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HomeMy WebLinkAbout1118 S Palmetto Ave (2)oPermit # : V t —10-1 Job Address: Ilyi Description of Work: IN uWf CNU_— Historic District: A Zoning: CITY nF RANFORD PERMIT APPLICATION Date: O ' " • 04 FL 80-11 Value of Work: $ py / 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 #: Owners Name & Address: N to 00 Kim VI Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Attach Proof of Ownership & Legal Description) Phone: State License Number. Contact Person: Phone: Architect/ Engineer: Phone: Address: _ Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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 Vn McanorL.IbLaL I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. N 02.13.01+ Signature of Owner/Agent Date Signature of Contractor/Agent J Print O ne e ' e 3 Print Contractor/Agent's Name Si f Notary-S to of orida6z), 'Dat Signature of Notary -State of Florida Okner/ Agent is _ Personal) ow to M. a 9r, v'- Rivduced ID b 1 &C (n(e/ 6 APPLICATION APPROVED BY: Bldg: 4—_>rV1 Zoning: Initial & Date) Special Conditions: Date Date Contractor/ Agent is _ Personally Known to Me or Produced ID 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. 1, 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. I'A (!b( (y1.19.04 Owner/Builder Signature Date MOqa 3. sN Print wner/Builder Name A 2 13A Signature of i o arKstate of Florida Date Owner is Personally Known to Me or has Produced IibS57(, 2,[:6? A HIMRIC WATERFRONT QATBWAY CITY OF SANFORD HISTORIC PRESER VA TION BOARD APPLICA TION FOR A CERTIFICA TE OF APPROPRIA TENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 330-5672 Fax: 407 330-5679 Property Owner: 1"V'T% . YI t:Y Property Address: n i% Mailing Address: Hie PaLMM at- Phone Number: rr Fax Number: Llo —5 i.J -1(P51 Agent: Address: Phone Number. Fax Number: Downtown Commercial Historic District: Residential Historic District: X Describe all changes in material, color or location to the exterior of the building and property: OIL. FUu ADM .i0nWG- P9I4 Tb JOT W011T OF 44q OF H60 9 . (11hr oNi6e) Applicant's S Owners' Sig OFFICIAL USE ONLY Historic Preservation Board Meeting Date: Date: • i'0r 1 Date: • G Staff Review Date: Application is Approved Approved with Conditions Conditions: Signed: axea ra d CJ's/'lX/L/ Date: Denied 41.0 I I1' 117.00 ts1I1 IRoN Ot At;5Jz f U 0i - moo, i'C4W- WALK Z v o 7W ZD ti+ LL LUIJ ie j• CON". 004ca., 3% Ill 11, 5TY w BRICK FRAMe STuuD » PATIO DES, IL 3.L9- nta { r e 117.00 I G/X 3saT os j 0 i p S Il - 30' SURVEY NOTES: 1) The street address of the above -described property is 1118 PALMETTO AVENUE. 2) The above -described property lies in a Flood Zone X SURVEYOR'S CERTIFICATE This is to certify that I have wade a Survey of the above described property and that the plat hereon delineated is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.077 of the Florida Statutes. REVISIONS-: vr4 14 ffl CERTIFIED CORRECT TO: KITNEFf SURVEYING, TWT MARIA S. SHREVC CHASE MAMATTAN:MIORTGAGE CORP. R. BLAIR KITNER - P.L.S. NO. 3382 FIRST AMERICAN TITLE INSURANCE CO. Post Office Box 823,. Sanford, Fl. 32772-0823 322-2000 HARRY G. REID,'III, ATTY-AT-LAW 3ROJECT NO: 03-321 SURVEY DATE: 23 APRIL 2003