HomeMy WebLinkAbout911 Palmetto AvePermit 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 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 Industrial Total Square Footage:
Construction Type: # of Stories: —2-- # of Dwelling Units: __-t___ Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Proof of Ownership & Legal
Phone: pLd
Contractor Name & Address:
State License Number: ... ��
Phone &Faz: �'% Contact Person: 'T-6ye. Phone: i5, S ,j,--LLf6 0
Bonding Company:^.r�
Address:
Mortgage
Address:
Architect/
Address:
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 l,rior 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.
o r -i96 7
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicatyle.. Favvs regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Sro.r.Tf. 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 permit is verification that l will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Sign ture of O er/Agent ate Signature of Contractor/Agent
Punt Owner/A�ent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida A/e
Signature of Notary -State of Florida
a°,tnr o&°% MARITZA RODRIGIJEZ
* l My CC�TIISSION # DD 207229
Owner/A ent is P p n' IFr h ri130 2007
Date
Date
g ersona yr to Meor P Contractor/Agent is _ Personally Known to Me or
_Produced ID �rFot r: iiumlet Ntlu
F ow Thy services _ Produced ID
APPLICATION APPROVED BY: Bldg: Zoning: Utilities:
(initial & a ) (Initial & Date) (Initial & Date)
Special Conditions:
FD:
(Initial & Date)
h�. tc4Tr. x:{�,Eh
I 4�1} �, ev,
CITY OF SANFORD BUILDINGDIVISION
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 th.e
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 Linder
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. luny person. worki.ng
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" (;wi perlsation
for that employee, all as prescribed by law. Your construction must comply with all. applicable laws,
ordinances, building codes, and zoning regulations.
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.
�L"4� � �, � 9/,
O erBuil er Signature Dat
Print OwnerBuilter Name
Owner is y
Produced ID'
Personally Known to Me or has
NFLY P(W,
i° �k MIARiTZA RODRIGUEZ
# * MY COMMISSION M DD 207229
EXPIRES: April 30, 2007
+r''FCF F,_V Bonded Thru Budget Notory Services
Sep 09 2004 2:37PM
City of Sanford Planning 407 330 5679 p.1
CITY OF SANFO" .
MSTORIC PRES.ERVATION BOARD
APPL'ICA77ON FOR A
CERTTIFICA TE OF APPROPRIATENESS
P.O. Box 1788, Sanford, FL 32772-1788
Phone. 407 330-5672 Fax: 407 330-5679
/n addition to a Certiflcats of Appropriateness% a baNding permit nsay be regadred Cheek WiM the Suftding
Doparhnentr 407'339)696M A tyertifieate of Appropriateness May be required for projects Chet do not require
a building permit.
This certmcate must be
on the building when work is in
7, General Information
Property Owner:(Q t� tl. LILf�i �� Property Address:
Mailing Address: _ ��. �' _ 1 Phone Number:
Fax number.
Agent: b Phone Number:
We
Address: F umber.
❑ Dow jq!tm Commercial Hi4orl4 Dtstrlct: Residential Historic District:
❑ This application is filed in response to a notice from the Code Enforcement Department
I certify that -all infomiatlon contained In this application Is true and accurate to the best of my
knowledge.
Applicant: Owner:
Date:
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 BoardM ng Date: Staff Review Date:
Application Is Approved Approved with Conditions Denied
Conditions
Ig
Signed-. af&WiAl ( -A—a. Date:
FASHA ENG%HistoriePrtmvstionBoerdWCefificateofApproprimms,doc 1.
Sep 09 2004 2:36PM City of Sanford Planning 407 330 5679
p.2
k
2. Description of Proposed Work
Application Category: (Cheek all that apply)
❑ Site Improvements/drivevvay/walkway ❑ Storage shed
❑ WOoving structures .
❑ Replacement windows or ,doors ❑ Underskirting
❑ Awnings
❑ New c onstructionladditions ❑ Signs
❑ Demoiltion
❑ Roofstgutters/downspouts ❑ ACIMlechanical
❑ Fences/GstealPergolais
❑ Replacement sidinglflooring/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 than property the work venni occur and how the work will be
accomplished. tar -large projects, an itemized list is recommended.
Attach additional pages If '
necessary. � �7 Q ,.
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. 1.1 copies of all drawings larger than 11" X
17" and 11 copies of all photos must be submitted.
Paint= Color samples of -all colors must be submitted.
Fences/Gates/Pergalasl 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 constructionladditions
• Elevation drawings to scale of each fagade indicating proposed alterations or additions. Drawing must clearly depict the
existing budding: 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.
Awningsl.Signs
• Sketch or elevation drawing of the building fagade with proposed signiawning.
• Dimensioned drawing of awning/sign.
• Sample of colors.-
Sit o Imprmrements/drivewayiwalkway/ACiMechanical
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/Mechank:at equipment must be screened by shrubs.
FASHA ENQ1HbWiePrwerMionBooMWCertiBcateofMumorfatenta.dot 2.
Division of Corporations
r;C I
Florida Non Profit
LIFE CHRISTIAN CHURCH.) INC.
PRINCIPAL ADDRESS
911 PALMETTO AVENUE
SANFORD FL 32771
MAILING ADDRESS
P.O. BOX 935
SANFORD FL 32771
Changed 01/20/2003
Document Number FEI Number
N98000004996 593526508
State Status
FL ACTIVE
Last Event Event Date Filed
REINSTATEMENT 11/08/2000
Reizi
Name & Address
HERNANDEZ, JOSE G
9161 DUBOIS BLVD
ORLANDO FL 32825
Name Changed: 01/20/2003
Address Chaneed: 01/20/2003
Officer/Director Detail
Date Filed
08/31/1998
Effective Date
NONE
Event Effective Date
NONE
Name & Address
Title
HERNANDEZ, JOSE G REV.
9161 DUBOIS BLVD
DP
ORLANDO FL 32825
ORTIZ, ANIBAL
2519 RIDGEWOOD AVE.
TT
SANFORD FL 32773
Page 1 of 2
http://www.sunbiz.org/scripts/Cordet.exe?al=DETFIL&n 1=N98000004996&n2=NAMF W... 9/7/2004
Division of Corporations Page 2 of 2
MILANES, ALICIA
2108 FOX QUARRY LN. ST
SANFORD FL 32773
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9 -- ANNUAL REPORT
8 -- Domestic Non -Profit
THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT
Corpora— tarts Inquity
Corporations Help
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