HomeMy WebLinkAbout619 Palmetto Ave (3),b_Address" ' f
-sccrription of_W.ork:
istoric District:
CITY OF SANFORD PERMIT APPLICATION
e
Zoning:
�rmit Type: Building Electrical
ectrical: New Service — # of AMPS
echanicaL Residential Non -Residential
umbing/ New Commercial # of Fixtures
umbing/New Residential: # of Water Closets
�cupancy Type: Residential Commercial
instruction Type: ## of Stories:
rY.nNd dress
-
30 Total Square Footage_
Vatu_e_of Wolk:_$, Z 0 a C> 6
Mechanical _ Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service _ Temporary Polc
Replacement Nese (Duct Layout & Energy Calc_ Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial
# of Dwelling Units: _ Flood Zone: (FENIA form required)
I' otractor Name & Address:
one & Fax
uding Company:
dress:
)rtgage tender:
dress:
chitect/Eagineer
dress: ,
Contact Person:
State License Number:
Phone
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. t understand that a separate
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TAW KS, and
Z CONDITIONERS, etc.
�3,6>
/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_
TICE: 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
; county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
eptance of permiiliis v&ication that 1 w notify
�= v
Signal f,OwnAgent
caner/Aeent's Nanie n
thof the property of the requirements of Florida Lien Law, FS 713
c.._, p 2- 01 - o
l' Date Signature of Contractor/Agent
1-� - 1 0%
i ature oE`Not State of F o ida Date
• � JO A M, JOHN"
#MY COMMISSION # DD 285622
EXPIRES: March 23, 2008
��'rFOF rt -0' Bonded Thru Budget Notary Services
Owner/Agent is Pers ally Known to Me or
Produced IDS 1
?ROVALS: ZONING:
tial Conditions:
03/2006
UTIL: FD:
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
ENG: BLDG: V— '
CITY OF SANFORD BUILDING DIVISION
OWWNERIBUILDER 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,
ordinances, building codes,d zoning regulations.
6-
I, jC1NJDkr1, 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.
� Wnx,
Owner/Builder Signature Date
l 1 ,�
c=am'
Print Owner/Builder Name
4ign&e ofNota to of Florida Date yip".'.:urY + •�� JO ANN M. JOHNSON
* MY COMMISSION # DD 285822
EXPIRES; March 23, 2008
Owner is Personally Known to Me or lilf ,11111" Bonded Thru Budget Notary Services
Produced ID �l� �—
CITY OF SANFORD HISTORIC PRESERVATION BOARD
APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone: 407.302.5805 Fax: 407.330.5679
TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA
❑ Downtown Commercial Historic District ❑ Residential Historic District
❑ This application is filed in response to aln�noticje from the Code Enforcement Department
ADDRESS OF PROPERTY: ei C v�
Pro e Owner
Signature: �. lam— — ��lfrint Name: t Q v` �4.
Mailing Address: 5� `^ 0 AV
Phone: 'L, d J ! - 01 Fax:
Applicant/Agent
Signature: �' _
� Q _ rint Name:
Mailing Address: 0
Phone: Fax:
I certify that all inforpation contained in is application is true and accurate to the best of my knowledge.
Applicant/Owner: . - Il Date: 01- '0(
Please use the attached criteria checklist as a guide to completing the application. Incomplete applications cannot be
reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at
407-330-5672 to make sure your application is complete.
Description of Proposed Work/Application Category: (Check all that apply)
❑ Site Improvements/driveway/walkway ❑ Storage shed
❑ Moving structures
❑ Replacement windows or doors ❑ Underskirting
❑ Awnings
❑ New construction/additions ❑ Signs
❑ Demolition
❑ Roofs/gutters/downspouts ❑ AC/MechanicalFences/Gates/Pergolas
ElReplacement siding/flooring/porch ElPaint
/ ❑ Other
Completely describe the entire scope of work: all changes in material,
color or location to the exterior of the building,
where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is
recommended. Attach additional pages if necessary.
1P C'ktA 'k��4 ��'/1
A Certificate of Appropriateness is valid for six months unless otherwise noted
Historic Preservation Board Meeting Date:
Application is Approved
Conditions:
Signed
OFFICIAL USE ONLY
Staff Review Date:
Approved with Conditions
Denied
Date: P. /. ?156.7
***This Certificate must be prominently displayed on the building when work is in progress***
Requirements for Certificate of Appropriateness Application
SCALE: I/ I Gu = 1147
w
NEIN
—
ADDITION
—
REMOVE
NEW I -STORY PORCH
EXISTING t
TO REPLACE EXISTING
CONCRETE y
2-5TORY PORCH
WALK
L ,
i
CARPgtZ pOFc►}
i
50'
► a" FRvM-
SipEwA�K
36"14 p<<t-eFt
SITE PLAN
fc" CE
SCALE: I/ I Gu = 1147