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Home My WebLink About801 S Park Ave (4)V -r ' ` I\4. CITI' OF SANFORD PERMn' APPLICATION PermitA, : -cI sal Dale: 4o- lo— 64. JbAddress: OL (� s VE FtEC LVED Descriptiewof•Work: 'fr C 77 v _ Total Square Footage � - z Historic District: Zoning: Value of Work Permit Type:`Bu Idingp `Electrjs,�l Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change ol'Service 'temporary Pole _ Mechanical: Residential Non-Residcntial Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas bines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Construction Type: H of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Leader. Address: C- 4 LdtJt Contact Person: '"WPGoner Stale License Number: Architect/Engineer. Phone: Address: Fax: 7 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 perforated 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: 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 M 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. -w., 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 fimmit is v Fication 1 will nolo the owner of the p1-7761 rty of the requirements of Florida Lien Law, FS 713. 0 6 giglm of Owner/Agent 15atg Signature of Contractor/Agent . J � C Log N� Pri mer/Agent's Name Print Contractor/Agent's Name Signature of N Flor Date Signature of Notary -State of Florida MY COMMISSION # DD 1M91 EXPIRES: February 25.2W 1-800-LWTARY FL Notary Dtaaout A==. Co. OwnedAgent is _ Personally Known to Me or Produced ID Date Date Contractor/Agent is _ Personally Known to Me or Produced 1D APPROVALS: ZONING: t I'J V rO UTIL: FD: ENG: Iii BLDG: Special Conditions:, aAW9M A M4 DUAL I -ft . aAa AUIl I 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 l 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, ; N , do hereby state that I am qualified and capable of performing the requested construction in ith 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. Tuilder Signature at �a N Prin wnerBuilder Name DEBBIANTON e E BLMY COMMISSION # DD 188491 EXPIRES: February 2s, 2o07 1400 -3 -NOTARY Fl Notary o __4 AMC, Co. Signature of Notary -State of Owner is Personally Known to Me or has Produced ID CITY OF SANFORD BUILDING DIVISION OWNERIBUILDER AFFIDAVIT ELECTRICAL & FIRE ALARM SYSTEMS An wwner of propem. making application for permit, supervising, and doing the work in connection with the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence for his or her own use and occupancy and not intended for sale or an owner of property when acting as his or her own electrical contractor and providing all material supervision himself or herself, when building or improving a farm outbuilding or a single-family or duplex residence on such property for the occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial building with aggregate construction costs of under $25,000 on such property for the occupancy or use of such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year after completion of same is prima facie evidence that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by such owner and who acts in the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner shall personally appear and sign the building permit application. State law requires electrical contracting to be done by licensed electrical contractors. You have applied for a permit under an exemption to that lay. The exemption allows you, as the ovmer of your property, to act as your own electrical contractor even though you do not have a license. You may install electrical. wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in a commercial building the aggregate construction costs of which are under $25,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the law N%ill presume that you built it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. 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. 0,/ WC , do hereby state that I am qualified and capable of performing the requested construction involvzd with the permit application filed. 1 will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. OrBuilder Si azure WIC U Prin�OwnerffluildlNanic Signature of of Florida Owner is Personally Known to Me Produced ID DEBBIE BLANTpN MY COMMISSION a DD 108091 D(PIRES: F�'28 2007 ice-.""AseM Co. CITY OF SANFORD HISTORIC PRESERVATION BOARD APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS P.O. Box 1788, Sanford, FL 32772-1788 Phone: 407 302-5805 Fax: 407 330-5679 TO: THE HISTORIC PRESERVATION BOARD OF THE CITY OF SANFORD, FLORIDA 0 Downtown Commercial Historic District eResidential Historic District D This application is filed in response to a notice from the Code Enforcement Department ADDRESS OF PROPERTY: 80/ S ;% r K A/ 6' Signature: Mailing Addre . 64 j .��' K Al Phone: 40-1- 32?. Z578 Fax: Print Name: Applicant/Agent Signature: -5 Q O Print Name: Mailing Address: Phone: Fax: I certify that all inf ation c tain d ' ' his application is true and accurate to the best of my knowledge. Applicant/Owner: Date: -5 - Zo -OG Please use the attach criteria checklist as a gui o completing the application. Incomplete applications cannot be reviewed and will be returned to you for more i rmation. You are encouraged to contact the preservation planner at 407-330-5672 to make sure your application is complete. Description of Proposed Work/Application Category: (Check all that apply) O Site Improvements/driveway/walkway O Storage shed O Moving structures o Replacement windows or doors o Underskirting o Awnings OfNew construction/additions O Signs o Demolition O Roofs/gutters/downspouts D AC/Mechanical o Fences/Gates/Pergolas O Replacement siding/flooring/porch o Paint D Other Completely describe the entire scope of work: all changes in material, color or location to the exterior of the building, where on the property the work will occur and how the work will be accomplished. For large projects, an itemized list is recommen ed. A ch additional ages if necessary. ` .� - �P A Certificate of Appropriateness is valid for six months unless otherwise noted OF CIAL USE ONLY Historic Preservation Board Meeting Date: Staff Review Date: --w �p�oZ,l a Application is Approved Approved with Conditions Denied Conditions: 17AZJ ,1#,& f- J/%I il"ADAW,& / ddAh"A0. a,,ii 0/9riNA Ird /.�r4.Fle 01. - ***This Certificate must be prominently displayed on the building when work is in progress* FASHA ENG\Historic Preservation Board\Hpplications\C of A Application.doc -05 17:16 FAX 386 860 5563 2005 14:37 4073309775 ALTG DELTONA BOUNDARY SURVEY o ' r) LEGr4L DEsrjwF noN, LOT a .SND we voRm 6.6 FEET Of tOT 7. Btocx 10 7w? ,; aF E.R. MAFEORDS MIP OF THE TOM OF S4NFMO, A CCARO/NG TO THE PLAT 7HOWOF AS RECORDED IN PLAT BOOK Ir PAGES 56 11iROUGH 64, GIF THE PUBLIC AjECOROS OF �/NOLE COUN7?; FZAR/DA. W J V 91 56('00,00-W 117.00'(P) IL E. 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