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Home My WebLink About180 Bolivia CtI CM OF SANFORD PERMIT APPLICATION Permit # : 06 3a ! - J Date: 0 b ., Job Address: 190 Bee. I IA Cr i Description of Work: Siz%,e OFF Ot b (Z=F Ae SkcobLE Total Square Footage 2100 Historic District: Nb Zoning: Value of Work: S I Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool a Electrical: New Service — # of AMPS Addition/Altamtion Change of Service Temporary Pole Mecbanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: IN of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: IN of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential _( Commercial Industrial Construction Type: _ I # of Stories: ( # of Dwelling Units: I— Flood Zone: ^00 (FEMA form required ) F Owners Name & Address: N eta M r gt3 rnh SS t 0 ry 1001 SRPif": o D F,. 3277 ( Phone: 407 -323- 3430 Contractor Name& Address: 14*meb enucnLteex1e2ta S Lt_C— /40 $Ot..hVIA Cr- 3- 11V IZiplLo FL- Z 7-7 71 State License Number. _ CCC. r757 3441 Rbwe-& Fa:: qO 7 - 3 3o - 9 O 8 y Contact Person: R i tA+ A X b S916 Phone: W 7 - 3. ZI e 9 Bonding Company: w./ A Address: Mortgage Leader. NY Address: Arcbitect/ Engloser. N/A Phone•. Address: Fa:: 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 AFFIDAVITA 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 aoning. 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 the' may be additional permits required from other governmental entities such as water management districts, stale agencies, or federal agencies. Acceptance of geflnit is v n that 1 will notify the owner of the property of the requirements oilloriLim La S 713. 9_/i/ off 9.i/.v6 Signature of Owner/Agent D etet Signofntrador/Agent Date 10xi k CE'ss u na.a C- Print OwWftvn Print Contractor/ Sf"ar -Mat" N&"p. FROST MY COMMISSION A DO 432782 EXPIRES: September 22, 2M id ThN ewpt Notary Services Owner/Agent is asonally Known to Me or Produced ID APPROVALS: ZONING: UTIL: Special Conditions: Rev 03l1006 Contractor/ Agent Produced W of FILET tT ti P. FROSI "I MY COMMISSION t DO 432782 EXPIRES: September 22, 2W9 00^Ned TMu Bud? er Notary Services Personally Known to Me or FD: ENG: BLDG: 4 THIS INSTRUMENT PREPARED BY: NAME:,./Zow*cz- Sew ADDRESS: 79 "#Ssrov-J Bz,/D 54wft" fL 3 L'7'7 NOTICE OF COMMENCEMENT State of Florida Permit No. SEMINOLE COUN171' noru,a .MURAL 0-101C.'r Tax Folio No. (PID) Building & Fire Inspection: 1101 East 1 st Stree Sanford, FL 32771 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. DESCRIPTION OF PROPERTY (Legal description of the property and street address) ft3p A T' 31.19.31. 300. 0030. 0000 nrnT.r.r.. ........ GENERAL DESCRIPTION OF IMPROVEMENT ""' SEMII OWNER INFORMATION Name and address n/rin Norm 6 tg ar is s aw 'Rc f"zPANNE` - MORSE 0j CIRCUIT COURT Interest in property (Fee Simple, Partnership, etc.) /ov 9` vw"M NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER) 2006 CONTRACTOR Name and address if f/aw ES Cosrru.,&nvA) 1-1-C i90 6vc. v A Lr 5MVFo2b /i z7 SURETY (Bonding Company){{INIIIIIA11111Na 11 1ala alNllauallall Name and address IU A r wr itt uty 1IJ'_ IMWT Amount of Bond SE11IKLE COUNTY BK 06405 Pq 19701 tlpq) LENDER CLERK' S 0 20o6146938 Name and address 1114,11HOE.1104/13/>`006 W.P.1131 PA A I kt'111illINli K11, 10.00 Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section 713.13( 1)(a)7., Florida Statutes: Name and address Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: Name and address: In addition to himself, Owner Designates Provided in Section 713.13(1)(b), Florida Statutes. To receive a copy of the Lienor's Notice as Expiration Date of Notice of Commencement The expiration date is 1 year from date of recording unless a different date is specified.) AIAJ t S Signature of Owner Sworn o an 'bed before me this // Day of y I%—.—H6 My Commission Expires: + MY COMMISSION t DD 432782 EXPIRES: September 22, 2009 Notary Public J"fc# 10P0' BowelThriB.eetNotaryServices of The foregoing instrument was acknowledged before me this // day of ' . , zoa 6 by chard L S-e- (Name of person acknowledged), who is personally known to me or who has producedKA.OWA) ( Type of identification), as identification and who did/did not take and oath. 06,3Z17 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 $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 I 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. I, R"Aath, L Seg , 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 ate ET Print Owner/Builder N ne • ',(,V-oFy 76 1' - I,- Z %A, ON• 12 • Signature of Notary—S I 3B5. , 90U, 11IN// TAME OE Q\\\ Owner is Personally K66WAIlb' & or has Produced ID U,L_ S 000.7 7 SZ -G '3- '4 2-3--d