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Home My WebLink About915 S Elm Ave (2)p '] CIT\' OF SANFORD PERMIT APPLICATION Permit # : [J / Date: l04A Z fob Address: 1 / .i 5, r • E I Im A,J rr e Description of Work: QL " Lt» L ' lie, Total Square Footage Historic District: V,- S Zoning: S ) Value of Work: $ Z/ , ov . Permit Type: Building Electrical Mechanical jX Plumbing Firc Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Dccupancy Type: Residential Commercial Industrial Construction Type: # of Stories: # 1 of Dwelling Units: Flood Zone: (FEMA form required) waers Name & Address 7Ra ` i2 i (td-a- G /( f a ` / Q/ J S. 11 M A V.-- : S a-K Ce-n- J. /C 1 3 2 7 7/ Phone: 407- 3 AV- W I-Z contractor Name & Address: hone & Fax: 3oudiag Company: ddress: Mortgage Lender. ddress: rchilect/ Engineer. ddress: Slate License Number: Contact Person: Phone: Phone Fax pplication 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 ssuance of a permit and Ural all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate Permit must be seeumod for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and UR CONDITIONERS, etc. WNER' S AFFIDAVIT: I 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 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. 40TICE: 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 there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. cmptance of it is verification that I will notify the owner of the pr perty of the requirements of Florida Licn Law, FS 713, Signature ofOwne/Agent \ eTTs/' Signature of Contractor/Agent Date Prin wner/ Agent's Name ` `•"vary 7 `+ ` Signature of Notary -State of 1 q Date DQti07jy8 a) • * z INN Owner/ Agent is P ly 7Ah QF \ 0, Produced ID 77 1— a APPROVALS: ZONING: UTIL: FD: pecial Conditions: ev 03/ m Print Contractor/ Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID ENG: BLDG: S I r 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, /: _ /!l , 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. 111111II11// j E S C Owner/Builder S . 6 . a% • to co any Q c' 0 ;*s Print Owner/B d -Named o'196 P. 10 ja Date Owner is Personally Known to Me or has Produced ID 1'. L '¢O O — /_*7 1— v CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone:407.302.5805 Fax:407.330.5679 TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA 0 Downtown Commercial Historic District 0 Residential Historic District 0 This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: q/S S L S Z 77 PrOM Ow r Signature: Print Name: i c.r , 4 Mailing Address: Phone: 41j97 - 33 0 — c// 8' 1 Fax: Applicant/Agent Signature: Print Name: Mailing Address: Phone: Fax: I certify that all inf a i n contained in this applic tion is true and accurate to the best of my kno led Applicant/Owner: Date: D p .4 Please use the attached criteria checklist as a guide to completing the application. Incomplete applications cannot be reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at 407-330-5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) o Site Improvements/driveway/walkway 0 Storage shed 0 Moving structures 0 Replacement windows or doors 0 Underskirting 0 Awnings o New construction/additions 0 SigAs 0 Demolition O Roofs/gutters/downspouts C/Mechanical O Fences/Gates/Pergolas o Replacement siding/flooring/porch 0 Paint 0 Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is recommended. AttaciLadditional pages if necessary. S A Certificate of Appropriateness is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation Board Meeting Da : Staff Review Date: Application is Approved Approved with Conditions Conditions Signed: Date: Denied This Certificate must be prominently displayed on the building when work is in progress*** Requirements for Certificate of Appropriateness Application