HomeMy WebLinkAbout165 Bub Thomas CirCITY OF SANFORD PERAUT APPLICATION _
a
Permit No.: Date:
Job Address:iec
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: , 7o
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole New AND 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: 4--lAesidential Commercial _ Industrial Total Sq Ftg: Value of Work: $ S. oo a
Type of Construction: 041ockFlood Zone: D Number of Stories: / Number of Dwelling Units:
Parcel No.:.357-t9 - 30 - SI s - 000 o -0,9 z D (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: Awxo,-y f xu 5o7- 3 z r -`, zs'
Contractor/Address/Phone: AL.,tc 5_tMe. AS .Ci o
State License Number:
Contact Person: Phone & Fax Number: _ 1 3 Z 1— 6 ag72)h-1-0363
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
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 andioning. 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 of permit is verification that I will notify the owner of the p;
ipg"nature
rty of the requirement of Florida Lien Law, FS 713.
Signature of er/Agent Date of tr to gent Date
A n- n (Ilu P1 cyt Cif ff
Print Owner/Agents Name Print Contract r/Agent's Name
commission # DDOMI6
Expires Der. 20. 2005
Bonded Tbm
Atlantic Bonding Co.. Ina
Owner/Agent is PerCn Personally own to Me or Produced
ID APPLICATION
APPROVED BY:L " A--k— Signature
of Notary -State of Florida Date Contractor/
Agent is Personally Known to Me or Produced
ID Special
Conditions: 4,= Date: -
k - '- \ - Z_ W
CITY OF SAN FORD 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 \\-]thin 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 lacy. The exemption alloys 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 constriction 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 \•our
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 \ou sell or lease a building you have built or
substantially improved \-ourself within 1 year after the construction is complete. the lacy \gill 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 ,,our contractor or to supervise people working on your building. it
is \-our 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 lacy. Your construction must comply with all applicable laws.
ordinances. building codes. and zoning reutiIatlolls.
I. Z do hereby state that 1 an qualified and capable of performing the
r u sted con action involved with the permit application tiled.
will assume full responsibility as an Owner/Builder Contractor. and will personally supervise all work
allowed by law on the permitted structure.
Opts er/Bu-I Signature Date
Apuup,
Print OwnerfBililder Name
iisa r,,
Signature of Notarv—Store of Florida Datc w
O\\ner is pers nali h oM to Mc r has °
Produced ID tI (03 (p Z D 0 is
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SHEATHING
S 6" AND 12"o.c.
1/2"li BOLTS WITH 1 3/4" FROMFIRST TWO FRAMING SPACES
ASHER 3'-0"o.c. EMBED 6"
Z••• WOOD TRUSS PER
TPI-55 AND SBC
O 24"o.c.
w/ 2x6 BLOCKING
O RIDGE
SOUTHEASTERN
HCPGAR + HCPGAL
1 SET PER TRUSS
OR EQUAL
LAP WALL REINFORCMENT
do DOWELS 23" MIN.
DOWELS 1-15
WHERE SHOWN ON PUN
EMBED 6"min. INTO
FTG. WITH 90' HOOK
2-2x8'* SP No.12
BOTTOM E PT
1 #5 CONT.
2"LAP
CORNER BARS
WALLS - 8" HOLLOW
CMU (RUNNING BOND)
GROUTED REINFORCED CELLS
SEE PLAN 12TOPTOEMBED6" MIN. INTO
HBONDOOK
BEAM. WITH 97
Ia(A
CLEANOUT OPENING-4"nm/" EACH
GROUTED CELL
6411 OWWF
2 — /5's
SECTION A -A
NOT TO SCALE
S-24
SANFORD BUILDING DEPT.
THESE PLANS ARE REVIEWED AND CONDITIONALLYACCEPTEDFORPERMIT. A PERMIT ISSUED SHALL BECONSTRUEDTOBEALICENSZTOPROCEEDWITHTHEWORKANDNOTASAUTHORITYTOCANCELALTER. OR SET AS1 VIOLATE.
PROVISIONS OF THE TEC D`= ANY OF THE
ISSUANCE" OF q PERMITHNICAL CODES, NOR SHALLDEPTFROMTHEERMITPREVENTTHEBUILDINGREAFTERREQUIRINGACORREC.
OR O HER VIOLATIO S O TH CODES. CONSTRUCTION
City of Sanford
Model Codes in effect:
Standard Building Code 1997 ed.
Standard Plumbing Code 1997 ed.
Standard Mechanical Code 1997 ed.
National Electrical Code 1996 ed.
See City Code AMENDMENTS
FL. Accessibility Codes 1997
FL. Energy Code 1997
PERMIT # 6 2- 535
OFFIGF COPY
CERTIFIED COP1
MARYANNE MORSE
NOTICE OF COMMENCEMENT CLERK OF CIRCUIT COURT
Permit No. V 2 V 3 Tax Folio No. 6EMWLE CQVkTY. FLORIDA
State of Florida
County of Seminole p, 09POT CCU
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. J A N 16 2002
1. Desc 'ption of property: (legal description of the property and street address if available) Tz
2. General description of improvement:
3. Owner information /
a. 'Name and address 06-1l 0AILI .E cV(k. c'. -e-W /(o 57 '0 /fsc."ArS C:oe-c 1e
b. Interest in property t
c. Name and address of fee simple t leholder (if other than Owner)
Contractor "e Pa — Y
I
I
a. Name and address ovV 6 t 116 712 0.,091.W s C11,,,
sal Fo g- p r` 3- 7 7 3
b. Phone number
5. Surety,
a. Name and address
b. Phone number
c. Amount of bond
6. Lender
a. Name and address
Fax number
Fax number
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
8. In addition to himself or herself, Owner designates
Fax number
of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes..
a. Phone number Fax number.
9. Expiration date of notice of commencement (the expiration date is 1 year from tq date of recording unless a different
date is specified)
gnature of O er
R 40v yv„iY A• perue tf—
Sworn to (or affirmed) and subscribed before me this day of /lo" 20 Q a , by _
V1 th F 1•erc.-W
y
IIUIIIUIU IIIIIYIpWRYR1U1 UI11UrIIW
Personally Known OR Produced Identification NARYANNE NORBE, CLERK OF CIRCUIT COURT
Type of Identification Produced %SM1NME COUNTY
BK 04296 PG 0203
CLERK'S # 2002815073
aypro''• Melissa RDED 01/16/P002 11OW4 AN
Signature of Notary Public, State of Florida ? .commbifti INB FEES 6.00
RNpin BY M Noldan
Commission Expires:
Saoq
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