HomeMy WebLinkAbout108 Wild Elm Ct (3)J. 1 .
CITY OF SANFORD PERMIT APPLICATION
Permit # : U D —
Job Addl-ess:
description of Work:
Historic District:
Date:
Lv P14,
Zoning: Value of Work: 0 00
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 Water Closets Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
1 (
Attach Proof of Ownership & Legal Description)
Owners Name & Address: P e r"'t w I'( 1 S ,
0 --y— i/v /'L 1. L C T Af lrP Phone:
Contractor Name & Address:
State License Namr
Phone & Fax: Contact Perignie
Bonding Company: ry
Address:
A
Mortgage Leader: 4
Address:
Architect/Engineer:
Address:
jpn
4 s _. Application is hereby made to obtain a permit to do the work and installations as indicated! I certi p nstallation has commenced prior to the
issuance of a performedandthatallworkwillbeperfoted to meet standards of all laws regulating c struction 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Own Agent Date Signature of Contractor/Agent
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Prin wner/Agent's Name Print Contractor/Agent's Name
Z V" '4A —ay
t ature of Notary -State of Florida Date Signature of Notary -State of Florida
DEBBIE BLANTON
MY C MMISSION O 188491
Date
Date
Owner/Ag t i rs`E7tPIREsr a fr2007 Contractor/Agent is _ Personally Known to Me or
Produ _ Produced ID
Co.
APPLICATION APPROVED BY: Bldg: Q Zoning: Utilities:
Initta & Date) (Initial & Date) (Initial & Date)
Special Conditions:
FD:
Initial & Date)
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CITY. OF SANFORD BUILDING DIVISION t, ti3itip , `
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, Z42::14_ 1,®-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.
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Owner/Builder Signature , Date
1AedZr!j (,,) ' LI -S
Print Owner/Builder Name
Si lure*Notary—St:ate
BB E Bt,NTON
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Lot
88, Hidden Lake Phase III, Unit III as
recorded in Plat Book 27, Pages S0 and
53 in the Public Records of Seminole
County, Florida. Subject
to any Riqhts-of-Way and easements
of record. Cry
OF Prepared
By: DONALD
W. MCINTOSH-ASSOCIATES, INC. 2200
PARK AVENUE N., WINTER PARK, FLORIDA . 32789
The
undersigned hereby eertilies tk&t be has
consulted the rederal Flood IgeYraaele Rate
Map - comunity Panel Number 120296
0005a (sttective Date ieptambar 17, 1180)
sad finds this lot not to lie Wlt&" spy
flood hazard area shown thersea, SURVEYOR'
S CERTIFICATION: We hereby
certify that the attached "
Sketch of Survey" of the
above described property is trlie
and correct co the best of our
knowledge and belief as recently
surveyedunder our direction
DONALD
W. MCINTOSH ASSOCIATES, INC. Reg.
Survey No. 3993.' State
of Florida rs NOT
VALID UNLESS SE&J,IR f,
N9L 7-8-89 . Co
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