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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. r /o/ Z7 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� I� 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