HomeMy WebLinkAbout210 W 16 St (2)CITY. OF SANFORD PLUMBING APPLICATION
PERMIT NO. () L ( l' DATE
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT
TO INSTALL THE FOLLOWING PLUMBING:
OWNER'S NAME:
ADDRESS OF JOB: a
PLUMBING C0NTRACT0RC1"J V'-- RES. e— ON-RES.
Subject to rules and regulations of Sanford Plumbing Code
Number Amount
Residential and Commercial, Addition, Alteration, Repair
New Residential:
One Water Closet
Additional Water Closet
Commercial: mrmum $25.00
Fixtures, Floor Drain,
wer
ater Pi in
Gas Piping
vbde Home
Described Work:--
zS LA., ,7 Z>i s
i
Appikation Fee: $10.00
am stag uwl I am
State License#
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,
ordinances,[
Lt
uilding codes, and zoning regulations.
1, 1 ` do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I wi=resonsibility an Owner/Builder Contractor, and will personally supervise all work
all w bructure.
D' 1
Owner/Buuiil er Signature Date Date
11A A-_elul l)l o
Print Owner/Builder Name Mary L. Muse
omm art on
Expires Aug. 4 2M
Bonded Thru
Atlantic Bonding Co., Inc.
ign ure of tary—State of Florida Date
Owner is Personaliv Known to Me or has
Produced ID 4L -* r.J 4a S'- 334- (4- aSj . O
66- !- ems-
THESE PL<
ACCEPTED
CONSTRUE_
o oc '+
LICENSE TO PROCEED WITHTHEWORKANDNOTASAUTHORITYTOVIOLATE, CANCEL, ALTER, OR SET AS ANY OF THEPROVISIONSOFTHETECHNICALCODE, NOR SHALLISSUANCEOFAPERMITPREVENT1 , iE BUILDINGDEPTFROMTHERcEAFTERREQUIRINGACORREC- TION OF
S P.RORS ON THE PLANS. CONSTRUCTIONOROTHF
F T,,:l,,C F T'E CUr)F-.S.
Cily C f
Mcdc"i
Code 1997 ed.
I;f.. Code 1997 ed.
StindaY:i::cal Code 1997 ed.
Natiu r:. > .:;tli:.,. ode 1996 ed.
ti_NDMENTS
FL. ,a,a:: _.. 1997
FL, Uv,uryy Guae I997
t- ckp S O
PERmamIT# PERMIT #
1.] replace tub
2.] replace sink
3.] 1P replace window
4.] install dishwasher
5.] replace/upgrade circuit box
6.] add main breaker
7.] relocate switch box
8.] replace single door with single window
9.] replace double window with double door
10.] relocate outlet
11.] relocate switch box
12.] repair and replace drywall throughout