HomeMy WebLinkAbout300 E 18 St (4)Ll
r CITI' OF SANFORD PERNIFT APPLICATION
rmit #
b Address: —
Date: O
scriplion of Workr RA4V.4Z7W4To( yuare Footage
r
istoric District: ping: Value of Work: S! M
rmil Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm fool
ectrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy (.:ale. Required)
umbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines —
umbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
cupancy Type: Residential Commercial industrial
instruction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEAtA form required
roers Name & Address: —/IL—nPy(G
3v ,Er / C' fA PhnnE`
alractor Name & Address:
one & Fat:
ceding Company:
dress:
rrtgagc Lender:
dress:
chilectfEngineer
dress:
Stale license Number:
Contact Person: Phone:
Phone.
Fax:
plication 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 file
mince of a permit and dim all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separdic
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS. TANKS, and
t CONDITIONERS, etc.
NER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and dim 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
rICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LI NDIiR OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMI;NCEMEN'1'.
NICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public rccotds of
county, and ttere may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
cptance
Signature of
Name
the owner of the roperty of the requirements of Florida Lien Law, FS 713.
Signatur 7 Male 06E iM BLANMN
MY COMMISSION # DD 185491
EXPIRES: February 25, 2OD7
1-8003.NOTt RY =i Votary oiccoure Assoc. Co.
Owner/Agent is _ Personally Knownlo" efvf'®r
Produced ID
ROVALS: ZONING: UTN.:
cial Conditions:
03/2006
FD:
Signature of ContracludAgcnt
Print Contractor/Ageni's Name
Signature of Notary -State of Florida
Date
Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG: BLDCJ:
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 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.
I, R160 A , do hereby state that I am qualified and capable of performing the
requested constructs invo ed 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.
4Pi ; 0 iY o
Owner/B i er Sig a ate
20 y VPrintOwner/Builderg ame
Signature o W ,15SIO p 188491
PIRES: February 25.2W714004WTARYFlNowy0jMMMA=,. Co.
Owner is Personally Kno or has —
Produced ID
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Structural plan review is limited to a
general survey for code compliance. No
review is implied nor was taken to
verify structural adequacy
PLANS REVIEWED.
CITY OF SANFORD-nIIIi - _ ..
a'I _ (o (o v
Permit N :
dobwdld. 300 1F, - I g S
Description orworki37--)sWi W-44. ( Ora
Hbiork MOON & Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: _
Value of Work:
Plermit Types Bwwint --\Z- Elecnial Mochanical -A, Plumbing Fire Sprinkler/Alarm Pool
Lleelrkd: New Service - #I of AMPS Additioa/AketWon \OC Change of SeMcx Temporary Pole
Medwalcol: Residential Non-ResMotial Repbcea ntt New (DLO! Layout dt Energy Calc. Required)
Plumbing/ new Commercial: t of Fi:Mns d of Water k Sewar Lines * of Gas Lines
PlumbhoWew RaMoutW: M of Water Cloaeta Plumbing Repair- Residential or Comrnemiai
Occupancy Type: Resideadd Cotumercid Indowel
Constretetl*a Type: ' _ N of Soorim. OI or D vu ft Unit: Flood Zoua (FLaIA fond nquhvd )
Owaars Nam It Addraw- 3 00 Ea4l P+ 1 t4
tnokes-
r _,_ _
Prose• - .. —_ ._... ,-
Coatraemr Moms dt Address: ._ - „ • .
Tits rl wrM —_ _n, A
Pioac dk Pa:: Garnet Perna_. - - - - -- -
Bould" Lbwa•r•
Addrow
NWVW Leader. - -- Address
ArdiewNEaglater:
Prose: Address
FAX Application
is rueby aside io Obtain a permk Io do the wok =0 ias411atiws m iudk4scd. i certify *moo west or hu allotioo bas cormumoed pier to dw isssooras
da permit and tbet all wok - will be pert emad to meet stxiWN* of all laws repuMk g ccostractioo in thb jurisdidioa 1 undastard dnt a tepwm permh
must be seauad for ELEC MCAL WORK, PLUMBING, SIGNS, WE114 POOLS. FURNACES. BOILERS, HEATERS. TANKS. and AIR
CONDITIONERS, aka OWNER'
S AFFIDAVIT: I cwdi f do all of Ora Awgp ft in Boom ica is u mlc reed that all work will be door is ootnpanow wiw an applicable lava Modwag coosou
sus Rod rooiog. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEt M MAY RESULT IN YOUR PAYING TWICE
FOR 04PRONEMEN"IS TO YOUR PROPERTY. IF YOU RMM TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR N07TCE OF CONVAENCEMENT In
addition roguiteart u ortbis psmiL don rally be addi wel notiio iws aWk*k tD The pmpQW dm may be famed in me public rooadS of tlds
cow". and may be additiond peasbs mquwW Aoai' o"ew gaverawMI oodlin such 0 wsw masap ullcM districts, ruse apncwk ar Wadgeacies Gcalios
that I w \ `Q'' _ '
A =
solify
t)re owner d of !M requlrarrrerrta otT Fl da. l Si
of Della Sigw[itrt.,.. aeaa"odAgant , , Dale Wemef/ •,
1 t;Optraclor/Aaat' muse— Sr
of Signarue d -S of Flora err r I NEPIDY IL JAM;;= MYCOMMISSION # DD 941 EXPIRES:
April 2, * MY COI+IMISSION t DD 418i184 g
Bonded Tlw Notazy Publ c ndrrnrilero / i EXPIRES.
June 30, 2009, Badtd
7bro Budprt IbMf Servlul Owoar/
Avw is Pesaoaally Knew to VA Or CoemaotodAgM is _ Petsmdly Rsr to Me or Ptoarxe
m _ Produced H APPROVALS: ",'
I— G FD: ENO: BLDG: Sp=
W Conditions: Rev
03rM
lilt liIl11NlpIBIll NIN1w111Nl1111inNolill NOTICE
OF COMMENCEMENT NARYANW 141M, MEW GF CIRWIT C1110 SE11111131_
E cowry Permit
No. Tax MiM. Pq 17591 "PO State
of Florida CLERK' County
of Seminole Rk'
CUHDED12/27/2006 0962106 AN REORDINS
FEES 10.00 The
undersigned hereby gives notice that improvement will be made to certain realV , 1AAMB181nce with Chapter
713, Florida Statutes, the following information is provided in this -Notice of Commencement. 1 .
Description of propert: (Icription of the property and stLeet address if available) l? -
2.
Gengral description of improvement: 3.
Owne f formation /.- f ivi — 1AAL
a.
Name and address I b.
Interest in property c.
Name and address of fee simple titleh( 4.
Contractor a.
Name and address b.
Phone number 5.
Surety a.
Name and address R1
b.
Phone number _ c.
Amount of bond Lender
a.
Name and address tMIRED ,
copy 5 -
77 / MABYANNF:;IjI1pR if
other than Owner) --, IIdi Ili = IS Fax
number Fax
number b.
Phone number Fax number 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1 xa)7., Florida Statutes: a.
Name and address b.
Phone number Fax number 8.
In addition to himself or herself, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.
13(l)(b), Florida Statutes. a.
Phone number Fax number 9.
Expiration date of notice of commencement (the expiration date is 1 year fro the of recordin less a different date
is specified) Sworn
to (or and subscribed before me this , day of t ,P Cy 120 b , by Personally Known
OR Produced Identification Type of
Identification Produced' AAM DEBBIE
BLANTON Signature of
No tc, State of FloriQ MY COMMISSION tit DO 18MI EXPIRES: February
25, 24XV Commission Expires:
1-0004-WTARr FL Wary Dismit Ass I = Co.
THIS
INSTRUMENT
PREPARED By: NAMFlc AD
RT