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
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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.