HomeMy WebLinkAbout120 Garrison Dr-b Address:
-scription of Work:
CITY OF SANFORD PERMIT APPLICATION
Date: — , 0 `
Total Square Footage_
istoric District: "Coning: Value of Work_ $
:rmit Type: Building Electrical L/ Mechanical Plumbing Fire Sprinkler/Alarm Pool
ectrical: New Service - ft of AMPS Addition/Alteration _ Change of Service ��mporary Pole
echanical Residential ' Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
umbing/ New Commercial: It of Fixtures # of Water & Sewer Lines_4 of Gas Lines
umbing/New Residential It of Water Closets Plumbing Repair — Residential or Commercial
ccupancy Type: Residential L-�C.mmercial Industrial
)ustruction Type: /! of Stories: tt of Dwelling Units: Flood Zone: (FENIA form required)
,utractor Name & Address:
one & Fac:
riding Company:
Idress:
utgage
.dress.
chitect/r,ngmeer.
dress:
State License Number:
Contact Person:
I none.
Fax:
plication 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
ranee 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
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
t CONDITIONERS, etc.
✓NER'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
istruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
!ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
oTICE: In addition to the re�gytr Wats of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
county, and there- a-y'be Ition i �t5gMred from other governmental entities such as water management districts, state agencies, or federal agencies.
Xptaiice of peflmte ' at I will notify the owner of the property of the requirements of Florida Lien Law, FS 713
ruc o ent s Date Signature of Contractor/Agent Date
'pint (%ynefgertt—, Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
DEBBIE B� LANTwCSN'
MY COMMISSION # DD629096
EXPIRES: February 25, 2011
Owner/Agent is ly Kltota>fl¢oA&L
Produced I
'ROYALS: ZONING:
cial Conditions
03/2005
UTIL: FD:
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID
ENG:
Personally Known to Me or
BLDG:
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1
City of Sanford
Owner/ Builder Affidavit
Electrical & Fire Alarm Systems
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence for his or
her own use and occupancy and not intended for sale or an owner of property when acting as his or her own
electrical contractor and providing all material supervision himself or herself, when building or improving a farm
outbuilding or a single-family or duplex residence on such property for the occupancy or use of such owner and not
offered for sale or lease, or building or improving a commercial building with aggregate construction costs of under
$75,000 on such property for the occupancy or use of such owner and not offered for sale or lease. In an action
brought under this subsection, proof of the sale or lease, or offering for sale or lease, of more than one such
structure by the owner -builder within 1 year after completion of same is prima facie evidence that the construction
was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by
.such owner and who acts in the capacity of a contractor. For the purpose of this subsection, the term "owner of
property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm
outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the
aggregate construction costs of which are under $75,000. The home or building must be for your own use and
occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired
yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease,
which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your
construction shall be done according to building codes and zoning regulations. 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.
I, , do hereby state that I am qualified and capable of performing the
requested construction involved with the permit application filed.,
O Personally Known to Me
S' e of Notary— of Florida Date
rnerBuilder Contractor, and will personally supervise all work
or has Produced ID
L
ARY