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1204 Oak Ave 94-2073, 94-2229, 94-1876, 94-2228, 94-1879 Interior and Exterior renovations (2)PHONE # C` ;PLUMBING CONTRACTOR oLj R er +l /C,rr /i FEE $ ADDRESS PHONE # ELECTRICAL CONTR CTO t \A tIlLcl FEE $ l ADDRESS PHONE # oc MECHANICAL CONTRACTOfiPOLIf I i 'd"11 -f-'"rC FEE $ ADDRESS s PHONE #. INSPECTIONS TYPE DATE OK REJECT BY j 8/29/94 APP TYPE: PARCEL #: s LOCATION: IOWNER : 11ADDRESS : PHONE: CONTRACTOR: ADDRESS: C I TY OF• SANFO'RD BUILDING PERMITS 300 N_ PARK AVENUE SANFORD,,FL 32771 PLUMBING PERMIT APPLICATION 25.19.30.5AG-1405-0020 1204 OAK AV LEE MARLIN & CHERYL GUNDERMAN 1204 OAK AVE S PAGE: 1 INSPECTIONS 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS PHONE (407) 330-5659 PHONE: CERTIFICATION FEES CHARGED DATE_ FEES PAID PERMIT #: 94=00002229`000 000`PLAA TYPE: PLUMBING,PERMIT—ALTER%ADD/FIX,.' ISSUED DATE: ,8/29%94 VOID;. DATE2/26/95-- PLUMBING PERMIT ALTER/ADD/FIXPMT yFEE. 15 0:08/29%94 15.00 j { APP FEES:` F 01— APPLCTN FEE PLUMBING ", 10.00'' 8/29/94 10.00 TOTAL FEES: 25.00 25.00 I f IRECEIPT # APPROVED BY: 0 1 1 f 1 J FAILURE TO COMPLY WITH MECHANI—C, TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID SIGNATURE: LIEN LAW CAN RESULT, THE PROPER Y OWNER PAYING C. O. BEING ISSUED. C I T Y O F S A N F'O R D 8/29/94 BUILDING PERMITS 300 N_ PARK AVENUE SANFORD, FL 32771 APP TYPE: PARCEL #: LOCATION: ELECTRIC PERMIT APPLICATION 25.19.30.5AG-1405-0020 1204 OAK AV n IRECEIPT #: r' APPROVED BY: .SIGNATURE.: _ FAILURE TO COMPLY WITH MECHANIC'S LIEN LAW CAN RESULT TWICE FOR BUILDING IMPROVEMENTS. NOTE: ALL FEES MUST BE PAID PRIG -TO-C. _ BEING ISSUED. 1 INSPECTIONS 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS PHONE (407) 330-5659 29%9 10.00 30.00 THE PROPERTY OWNER PAYING Cos CITY"OF SANFORD, FLORIDA APPLICATION FOR BUILDING PERMIT PERMIT ADDRESS I2o4 Vpf^ ICU. , Sou._rk PERMIT NUMBER 'A4 Total Contract Price of Job 10. Doc) . QQ Total Sq. Ft. I 32. Describe Work ZIU+C—) 10A 0MOr)CLItiC-) C Type of Construction Flood Prone (YES) (NO) Number of Stories [)/11E Number of Dwellings 0/0E-- Zoning Occupancy: Residential Commercial Industrial LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I.D. NUMBER OWNER Lee M ae—o lo + CbeL PHONE NUMBER ADDRESS 1 2_o 4 P- UE . S (;L7/'1 CITY ofL) rC7) e STATE 1_ ZIP 32--'2— TITLE HOLDER ( IF OTHER THAN OWNER) ADDRESS CITY STATE BONDING COMPANY ADDRESS CITY ARCHITECT ADDRESS _ CITY STATE STATE ZIP ZIP ZIP MORTGAGE LENDERS ti ti A I j rV A vC i L Ct P ADDRESS CITY. t 2.[(}-ry( Q :> STATE ZIP 32e1 Q CONTRACTOR PHONE NUMBER ADDRESS ST. LICENSE NUMBER CITY STATE ZIP 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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY`RESULT IN YOU PAYING TWICE FOR THE 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 VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF THE REQUIREMENTS OF FLORIDA LIEn LAW, FS713. H ro z 0 Q m En 0 a n Signature of Owner/Agent & Date Signature of Contractor & Date 0 a 1 R N N o T or Print Owner/ nt Name Type or Print Contractor's Name a x o3 rc3 0, 3 I o E m ro 4 n a 4 C a 0 p z > Q r-I H VI r 1 0 w C o 4 o ro (n a) J u oa o a) > 1 z a H Signature of Nota A L° L TU E_'K1FRO ObdLEY T NOTARY PUBLIC, STATE OF FLORIDA, MY COMMISSION 4 CC O98512 EXPIRES I 99, Application Approved BY: FEES: Building. Open Space PERMIT VALIDATION: CHECK Signature of Notary & Date Official Seal) Date: Radon Police Fire Road Impact Application ullad Q. CASH DATE BY ORIGINAL (BUILDING) YELLOW ( CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) 0 ro ro n 0 a C rt cn a. y1 FJ THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE t CITY OF SANFORD BUILDING DEPARTMENT OWNER/BUILDER AFFIDAVIT Disclosure Statement 489.103 (7) as amended by P.C.O. 88-38 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 even though you do not have a license. You must supervise 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 at a cost of $25,000 or less*. The 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 built yourself within 1 year after the construction is completed, the law will 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 contractor. Your construction must 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 municipality licensing ordinances. For your information, the Owner/Builder becomes liable and responsible for the employees he/she hires to assist in the construction project. This responsibility may include the following where required by law: A. Worker's compensation (for workers injured on the job) B. Social Security Tax (must be deducted from the employee's wages and matched with'the owner's funds) C. Unemployment Compensation (may or may not be required) D. Liability Coverage E. Federal Withholding Tax I acknowledge that as an Owner/Builder, I LEA ,0. % 4z/4) am obligated to actually, physically, build the structure or do the work which I have permitted. I understand that if I am not physically doing the work or physically supervising free labor from friends or relatives, that I must hire licensed contractors,i.e. electrician, plumber, mechanical (heating and air conditioning, etc.). I further understand that the violation of not physically doing the work, and the use of unlicensed contractors at the construction site, will cause the project to be shut down by the Inspector Staff of the City of Sanford Building Department. Additional State Statutes allow for penalties up to $1,000 and tip to 1 year in jail. I also understand that if this violation does occur, that in order for job to proceed, I will have a licensed contractor come in and sign on the permit as taking the job over. I understand that if I hire subcontractors under a contract price, that they must be licensed to work in the City of Sanford, i.e. masonry, drywall, carpentry, etc. All contractors licensed by City of Sanford Licensing Board have worker's compensation and liability coverage and are registered with the State of Florida. I have hired , a contractor to do the work for me under my permit. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise or do all work allowed by law on the permitted structure. Property Owner Permit Address Telephone (YD? Address )2-Q`7 0K hoe; jc.7h Other Identification rivers License NO. l7 I hereby acknowledge that I have read and understood the above affidavit on this day of A.D. 19 192 Owner/Bui ding Signature 489-Part II only exempts from licensing and owner doing or supervising any electrical work on a one or two family residence. Commercial work' requires a licensed electrician. L15T 624: 17 um5 21 PA OT At4w f s o44 R, w i N 0o W `Jc4kTu S A-i R A sO -6-Ti-ERjo 2 Q©off s 4PA-lk A-tU fiR12,1 D tJ-1 IJ 1 I ".rl'v2 54 Woop -wt) s flLc bAI440)ut5 ul) 19 L-......._ - HUG-04- 44i'r' 034 019 P. L FAX Nil,.. 407'-,130 56 t; FROM. t• Qe Marlin and Cheryl_ Uucij,t rili,,n Total munt..) er of toaq( -s l ne' I u;l tng covrc,.%r stleet , 01c, are tr',111smi t in i r om (40 7 ) 8 34 03 9 . 1 I' v..s or comnients, Please feel f.r_Pe to call me at- (407) 767--8o84. origina [. (.1ocument sti'11? _. will riot. .. tic:>elow by fliai.l. THE INrORMATTON CONTA.IVED TN THIS FAOSEMILE MESSAGE IS INTENDED ONLY WR THE PZASCNAL AI:D CG14P DZNTjAL U8E OF a,M DESIGNATkDRECTP. TE.-NTS NAMED AEOVE. THZIS MESSAGE 24A.Y . CDN'T'AIN CONF IDETITIAL I?TrOFMATIGN; ..? T$1•: READ$R OF Tftls MESSAM IS NOT TRE INTENDED PLECIPIENT, OR AN P_GENT R$SPCNSi3LE FOR DZ IVERING 1T 10 ?Ffs INTTSNIDED RECIPIENT, You ARE MRSITY NOTIFIED S'HAC YOU B.P.VE RECEIVED TRIS MESBACE IN ERR6R. Pi,BARE tK^!tT C US IPri]['I'h'7`,r,Y BY TEIF1'Rc]N?' AND 1;2T: 7RN L'F!E CR;U1NAL MEES&.9t3E TC' US 9Y :L4IL. u".K YOL. CITY,!`,OF S'ANFORC,, FLORIDA APPLICATION 9'OR'BUILDING PERMIT 41 PERMIT ADDRESS AVE,PERMIT NUMBER q4 " j j 1 -1 Total Contract Price of Job 00, UDD Total Sq. Ft. a9&b F-7- Describe Work ,?T7,V7'Aff2,1v2 AAV o i TFi+o i+c D -( ! Type of Construction REIS7-CA4-7-.1 &W Flood Prone (YES) (NO) Number of Stories / Numbei``Q`-"lDwellings Zoning Occupancy: Residential V1, \\C`Mmercial Industrial LEGAL DESCRIPTION (please ate TAX I.D. NUMBER POWNERCE61UEVMS ADDRESS &17 N .4_, CITY TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY STA BONDING COMPANY rintout from Seminole Count PHONE NUMBER 1?6 - ,?D 0 V ZIP 32g/0 ZIP ADDRESS CITY ATE j ZIP ARCHITECT N ADDRESS CITY STATE ZIP MORTGAGE LENDER ADDRESS s--D ,( CITY p9 TAE X,(oaZl,Q/J ZIP CG2 9-a ? 2 CONTRACTOR PHONE NUMBER zj D 7- Zlf1 - j g V % 3 ADDRESS 4,,j v ST. LICENSE NUMBER CITY ,4 STA E , dA- ZIP Scp 789 Application is hereb made to obt in rmit t do the work and installations as indicated. I certif that no work or installat on has commenced prior to the issuance of a permit and that 1 work will e performed o meet standards of all laws regulating construction in this j isdiction. understan that a separate permit must be secured for ELECTRICAL, PLUMBIN MECHANICAL, IGNS, PO LS, ETC. OWNER'S AFFIDAVIT: I cer ify that all t e foreg ing information is accurate and that all work will be done in mpliance with 1 plicable laws regulating construction and zoning. A COPY OF THE ECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SI WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE RECORD A OTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE IMPROVEMENTS TO UR PROP E Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTOR Y BEFOR IF YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the quire nts of this permit, there may be additional restrictions applicable to thi rop ty that may be found in the public records of this county, and there may be ad on permits required from other governmental entities such as water management di ri ts, state agencies, or federal agencies.. I' WILL NOTIFYACCEPTANCEOFPERMITISVERIFICATIONTHAT THE OF THE PROPERTY OF THE REQUI S OF FLO LIEN LAW, FS713. D O t C m nm rt 0a o N Signature Owner/Agent &,Date Signa ure o Contractor & Date 0 w K e d D U z i o qa dXAJC-h m s K N z Type or rin Owner/Agent Name Type or Print Contractor's Nam d x n(D 0 b n Signature of Notary Date o RSinature.of Notary to Official Seal) Official Seal) F' L Rf CARY i NIptary PuhiIC State of Florida Notary Public, State of Florida FLORENCE CARY x My Conirn. Expires April 14, 1998 ° o Corm. No. CC356852 My Comn1. Expires April 14, 1998 a a Comm. No. CC356 5.2 0 0 Application AppBY- at c ro Q C rt FEES: Building Radon Police Fire a r H Open Space Road mpact Ap lication V) - c o PERMIT VALIDATION: CHECK CASH DATE BY d 4 o ra 4 u a z° a H ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX FF CE) GOLD (CO. ADMIN) THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE Lis'T i s -fD 2 `' ©A4 Arc, .5 Aj4:m hPA4p,, w i 0 Dow St4kT u s p A- A-U, P LA6 TER / V (Z W A L-b 1 / Gr 1 -160 m PS TO .._ 3305666 P . 02 r DATE OF REGISTRATION.___`' air STATE STATE LICENSE N13N: r -KQ^ XPIRATIGNe__- NAKF- OF CARD HQU)ER: x M BONDNBR• ,•--_.. N_.....__.....,. r---,....._.._.. mcupATIONAL L C ___ __EXPIRATIO dr_ {_ CTL NRR:_ -- - LICENSSE INITALSa esaa . 0_L.lrfrpid W®afaCst`.[CD:==cCCG''j.CIC2.i a 2LSaxb Cz'cszem T rro,as._c Cif ') Y RI= SANFOf7u REGISTRATION APPLICATIoN P U BOY 1788 SAIJ WfD FL 8R772 407) 330-'J6ji4 I) BUSINESS NAME; ADDRESS:-- US _ w TAVE. r- CITY-^ W/ k L%f STATE•__2Ild'C ODE:_.. TELEPHONE NbRs 9' . NAME OF ,APPLICANT-.__ ._u..:? Ab0RE98: - ----_-------- CITY: J9-9 -Q-ju2A___STATCa_ f IP CODE:,Y, s _ TELEPHONE NaRr ( _ . 7 )__ Ayo- 42.Z.Z_..__ --- --•-r ---- 8) BUSINESS pROF ESSION:w . C`121i1_T2.3t. -..p, ___ Y _ 4) CONTACTORSe NAME OF PERSON STATE CERTIFIED/REGISTERED IF nyFF'ERENT FROM APPLICANT: 5! IF CoRpnRATION t-I9T-DFFICERt: .S - ~---•-- b) LIST ALL OCCUPATIC ML t-ICEf-tSE(5) WITH OTHER CITIES/COUNTIES- OCCUPATIONAL LIC NBRr OCCUPATIONAL L.IC IF STATE CERTIFIEVg PLEASE PROVIDE A CWY OF YOUR STATE CWTIPICATION, CURRENT OCCUPATIONAL LICENSE. Ream- riqATION SCURRE'NT WXtIPATIONAL. LICENSE, POW SURETY OM STBOND. ALI- OTHER SPECIALTY CONTACTORS MUST PROVIDF. 2000 SURETY 00NI). rrj-.L7 TO - - 3305666 P.03 820 E. Highway 434 #170 Longwood, Fl.° 32750 May,12, 1994 DGZ, Inc 554 W. New England Avenue Winter Park, Fl. 32789 This is to confirm that 1. Irwin Korman, agree to qualify your company; with my State Certified General Contractor License. Naturally, this will be contingent upon you're meeting the requirements that are spelled out in an agreement, which will be attached to this letter. Your's ruly, Jl I • Korman 11: 14AM FROM m TO 3305666 P.04 nc• g 5 g 3 4 u,„STATE OF FLORIDA DEPARTMENT OF PROFESSIONAL REGULATIONCONSTRUCTIONINOUSTRYLIC£tdSl•; 06/ 27/ 92 cG t01?245 ZiE)i THE CERTIFIED GENERAL CONT?;,rrOA NAMED BELOW IS CERTIFIED EXPIRING HEA i 6Oy:d I 1 F CHAPTER F.s.. FOR THE YEAR KORMAN.- IRwiN INDIVIDUAL HIGHWAY 431, FM170LONGWOODFL32750-516e LAW TO 1111E5 - Ll r GOVERNOR DISPLAY IN A CONSPICUOUS PLACE c aT ` 5 u SEGRCTARY(,rb,P,R, V'i'.S.v..r..:.r:.).N.'.?1'e:.S:S•rRh; J: i r vr,?r:'„-::i:r;?. I - tj 14 1 14 V MUM to.,, 9 U Ili 1. NORMAN ScAce CeRciFfeD CeNePLAL CONCTZ.Acr-OR Licemseo MD IRSUR60 6 6 August 1L, 1994 City of Sanford P.O.Box 1788 Sanford, Fl. 3277I Attn: Gary Wynn Re:11ermit #94-1847 Property Address 1204 S. Oak Ave, Sanfc)rcll Owner Cheryl Gundernizin Dear Mr. Wy-nn: As per our conversation today, I never s,.igned for the building permit issued. on the above address. I am not the qualifier of DGZ at. this --point. I Q- rwin Korman CGC ,9245co1c7 820 Esc NowAy 434, Suice 170 LoNr,cu000 FL 32750 407) 339-6669 407 8:34 0319 P. 012,'02 A'UUUSt 2, 1994 Gary Winn City Of Sanford Building Department P-0, Box 1788 Sanford, FL 32772 RE, 1204 Oak Avenue, Sout.11 Marl in-Gunderman/Ovinors Dear Mr. Winn: Per our conversati.on tias day, this lettc r snaU --erve as direc'tion that OCZ, inc. is formaily Germinated from the cconsi-ructioll site. at. the above referenced Address due to the followir1g: 4 Fraudulently making applicatiorl for a t)411cijjIg p- m I t 0 Unsupervised and undlrecLecl work performed by subcorit.ractors pursuant to Paragraph #j of Homeowner/Conti.cict.or Agreemeat 0 Negligence, jjj perfoyfitilIg itortis in Pa-t--Ljgrrapi, g7 pur8j1dilt to HOm0OWDe!'/ContraCtOr Agreement 0 A%Iisleadihg and false Inf ormai-.ion c o n v e.,,r to Owner by Contractor in order 11--o secure Home ownor / Co ",'i L 1---a c tar Agreement As Owners, Mr. Marlin and I will be making aPPlication for a legal building perm.1t in order to resjmc- refe,renced ak-IrAress. . const-ructiojj at the above Thank you fey YOuf time, and consideration in this Iflatl.-er and if youhaveanyq'uestions or conuaents, Please feel free t.0 Contact me 407- 67---8080, e e I Y, X L Cheryl derman cjg CC. M, Noel Pinnacle Financial COrporatlon 1.500 Lee Road, Suite 200 Orlando, FL 32,910 DGZ, Tnc. 554 W. New England Avenuje,., Winter Park, FL 32789 Tl-,-IHL F.F1,12 SENT,BY:KINKO'S COPY CENTER 8- 8-94 9:16-UMNIFAX # '?; 2 VU. U(I'.aY 1I.40 4u1-cos en Url-iUt. UE-KJI # !b PAGE D2 nEL Mr Canty Wina city Sanforu Bui ld,irg Department 1788 Sanford, Florida 32772 Dear Mr. 'Winn: Sae E wemcrdzt 1vd. , Suite 28--A; Cassel berry, r'lor ida 3210-? Ugu.st 4, 1.99t, RE: 2204 South Oak Avenue Sanford, plorada On August 2, 1994, 1 spoke with you regarding the far, letteryoureceivedfromWytnKorman. Your liCenSinq department received from, our company a copOfDGZ, Inc., insurance certificate and Wynn Ko mall a s contractorslicense. Your department a:SO received a signed by1rttersigWynnKormanst.a.ting kris intention to place his l.i_c ig e with andqualifyingDGInc. Apparently, there was a mix.up, and a r. Koffman permit wOurcompany. 11as iassued try r ur, Cam an has decided not try cc ntinty PY- lie will re missed. up to quality There will be ro-.applying t0 gUa.lify our Company and renew whyPermitfor1204SouthOakAvenue, Sanford, Florida, eiurir.Zt updated,, the week Of August $, 1994. YOLr intorMation will be p1.0per.ly I appreciate yotl.r consideration, Yo- ar ThomC`. hdro, Pro 5.j r]e,ett D 2; Inc. cc Mr. e . Cheryl, Gunderntan Mr. Michael Noel, Pinnacle Financial Gorrorat M.r. Wynn t;.orman ion SENT BY:KINKO'S COPY CENTER 8- 8-94 9:16 199 To: Name- #//V ' e-v.9,e/ )VIA.AV compa"r. Phone: (H) Phone: (Vt) Number of Pages induding cover page.) From: Name: Company: -- 4, ,, ?, --,. -pye — Phone: Of) none 01-7 5r VE>7 Fax: Instrudons- OMN I PAX I 2145AIo=Avenue a Winter Park FL 32792 407) 677-9,450 Fax (407) 677-9935 Kinko's Offers What You Need vub Quick & ronveaieut Quaty-services Quality High Speed Copies Poswr Size f-lopies Color User Copies Desktop Publishing rotor MAC & IBM output Hourly Macintosh Rentals Hourly TBNII Ren'.1-ils niag - :MAC :& IBM Fonnats 4 Busirims Car& 0 Office & "St"wonaq Supplies Fax Service Cutfift ng, Dimling, Padding Bwh- letMaIdag eusTort Photos ufliftu tutg & Binding NCR Carbonlmi Forms Ihnsparalcies d Kmko' spmndesapubIwfarsem,ce We are not respoonbkfor the wao&ofmy trawmanow or wepww orfor anyfem azxuzWzmth them Aww twfl Sfj= hae my problems redving or ifs are may pqm mkft, GITT OF SANFORD, FLORIDA ti G PERMIT NODATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING PLUMBING WORK: OWNER' S NAME &e Ak u ) ADDRESS OF JOB //^Da O4 d S , S A VComm.— PLUMBINGCONTR. W fieE— Res. _ Subject to rules and regulations of Sanford plumbing code. Residential: Number Amounf Alteration, Addition, Repair I New Residential: One Water Closet t Additional Water Closet I Commercial: Fixtures. Floor Drain, Trap Sewerr Water Piping Gas Piping Factory - built housing I Mobile Home Application Fee Minimum Commercial Permit: $25. oo Total 01 Uy i IM- MMOME COMPETENCY CARD CITY OF SANFORD BUILDING DEPARTMENT OWNER/BUILDER AFFIDAVIT Disclosure Statement 489.103 (7) as amended by P.C.O. 88-38 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 even though you do not have a license. You must supervise 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 at a cost of $25,000 or less*. The 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 built yourself within 1 year after the construction is completed, the law will 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 contractor. Your construction must 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 municipality licensing ordinances. For your information, the Owner/Builder becomes liable and responsible for the employees he/she hires to assist in the construction project. This responsibility may include the following where required by law: A. worker's compensation (for workers injured on the job) B. Social Security Tax (must be deducted from the employee's wages and matched with the owner's funds) C. Unemployment Compensation (may or may not be required) D. Liability Coverage E. Federal Withholding Tax I acknowledge that as an Owner/Builder, I ,(P_f (1 - milall j am obligated to actually, physically, build the structure or do the work which I have permitted. I understand that if I am not physically doing the work or physically supervising free labor from friends or relatives, that I must hire licensed contractors,i.e. electrician, plumber, mechanical (heating and air conditioning, etc.). I further understand that the violation of not physically doing the work, and the use of unlicensed contractors at the construction site, will cause the project to be shut down by the Inspector Staff of the City of Sanford Building Department. Additional State Statutes allow for penalties up to $1,000 and up to 1 year in jail. I also understand that if this violation does occur, that in order for job to proceed, I will have a licensed contractor come in and sign on the permit as taking the job over. I understand that if I hire subcontractors under a contract price, that they must be licensed to work in the City of Sanford, i.e. masonry, drywall, carpentry, etc. All contractors licensed by City of Sanford Licensing Board have worker's compensation and liability coverage and are registered with the State of Florida. I have hired , a to do the work for me under my permit. contractor I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise or do all work allowed by law on the permitted structure. Property Owner Address %20y 01V fit/ 5 Aryrok.Q Permit Address a x ¢a S. _,5W?VPnf Q Telephone (Jo-? ) 660--9Sle) Drivers License Other Identification I hereby acknowledge that I have read and understood the above affidavit on this day of }y (, , A.D. 19 er/Building Signature 489-Part II only exempts from licensing and owner doing or supervising any electrical work on a one or two family residence. Commercial work requires a licensed electrician. J v CITY OF SANFORD, FLORIDA i i PERMIT NO _c_ DATF Y THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK; OWNER'S NAME ; Ce 41 1 i 0- L i J I ADDRESS OF JOB 1-)VT dAe A S • SSAt) -Q2 D 0(,-) --.:p ELEC. CONTR. • Residenfial--Non-residenfiaL_ I Subjecf fo rules and regulations of fhe city and nafionel electric codes. Number AMOUNT Alteration Addition Repair U Change f Service Residential I Commercial Mobile Home I Factory Built Housingj I New Residential 0-100 Amp Service 101-200 Am Service 201 Amp And above j I New Commercial Amp Service Application. Fee J. I I TOTAL By signing this application I am stating I will be in compliance with the NEC including Article 110, Section 110-9and 110-10. i ding Official MAW ClrcWcian i STATE COMPETENCY NO. M 'AIMM) 3BXYMMAIDMMC3ELECTRICALC-O'rM3R MC,P6M, A IF3[,C>C>n 3P31,AlkM CITY OF SANFORD NAME: Yee DATE ADDRESS: .m Alkr-. -M M 3RA'k-M M C>M.S A.ID3D M -M M C>M nM3PJkX IR rc f7. 6 F4 70 SF VJ OOK IL 6a4 Fr-,C>C:)]R 3P]r-MAMIM 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 even though you do not have a license. You must supervise 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 at a cost of $25,OOO or less*. The 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 built yourself within 1 year after the construction is completed, the law will 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 contractor. Your construction must 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 municipality licensing ordinances. For your information, the Owner/Builder becomes liable and responsible for the employees he/she hires to assist in the construction project. This responsibility may include the following where required by law: A. Worker's compensation (for B. Social Security Tax (must wages and matched with the C. Unemployment Compensation D. Liability Coverage E. Federal Withholding Tax workers injured be deducted from owner's funds) may or may not on the job) the employee's be required) I acknowledge that as an Owner/Builder, I ,-.e, a MApL„J am obligated to actually, physically, build the structure or do the work which I have permitted. I understand that if I am not physically doing the work or physically supervising free labor from friends or relatives, that I must hire licensed contractors,i.e. electrician, plumber,.,mechanical (heating and air conditioning, etc.). I further understand that the violation of not physically doing the work, and the use of unlicensed contractors at the construction site, will cause the project to be shut down by the Inspector Staff of the City of Sanford Building Department. Additional State Statutes allow for penalties up to $1,OOO and up to 1 year in jail. I also understand that if this violation does occur, that in order for job to proceed, I will have a licensed contractor come in and sign on the permit as taking the job over. I understand that if I hire subcontractors under a contract price, that they must be licensed to work in the City of Sanford, i.e. masonry, drywall, carpentry, etc. All contractors licensed by City of Sanford Licensing Board have worker's compensation and liability coverage and are registered with the State of Florida. I have hired . o a6 contractor to do the work -for —me un`r my permi I will assume full responsibility as an owner/Builder Contractor, and will personally supervise or do all work allowed by law on the permitted structure. Property owner Address /a09 0M Ad S, SA,a'o*p Permit Address - Telephone (yV7 Drivers License No . t u'a-- , 1 - a 5 3 Other Identification I hereby acknowledge that I have read and understood the above affidavit on this day of 4}V6. A.D. y Owner/Building Signature 489-Part II only exempts from licensing and owner doing or supervising any electrical work on a one or two family residence. Commercial work requires a licensed electrician.