HomeMy WebLinkAbout106 S Palmetto AvePermit # : V�—c? 3
Job Address: %OCo
Description of Work:
Historic District:
Zoning:
CITY OF SANFORD PERMIT APPLICATION
e_?i�- ave—
Date:
Value of Work: $ Loo n0
Permit Type: Building V/ Electrical Mechanical Plumbing Fire 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
Occupancy Type: Residential Commercial V// Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
(Attach Proof of Ownership & Legal Description)
P
ho e:L' 7 3 1. 3 3` 1
State License Number:
Phone & Fax: Vim%, 7,3.5; 3 Contact Person: Phone:
Rnndino Cmmnanv- '
Address:
Mnrtaaae I.ender-
Address•
Architect/Engineer: Phone:
Address:
Fax:
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. 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 of pe is ti n that I will notify the owner of the ope of the requirements of Florida Lien Law, FS 713.
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Signature ofweer/Ag at Signature of Contractor/Agent Date
/,iv A*ek s
Print Owner/Agent's Name Print Contractor/Agent's Name
DEBBIE BLANTON
MY COPAM1_3 L
D 188491
a EXPIRES: Febru, 2007i-800,QN6WX,(,AgentF4s
7�0-
e ki)' L, / &{�
APPLICATION APPROVED BY: Bld �qiv:
(h.tial & Date)
Special Conditions:
Signature of Notary -State of Florida
Contractor/Agent is.
Produced ID
Utilities:
(Initial & Date)
Date
Personally Known to Me or
FD:
(Initial & Date) (Initial & Date)
E 771
a'3ir�h i
,. 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, P •, , 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 t permitted structure.
1
/0 27
OwnerBuilder Signature Date
12eky' &a�
Print OwnerBuilder Name
%v/a Woy
Date
DEBBIE BL NITON
MY COMNAISS10t # DD 188491
Exrp jJF§oM�rWft7to a or has
RY FL Notary Discount Assoc. Co.
19,bERFROffi�GATEWAT
CITY OF SANFORD
HISTORIC PRESER VA TION BOARD
APPLICATION FOR A
CER TIFICA TE OF APPR OPRIA TENESS
P.O. Boz 1788, Sanford, FL 32772-1788
Phone: 407 330-5672 Fax: 407 330-5679
In addition to a Certificate of Appropriateness, a building permit may be required. Check with the Building
Department. 407 330-5660. A Certificate of Appropriateness may be required for projects that do not require
a building permit.
i ms cerrncaze must oe prominently aisplayed on the building when work is in progress.
1. General Information
Property Owner. Property Address:
Mailing Address: Phone Number. 90-7 7-4 13-3;'9
Fax Number. _ 0 7.2550 -25591
Agent: Phone Number: g'L
7ress:- 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
knowledge.
Applican
Date:
3
ntained in this application is tru d
Owner:
Date:
! to the best of my
Please use the attacKed criteria checklist as a guide to completing 4hEVapplication. 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.
A Certificate of Appropriateness is valid for six months unless otherwise noted
OFFICIAL USE ONLY
Historic Preservation Board Meeting Date:
Staff Review Date:
Application is Approved Approved with Conditions Denied
(� l
Conditions: CJ 1 �� l�(�C.t-L �Q,t'1[sL UDZ)OCA a�- ,AaA
Signed: del�� 622� Date;
F:ISHA_ENGW istoric Preservation Board\#Certificate of Appropriateness.doc I .
BLDG
OVERt1ANO
_ aT /D
LB 71 2.7
5'0/SWST
la
18
I�
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I �
I ,
I�
12
I
I -
FIRST STREET
ASPHALT ROAD
ASPHALT \PARKING
109.7'
LOT 1
PLANTER 6RK7c
PA�iR
S
BlDO
O14RHANG
T N D
1
b
�•�':':-) PLANTER
L
2 STORY COMMERCIAL BUILDING
— — — — — — — — 213 1st STREET
LOT 2
5' CHAIN LINK FENCE -�
3---------_
S 0071'48" W (C)
24.00' (D) g
.e.o'
LOT 3 BLDG ON LINE
FIND N/D
L88771 BLDG ON LINE
35.
2' CONC. CURB r OUTTrA
iz
rn
a
STMRS �T �
S89,51 33' W (c FIND N/O
o. r 48.23' (AI) 4a 27' ;D) I L88771 C
1 STORY BRICK BLDG IQ
REMAINDER, LOT 3 N
NOT INCLUDED
— — —
FIND N/D
1 CONC, I ADO { NO N/D 48.23 y LB6771
I o B' L86771
1 S 89,51 Im a W (c)
I T 88.77' (D)(Ad) I
ItMGG Iaca�'t LOT 4 IR
LEGAL DESCRIPTION: y�
I
LOTS 1 do 2 & 3 (LESS BEG SE COR LOT 3 RUN W TCORNER BLOCK 3
48.23 FT N 24 FT E 48.27 FT S 24 FT TO BEG) TER 2
BLK 3 TR 2 TOWN OF SANFORD PB 1 PG 58 AS PER
SEMINOLE COUNTY PROPERTY APPRAISER ON LINE
SCALE
0 l3 30
I WCH - 30 FEC r
SURVEY NOTES:
CERTIFIED TO:
ABBREVIATIONS:
1. BEARINGS SHOWN HEREON ARE
HOWARD MARKS
BLDG
BUILDING
REFERENCED TO THE EAST UNE
ROBIN MARKS
CONIC
CONCRETE
OF BLOCK 3, TIER 2, ASSUMED
(C)
CALCULATED
AS S00'11'48"W.
HARRY G, REID ill
D
DESCRIPTION
FND
FOUND
2, UNDERGROUND IMPROVEMENTS,
REGIONS BANK ISAOAM)
(P
MEASURED
IF ANY, WERE NOT LOCATED.
PLAT
FIRST AMERICAN TITLE
N/D
NAIL AND DISK
3. LANDS SHOWN HEREON WERE
INSURANCE COMPANY
IR
IRON ROD
NOT ABSTRACTED FOR RIGHTS
IRC
IRON ROD AND CAP
OF WAY, EASEMENTS OR OTHER
GALLERY WALK, INC.
IP
IRON PIPE
MATTERS OF RECORD WHICH MAY
0/S
OFFSET
AFFECT THE USE OF SAID LANDS.
4. LEGEL DESCRIPTION PROVIDED
SYMBOL LEGEND:
BY CLIENT.
cai
UTILITY POLE
5, DATE OF FIELD SURVEY:
12/12/03,
LIGHT POLE
6. ADJOINERS NOT PROVIDED,
wv
X
WATER VALVE
7. SUBJECT LANDS UE IN FLOOD ZONE
FIRE HYDRANT
"X" (AREAS DETERMINED TO BE OUTSIDE
a
6J)11-VCAO CI Ann Of AILI\ OCO CCf\COAI