The URL can be used to link to this page

Home My WebLink About1000 S Scott AveCITY OF SANFORD PERMIT APPLICATION } Application # : " �d W � Submittal Date: 9,70-7 —Job Address: _hem Scam' AUS Value of Work: $ .'� / yr 'b b Parcel ID: 02, Y Zoning: KfStrJ_wn.77QLLHistoric District: --Description of Work: _P41114xY WA/ -1 /taiAIcE Square Footage: _ ............................................................................................................ 0.. 0........ Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential O Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Type: Residential Commercial ❑ Industrial ❑ Occupancy Use Group(s): Rga/,"6,F Construction Type: ffigoe.4 of Stories_ # of Dwelling Units: Flood Zone: (FEMA form required) ......................................................................................................................... Property Owner: ttUAW L, kL//_;r Address: ID00 S- Xe_(2f't 001/,', J1 77 Phone:i%D%', W, S(I E-mail: ty147 bAA_ Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Contractor: Address: Phone: Mortgage Lender: Address: Phone: Fax: State License Number: Phone: Fax: E-mail: 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. d 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 verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. n n ,zao7 Si atureofOwner/ gent D to Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Si re of N State of Florida Date Signature of Notary -State of Florida Date r9n�aro LOVETTY SCOTT g MY COMMISSION 4 DD499445 EXPIRES: March 04, 2010 I'80().3 NOTARY FI. Notary IiIAPAWIt Assoc. Co. Owner/Agent is Personally Known to Me or Contractor/Agent is — Personally Known to Ivy or Produced ID Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 02/2007 City of Sanford Owner/ Builder Affidavit Construction Contracting 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 $75,000. 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. 1, fb�,ti �. &/1 C T , 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. y Jv 7 er/Builder Signature to Owner is personally Known to Me or has Produced ID Sign re of No ary—State of Florida Date My Commission Expires: W10A, i , / _�e&) H LOVETTY SCOTTMY COMMISSION k DD499445 EXPIRES: March 04, 2010Y Fl. Notary Discount Assoc. Co. PI.Al Ill 1.11JUV,l Y For - JOHN L. and SANDRA R. WILT Lccl,.11 t)esl:i ilit ioll Lot 28, MAYFAIR `.,ECTION FIRST ADDITION, according to the plat thereof as recorded in Plat Book 13, Page 69, o`f the Public Records of Seminole County, Florida. al„ •.oat t - -� 4 w d Z 11 iu ty e ^T ¢ �j N It Ic V 1 .5 l n t :s IJ 4 t( S ' a iU I/ I ly ,a C. urr,iv[ I 90 1 f j or c ti Ip• � .F 4�cuF �9S I fi•��. � tip 139.23 0 6•, t��yt 0 ��y r: d t9.bl• �o t8 � 3 W � .i s 'pl I VIAr.5 r.••coNc. ovivE :. 81_47 —_-01 LM, .' I � , i p,a ft 139.24' s�i�°o I• SURVEY NOTES: 1) The street address of the above described property is 1000 Scott Drive. 2) The above described property does not lie within a 100 year Flood Hazard Area. SURVCYUR'S CERTIFICATE This is to certify Lhat I have made a Survey of the al,uve destaibod prupt-ILy and lh.iL the Flat I,t*Ieuii th•10;e:,L,,d i'., an accutaLe representati n of Che same. I further c,rrl.ify that Lhk Survey,nrots Ine 19illirnun lvchuic:,l -L tur Lh by the Florida lluard of Lw,d 'nrtv,'yuts pur•,u,wL Lu 'nv l ion 472.027 L11 ik, I lot ill., L.Il ole' CERTIFIED CORRECT TO: Barnett Bank, N.A.; Kampf Title KITNER SURVEYING, INC. R. BL.AIR KITNER - P.L.S. No. 3382 Bust, Offire Ilnx H2'i - Sanford, I'I 32772-11ill i (.',0'.,) .52: -2000 PROJECT NO. 67-5,1,3 SURVEY DATE: 28 ,4u,,vs7- 19'87