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HomeMy WebLinkAbout613 S Magnolia Ave (2)CITY OF SANFORD PERMIT APPLICATION Permit # : Job Address: Description of Work: Historic District: Zoning: Date: cwe . P -'PCG ,) Value of Work: $ n 3'l_l Permit 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 Wate Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: _;L_ # of Stories: —j— # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: Contractor Name & Address: _ Phone & Fax: i' Cr — Ci E., Contact Person: Bonding Company: Address: Mortgage Lender: _ Address: Architect/Engineer: Address: Attach Proof of Ownership & Legal Description) JV\ I)( Phone: ,y L ' s C. 33 v-, State License Number: 1 / ? vAeS ,7 Phone: 'Uo?--68 !-7 '-SC33 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 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 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 of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713 ature of Own—erftgent DaFen caner/Ag s Name 91anatafe of Notary-Sta of Florida Date 7 W— Stiepbanie Powers 'Yo a•,,, Stephanie Powers Corldsdan O DDIMM SCnmmissiaa Dll71l2854 Owner/ Agent is Personall Kno IM JUne 5, 20 : Contractor/A ent is _Personal] Known a Pk 5 S. 06 it YBonded Ibm g Y 4"'_7'F e ProducedIDzmanticBondingCo..IIIC. — Produced ID ? ` Atlantic Bonding Co.jnc.l APPLICATION APPROVED BY: Bldg: Zoning: •'2-?•(DUtilities: FD: Initial & Date) ( ihal & Date) (Initial & Date) (Initial & Date) Special Conditions: ( 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 I 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,s`25 i r` oo , 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. as Own Builder SignaWme bate Pc aL Print Owner/Builder Name 0 i tore of Notary -State of Florida Date p` r P , Stephanie Powers WKSCommission # DD112854 pires June 5. 2006 Bonded Thru Owner is Personally Known to Me or has RtLmtlt HandingCo„Ea6Produced NOTICE OF COMMENCEMENT i"7•3F ii5 at m cW Z jl. " Permit No. State of Florida County of Seminole Tax Folio No. I'The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with pter 713, Florida Statutes, the following information is provided in this Notice of Commencement. General description of improvement: Owner information a. Name and address Interest in property Name and address of fee simple titleholder (if other than 4. Contractor V a. Name and address (VIlp-S b. Phone number (U `1 ^(o(t " -Gd , Fax number S. Surety - b 1 1illl®Illll i9Di11!l lll®Ili a. Name and address b. Phone number FajRW& i c. Amount of bond gK 05624 RE 1309 6. Lender CLERK" S :M ` 503t13I6 a. Name and address REMM 0212w ka;6;3g PH RMMINS FM 10.10 b. Phone number F Y D Thomas 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address b. Phone number Fax number 8. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is I year from the date of recording unless a different date is specified) Signature of Nvner Sworn to (or affirmed) and subscribed before me this _ day of FE'_ L rt/ cA raj , 20 J', by . J<nv'rlfS f a i 00 COPYIED Personally Known OR Produced Identification Type of Identification Produced N1AR PNN tC' R pA Sigualure of Notary Public, State of Florida Commission Expires: .1- s-- 06 jiypi, Stephanie Pore„j:sq 'a Eq1res ,june 54 24 SEM1N CO Nj' E` Pv Y o`ERK8 CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 330=5672 Fax: 407 330-5679 TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA Downtown Commercial Historic Districthesdential Historic District This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY:. 3 S , PrG oc)u 1R Signature: Mailing Ai Phone: Print Name: J k M eS P q (gyp L. Fax: . . Applicant/Agent Signature:M Mailing Address: Phone: Fax: Print Name: I certify that all information contained in this a plication is true and accurate to the best of my knowledge. Applicant/Owner: r Date: 0 Please use the attache c teria checklist as a guide to completing the application. Incomplete applications cannot be reviewed and will be re ed to you for more information. You are encouraged t6 contact the preservation planner at 407-330-5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) Site Improvements/driveway/walkway Storage shed o Moving structures Replacement windows or doors Underskirting Awnings ew construction/additions Signs" b Demolition Roofs/gutters/downspouts AC/Mechanical o 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. A Certificate of Appropriateness is valid for six months unless otherwise noted OFFICIAL USE ONLY Historic Preservation Board Meeting Date: N I t^ Staff Review Date: 2 •2 3.20C>' Application is Approved Approved with Conditions 41-- Denied Conditions: cJ SVkct-y- Qa a.\ f Signed: Date: - . Z .2 COGS This Certificate must be prominently displayed on the building when work is in progress*** FASHA_ENG\Historic Preservation Board\C of A Application.doc Company: AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS License #: Project Information Owner: Permit #: _ name I (Q bjQc 0 Subdivision: address Lot #: phone ntrator affiant, hereby affirm that I am the duly licensed record for the above referenced permit, that all the foregoing information is true and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: signature printed name STATE OF FLORIDA COUNTY OF This instrument was acknowledged before me this day of , 206 , by the above referenced individual, aho acknowledged that he/she is a duly licensed contractor with , and who acknowledged that he/ she was authorized to execute this document. He/she is either personally known to me or produced as valid identification. WITNESS my hand and seal this ? day of 2001' Nota DEBBIE BLANTON MY COMMISSION # DID 188491 ZEXPIRES: February 25,2007 1- 800-3-NOTARY FL Notary Discount Assoc. Co.