HomeMy WebLinkAbout810 S Palmetto Ave` CITY OF SANFORD PERMIT APPLICATION
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Date:
I .b Address: 810��
-scription of Work:7 �CesC.i-7��^F ,t}.� ftuCTrt TotitI Square Footage_
istoric District: Zoning: Value o Work: $�r 649a =
:rmit Type: Building Electrical Mechanical Plumbing
Fire Sprinkicr/Alarrn Pool
ectrical: New Service - # of AMPS Addition/Alteration
Change of Service fentporary Pole
echanical: Residential _ Non -Residential Replacement New
_ (Duct Layout & Energy Calc. Required)
umbing/ New Commercial: # of Fixtures # of Water & Sewer Lines
H of Gas Lines
umbing/New Residential: # of Water Closers Plumbing Repair - Residential or Commercial
Xupancy Type: Residential Commercial _C Industrial
mustruction Type: H of Stories: # of Dwelling Uuits: _
Flood Zone: (FEMA form required )
ar
veers Name & Address: 70� �i� l•�K.e
/•� ..� .L
mtractor Name & Address:
one & Fax:
riding Company:
(dress:
)rtgage Lender:
dress:
chitectfEngineer.
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
iance ofa 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.
JNER'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.
xplance of permit a ill notify the owner of the property of the requirements of Florida Lien Law, FS 713-
"'
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Prin er! 's N e Print Contractor/Agent's Name
Signature of otary-State o Florida Date Signature of Notary -State of Florida Date
Owner/Agent is earsortally Known to Me or /
Produced ID /
'ROVALS: ZONING:
cial Conditions:
o3noo6
UTIL: FD:
ContractodAgent 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.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.
4CJg= , 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 pe d structure.
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Owner/Builder Signature Date
Print Owner/Builder Name
Signature of Notary—State of Florida Date
Owner is Personally Known to Me or has
Produced ID
cog
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 XResidential Historic District
❑ This application is filed in response to anotice
/from the ode Enforcement Department
ADDRESS OF PROPERTY: gun _< � F1 ' f"'
f , Print Name: / 11 Lc J 1A
Mailing Address: -7D' -S-. 14�4,.2V ' q j f
Phone: Y' 6 7 - Z_ L9 - y0 7D Fax:
Applicant/Agent '
Signatur : ---� r -
Mailing Address:
Phone:
Print Name: /fJti� Zu.
I certify that all informio onta d ' s application is true and accurate to the best of my knowledge.
Applicant/Own Date: / - /Z -(D
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
C Moving structures
❑ Replacement windows or doors ❑ Underskirting
C Awnings
❑ New construction/additions ❑ Signs
E: Demolition
❑ Roofs/gutters/downspouts ❑ AQ/Mechanical
Fe`ences/Gates/Pergolas
❑ Replacement siding/flooring/porch RTaint
C 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 additio 1 pages if necessary.
_S ,4�,� r-ce
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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
J,17 A /_ ! r- 1
Denied
Date: /: /off . ;t�%
***This Certificate must be prominently displayed on the building when work is in progress***
C:\DOCUME-1\jonesm\LOCALS-1\Temp\XPGrpWise\HPB-Certificate of Appropriateness Application.doc
PLfiT OF SURVEY
DESCRIPTION LOT 2__2LOCK 10 TTER 2 TOWN_L_3JNFO17O
RS RECORDED IN PLRT BOOK 1_ PRGEfSJ 59 OF
THE PUBLIC RECORDS OF SEIIINOL E COUNT Y. FL ORIOR
SOUTH R/W OF BTH
LOT i
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LOT 2
S 90'00'00" W I ?
77 7 0
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17.5 X
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O l STY WOOD FRAMk co
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J REO6 40.40 26.
CARP RTry � e.so4.•I. O O
,�/ 90 0'00" E
117.00 Z
LOT 4 q
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LEGEND:
ELEVELEVATION NiD • NAIL AND DISK BLK -BLOCK �`I! L,�•
FD • FOUhND POB • POINT OF BEGINNING ESMT • EASEMENT
ESMT • EASEMENT POC POINT OF COMMENCMENT IP • IRON PIPE
STY • STORY CO • CHORD BEARING R • RADIUS
� • CENTERLINE R/W • RIGHT OF WAY e • DELTA
X -X -X • FENCE PL • PROPERTY LINE C • CHORD
RES • RESIDENCE PC • POINT OF CURVE L • LENOHT
BLDG + BUILDING CONC • CONCRETE P -PLAT
WD FRM • WOOD FRAME MON MONUMENT r NUMBER
UTIL • UTILITY RD • ROAD ■ •FD CONC MON r
0 • FD REBAR r Q •SET REBAR +2259 p • SET CONC MON +2279
TOM • TEMPORY BENCH MARK INV • INVERT
N.G.- NATURAL GROUND FF • FINISH FLOOR BM • BENCH MARK
NOTES:
I NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL
OF A FLORIDA LICENSED SURVEYOR AND MAPPER
2 THIS SURVEY WAS PREPARED FROM TITLE INFORMATION FURNISHED TO
THE SURVEYOR, THERE MAY BE OTHER RESTRICTIONS OR UNRECORDED
EASEMENTS THAT EFFECT THIS PROPERTY.
3 NO UNDER GROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHER WISE
SHOWN
4 DIMENSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD
NOT BE USED TO RECONSTRUCT BOUNDARY LINES.
5 BEARINGS ARE BASED ON ASSUMED DATUM AND 014 THE LINE SHOWN AS
BASE BEARING
6 VERTICAL CONTROL (NATIONAL GEODETIC VERTICAL DATUM 1029)
CERTIFIED T0:
KURT EWEN AND JACKIE EWEN
HARRY G. REID
M. EDWARD GORDON SURVEYING — — --
�iy� ryT6 sratzr 6OUWARY DA 7f 12,1012006
REGISTERED LAND SURVEYOR 02259 SY.ALE I' = JO'
PO Box 1557 SALFORD . FLORIDA 32772 PHONE 324 5720
509 WEST I TH STREET SA7FORD , FLORIDA
THE SURVEY DEPICTED HERE IS NOT COVERED BY PRO�ESSIONAI_ LI^,Bll_111' If 1SURAf`'ICE�
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