HomeMy WebLinkAbout2608 S Marshall AveCITY OF SANFORD PERMIT APPLICATION %
Permit # : `JJ y?)
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Date:
Job Address: ZLrD`ts S • iYIA¢SAJOrt 1. tCi
Description of Work: SttGb Para /V CU % O6t TN EFZ
Historic District: Zoning: Value of Work: S aptod co
Permit Type: Building Electrical
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:
Parcel #:
Mechanical Plumbing Fire Sprinkler/Alarm Pool
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)
Attach Proof of Ownership & Legal Description)
Owners Name & Address:
ApD!g 'S. n") A l?'S8f-1 L L tN P Phone:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Leader:
Address:
State License Number:
Contact Person: Phone:
Architect/Eagineer: Phone:
Address: Fa::
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 AFFIDAVfT: 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.
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 o permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
RZ /7 5•
Signature of Own gent o Ki—e Signature of Contractor/Agent
Name
Date
DEBBIE BLANTON
MY COMMISSION # DD 1SWI
EXPIRES: February 25, 2007
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Own fio Persgrlal c Contractor/Agent is _ Personally Known to Me or
eed-li
1s3
1 z S! 6.0 _ Produced ID
0
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Zoni . : 7 Utilities: FD:
Initial & Date) (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 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.
I, F_a do hereby state that I am qualified and capable of performing the
requested construction involved wit 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/Builder S"_Ue' to
Print Owner/Builder Name
0?)/,)
Signature of No —
DEBBIE BLANTON
M91MYCOMM55SION # DD 1
Owner' lkirvay oddwornProduce
EDM.3.WTARY FL Notary Discount Assoc. C101.
Boundary Survey
fOT
Dorothy J. WI 1 1 l ams
Lot 8, Block 29,
4TH SECTION OREAMMOLO
Plat Book 4, Page 99,
Seminole County, Florida
1 1/4' Iron Plea nor---
Northeast corner Lat 1, click ae I
Lot 25 I Lot 7 \ Block 29
Block 29 o NY
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s/e Irmo Ibp LAfr1 1. 6Y Merin shed W. 3' err fence a0.4' if(
i 0. 18' EuI Iront' Dlpe
r Earth retention hellepvacarnarSB959' WE 123. 90' e0. 7' err
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fence 0.5' Inside vJ
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fence r0. 1' Inela.
fence 1.8' Inside walk 10.2' InUae I Q
T I Legend
J V 0 Recovered /'x4' Concrete Monueent
11 RSetecovered
C0nc tolsknaao NoeshownB636o This Survey Certified To:
Recovered x Cut In concrete Kempf Title i Guaranty Corporation
o Recovered Iron Rod or Pipe as shown Commonwealth Land Title Insurance Cc
Set 1/2' Iron Rod rLB6300 Nations Mortgyage Corporation
o- • Ll9ht Pole as shown Dorothy J. Williams
CERTIFICATION 6 Mood FencdAr----.-4'Chaln link fence
ihls Is to Certify that I have perform
field
Fence As shown A•Central Angle L•Arc'R•Radlus A/w-AI yyy9htofwaConcrete $lab A/C -Air Conditioner (A) -Radial (NA) a survey or the above deacrlbed
property, for the purposes her
represented. that
Radial etarinCs are based on thePI•Plat (MI•Measured (CI -Calculate ( W-Comd centerline of Marshall AvenuePOB•Polnt df eeglnnlnq POC•PalnIand, fats dnwIng la a
r eprs entatldn of that survey, and meltsorthat df Commencesent is being N00.10'21'E, assumedSCALE: 1'• 30' POL•Polnt On Line
the Minleun Te Standardssptatutes
to on Floridalorii statutes This Survey Is certlfled td an0 prepared for the Legal Description furnished byREVIEWEDBY: MMS s..
ChapterCoaster 61G17, F. A. C. 1. 7. F.A.C.I. sole and oxclV Ive benefit of the intltlu and/ client (unless otherwise noted,
DRAWN BY:SAM Indlrlduale Ilsted and snail not be rolled on
ny other intlty dr Individual whosoever. This Is to certify that I
DATE: May 9, 1996 T. I" have reviewed the Flood
gr dund foundations and/or Improvements were Insurance Ratlnq Map (FIRM).
Mlcheel N. Solltr o,
CertlflcaU r445B
JOB N0.:967l62 9 ited as a part of this survey. banal Number 120291 0045 E.
t,. Dated 4/17/95 and deterilned
Lands pn hereon wire for
valid un////l''e
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GL UI OD W I Y 0 W 21D OD - LI [Lama'9'9 0 U0 0 UE3 . 445 Douglas Avenue, t,
Phone 4071 662-7555 Altamonte Sprin s, Florida 32714 Fix (4071 867-6225