HomeMy WebLinkAbout1714 Park Ave (3)Permit
Job Address:
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CITY OF SANFORD PERNUT APPLICATION
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Permit Type:' Building • Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: u /° Gy O o 13 E'1JSC
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: residential Commercial _ Industrial Total Sq Ftg: Value of Work: $
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: l Y -'' 1 L 72 % ? ab7^3'z 1,67/a,
Contractor/Address/Phone:
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
Phone & Fax Number:
State License Number:
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 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 that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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Signature of Owner/Agent Date Signature of Contractor/Agent Date
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Print Owner/Agent's Name
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Signature of Notary -State of Florida Date
Melissa Cameron
commi-On nm ns
Espires Dec. M 2M
440E FtOQO Bonded Tbru
Atlantic Bonding Co.. M=
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is
Produced ID 2 •7 32.L1 *;2L3870 Produced ID
APPLICATION APPROVED BY: .
Special Conditions:'
Personally Known to Me or
Date:h,
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 I 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.
D vA&s1, , 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 Owner/Builder Contractor, and will personally supervise all work
allowed by law on the itted structure.
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OwnerBuilder Signature Date
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Print Owner/Builder
Namej 6/0
Signature of Notary —State of Florida Date
Owner is Personally Known to Me or has p
Produced ID D 2 ZD 73Z </ 2 3'76 °°
RALPH DUKES
1714PARK AVE,
SANFORD,FL 32771
PH 407-32 1 -671 2 FAx 407-32 1 -675 l
D E-MAIL RALPHDUKES@GO.COM
Building Permit Department
City of Sanford
Dear Sirs,
Sanford; 6/26/02
Due to some unforseen financial setbacks, I am unable to complete the Wood Fence Project at 1714 Park Ave.
I am hereby requesting a 90 day extension to complete the project.
The portion of the fence that needed to be moved 2 feet so that I was not on the city right of way has been
accomplished.
Enclosed is a check for $15.00 for the extension.
S' rely,
1ph Dukes
PLAT OF SURVEY
for
RALPH DUKES
Legal Description
LOT 47, less East 5 feet, SANFORD HEIGHTS ADDITION, according to the Plat thereof as
recorded in Plat Book 2, Page 63, of the Public Records of Seminole County, Florida.
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9001
EAST 125.00'
NOTE: EXISTING IMPROVE ENTS ON LOT
NOT LOCATED BY tHIS SURVEY
2 STORY
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SET IRON
CAP 03382
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2 STORY
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1-gni--------STR-EE T------------------------
SCALE: 1 "=30'
SURVEY NOTES:
1) The street address of the above described property is 1714 PARK AVENUE.
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SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuarlt to Section 427.027 of the Florida Statutes.
REVISIONS:
PROJECT NO: 01 - 5
KITNE SURVEY NG, INC.
R. BLAIR KITNER - P.L.S. NO. 3382
Post Office Box 823, Sanford, F1. 32772-0823
407) 322-2000
SURVEY DATE: 5 N0VEM5EK Z001
CERTIFIED CORRECT TO:
RALPH DUKES