
a Bonded Thru BudgM Nowt
Owner is Personally o to,1e orhas
Produced L QC. C(
HII 11 III II 111 II 111 II III 11 III 611111 III N 11111 III11 III I IIII
NOTICE OF COMA4ENCEMENT
Permit No. Tax Folio No.
State of Florida
County of Seminole
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The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with m
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
V..,
in
1. Description of property: (legal description of the property and street address if available)
2. General description of improvement:
Owner information nCJ
a. Name and address t w ao
c
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor z
a. Name and address
b. Phone number YO7 3 2 PJ E22.9 Fax number
5. Surety
a. Name and address =
0
b. Phone number Fax number .,.
c. Amount of bond cq
6. LenderCD o
a. Name and address-.--
b. Phone number Fax number
7. 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:
a. Name and address
b Phone number _ Fax number
8. In addition to himself or herself, Owner designates of m
to remove a copy of the Lienor's Notice as provided in Section o
7 3 -t 3`I j,W14aJ da Statutes.
Phone -number t Fax number
9. 1A c9caf ion date of noti o of commencement (the expiration date is 1 year from the date of recording unless a different;
0
e is specifiea1'; 1 '01
all
c") Si at of Owner o
Swo (br. Kati bscri bef a me th _ day of _ , 20 b z'
X
mC)
Pe lly bo OR Produced Identification v
Type Identifition Produced
Signature of Notary Public, State of Florida
Commission Expires:
VERWIED COPY
MARYANNE
CLERK OF UIT 4DURT
4
C NTY. FLOjWA
OEPU1Y UIW 20BANL