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HomeMy WebLinkAbout711 Park AveApplication # -"- Job Address: —711 Q Arv, Ajt, . SA,.t�,rl FL ixp ) --viilue of Work: S 13 0 ,ni a CITY OF SANFORD PERMIT APPLICATION I LP Submittal Date: Parcel ID: Zoning: Historic District: -—Description of Work: �'-A 'W z %h Square Footage: ....................................................................................................................... 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 ❑ 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): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ........................................................................................................................ Property Owner: Z1 , I`t t�+ / A�� Contractor - Address: (% 1 \ C R ryt X-4 Address: Phone:W)-l"Y'a -IA" E-mail: Phone: State License Number: Mortgage Lender: Address: Address: Architect/Engineer: Phone: Address: Fax: Plan Review Contact Person: 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. 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. Acceptancg of pe it is ver 1 n that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Si&4ure downe Agent Date Signature of Contractor/Agent Date P ' r ge s Name Signature of Notary -State of Florida Date - Owner/A 1 Prod 1 -800 -7 -NOTARY FI. Notary DiscountAssac. Co. APPROVALS: ZO FD: Special Conditions: Rev 02/2007 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 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. I ! j 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 by law Mr4.he permitted structure. Date Owner is Personally Known to Me or has Produced ID Signature of Notary—State of Florida Date My Commission Expires: 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 TCITY OF SANFORD, FLORIDA ❑ Downtown Commercial Historic District %esidential Historic District ❑ This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: X11 P nrV� Signature: Mailing Address: \1 vc, , Phone: Fax: Signature: Mailing Address: Print Name: Print Name: J% &Jn.vs,.J Phone:Fax: D ' I certify that all info tion cont �thisapplication is true and accurateto the best of my knowledge. Applicant/Owner: ;J � Date: 3- % -- O--) Please use the attached2riferia checkjs�as 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. I I , 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 *oofs/gutters/downspouts ❑ AC/Mechanical ❑ Replacement siding/flooring/porch hint ❑ Demolition ❑ Fences/Gates/Pergolas o''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. �Gi N QCo4 0,077 (� A Certificate of Appropriateness is valid for six months unless,otherwise noted' OFFICIAL USE ONLY Historic Preservation Board Meeting Date: Staff Review Date: Application is Approved V' Approved with Conditions Denied Conditions: darn r-4 n ii:n ***This Certificate must be prominently displayed on the building when work is in progress*** Requirements for Certificate of Appropriateness, App] ication NOTICE OF COMMENCEMENT Permit No. Parcel ID: _ �— I cj— 30 U 40 3- ()0') 9 State of Florida County of Seminole The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. I Jill 1111111111111111111111111111111111111 JIM 111111111111111111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 06616 pg 1018; (lpg) CLERKS # 2007035791 RECORDED 03/09/2007 IW0 15 AM RECORDIN6 FEES 10.00 RECORDED 9Y L McKinley 1. Description of property: (legal description of the property and street address if available) 2: General description of improvement: !Vc w V Owner Name and address: a. b. Interest in property Name and address of fee simple titleholder (if other than Owner) _ 4. Contractor Name and address: 0w r 5. Surety a. Name and address b. Amount of bond 6. Lender Name and address: 7 CERTIFIED COPY IWARVANNE MORSE CLERK OF CIRCUIT COURT L,$1EM:1N6- CQUNTY, rWRIDR i �.p Y ER MAD „ _ �. 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 713.13(1)(b), Florida Statutes. of to receive a copy of the Lienor's Notice as provided in Section 9. Expiration date of notice of commencement (the expiration date is 1 year from t e date o cor7unlessifferent dateis specified) ture Sworn to (or affirmed) and subscribed before me this day of 120 © % , by 1HIS INSTRUMENT PREPARED BY: Personally Known or Produced Identification NAME —J N%'* Type of Identification Produced �L 1 p A AlVc Signature of Notary Public, State of Florida Commission Expires: I � MY COMMISSION 1? DDG29096 EXPIRES: February 2 Discow[ Assoc CO. .800-OF 8pp ] N07ARY FI. NotuY