HomeMy WebLinkAbout2829 Sanford Ave (3)r4 Cgir4 Serve 1
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CITY OF SANFORD PERMIT APPLICATION
Permit #: t/ G— I v"
I
Date:
4ob Address: 117 of A—V-C,
Description of Work: ?iln CJt_
Historic District: Zoning: Va` ue of Work: S
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:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Pone: fzy Z —
State License Number:
Contact Person: Phone:
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. 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: 1 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.
NOTI E: 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 oit is verificati9tr that I will notify the ownerjof the property of the requirements of Florida Lien Law, FS 713
of OwAcr/Agent / Date
Rom- A WJ-L 4
s Name
State,oGElorida_ _ _ i Date
L J MY CO:.:;AISS;ON * DD 1%491
EXPIRES: February 25, 2"D7
n { VOTAMY
Ownerl4ent ison _._ _. Persally•Known to Me.or. Produced
APPLICATION
APPROVED BY: Bldg Zoning: Initial
ale) Special
Conditions: Signature
of Contractor/Agent Date Print
Contractor/Agent's Name Signature
of Notary -State of Florida Contractor/
Agent is Produced
ID _ Utilities:
initial &
Date) Date
Personally
Known to Me or FD:
Initial &
Date) (Initial & Date) 0
CITY OF SANFORD BUILDING DIVISION
OWNERIBUILDER 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, A&,0 e,j k. j / ara ,n , 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
OwnerABuiler Signature Date
llever
Print Owner/Builder Name
r BLANTON
0,
r '
0'4 # DD 186491
7ruaryE5.2:07 Signature
of Notary —State of Florida Date 01ZMUrr a; 4C. o. Owner
is Personally Known to Me or as Produced
ID L. P D 1lo I J
L O T 5 i A14P OF SLOMY
L T
S, 90"00'00'W, 62.00' L O T
4 —
CHAIN LINK FENCE ON LINE — 6— —
FOUND 112' 7.5' UTILITY EASEMENTIRONRODa 1,2'
6300 ----------------
J x x
LOT 26 Q
x
BLOCK '*Co*
x
CONC = CONCRETE
x x 3 R/W = RIGHT-OF-WAY
o Y 2 I p PC = POINT OF
o CURVATURE
FOUND 112"
IRON ROD (NO)
UNLESS NOTED
OT-IERWISE)
t' CONG
c
I N07E
U 1 • BEARINGS BASED ON THE
15' 0.
3' W.
LINE OF BLOCK C 3. x ,
t ;."' ` x AS BEING NORTH. 38.
7' O
O 2. UNDERGROUND IMPROVE- 0
1-STORY CONC o J MEATS NOT LOCATED. cU
BLOCK RESIDENCE cL 2829
ti _ J. SUBJECT TO EASEMENTS AND
RESTRICTIONS OF 38.
7' RECORD. COVERED
g 8. 4.
SUBJECT PROPERTY LIES CONC
IN ZONE "X" (AREA OF 1
COVERED MINIMAL
FLOODING) PER p0
CONC GONG FLOOD INSURANCE RATE o
CARPORT , : o MAP PANEL NUMBER 120294
0045 E, DATED
4117195. Q\
5. DATE OF FIELD SURVEY: 1212105
CONC'
DRIVE
FOUND
112' IRON
ROD 6300 "
627.
29' NORTH''
62.00PC EDGE OF
PAVEMENT o o oS. WFORD
AVENUE SURVEY CENTERLINE
BOUNDARY
SURVY
CENTERLINE OF
80' PLATTED RIV DESCRIPTION: LOT
26,
BLOCK "C- WOODMERE PARK 2ND REPLAT, AS RECORDED
IN PLAT BOOK 13, PAGE 73, PUBLIC RECORDS
OF SEMINOLE COUNTY, FLORIDA CERTIFTO. I
HEREBY CERTIFY.• DAM 1212105 MANUEL ALBARRAN THAT
THIS SURVEY MEETS THE 1 " = 20' JOSEFINA HERNANDEZ MINIMUM
TECHNICAL STANDARDS .SCiA E. SET FORTH BY
THE FLORIDA 05-K655 DABL
FINANCIAL D/
B/A BOARD OF LAND SURVEYORS IN . PARAMOUNT MORTGAGE SERVICES
CHAPTER 61 G 17 - 6, FLORIDA MCMAHON & ROZON OM 7AJ. TIVE
CODSURVEYING
AND MAPPING, LLC KAMPF TITLE AND
655 W. FULTON STREET GUARANTY CORP. SUITE #
9 STEWART TITLE MCMAHON
SANFORD, FLORIDA, J2771
GUARANTY COMPANY FL
REG LAND SURVEYOR#4887 LICENSED BUSINESS f 74J4PHONE 407-328-7201NOTVAUDWITHOUT
THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FZORIDA LICENSED SURVEYOR AND MAPPER L