HomeMy WebLinkAbout117 Rabun Ct (2)Q ?
CITY OF SANFORD PERMIT APPLICATION
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Permit # : W I V 3
Date: 3' 14 / O
rJob.-Address_--- I I) i.( 0
Description of.SWork: N '- I% i Z -%
r
Historic District: Zoning: `ValueofItork_ $ _ g S Si 0 ' w iL6U
SO - 7 h Permit
Type:. Building'T1 `Electrical hanical Plumbing Fire Sprinkler/Alarm Pool Electrical:
New Service - # of AMPS Mechanical:
Residential Non -Residential Plumbing/
New Commercial: # of Fixtures Plumbing/
New Residential: # of Water Closets _ Occupancy
Type: Residential Commercial Construction
Type: # of Stories: Pared
p: Add'
cOwoemrsNae &ress: Contractor Name &
Address: Phone & Fax:
Bonding Company:
Address: Mortgage
Lender.
Address: Addition/
Alteration
Change of Service Temporary Pole Replacement New (
Duct Layout & Energy Calc. Required) of Water &
Sewer Lines # of Gas Lines Plumbing Repair -
Residential or Commercial Industrial Total
Square Footage: of Dwelling
Units: Flood Zone: (FEMA form required for other than X) Contact Person:
Attach Proof
of Ownership & Legal Description) Phone: 'I
U n State License
Number: 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 pem-dt
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS,
etc. OWNER'S
AFFIDAVfI : 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. TIC : 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 pemmits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of
t ' jucation,I
will
afy the owner of the property of the requirements of Florida Lien Law, FS 713. G 3 !
j .410 Si'gnaJhue
of Owner/Agent Date Signature of Contractor/Agent Date V Pri
er/
Agent's Name Print Contractor/Agent's Name Q;7
Signature of
No Signature of Notary -State of Florida Date DEBBIE BLANTON
MY COMVissION #
DD 188491 Owner/Agent
is ll'dnf'to ruary 25, 2007 Y ory . co Contractor/Agent is _Personally Known to Me or Produced ID
3 OT Produced ID APPLICATION APPROVED
BY: Bldg: fI a h e3 -000,Utilities:
initial &
Date) (
Initial & Date) Special Conditions:
La -PI
initial & Date) (
Initial & Date)
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 tern "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.
A O , 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.
4z:= vvw'v u 3 I ti IofOwner/
Builder Sig Date VA
Pro Print
Owner/Builder Name l/%/
a,/
lotignature
of Notary —State of Florida Date Owner
is Personally Known to Me or has Produced
ID
BOUNDARY SURVEY FOR VAS ANTRAO J. SHERE
SEMINOLE COUNTY, FLORIDA
DESCRIPTION
Lot 32, SANORA SOUTH UNIT ONE, according to the Plat thereof as
recorded in Plat Book 19, Pages 76 AND 77 of the Public Records of
Seminole County, Florida.
SURVEYOR'S NOTES:
1. No underground improvements or installations have been located
other than shown.
2. Bearings are based on the centerline of Rabun Court, assumed as
being 5.89°59'12"W., per said plat.
3. Having consulted the National Flood Insurance Program FIRM, I
have determined that the subject property lies in Zone X, not
a special flood area per FIRM panel 11120294 0045 E, dated April
17, 1995, City of Sanford, Seminole County, Florida.
SURVEYOR'S CERTIFICATE:
This is to certify that this survey meets the Minimum Technical
Standards as set forth by the Florida Board of Professional
Surveyors & Mappers in Chapter 61G17-6, Florida Administrative
Code,
Jpursuant
to Section 472.027, Florida Statutes.
O C V t) 13 DEC 95
R. L. ROBERTS, P. S. M. CERTIFIED TO:
Florida Registration No. 3144 VASANTRAO J. SHERE
ROBERTS SURVEYING & MAPPING, INC. KUMUD V. SHERE
185 N. COUNTRY CLUB RD. CROWN BANK,
LAKE MARY, FL 32746 A FEDERAL SAVINGS BANK
407)322-2213 STEWART TITLE
PK CT. P.-
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