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Home My WebLink About1021 S Elm Ave (2)CITY OFSANFORD PERMIT APPLICATION rmit b : (5ri- b Address— t ( S. E {.M A 9 Date: ascription of Work: roo. fI RED"VOL Total Square Footage istoric District Zoning: Value of Work: $ z4x)0 IAW watitType: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool ectrical: New Service - A of AMPS Addition/Alteration *,-" Change of Service Tcngwrary Pole _ echanical: Residential Non -Residential Replacement Ncw (Duct Layout & Energy Calc. Required) umbing/ New Commercial: q of Fixtures P of Water & Sewer Lines q of Gas Lines umbing/New Residential: k of Water Closets Plumbing Repair - Residential or Commercial _ eupancy Type: Residential Commercial Industrial instruction Type: # of Stories: H of Dwelling Units: Flood Lone: (FEPtA form required) veers Name & Address: I J Z k S V( "-I Phone: ntractor Name & Address: _ S."E _ Stale License Number: one & Far;: Contact Person: Phone: ading Company: AoA dress: rrtgagc Lender: /lrlla ^_ dress: chilecl/Engincer: A* Phonc: dress: Fax: plication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the hence of a permit and that all work will be performed to meet standards of at laws regulating construction in this jurisdiction. 1 understand that a separate mil must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS. HEATERS, TANKS, and CONDITIONERS, etc. NER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating tstruction 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 disuicts, stale agencies, or federal agencies. eplance of it is verification That I will notify the owner cif the property of the requirements of Florida Lien Law, FS 713. I 06 Signature ofOwnu/Agent ale Signature of Contractor/Agent Dale Klri ir* (`Mug tgn,(Owner/A;tnt s Name Print Contractor/Agent's Name Produced ID ROVALS: ZONING: vial Conditions: 03/2006 DEBBIE BIANTON MY COMMISSION d DD low, EXPIRES: February 25. 2007 e or UTIL: FO: Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced )D ENG: BLlxi: LOA 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 0 Downtown Commercial Historic District 0 Residential Historic District 0 This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: & 'Z t /51, ^ AyF 5 4JAVA D Property Owner Signature: Print Name: kt t7W dAySe/tr Mailing Addre /yZ NFO A L 3 Z 77 / Phone: q67 - 3p4- TW-L- Fax: Applicant/ Agent Signature: Mailing Address: Phone: Fax: Print Name: I certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant/ Owner: Date: / 2 /7-$/0 Please use the attache 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) o Site Improvements/driveway/walkway O Storage shed D Moving structures D Replacement. windows or doors S-ItInderskirting o Awnings o New construction/additions o Signs O Demolition o Roofs/gutters/downspouts o AC/Mechanical o Fences/Gates/Pergolas W, Keplacement siding/flooring/porch hint • 0 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. C*&% QX tS u P ,,1 A,w^ to cookrva l r a*c- ry PR.wt 106A4G Ff , F! f b'S / 7Yu-100`, To ^ kftrl ccoc /rtV w/r'M X)cIS r rv[, pa trMc S K/L*CR &4'-4---1CTXD S MArcrv,Q,R < t*b p If ,MAOIQ t L- 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 ! Approved with Conditions Conditions: Denied This Certificate must be prominently displayed on the building when work is in progress*** Requirements for Certificate of Appropriateness Application r LEcrielC L DkAW/Wy — i'oQc ff kFAoaEt_ FtA AV Code violations found during inspection are required to be corrected. Plan/permit issuance does not grant approval of a code violation. 2004 FBC109.1 r i 1 I OFFICE PLANS REVIEWED CITY OF SANFORD. t pi lit- r F Nei w s N PERM11 NSW F&WOS Wlu. B TIE r f 'h vc Gr tc tS (61,vwg,Avu.QS A%;•,, w,0 S 49it ! 2. 4A- am kr i S T.iW7 !Z c?A- 114A, c- 4cy1 rY Iom Et.*N AN F Ii2,W 1AM7 -MAWIMCl IORC,f+ RPOO DEi, Tt" L r'ofsrn1, Zaf "FrOe Q,r E/!--, rwTML- A"4rk jWw Lam( NavyR2 tstLvt9 ie I rt w, ArIT'HIFAL PT- o. Syt' tuA4 &Ar Z 2K DOW%. k>-PJ4X9,D 2rL ot r js ttc A B Aft44lb Cow ffP&~8 d y 91*gf t AJ r f I orr ohs, / S -rR"S Q+[d u. &pc Aeces S,&-F Z Oon rnStructuralplanreviewislimitedtoa Igeneral survey for code compliance. No ! z review is implied nor was taken to rn verify structural adequacy O krLPt,c OM,Ir a ja, rim v fz.K .vy y RrztACO w ry .,./ !" .f SYP I D INCy S T /i0 / /S144*4 sk S vWAE Acccss(OL4 A P D ru r t w,+ L L- ADWACC7 C2 Fi4 vS U) Cocr :L14t/r. 0 Uj ON AGl5T/iVEy C—(-4CU 1T 0 v O` z V) am _ z mm o mm vv CITY OF SANFORD BUILDING DIVISION OWNERBUILDER AFFIDAVIT ELECTRICAL & FIRE ALARM SYSTEMS An owner of property making application for permit, supervising, and doing the work in connection with the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence for his or her own use and occupancy and not intended for sale or an owner of property when acting as his or her own electrical contractor and providing all material supervision himself or herself, when building or improving a farm outbuilding or a single-family or duplex residence on such property for the occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial building with aggregate construction costs of under $75,000 on such property for the occupancy or use of such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year after completion of same is prima facie evidence that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by such owner and who acts in the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner shall personally appear and sign the building permit application. State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $75,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. I, fis i r ff f(AN S ON , 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. Owner/Builder Signature DaY kg urm rlAAO." Print Owner/Builde--Name of N Owner is Produced ID OFgBLEB to `I fR yo ,NTOVV rueFes` 'Y S8849, 00;, Co. 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. I, ,r "N "SO/y , 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. OwnerBuilder Signature Date f11rof t#,"fror Print Owner/Builder Name Owner is _ Produced ID Personally Known to Me or has