HomeMy WebLinkAbout118 Krider RdCIT%' OF SANFORD PERMFC APPLICATION f
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mit d :_-- 1-0 _ Date:------�---( l5J ----
cription of %Vork:"%'�Q -- Total Square Footage=_— --- - -_--
toric District: _ Zoning : Value of Work: S
r.
mit Type: Building � Electrical
ct
rical: New Service -!t of AMPS
chanical: Residential Non -Residential
mbing/ New Commercial tt of Fixtures
mbing/New Residential: # of Water Closets
:upancy Type: Residential Commercial
istruction Type: it of Stories:
tecs_Name & Aldress:
tractor Name & Address:
ae & Fax:
Jing Company:
ress:
tgagc Lender
ress:
iitectfEngineer.
ress:
Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Add i tiort/Alteration Change of Servicc TemporaryPole
Replacement New (Duct Layout & Energy Calc. Required)
B of Water & Sewer Lines N of Gas Cines
Plumbing Repair - Residential or Commercial
Industrial
# of Dwelling Units: Flood Zone: (FEMA form required )
Contact Person:
Phone�/
State License Number:
Phone.
fax
ne:
ication 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
rice 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
it must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
CONDITIONERS, etc.
IER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating
ruction and zoning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING
-E FOR IMPROVEMENTS TO YOUR PROPERTY- IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
3RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
ICE: 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
ounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
prance of it is verification that I it ori the owner of [fie roperty of the requirements of Florida Lien Law, FS 713,
Signature o Owner/Age Signature of Contractor/Agent Date
rout UwnedAgeni s Paine ' z::F Q • a // s .:
Signature of Notary -State of Fiort �(• �(� j0"i ate",
j�• X1:,,9 ko'ided��C�� �• �v
9 • „K,E V
Owner/Agent is Personally Known to
_ Produced ID_j � �� ICp 3 - U q
:OVALS: ZONING:
at Cooditious:
3/2006
UTIL: FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
ENG:
BLDG:
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 $75,000, 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 $75,000. The building or residence must be for your own use or occupancy. It may
not be built or substantially improved for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within 1 year after the construction is complete, the law will presume that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You may
not hire an unlicensed person to act as your contractor or to supervise people working on your building. It
is your responsibility to make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the responsibility for supervising
work to a licensed contractor who is not licensed to perform the work being done. Any person working
on your building who is not licensed must work under your direct supervision and must be employed by
you, which means that you must deduct F.LC.A. and withholding tax and provide workers' compensation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinances, building codes, and zoning regulations.
-
I, , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.
I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work
allowed by law on tIA permitted structure.
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wnerBuilder S' e r`��I. • a�(,+ /�/��/
Print Owner/But cferVame
Signature of Notary—State of F "ovw
���llllll i 1111111\\���
Owner is Personally Know,, to Me or has
Produced ID_ , t te 4- A 1-$-3-7—o
THIS INSTRUMENT P
NAM
NOTICE OF COMMENCEMENT ADDR.
Permit No.
Parcel ID:
State of Florida
County of Seminole
RE
3a 7 .)3
1111111111111 III II 1111111111II 1111 II 1111111.1 II III II 11111 Ill 1 Illi
MARYANNE MORSE, CLERK OF CIRCUIT COURT
The undersigned hereby gives notice that improvement will be SEMINOLE COUNTY
made to certain real property, and in accordance with Chapter DK 06555 Pg 0660; 'Qpgi
713, Florida Statutes, the following information is provided in CLERK'S *;100700724.3
this Notice of Commencement. RECORDED 01/16/2007 1605:25 Ate
RECORDING FEE$ -16.O4ERTMED COPY-
RECORDED
OPi
RECRDED.16� H .DeYpNNE MO
RS1=
-1.. Descript�y of propgrty: (legal descriptiAr of�e property and street address if ava► a le) CLERK OF C,orinr rnnn
2. General description of improvement: 6,o -`-V V'T'
Owner Name and address:
I��✓ a. Interest in property 1 ✓"•
b. Name and address of fee simple titleholder (if other than Owner)
4. Contractor Name and address:
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.130)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of
recordi ffnt
date is specified) ..
Si hir o wner
Sw to (or affirmed) a0d subscri ed bef��li��// le ty,day of J��,„ A ti �s 20 C_, by
�;
Personally Known or ProdrLr3tYii��htaaft= • •'•
4 4 X,
Type of Identification Produced n 3-
X4
OJ, a, e,,ano'n c"'� • G
Signature of Notary Public, State of Floes 1-p ° • .
Commission Expires: 0/1111,11w\0�\\\`