HomeMy WebLinkAbout1306 S Park Ave (3)T
CITY OF SANFORD PERMIT APPLICATION ;a=
Permit # : U b Date: Y-19-6-003
Job Address: 1:30(0 PCS A..,< -
Description of Work: w h �/ t ��.�oti•�S t 1
Historic District: Zoning: Value of Work: $ 13 C'�
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 _K Commercial Industrial Total Square Footage:
Construction Type: UJO 9d # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: :306. 5, it SUv. a % X.64 -w
Phone: V l�-Seg -IS4-7
Contractor Name & Address:tbx
State License Number:
Phone & Fax: Contact Person: Phone:
Bonding Company:
Address:
Mortgage Lender:
Address:
ArchitecUEngineer: Phone: -!_ _ _•_
Address: 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. PAN ING
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 fication that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
••y N O A
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M o 17 ,k'o3
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Q N 2 U Siaj�t'uree of Owner/ Agent
] Date Signature of Contractor/Agent Date
co ami v o V all -t- uLfk v.J
CZ •o Q o Print Owne Print Contractor/Agent's Name
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v W Signature of Notary -State of Florida D e Signature of Notary -State of Florida Date
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Owner/Agent is,-,P/P rsonaI14 own to a or }� Contractor/Agent is _ Personally Known to Me or
St'', Produced [D �/ ! �in`Y lO % �7CJ Produced ID
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APPLICATION APPROVED BY: Bide: 9-/
Zoning:
(Initial & Date) `
Special Conditions:
Utilities:
FD:
(initial & Date) (Initial & Date) (Initial & Date)
WWA" , ft(STORIC'��
TERF(<Olfl'GATEIQAY Li-,
CITY OF SANFORD
HISTORIC PRESER VA TION BOARD
APPLICATION FOR A
CERTIFICATE OF A PPR OPRIA TENESS
P_ 0. Box 1788. Sarrforcl, FL 32772-1788
Phone: 407 330-5672 Fax: 407 330-5679
Property Owner.n C aae,�
Mailing Address: _ 1.306 S.
Agent:
Address:
Property Address: l3 J6 S, PW
Phone Number: x/07- 30J—>.j'?-/-7
Fax Number: yv 7 - F30 - -73 aS
Phone Number:
Fax Number.
Downtown Commercial Historic District: ❑ Residential Historic District: A
Describe all changes in material, color or location to the exterior of the building and property:
gyp...• �Wzlcn
c..�1Y..2Sem ol rn) L,'14" 1l,
Applicant's Signature
Owners' Signatu
OFFICIAL USE ONLY
Historic Preservation Board ting Date:
A
Date:
Date: 7-19-,1211V3
Staff Review Date:
pplication is Approved Approved with Conditions Denied
Conditions:
Signed
-- -
_ - — -- -- — - --- —-- ate
PLAT OF SURVEY
CHARMAIU /UE -STI
DESCRIPTION: LOT 2, BLOCK /S, 7-/E/2 4, ER. T.PfIFFOIZDS MAPaF ryE TOWM OF
RECORU[D IN PLAT BOOK / PAGE (S) 56-6¢ OF THE PUBLIC RECORDS OF
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THIS PROPE,PTyDOES NOT UE WITHIN T?1E
ES7ABUSHED 100 YEAR FLOOD PROME AREA
FLOOD ZONE'G"
SWAGGERTY LAND
SURVEYING, INC.
1819 W SECOND ST.
SANFORD, FLORIDA 32771
(4 07) 322-4&30
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SEMI"JOLE COUNTY, FLORIC
SCALE
CE2 T/F/ED CO)P-eECT T') I"_ -30
C11/9�'MAIv
MES 7-/
COMM0NWElo9L7-4 MORTGAGE j
F/DEUTY T/TLE
I HERESY CERT;FY THAT THE SURVEY SHOWN
HEREON WAR MADE 04 ACCnRDANCE TO TWE
DATE OF: "MINIMUM 7LCHNICAL ?TANDARD*" FOR LAND
BOUNDARY 7-/7---90 SURVEYI" IN THE $ATATE OF FLORIDA
FOUND 7-/7�0 CH 472027 AND CK. 21 HM -6 FAC
FINAL 7/7 22 CERTIFIED CORRECT:
SEC. 25.7 J9 R 32F 30
REG. LAND SURVEYOR 7,;
41
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CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite: supct-vision
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. Tlie
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 Gwyn
contractor with certain restrictions even though you do not have a license. You must provide direst,
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 presurr;e that
you built or substantially improved it for sale or lease, which is a violation of this exemption. You- rr;ua.
not hire an unlicensed person to act as your contractor or to supervise people working on your bu:i.l.d if 1".Y, It.
is your responsibility to make sure that people employed by you have licenses required by state law -Arid
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, X..CG�,- '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.
JZ___ ?-/ 0146-0 3
caner/Builder Signature Date
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