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HomeMy WebLinkAbout810 S Palmetto Ave` CITY OF SANFORD PERMIT APPLICATION rmit H : (5 - 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. c - > 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 Qe�ce ce7 e e.r> 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 tr4;dAc7 �s.�cuEs. y LOT 2 S 90'00'00" W I ? 77 7 0 I 17.5 X O � Q o J2.10 O l STY WOOD FRAMk co O c 01610 m e I ti O )1.0o I ll.l J � I J REO6 40.40 26. CARP RTry � e.so4.•I. O O ,�/ 90 0'00" E 117.00 Z LOT 4 q a 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� w 11