HomeMy WebLinkAbout145 Oak View Pl (3)CITY OF SAI3FORD PEItMrr APPLICATION
Permit #
Job Address: ,
Date: Z G A e/
Description of Work: _ Df Ck
Historic District: Zoning: Value of Work: $ /%OCJ
V .
Permit T)e: Building_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool OFCk X
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempowy Pole `— Mechanical: Residential Non -Residential Replacement New (Duct Layout & Eityo ergy Calo. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Plumbing Repair —Residential or CommercialOccupancyType: Residential a Commercial Industrial Total Square Footage:
Construction Typei.LZ3Ma # of Stories: # of Dwelling Units: Flood Zone: FEMA form required for other than X)
Parcel #:
Attach Proof of Ownership do Legal Description) Owners Name & Address: _ % •/S— 0,*R
Contractor Name & Address:
Phone:
Phone &Fax yD i — ?102 _]re
State License Number.
4(
7TAM? yContactPerson: Phone: Bonding Company:
Address.•
Mortgage Lender:
Address:
Architect/Engineer.
FEB n)y „
Address:
Phone:
Fax:
Application is hereby made. to obtain
49p9v ff1GO cae.certify that no work or installation has commenced prior to theissuance
us
a Permit and that all work
guangconstruction in this jurisdiction. I understand that a separatepermitmustTIONERSuredforELECTRIWELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, ere.
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 regulatin
OF COMMENCEMEg constructionandzoning. WARNING TO OWNER: YOUR FAILURE 1.0 RECORD A NOTICE NT MAY RESULT [N YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. 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 thiscounty, 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 verin ion will notify 7
jSipaofOwner/Agent Date t
r;!rr S FMIW"ft"of Florida Date MY
MISSION t DD IRM k-DE QRAYE e `
a EXPIRES: November 12, 2= # % DD lit orn
Q #0aysMt'I finally ner 12, a
or Produced
ID APPLICATION
APPROVED BY: B1;d 6 -- ing: irirtial &
Date) - Special
Conditions: MY
of the requirements of Florida Lien Law, FS 713. Signature
of Contractor/Agent Date Print
Contractor/Agent's Name Signature
of Notary -State of Florida Date Contractor/
Agent is _ Personally Known to Me or Produced
ID Initial &
Date) AYf
Utilities:
FD: Initial &
Date) (Initial do -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 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.
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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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Own uilder Signature Date 0
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Print Owner/Builder Name t
GNA'gp4mature
unmo
of Notary —State of Florida Date z T
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P N
Owner is ' rso %- Known to Me or has
Produced ID _
Feb 06 04 11:03a Terry t4 Jennifer Cruise 407-302-7544 P.1
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FFICC COPY
PLANS REVIEWED
CITY OF SANFORD
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