HomeMy WebLinkAbout1720 Pear Ave (2)Permit #
:deb Address: / ') C� D A -lea -
Wscription of Work:
Historic District:
c= OT SAN ,om) FERMTT APPLICATION • eGr;nt` t'"� '6.v+ �;*� f h}t7r r i i4Jt� y;E t.r.
Date:'
2
O f�
Zoning: O�
Permit Type: Building_ Electrical
Electrical: New Service - it of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: it of Fixtures
Plumbing/New Residential: it of Water Closets
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm PoQI
.r
_ Addition/Alteration Change of Service Temporba yPole
—C
— Replacement New (Duct Layout &Energy CaiF, Required)
it of Water & Sewer Lines it of Gas Lines
Plumbing Repair- Residential or Commercial `
Industriai Total Square Footage:
Construction Type: # of Stories: it of Dwelling Units., Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone C Fax: Contact Person: _ _ Phone:
Bonding Company: CS7�,-vt Jt(?�.j rLI,n,lj.�
Address:
:Mortgage Lender:
Add ress:
Architect/Engineer:
Add ress:
Phone:
Pas:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commcncez! prior R; 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 %,,ork will be done in compliance with all applicable )t ; s rr:;;ul2ting
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT )N 1'0[.1]:. I,AYIhIG
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RE -CORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: [n addition to the requirements of this permit, Ihcrc nc�y be additional Fcstrictions applicable to this property that. n�ty be found in the public records of
this county, and there may be additional permits required from o!hcr governmental entities such as water management districts, state agencies, or fedora! agencies.
Acceptance of pert ri i n t6�t w cr of the property of the requiremc s of Fl Li n Law, FS 713.
Sign. n' of Oanicr/Agent Date g, Suture of Conor/Agent Date
Print vne gent's Name Print C atSactorAgent's Name
Signature c btary-State of Florida Dalc Sier,anire o. i `o ary-State of Flo da Date
Owner/Agent is I'cr,onall �"i,I,ii,}},ith� /c or �tjq� �idif V Con tool/�_:`' ii 'cr on; ' 'n vn .
ProduccdI +`k yap�a..J`latOryPU�'o
oter+—AtZR-DA WASHINGTON
ar aoa� -
Notary Public -State of Florida
V'1'l_IC:\ KION AI'PROVFU BY: talc!:,: i ��j;ipfl�rtraiNota ; -•+ + = MYCommissonExpireSJan4,2007
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N t:,..::;e,: = • — �n�issiot#DBa-56630
n rti Bonded 6�lI bhaMloryAm.S;),:Cijl Conditions:
Y
CITY. OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT` t .;
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 buildir;s. It
-mss 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,' coYnpejasation
for that employee, all as prescribed by law. Your construction must comply with all applicable laws,
ordinanc s, building codes, and zoning regulations.
/ e r
h :` I t , do hereby state that I am qualified and capable of performing the
requested c nstruction 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.
Signature
0
Print Ov6nerBuilder Name
Date
Signature of Notary—State of Florida 6ate
Owner is Personally Known to Me or has
Produced ID
AIZADA WASHINGTON
Notary Public - State of Florida
= My Cornmwiion Expires Jan 4.2007
e Commission # DID 156630
Bonded By National Notary
Assn.