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HomeMy WebLinkAbout415 S Palmetto Ave (4)"J CITY OF SANFORD PERMIT APPLICATION Pe rmit # : 0 /�% Date: / / �/,9 Job Address: _` /� 5, 10C. TT---> Q Description of Work: o -r Inert4-- X,90 f--,�HI0C-4e px/T r.-Af-cg 1 Historic District: c°6i+ Zoning: Value of Wor $ SZ�' Permit Type: Building A_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of ServiceTemporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cald. 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 #: (Attach Proof of Ownership & Legal Description) 1 Owners Name & Address: -TF,114- Phone: e/07 -3 -1 - Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: State License Number: Contact Person: Phone: 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 aR applicable Taws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI T IN VoIits. 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, thele 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 permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. //))I y, i ° Signature of Owner/Agent Date. Signature of Contractor/Agent Name U— d/oy Date AMY COMMISSION # DD 188491 EXPIRES: February 25,18 O nir90*NQSNRY PdiIsOm> Wn,1 WC(ar ro uce y"orf f�c�) v APPL[CAT ON APPROVED : B dg: Ver /'.� Zoning: (Initial Dft��V� Special Conditions: Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is — Personally Known to Me or Produced ID Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING ac49, a ice,; t 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. All I,/-- , 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 the permitted structure. Owner/Bui er Signature Date Print Owner/Builder Name 4Sinature *fWft#k0ffMfl" EMB001 4. 41/�� Owner is Personally Known to Me or has Produced ID ,r� WATERFRO "IEI➢AT CITY OF SANFORD HISTORIC PRESER VA TION BOARD APPLICATION FOR A ' CERTIFICATE OF APPROPRIATENESS P.O. Box 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. ' This Certificate must be prominently displayed on the ounaing wnen wurn rs In 1. General Information Property Owner: 9i e 6 A,gze " Tef9L Property Address: / s" _S Mailing Address: oZ ro 11 le 7y A !4✓ Phone Number: D 7 - Agent: Address: �f}'r/fD'20FG 31.773 Fax Number: Axp'ele- Phone Number: Fax Number: ❑ Downtown Commercial Historic District: -4;tI'Zesidential Historic District: ❑ This application is filed in response to a notice from the Code Enforcement Department 1 certify that all information contained in this application is true and accurate to the best of my knowledge. Applicant: /� i �-� Owner: Date: q11_7 /U V Date: Please use the attached criteria checklist as a guide to completing the application. 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 Conditions.: lyl-�/l�"1'/�/a Signed: Date: FASHA ENG\ iistoric Preservation Board\#Certificate of Appropriateness.doc 1. 2. Description of Proposed Work Application Category: (Check all that apply) ❑ Site Improvements/driveway/walkway ❑ Storage shed ❑ Moving structures ❑ Replacement windows or doors ❑ Underskirting ❑ Awnings ❑ New construction/additions ❑ Signs ❑ Demolition lsi�t Roofs/gutters/downspouts. ❑ AC/Mechanical ❑ Fences/Gates/Pergolas ❑ Replacement siding/flooring/porch ❑ Paint ❑ Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is recommended. Attach additional pages if necessary. c7/9e P�e)rl-- ,r- ) 5/1- 1/Ee ��GL> v c'Gfivv��EO /fs ,c���i��v ,�E-O/lv,vr�v u�ftirE c �Kkir r�Y" iS Gc NiTE 3. Documentation: In order to be reviewed by either the staff or the Historic Preservation Board, applications must be complete. The documentation listed below must be submitted with the application form. 11•copies of all drawings larger than 11" X 17" and 11 copies of all photos must be submitted. ✓, „ n� ?-v�� /1 kv� Paint: Color samples of all colors must be submitted. ` Fences/Gates/Pergolas/ Sheds: • A site plan of the property showing the location of the fence, gates and/or pergola. The plan must show the property's dimensions. • A picture of the proposed structure. This can be an elevation drawing, sketch, brochure or photo of an existing shed, fence, gate or pergola provided that the dimensions are included. • A description of the materials that will be used in the project. • Photos of the yard(s) in which the structure will be placed. (11 copies of each photo must be submitted). New construction/additions • Elevation drawings to scale of each facade indicating proposed alterations or additions. Drawing must clearly depict the existing building and the proposed changes. • Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions of proposed addition, location of all exterior ground and roof mounted equipment.. • Description and/or samples of materials to be used. • Where applicable, drawings and site plan of other improvements such as fences, walkways, lighting, decks, etc. • Photos (11) of existing structure. Awnings/ Signs • Sketch or elevation drawing of the building facade with proposed sign/awning. • Dimensioned drawing of awning/sign. • Sample of colors. Site Improvements/driveway/walkway/AC/Mechanical Site plan showing lot dimensions, location and dimensions of existing building, location and dimensions of proposed improvements. Description and/or samples of materials to be used. Note: AC/Mechanical equipment must be screened by shrubs. F \.SHA ENG\Historic Preservation BoardVCertificate of Aooronriateness.doc 2.