HomeMy WebLinkAbout2838 Central Drmit#:
Address:
criptioq of Work: ���
toric District: Zoa
CITY OF SANFORD PERb4IT APPLICATION
/0 7
_Total Square Footage
Value of Work: `S / 1100 7geLC
`9
mit Type: Building electrical Mechanical Plumbing Fire Sprinkler/Alaria Pool
ctrica(: New Service; — # of
AMPS Addition/Alteration Change of Service _ Temporary Pole
chanical: Residential _----Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
mbing/ New Commercial: d of Fixtures # of Water & Sewer Lines d of Gas Lines
mbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
upancy Type_ Residential Commercial Industrial J /
e7 it
istruction Type: Q0 # of Stories: - # of Dwelling Units: / Flood Zone: (FEMA form required) 17d lal 0)4 {�
icrs Name & A Idr
L
tractor Name & Address:
State (Accuse Number:
ae & Fat:
Jing Compaay:
ress:
tgagc
rens:
Bice
ress:
Contact Person:
Phone:
t(F.agincer. Phone.
Fax
kation is hereby made to obtain a permit to do the work and installations as indicated. ( certify that no wort: or installation has commenced prior to the
nee of a permit and that all work will be performed to meet standards of all taws 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 ofthe foregoing information is accurate and that all work will be done in compliance with all 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
DRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_
i
ICE: (a 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.
OwnedAgent is Person / / tb Me d F� \\
_ Produced (D.,JSTf;'
Illlrl
:OVALS: ZONING:
UTIL:
FD:
of the requirements of Florida Lien Law, FS 713.
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractot/Agent is Personally Known to Me or
Produced ID
al Conditions:
3/2006
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.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,
ordindices, building codes, and zoning regulations.
I,
do hereby state that I am qualified and capable of performing the
construction involved with the permit application filed.
assume full resp7ein�ftf/d
ibili as an Owner/Builder Contractor, and will personally supervise all work
.-d by law or�the structgre.
F
IN
.017
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t Owner/Builder Name
o',°'>>>�072L,,g °," Q
I`
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Signature of Notary—State of
Florida
Owner is Personally Known to Me or has
Produced ID
um
i
RECEIVE[
JAN 3 1 2007
L 32773
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