HomeMy WebLinkAbout1407 Palmetto Ave (4)Permit # •A01T_
JC16 Address. lgQ`711 Lrrs-ki I
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: 1_ 1 1/(1_4
Zoning:
Value of Work: s 2 j M40"_
Permit Type: Building" 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 Calx. 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 Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #
Owners Name & Addressing
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
(Attach Proof of Ownership & Legal Description)
Phone: 4011- X _-K Z-9 671 q
State License Number:
Contact Person: Phone:
Phone:
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 1!oCTR. 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 ermit is v dicationthat I will notify the owner of the property
nofftthe requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent DateSignature of Coaractor/Agent
2 A 1A. Qi�1" 3LtS S ►0U1cq
Print Owner/Agent's _ Print Contractor/Agent's Name
DEBBIE BLANTON
MY COMMISSION # DD 188491
�, r/AIRES EEBetaoA&y12iN'6wn Me or
Date
Date Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
6P -S4 33 4 -(D
APPLICATION APPROVED BY: Bldg -g:
A 11.4Z� i
%/1/[34 (nival &Date / (Initial & Date)
Special Conditions:
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Utilities:
FD:
(Initial & Date) (Initial & Date)
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CITY. O)F' SANFORD °BUILDING DIVISION k4�
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.
C,
Z1, do hereby state that I am qualified and capable of performing the
requested construQWnvolved 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.
QL�A rC , 94.
Owner/Builder Sign ((Date
2 V s S COQ .
Print OwnerlBuilme-
1014,tc�/0_
Date
,,,E6931E BLANTON
t�AY C04 i,�,i_,SiON # DD 188491
or has
;cAaty Discount Assoc. Co.
Boundary Survey
TOT
Robert A. Huggins
Lots 8, 9 and i0, Block 16, Tier i
ER TRAFFORDS MAP OF THE TOWN OF SANFORD
Plat Book i, Pages 56-64,
33'
Seminole County, Florida
18.
Lot 7
2' concrete florlds I B lock 1 6
I Tier, 1
/
N89'26' 1118;
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33'
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En
25. 1
VACANT
Lot 9
Block 16
Tier, 1
— — If 7.00,(P)
Lot 10
Block 16
Tier, 1
Lot 8
Block 16
Tier, 1
6' h 19 � woo 4
s- dckAdc Fe•ice.
14' I Lot 2
Block 15
I Tier 1
.3'
I II
� II
I
II Lot 3
II I Block 16
II II Tler i
X I II
Power pale
111
N89' 31' 23' W 117.05' (M)
Power pal
15TH STREET-
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lD
30 Lot 4
Block 16
a3� Tier 1
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a Block 16
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114 �_—
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Legend
o • Recovered 4'x4' Concrete Monument In Well Box
■ Set 4'x4' Concrete Monument +LB6300 This Survey Certified TD:
= Recovered 1' Iron Pipe No• Kampf Title 6 Guaranty
• Recovered X Cut in concrete
o Chicago Title Insurance Company
• Recovered 5/8' Iron Rod L03461 N RBC
-0 e = Recovered 1/2' Iron Rod now ' V
-= Light Pale a's shown x Robert A. Huggins
—�— -6' Wood Fence —X— -4' Cha I n link fence
—"— =Fence as shown
-Concrete Slab A•Central Angle L•Arc R•Aatllus R/W-Right of Nay
A/C -Air Conditioner (R) -Radial (NR) -Non -Radial Bearings are based on the
(P) -Plat (M) -Measured (C) -Calculated (N -Deed centerline of Palmetto Avenue
POB -Point of Beginning POC -Point of Commencement as being S00'32'39'W, assumed
SCALE: 1'= 30' POL -Point On Line
Not rel Id without the sig ature,and Iia original
releed seal of a Florid,Icen d a veyor and This survey 18 certified to and y
mapper. Additions an de tlo to urvey maps, REVIEWED BY: MWS Y prepared for the Legal Description furnished b
"It,
has or repots y her an he slg,ing sole and exclusive benefit of the entitles and/ client (unless otherwise noted)
party ar part)���yyyys Is go Ibl w hour written DRAWN BY: SAW or Individuals listed and shall not he relied on
consent of thislg ng art,ar arues., by any other, entity or Individual whomsoever. This Is to certify that I
//� { DATE: December 04, 2002 have reviewed the Flood
I Vl / Underground foundations and/or Improvements were Insurance Rating Map (FIRM),
not located as a part of this survey. PanaI Number 120294 0045 E.
Michael M. So1f,"A PSM Sebe JOB ND.: 19387 Dated 4/17/95 and determined
For the ting of Ali-monte surveylnt Lands shown hereon were not abstracted for rights that the lands shown hereon
and Platting, lit, -1,663100 ( Foundaattinion: 5/rn28/00444 of ways
and/or easements of public
records., Iles in Flood Zone -X'.
LnJL U121 MUDU� �13J� lJ lb LI Avenue, Suite lrpm® CPLl�LRI�iT m�� 0 mUO.
435 DDUglas 'hone ( 407) B62-7555 AI tamonte Spr Ings FI or 1 da 32714 Fax ( 407) 862-6229