HomeMy WebLinkAbout2001 S Palmetto Ave (5)Permit #
CITY OF SANFORD PERMIT APPLICATION
Date: 97 - 0 6
Job Address: 7 00
Description of Work:
Historic District: Zoning: Value of Work:
Permit Type: Building I""' Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service— # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
Owners Name & Address:
Addition/Alteration Change of Service Temporary Pole _
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial Total Square Footage:
of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Attach Proof of Ownership & Legal Description)
I u•e-f c, l4tJe !'!4 _ s. rL 3Z77t-436 / Phone: 407- 9Z:I—G0CJ/
Contractor Name &Address: j : '%! L - t- r rt Y
Y ' ' " ' -
4-
L—
State License Number:
Phone & Fa/J. r / b — "' Contact Person: r r — —
t - ^'t Phon r ter—
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
Application 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
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.
OWNERS 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
construction and zoning. 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
addiA.ation
rats of there may be additional restrictions applicable to this property that may be found in the public records of
this county, and twired from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance
of pet I otify the owner of the property ofthe requirements of Florida Lien Law, FS 713. 9-S-
06 Signat1 Date
Signature of Contractor/Agent t Date cej Print Owner/
Agent'
s Name Print Contractor/Agents Name Signs ure o
ary- talc of Florida Date Signature of Notary -State of Florida Date DEBBIE BLANTON fAY
COMMISSION # DO
I8MI Owner/Agent is
P n ry 25, 2007 Contractor/Agent is _ Personally Known to Me or Produced ID ntAssoc.
CO. _ Produced ID APPLICATION APPROVED BY: Bldg:
Special Conditions: Zoning: Initial &
Date) (Initial &
Date)
Utilities: FD: Initial & Date) (
Initial & Date)
08/13/2008 15: 1J F.LZ 407 539 2710 THE MORTGAGE F I }UtKITh,> SlJF2VEYZNG
06/15/2006 14:5E 4073222003
PF.3E t=
PLAT OF BOUNDARY SURVEY
for
JOHN & KAREN 1300JACK
Legal Deacriptlon
LOTS 7, 9 and 11. BLOCK K. N.H. GARNEWS SECOND ADDMON TO MARKHAM HEIGHTS, according tothePlatthereofasrecordedinPlatBook1. Page 80. of the Public Records Of Seminole County. Florida.
Ctc(Y
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118. Co
N 89'5o'38" E
3
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4A 7 7'
N
70
J CONCRETE
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tin +• C. . F.
0ti ; N 89-50'38' E 118.00'
SCALE: 1 `30'
SURVEY NOTES:
1) The street address of the above -described property is 2001 PALMETTO AVENUE.
2) The abovo--described property lies in a Ficod Zone X-
ADDZ9X'
ENCL05U
REMOVE 2L,
12OF EXISTING
FENC E
SURVEYOR'S CERTIFICATE
T im it; to ramify that I Nava made a Survey of tha above do=.-ibed property and that the plat herecvl dslirwated
an accurate raprazcn tion of the aama. I further certify that this Survey mrata tnc Plirdm Tecrinicai
3tardards ant forth try the Florida Board of Land Survaynrs pI.= uant to Section A27-LQ7 of the Florian 5tatut -
F+EVI92CNS: =TIT-IED C33RECT TO,
KITNER SURVEYING, INC. JOHN 6KAREN SOD ACK
R. BLAIR KITNER - P.L.S. NO. 3382 IRVAN MORTGAGE CORP.
CotaatONVVEA..TH LAND TrnF INWRwwc,: co.
poet Office Box 023, Sanford. F7.. =r?2-0823 BEHCHMARXTITLEAGENCY. WC. 4fT7)
372-75100 07ECT
NO. eQ--aj 9 SURVEY (DATE: 14- DECEM5E9 ZOGuL
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 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.
I,--JaGH Ov I1Cj , do hereby state that I am qualified and capable of performing the
requested construction invol d 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 . ed structure.
O r/Builder Sigokfure Date
Name
DEBBIE BWNTON
MY COMMISSION # DO 188Q1
EXPIRES: February 25.2007
L,9OOSNOTARY FL Wwy Discoure Assoc. Co.
Signature of Notary —State of Floriada — )Sate ''— Owner
is Personally Known to Me or has Produced
ID