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Home My WebLink About618 Elm AveCITY OF SANFORD PERMIT APPLICATION Application # :^.J�Jv Submittal Date: _ Job Address: 1J LyV) / / SJI%T-ili Value of Work: $ Parcel ID: Zoning: Historic District: IY00 Description of Work: (a P t woL �eyx U`_ Square Footage: ......................,................................................................................................... I�j Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ 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 Plumbing/New Residential: # of Water Closets Occupancy Type: Residential 1� Commercial ❑ Industrial ❑ Construction Type: 'Fm� # of Stories: # of Dwelling Units: _ # of Gas Lines Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Use Group(s): Flood Zone: (FEMA form required ) ..................... .................................................................................. Property Owner: t �• V Contractor: Address: I� S Q iM Address: Phone: 40q -�32�� E-mail lihlf7rl��_� R r� (• 6W Phone: State License Number: Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: 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 AFFIDAVIT: I 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance per .rte le-pti �, at I will not l'y the owner off the property of the requirements of Florida Lien Law, FS 713. S atu o wner/Agent Dat Signature of Contractor/Agent Date t owner/Agent's ent's Name Print Contractor/Agent's Name 7777�- Date Signature of Notary -State of Florida Date Si nature of Nota State of Florida - o '. MY COMMISSION # DD629096 EXPIRES: February 25, 2011MA, 00 -NOFL Not Discount Assoc. Co. 1$(41 -7 -NOTARY �' FineFW'14't�tff. Owner/Agent is _ Personally Known to Me or Produced ID Contractor/Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: q,10i UTIL: FD: ENG: BLDG:_ Special Conditions: Rev 07.07 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT FSS 489.103 Disclosure Statement 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 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 supervision 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. BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Property Address: 61R SOU114 t l AL 5022 r-[- <3-2 22 � -- I, llntt✓f7- /N, be , do hereby state that I am qualified and capable of perform ng the reque d construct" volved with the permit application filed. Sinn iira _..... Date Form of U — (Must be Ph I kc> A ar F.V,j Fab"�Sslpp `' 1 UN F , N V `096 A violation of this exemption is a misdemeanor of the firs2 ODi �s ble by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil pen In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. (Rev. 4/20/07) I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103 AS LISTED ABOVE. I HAVE ACCESS TO THE ADOPTED CODES. I AM FAMILIAR WITH THE CODE PROVISIONS. I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY SUPERVISE THE WORK. THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE. I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED. I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON 1 HIRE, I MUST DEDUCT F.I.C.A., WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE. Property Address: 61R SOU114 t l AL 5022 r-[- <3-2 22 � -- I, llntt✓f7- /N, be , do hereby state that I am qualified and capable of perform ng the reque d construct" volved with the permit application filed. Sinn iira _..... Date Form of U — (Must be Ph I kc> A ar F.V,j Fab"�Sslpp `' 1 UN F , N V `096 A violation of this exemption is a misdemeanor of the firs2 ODi �s ble by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil pen In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. (Rev. 4/20/07) LA '� CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICA TION FOR A (VARIANCE TO SCHED ULE S P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407.302.5805 Fax: 407.330.5679 Please answer all the questions on the application form and submit all required attachments. Incomplete applications cannot be reviewed and will be returned to you for more information. You are encouraged to contact the preservation planner at 407.302.5805 to make sure your application is complete. 1. General Information If , Property Owner. tr Property Address: Mailing Address: lU� 0 D eln�1� Phone Number: �►Y(, �- �J�-�� Fax Number: Agent: Phone Number: b� �2E 6 V�, -0, Address: Fax Number: (� Downtown Commercial Historic District: Residential Historic District: This application is filed in response to a notice from the Code Enforcement Department. I certify that all information contained knowledge. Applicant: _ Date this application is true and accurate to the best of my Owner: Date: 2. Description of Proposed Variance: Please state what is required by the regulations, what you are proposing and the variance that is being requested: Required Q Proposed Variance M AY �i ��SC.V` CSS- / Pr I I ✓ -�; vJ The variance approval is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation Board Meeting Date: Application is Approved ✓ Approved with Conditions Denied _ Conditions: "W,C 11J 1 .A Wd o,rr ffX . /yp/x1 t UYl h PLHT OF SURVEY DESCRIPTION LOT S, BLOCK 6, TIER 7, E_R, TRHFFORO IIS THERPUBLICOIN RECOROSTOBDO�m- ANO E BOUNTY,6LOR6DROF NOTES: I NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER 2 THIS SURVEY WAS PREPARED FROM TITLE INFORMATION FURNISHED T-0 THE SURVEYOR. THERE MAY BE OTHER RESTRICTIONS OR UNRECORDED EASEMENTS THAT EFFECT THIS PROPERTY. 7 NO UNDER GROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHER WISE SHOWN 4 DIMENSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD NOT BE USED TO RECONSTRUCT BOUNDARY LINES. 3 BEARINGS ARE BASED ON ASSUMED DATUM AND ON THE LINE SFIOWN AS BASE BEARING IB.B.I, B VERTICAL CONTROL (NATIONAL GEODETIC VERTICAL DATUM 10201 M. EDWARD GORDON SURVEYING TYPESURUEY 80(4VOARY OA TE 9117,'?00? ��/�iJ t ✓��—j i z ( ��l SCALE r • Jo' PO Box b3RRE E V-�EYOR 0MQ -- 308 WEST t TH STREET SANFORD . FL�AJN 3720 LEGEND 0 ELEV 'ELEVATION N&D - NAA AND DISK W FO - FOUND ESMT - EASEMENT POB -POINT OF BEGNNNG � TTY - STORY POC - POINT OF CDMJ ENCtEIYT p -IRON PIPE ILOT E - C THiL4E 4 R - RAONS N. MA T T 6 MAR TA PRINGL E _ RES S 90.00.00" w 117.00 o -DELTA C - CHORD 3 n LU o AC 8.50 -0 � 3.8 � J p 6 JO v -PLAT - • SER CO. O o GARAGE \ h 2 SFY WD FRM � ki ih9� K OQ TBM - TEMPORY BENCH MARK 618 N.G.- NATUtAL GROUND FF - FINISH FLOOR 20 JO 1 - CONCRETE 0 0 o O 1�� I �V 4 O 20 h o O I N 90.00'00" E 117.0 0 J Lu n 7TH ST r 66' RiW ) PAVED NOTES: I NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER 2 THIS SURVEY WAS PREPARED FROM TITLE INFORMATION FURNISHED T-0 THE SURVEYOR. THERE MAY BE OTHER RESTRICTIONS OR UNRECORDED EASEMENTS THAT EFFECT THIS PROPERTY. 7 NO UNDER GROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHER WISE SHOWN 4 DIMENSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD NOT BE USED TO RECONSTRUCT BOUNDARY LINES. 3 BEARINGS ARE BASED ON ASSUMED DATUM AND ON THE LINE SFIOWN AS BASE BEARING IB.B.I, B VERTICAL CONTROL (NATIONAL GEODETIC VERTICAL DATUM 10201 M. EDWARD GORDON SURVEYING TYPESURUEY 80(4VOARY OA TE 9117,'?00? ��/�iJ t ✓��—j i z ( ��l SCALE r • Jo' PO Box b3RRE E V-�EYOR 0MQ -- 308 WEST t TH STREET SANFORD . FL�AJN 3720 LEGEND ELEV 'ELEVATION N&D - NAA AND DISK BLK -BLOCK FO - FOUND ESMT - EASEMENT POB -POINT OF BEGNNNG ESHT - EASEMENT TTY - STORY POC - POINT OF CDMJ ENCtEIYT p -IRON PIPE TI CER FIED TO. E - C THiL4E CR - CHORD BEARW R - RAONS N. MA T T 6 MAR TA PRINGL E _ RES R/w RIOHT OF WAY L`NEOF o -DELTA C - CHORD WELLS FARGO HOME MORTGAGE - RE3DENNCE BLDG9LRLDW PC - POiNTATY CLNYE CONC - CONCRETE L - LE)IGHT FIRST AMERICAN TITLE INSURANCE wood FRAME D"L - ur ITY MON - MO/RRtENT RD - ROAD v -PLAT - • SER CO. ® - FD RESAR • Q - SET REBAR -2259 ON -FD COW MON TBM - TEMPORY BENCH MARK O • SET CONC MGN •2259 N.G.- NATUtAL GROUND FF - FINISH FLOOR NV - INVERT SM • BENCH MARK - CONCRETE NOTES: I NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER 2 THIS SURVEY WAS PREPARED FROM TITLE INFORMATION FURNISHED T-0 THE SURVEYOR. THERE MAY BE OTHER RESTRICTIONS OR UNRECORDED EASEMENTS THAT EFFECT THIS PROPERTY. 7 NO UNDER GROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHER WISE SHOWN 4 DIMENSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD NOT BE USED TO RECONSTRUCT BOUNDARY LINES. 3 BEARINGS ARE BASED ON ASSUMED DATUM AND ON THE LINE SFIOWN AS BASE BEARING IB.B.I, B VERTICAL CONTROL (NATIONAL GEODETIC VERTICAL DATUM 10201 M. EDWARD GORDON SURVEYING TYPESURUEY 80(4VOARY OA TE 9117,'?00? ��/�iJ t ✓��—j i z ( ��l SCALE r • Jo' PO Box b3RRE E V-�EYOR 0MQ -- 308 WEST t TH STREET SANFORD . FL�AJN 3720