1013 S Myrtle AveRECMVED CITY OF SANFORD
SEP 2 6 2012 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY:
Application No: Js� A 3 Documented Construction Value: $ 9-0 4 (2 0 0
Job Address: C 13
Go n4rf
Historic District: Yes ' No ❑
Parcel ID:
--.;o 56&
—12-
Doiy0�'D
Zoning:
Description of Work: 001 Qr 1405e_ 00'�411\ Si-U&CiD a'/W4 0e(,LCj6:;G" toj,jW ttAfeje Q-ep��
Plan Review Contact Person': [—WA [AQIJO'e�Ch Title: 0 k)ljeA-
Phone: 1—,7'1 if Fax: qO7- (,05A- D E-mail:-ji'j1jq 61160LA 01 Ma" 1COM
Property Owner Information
Name -_Lo�)bn V66en6Drk Phone: *67 - q1-7 -- -7 7 L/9
Street: I P> 59 MA di e Ewpa Resident of property?
City,State Zip:
Name
Street:
City, State Zip:
Name:
Street:
Contractor Information
Phone:
Fax:
State License No.:
Architect/Engineer Information
Phone:
Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
Building Permit 0
Square Footage:
No. of Dwelling Units:
Electrical 13
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
New Service — , No. of AMPS:
Mechanical 13 (Duct layout required for new systems)
Plumbing 0 . .•il - '-'
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 0 No. of heads:
%j
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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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 verification that I will notify the owner of the property of the requirements of Florida
Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value —when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released'
°Signature-oP'ONine"genV (/ Date
L iNoA Atlec ha ch
Print Owner/Agent's Name
0q.o7s, r?__
�1PpY uL6
DEBBIE BLANTON --
. :�
�:
Notary Public - State of Florida
•;
My Comm. Expires Feb 25, 2015
Commission # EE 60182
Bonded Through National Notary Assn.
Owner/Agent is Personally Known to Me or
Produced ID Type of M
APPROVALS: ZONING: ai 1. 75-12- UTILITIES:
COMMENTS:
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 Type of ID
WASTE WATER:
Rev 11.08
OWNER BUILDER STATEMENT/AFFID"IT
'Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I understand that state law requires construction to be done by a licensed contractor and have applied for .
an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in I year after the construction is'complete, the law will presume that I built or substantially improved_it
for sale or lease, which violates this exemption. `.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise =
e
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I 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 my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev. 9.14.2009
9,
1 Rr1VV LIML, ClJ Lllli iJCLLLy 1%,rally Culu 1111Q11V10.11.' 1101JV11J1V1V W. L111J �Ja Vj./Vuvu vvaauu..avuvaa uvu.a,J, a. .. ..�
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations. .
1
ilil—N
I am of aware of construction practices and I have access to the Florida Building Codes.
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www.myLlorida.com/dbpLpro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the. address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package..,
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
-that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
Property Addr s: 4! l�t7 I�U ( e- AV
I. b x Dn- r kb e, ch , do hereby state that I am qualified
and bapable of performing the requested construction involved with the permit application filed and agree to the
conditions specifi a ove. '
Signature `of Ow eY-B (der Date
Form of Identification
(Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
0' I
WV V.SANFORDFL.GOV
MAILING ADDRESS
CITY OF SANFORD
POST OFFICE BOX 1788
SANFORD, FLORIDA32772-1788
PHYSICAL ADDRESS
CITY HALL
300 NORTH PARK AVENUE
SANFORD, FLORIDA 32771-1244
TELEPHONE
407.688.5140
FACSIMILE
407.688.5141
CITY COMMISSION
,JEFF TRIPLETT
MAYOR
MARK MCCARTY
DISTRICT 1
DR. VELMA H. WILLIAMS
DISTRICT 2
RANDYJONES
DISTRICT 3
PATTY MAHANY
DISTRICT 4
CITY MANAGER
NORTON N. BONAPARTE, JR.
PLANNING AND DEVELOPMENT SERVICES DEPARTMENT
June 25, 2012
Linda & Theo Hollerbach
1013 Myrtle Avenue
Sanford, FL 32771
Re: Historic Preservation Board Certificate of Appropriateness Approval
1013 Myrtle Avenue
Dear Mr. and Mrs. Hollerbach:
At their meeting on June 20, 2012, the Historic Preservation Board moved to
approve a Certificate of Appropriateness (COA) to change the exterior wall finish
from wood to stucco at 1013 S. Myrtle Avenue based on a finding that the
property is non-contributing and complies with the specific design guidelines
contained within Schedule S.
The conditions noted on the approval are as follows:
The building must be painted in some shade of white with the option of
painting the protrusions in a different shade of white to add visual interest,
based on the "Modern Style".
The applicant is advised that any person aggrieved by a determination of the
Board may appeal such determination to the City Commission by filing a written
appeal and paying associated fees through the City Clerk's Office within thirty
(30) calendar days of the Board action. A building permit is required for the
activity detailed above. Please contact the City of Sanford Building Department at
407.688.5150 for more information.
If you have any questions or concerns, please do not hesitate to contact me at
407.688.5145.
Sincerel
Christine Dalton, AICP
Historic Preservation Officer
Community Planner
T:\Historic Preservation Board\FY2011-2012\06.20.2012\PM3 - 1013 Myrtle Avenue\Approval Letter 1013
Myrtle Avenue.doc
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=Lintla & Theo Hollerbach-w
`Print Nairie: _ .�.
_ PO BOX 2626`Sanford, `FL 32772=2626r
-Mailing Address: ,L rt'
` 407-417-7749'' _ -i ,R;
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Applicant/Owne�,Signatura:-- _ � '�f- `�.-• :�.-,<...,.;� .,. - - •� � '
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p pr ments�-will'affectYthe following elevations: 9 North_-� South; Z East"Tt West`
ments/-DrivewayM1alkw' °s «,.,
Site Improve a �- : ' O ,Storage She '; :; p g _ y_= d ,' pia. Re lacement Sidin '/Floor/Porche- =`
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---3. DescriptV
tiorrof proposed'work=•
Completely describe the entire scope'of work;'inclu_ ding:changes in-material:and-colon,and`methods that will be used;to r • _ ;
accomplish the'proposed work.: -For large projects an -itemized list is required:' Use'the reverse side if necessary =-
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"; ,, _ **** This_certificate must be prominently displayed.- on,the>site whenwork is.in progress.
`�`x- - =fit - -. .. - - �%' .'{» � ;a 4• '�- - r."�' _ ,r�•'4Y''=� - - •+: �• - _ y-
4
Schedule S
The property at 1013 Myrtle Ave. is considered Modern style.
A smooth stucco surface is consistent with the modern style of architecture and was available at the
time the home was originally built in 1973.
I have included an example of a home used to exemplify the Modern style from an online search of
"modern style homes" that is the closest to the look and feel of my property.
CITY OF t=UKD
J U N %Qi2
PLANK NG AND DEVEI OPMENT
City of Sanford - Historic Preservation Board Meeting
June 20, 2012 — PM3 1013 S. Myrtle Avenue
THIS INSTRUMENT PREPARED BY:
t Name: L_ .� dr l4— I 1
Address:
NOTICE OF COMMENCEMENT
MARYANNE NORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
B9 07862 Pg 0433; (Ipg)
CLERK'S # 2012114021
RECORDED 09/612012 11s05s34 AM
RECORDING FEES 10.00
RECORDED BY J Eckenroth(a11)
State of Florida
County of Seminole
Permit Number: / ':� Parcel ID Number:
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY: (Legal
GENERAL DESCRIPTION OF IMPROVEMENT:
r- � rase' t.t it Sir yC�•� . --
/WNER INFORMATION:
Address: Iy I f 5,7. JYl r" lei fLr ri�:ikt5k h� c
Fee Simple Title Holder (if other than owner) Name:
Address:
CONTRACTOR:
Name: n N..-
Address:
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
of
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my�-k7nowll'age and belief. 1 I 4 611
1'
- er gnature �! Owner's Printed Name
Florida Statute 713.13(1)(9): "The owner must sign the nonce of commencement and no one else maybe permitted to sign in his or her stead."
State of County ofr _
The fore oing instrument was acknowledged before me this day of J� G .20
by e Lys d Q- CL— Who is personally known to m�
Name of person making statement CERTIFIED COPY
OR who has produced identification ❑ type of identification produced:— ANNE MORSE
.`.�MARY
?N . ,,�,,, - Y
""01 WL''� DEBBIE7#EE
N CLERK OF CIRCUIT COURT
Notary Public Florida SEMINOLE COUNTY, FLORIDA
+ ; M Comm. Exp5,
2015
Commissio182 Notary Signature
Bonded Through Nary Assn. DEPUTY CLE K
SEP 2 2012