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HomeMy WebLinkAbout1790 E Airport Blvd (2)Permit N : ���• ��� Job Address: t %q o E. 4.'f -,e CITY OF SANFORD PERMIT APPLICATION Date: Description of Work: +At A :6 Y 0 X I In tLj Historic District: Zoning: Value of Work: S Permit Type: Building Electrical Mechanical Plumbi Electrical: New Service – N of AMPS Addition/Alteration Mechanical: Residential Non -Residential Replacement Ne Plumbing/ New Commercial: H of Fixtures N of Water & Sewer Lines Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Industrial Construction Type: N of Stories: N of Dwelling Units: — Owners Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender. Address: Architect/Engincer: Address: I ootage ng Fire Sprinkler/Alarm Pool _ Change of Service Temporary Pole W (Duct Layout & Energy Calc. Required) N of Gas Lines Plumbing Repair – Residential or Commercial _ Flood Zone: (FEMA form required) �'Tilln►7�%f'OL�� 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. 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 M 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 ofpermit - verification that 1 will ify the owner of the property of the requirements of Florida Lien Law, FS 713. Si a of Owner/Agent a Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name b • l-ob I of Notary -State of Flor Date Signature of Notary -State of Florida Date •, 4 JO AW M. JOHNIKIN :, * My COMMISSION A DD 285622 r ER �Me or aetNotaryServieas Contractor/Agent is _ Personally Known to Me or U _Produced ID L `1 Ob APPROVALS: ZONING: UTIL: FD: ENG: BLDG: , F • Special Conditions:S.S� l Rev 03/2006 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, building codes, d 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. wnerBuilder Signature Oate Print Owner/Builder Name +o��;�C;�l� �turii M. JOHNSON nature of Notary—State of lorida Date # * MV COMMISSION A DO 285622 EXPIRES: March 23, 2008 OF FIde Bonded Thru Budget Notary Servkes Owner is Penally Known to Me or has Produced C. IM b3� • S t'�4 . Z 8b o Ave N, uj S MellonviNe Ave _ S Mellonvflle Ave_ i 1 t 4 0 ,qa/ tib. l �tl X 2 W ' U I Scarlet Dr ' r f �✓ i � d ,n t i Whltner.WaX eny JeweD Carrier Ave _ X ^� { 1 I , L w rrrrrrrrrrrrr rrn-r 1 NavigatorAve j nnnuuuunu 1111111111111 inm i1oiappnH c nnnununnn nnnnnm nn, nnnmunnni ninnunu nnr S MellonviNe Ave _ S Mellonvflle Ave_ i 1 t 4 0 ,qa/ tib. l �tl Z M C41ap-r W. S Mellonville Ave Vol', T, X 2 W U Z M C41ap-r W. S Mellonville Ave Vol', T, CARRIER AVENUE (EAST 44 PARKING) xxxxxx xxxrocx xxxxxx xxxxxx xxxxxx xxxxxx VYY WY 00 DYNO BUILDING PARKING a as TENT 40 X 120 PARKING X 10 PARKING X 21 PARKING X 3 PARKING X 10 cxxxxxxxxx 000Mxxxxxxxxxxxxxxxxx WEST 100 PARKING PARKING X 10 xxxx PARKING X 10 xo xxx 000cxxr0000cxxxxr000cxxxxr00000cxx TOTAL PARKING 179 - - - - - - - - - - - - - -- ENTRY/EXIT ENTRY/EXIT ENTRY xxxxxx I xxxxxx xxxxxx PARKING X 9 PARKING X 10 PARKING X 10 xxxxxx xxxxxx xxxxxx xxxxxx xxxxxx xxxxxx xxxxxxxx xxxxxx D xx xxxxxx FO BBQ BBQ PARKING X 9 PARKING X 6 xxxxxx .. xxxxxx xxxxxx D G7 xxxxxx xxxxxx xxxxxx 7C X MOM m Z �D xxxxxx x�cxxxx xxxxxxp � X i ;oxxxxxx xxxz y z xxxxxx x FOOD TENT > I 0 xxxxxx (7 Y xxxxxx 60 X 80 .Wow -i a-,xxxxxx Q Z Y w i a xxxxxx xxxxxx o� xxxxxxxxxx a Z N D ;ao v p« xx D Ln xxxxxx z102 I xxxxxx ? G) 7t C ? Zxxxxxx xxxxxx X Z I xxxxxx M xxxxxx xxxxxx x Ln xxxxxN xxxxxx PARKING X 8 T-SHIRT TENT °' ( a x xxxxxxxxxxxx xxxxxx ❑ ❑ xxxxxx Z xxxxxx xxxxxx xxxxxx xxxxxx LFPARKING X 6 PARKING X 10 PARKING X 4 I xxxxxx xxxxxx xxxxxx ENTRY/EXIT xxxxxx xxxrocx xxxxxx xxxxxx xxxxxx xxxxxx VYY WY 00 DYNO BUILDING PARKING a as TENT 40 X 120 PARKING X 10 PARKING X 21 PARKING X 3 PARKING X 10 cxxxxxxxxx 000Mxxxxxxxxxxxxxxxxx WEST 100 PARKING PARKING X 10 xxxx PARKING X 10 xo xxx 000cxxr0000cxxxxr000cxxxxr00000cxx TOTAL PARKING 179 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-2516 - FAX # 407-302-2526 DATE: CXC - 01 -C FO PERMIT #: Q(e-'Z'Z"1� BUSINESS NAME / PROJECT: ADDRESS: M qO Gam' .. PHONE NO.: %+01. 595 - IWO FAX NO.: CONST. INSP. [ 1 C / O INSP.:[ ) REINSPECTION [ ] PLANS REVIEW [ ] F. A. [ ) F.S. [) HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ] TENT PERMIT TANK PERMIT[ "") ,OTHER [ J TOTAL FEES: S SO - �--.r/.lV� (PER UNIT SEE BELOW) COMMENTS: /—],Q, 4 t A f2 GJ— I A I e Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. C9 V©. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. rkA0AA,,A' Sanford Fire Preventi ision Applicant's Signature