HomeMy WebLinkAbout1008 W 6 StPermit #.
Job Addr
CITY OF SANFORD PERMIT APPLICATION
RECEIVED
Description of Work: T11 5r1,g tl O Lei i1 in, C V S %f e.rl Total Square Footage
Historic District: Zoning: Value of Work: SO D O
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical. Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
— Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
.r .ter _ --t I 1 _ --• r -f A , _ _ \ ,A r C
Owners Name & Address:
Phone: y O:1 :SZL '-4 1 n b
Contractor Name & Address:C��6sfs inn
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
0 2006
OWNER'S AFFIDAVIT: 1 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.
N TI : 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 perification that 1 Will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Contractor/Agent Date
Print Owner/Age .'s Name i Print Contractor/Agent's Name
—1 18 06
Date Signature of Notary -State of Florida Date
* * MY CG;"Of'+.ISSION # mayry
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EXPIP,ES: March 23,2a
EOF Re Bonded Thru Budget Notary Senlcea
Owner/Agent is Pe onally own to Me or
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APPROVALS: ZONIN 7 IL: FD:
Special Conditions:
Rev 03/2006
Contractor/Agent is
Produced ID _
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Personally Known to Me or
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CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER 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, building codes, and zoning regulations.
I, , 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.
J1, C" T41"_
Owner/Builder Si tune Date
C1 lc - F Q del
Print Owner/B4ilder Name
1Sign�turqWOPWAAPY— Date
# * MY COMMISSION I DD am
d, EXPIRES: March 23, 2008
Owner isOFR�` Pe iE f"9W"We or has
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PLAT OF BOUNDARY SURVEY
for
TRIUMPH, THE CHURCH OF THE NEW AGE
Legal Description
THE EAST 91.5 FEET OF THE SOUTH 139 FEET OF BLOCK 7, TIER 13; AND THE WEST 90 FEET OF THE
EAST 181 % FEET OF THE SOUTH 139 FEET OF BLOCK 7, TIER 13, FLA. LAND 8 COLONIZATION CO.,
LTD., MAP OF THE ST. GERTRUDE ADDITION TO THE TOWN OF SANFORD, according to the Plat thereof
as recorded in Plat Book 1, Page 112, of the Public Records of Seminole County, Florida.
SCALE: 1 i:40r
10
SURVEY NOTES:
1) The street address of the above-described property is 1006 8 1008 6ei STREET.
2) The above-described property lies in a Flood Zones AE 8 X.
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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 pursuant to Section 427.027 of the Florida Statutes.
REVISIONS: N / 4-�r- ,// I CERTIFIED CORRECT TO:
KITNER SURVEYING, INC. TRIUMPH, THE CHURCH OF THE NEW AGE, INC.
R. BLAIR KI.TNER • -~ P.L.S. NO. 3382 SUNTRUST MORTGAGE
Post Office Box 823. Sanford, Fl. -32772-0823 FIDELITY NATIONAL TIRE INSURANCE COMPANY
( 407) '322-2000 HARRY 0. REID, III, ATTORNEY-AT-LAW
PROJECT NO: D6 - 1l)8 I SURVEY DATE: 2b &01 Zb04