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Home My WebLink About1800 S Park Ave (2)CIT%' OFSANFORD PERMIT APPLICATION Permit # : d Date: t lob Address: + Iq(F S Description of Work: tVAGL, , Per — V 2%zJ Total Square Footage 7 Ifistoric District: Zoning: Value of Work:Jvy$ rPermit Type: Building Electrical Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/ New Residential: # of Water Closets Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/ Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Calc. Required) of Water & Sewer Lines N of Gas lines Plumbing Repair - Residential or Commercial occupancy Type: Residential Commercial industrial a Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMIA form required) waers Name & Address: Gt nti tih ch^ f Poo . S ' -PA6 C Ae-t -h f K % '1 1 Phone: contractor Name & Address: hone & Fa:: 300ding Company: ddress: Mortgage fender. ddress: rchileeMngineer: ddress: Stale license Number: Contact Person: Phone: Phone: Fax: pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no wort: or installation has commenced prior to the ssuancc of a permit and due all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate omit must be seemed for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS. TANKS, and UR CONDITIONERS, etc. 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 onstruction and zoning. WARNING TO OWNER- YOUR FAILURE TO RECORD A NOTICE: OF COMMENCF.MEN'I' 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. 40TICE: In addition to uirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of his county, and these additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. cceptance of perrrti is 'frcation that will ify the owner of c property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent ate Signature of Contractor/Agent Date Print Owner/Agent's Name t Signature of of Florida DEBBIE BLANTON 1 MY COMMISSION # DD 168491 EXPIRES: February 25, 2007 r40013- NOTARY FL y, a Owner/ Agent is _ ers ty K]rownte-Ms eo Produced ID L Cam_ LPPROVALS: ZONING: UTIL: FD: pecial Conditions: ev 03/2006 Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/ Agent is _ Personally Known to Me or Produced M ENG' BLDG: 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 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 I 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. 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 aw on the permitted structure. 4 Owner/Builder Signature Date V&/ ' Print owdertguimer Name aar R NO, -Y . MKssoc. co Owner is Personally Known to M—e it 1as' Produced ID yk f m_ATTW —OF—WAY " ASP4ALT QOADMV F III3Q Miami ' i t HARE assr" SET W r Aft AM s et A vane Imo' 4 b i OLOT8S9 f p s ess i e sal = Ilj LT3 T s Z S' ald_ ' 3as •+ iirrOl.. r u atl' 3a L-- Xx — 0 - o = z =: z l O T O 7 o LOT 82 ra i FOaCt zS /i)1[ 6 - 8oix.! RLSk I i CLIENT It 4230s451 ' FIELD DATE i law 3- PARK 11 !11 *t iIB I SAWORD FLORIDA 327'i1 APDROVEiX CaiO3 1 UBM*.L D®CRWTWtk (AS w ) SCALE LOTS So 6 E7_ LESS THE EAST T FEET OF SARFORO HEIGHTS. ACCORDING TO THE PLAT TFEROF, j AS RECORDED IN PLAT BOOK 2, PAGES 62 THROUGH 63. OF THE PUBLIC RECORDS OF SEMINOLE COUNTY- FLORIDA. jl 9AStS OF HEARINGS: BEARINGS StIDWN HERE ARE BASED ON THE SOUTHERLY UNE OF LOT All BEING N RV41*41 W. AN A.SSIMEQ DATUM LIST OF POSSIBLE ENCROAC MEWS: SURVEYOR AiFORAAATIOIlt X)OF DWATED BY: PREPARED FOR PREFAB£[? FOR RESIDENTIAL ,,a.' T t (.ANtT SERVICES. iNC- - JJ , 621 24TH AVENk* S-W. NpRMAN. OKLAHOMA 73069 FAX: (406) 701-1027 PHONE: (405) 701-1100 WVWy.Ri.SNOW.COfA Pi.zramerlcmrrrr<bmwe.—CirRY-- e .`..... IiGFNU SURVEYOR'S CERTWICA-fE CERTIFIED TO (ASFLRMSYEDS AIC:AWL CGSOtrIO"M y Valo¢ADUTMJ"LVE ROGrualw ICR CALC"TW .a PW OF CkPWAnO* I HERESY CERTIFY V REPRESENTED HEREON eaooaoKAll" C jL-POWn w4Aleo FOFKAND SURVEYS F. GRILLO JR AND TAN'lA VALEMI Caw GOKAFR /IOCA MMt1 ii' POacOP 1ASEi'tfDe #AE£TS Tt£ lii A rmCiw E cfl+Eatt •oa perOFaE4MVfW ( I 1 17-6. FLORIDA o c •W- CF oow ti[.'R IN FLORIDA 0004WWOErOYELOANZ C.,k WN-4A D-WME a*c TT Ir,IYIERPOI£ ADYENIS C PU2S Vb ER 72.027, FLORIDA FIRST AME10CAN TITLE INS R:hCE GOWAIW , R c Powr of aCvEItK STAT co c ovVt No. 4224