HomeMy WebLinkAbout111 Lakeside CirV
RECEIVED
r ,,
CITY OF SANFORD PERMIT APPLICATION
Permit # : C/ %P -,3a(/3L Date: O ' 1 O - 0 (o
AUG 1 0 2006
dab%Address: \ \X L-dtKtS: e4P C- r- C.( t
11
SQ--tbr4 PI p - : Ae 327-7 3
acriptionof Work: 71nCy(a k%-j5,,, ?\aJw Cct tm4eIrSr br'tw- I I Total Square Footage
Historic District: Zoning: gwXalue of Work: S I.S 00 • ma
Permit Type: Builiiuig ARA Electfiaal
W"
Mechanical _LPL Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - N of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: N of Fixtures H of Water & Sewer Lines__ p of Gas lines
Plumbing/New Residential: k of Water Closets Plumbing Repair - Residential or Commercial _
Dccupancy Type: Residential Commercial Industrial
Construction Type. H of Stories: q of Dwelling Units: Flood Zone: (FEMA form required >
0"ersName &Address: 2Arv%O^ 6cScL Ilk Lrca(CC zi;de C;re1R Ces ,a, 277j Phone.
ontractor
Name & Address: hone &
Fax: 3onding
Company: ddress:
Mortgage
Lender: Contact
Person: State
license Number: ddress:
rchilect/
Engineer: Phone. ddress:
Fax:' pplication
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 ssuance
of a permit and drat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I umderstand that a separate it
mast heseaurdfnr ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANK5, an UK
JIJI I "Nt:" Cie. WNER'
S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and drat all work will be done in compliance with all applicable laws regulating anstruction
and zoning. WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING WICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TTORNEY
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 his
county, and dmt may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. cceptance
o it is v if, ill notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature
of Owner/Agent _ Date Signature of Conuactor/Agent a-
K, A Mo.J ISO -SA \1N11m Signapue
of Notary -State of Fr-* an""' rG atrJ ao
a.. CS+. y 0r
Owner/
Agent is Personallygrttfi t'3ay Produced
ID ..... • • OQ \\ rPPROVALS:
ZONING: + UIO UTIL: pecial
Conditions: Print
Contrxtor/Agent's Name Signature
of Notary -State of Florida Date
Date
Contractor/
Agent is _ Personally Known to Me or Produced
ID og
FD:
ENG: BLDG: cv
03/2006 Uo
5C or S {r PD a OlJW45 QSYI/l G AI OQQ 3°p
CITY OF SANFORD BUILDING DIVISION
OWNERBUILDER 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 $25,000, 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 $25,000. 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,
ordi s, buildin odes, and
zommregulations.
4r.
o.. , oSA 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. ft (
3 w` oS:-
0 -ob Owner/
Builder Signature axx
INf1IIIIIIpq/
N a o
sue , - ``\\\PNN,ETrF SPrint Owner/
Builder Name •• ea P'Y i6'ti q
a
Signature
of
Notary —State of Flon Owner is
Personally Known to Me or W Produced ID
h L
CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER 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 $25,000, 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 $25,000. 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.
ICas•. d,. r> SA , 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 str ic.ture.
0,6
4%MerBuilder Signs a •,,,Q Se
Print Owner/Builder Name ' 16 RFs •
O
V
la'•O. Signature of Notary —State
Owner is Personally Known!IUIN 41 s
Produced_u
BOUNDARY SURVEY
LEGAL DESCRIPAON.• LOT 50, HIDDEN LAKE — PHASE III — UNIT Vll, ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK M, PAGES 78-50, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA'
PLAINS REVIEWED
CIT4I Y OF SANFOR
I
r.
1
a e
LOT 51
P .
10
LOT 49\\ \ j% LOT 50
CURVE TABLE
CURVE I RADIUS I LENGTH DEL rA
c-+ oo.Do' J4.of IDsi'ID"
C-2OD'J'JD-
LOT 74
LOT 73
OFFI
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PUP W IL' p BEARINGS
SHOWN HEREON ARE BASED UPON INolm 7 w fM Mr tbn w P e.Mls 07 1004 06/
16 05 SOUTH WESTERLY LOT LINE OF LOT 50 BEING t N42V3 52"
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sLeu' `04 Specialising
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PLAms REVIEWED
CITY OF SANFORD
PERMIt
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Gg14G= , _V PLMS
REVIEWED CITY
OF SANFORD
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Att; c
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Re"Aove r-ac— PLANS REVIEWED
CITY OF SANFORD
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