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HomeMy WebLinkAbout3508 S Orlando Dr Bldg 9 99-1140c H b U 7 O O M a a 0 PERMIT ADDRESS 315pgj S. fQLjRf,1Qp DQ1X2 CITY OF SANFORD, FLORIDA APPLICATION FOR BUILDING 3 P;AM14i - '\ PERMIT NUMBER 1 1 j — I ' L4V Total Contract Price of Job nj I(J 7 Describe Work SELF GCICPQAi.. V_ TSUILQ1 Type of Cons truc t ion-mv, IV I Number of Stories I Number of Dwellings Occupancy: Residential Zoning Commercial v*V Industrial LEGAL DESCRIPTION ( lease attach printout from Seminole County) TAX I.D. NUMBER I j SO 3p 7100 Q 1 O —2 CE26 OWNER -•+Y' Qa..F_-5 E. PHONE NUMBER S II O 1V V ADDRESS Q_ ., CITY 07-LP,{Jo D STATE TITLE HOLDER (IF OTHER ADDRESS CITY BONDING COMPANY ADDRESS CITY THAN OWNER) GiAffte ARCHITECT 1.1t N141_D r I,. STATE STATE -+ ZIP ZIP ZIP AD SS ADDRESS CITY rG(2ee STATE FL, ZIP —I MORTGAGE LENDER li} D RE CITY -•+ STATE - -o ZIP CONTRACTOR JAmES U ' AtJr4=_T70J IJ-C_Q_, 1 JL PHONE NUMBER e61-211 ADDRESS rj9Z9 AtJ JU p Vp. ST. LICENSE NUMBER CITY C' y-0*13O'p STATE F-" ZIP 3Z 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. 2S 48 /( . 2 s a nature of Owner/Agent & Date S' ature of Contractor & Date JAMS-5 Type or Print Owner/Agent Name Ty or Print Contractor's Name Signature of Notary.,&, ate Y Signature of Notary & ate Off,ic al,:Seal).y. _f ci°a1+Sea1)•n; rYr. .,. `. - C: RItTiA IdRLf2,,ci` ....., r, . ..t' 3 V Z m y a o 0,a Z 0 3 O 7 M I ,rt I 1' NOTARY 1 t1 vl.:vr ••eau L^, r'^r MY CO,".;ISS;Gi± ; „ .70-:24 NOTARY p;!`_.L4C, ":.'.T= 0; 'LORiDA 4 , y c;a0 JAY COMMISSi0111 # CC47o424 (A ro , EXPI .S. +r _ _' r_ EXPIRES: Juno 2G, 1999 ' O Z >. 1 r u o ° N cr o d >. Z a E-r Application Approv BY: Date.': 71 T" FEES: Building Radon & L2Police Fire D y Open Space Road Impact A&A0 A fpn lic ttii^'on PERMIT VALIDATION: CHECK CASH DATE v 7 `v1 BT ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE CITY OF SANFORD 2 85FIRE DEPARTMENT 0 FEES FOR SERVICES PHONE #: 407-302-1091 DATE: 114 jqq PERMIT #: ` ' ' I' u BUSINESS NAME: 5C—C-F J ft1}C ADDRESS: S'J ©8 5 - oa. ?3Ljz q sc,46 PHONE NUMBER: ( PLANS REVIEW TENT PERMIT BURN PERMIT D REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $ 5 7 8 COMMENTS: Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention before any further services can take place. 4a NA" Sanford Fireprevention I certify that the above information is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. f/ Applicants Signature NOTICE, Or COMMENCEMENT State off Florida 7 County of SemlDple Permit Nv. t I I I J Tax Folio No. (PID) The undersigned hereby gives notice that improvement will be made to ecruin real.propcity, and in accordance With Chapter 717, Florida Sututes, the following information is provided in this Notice of commencement. HIS INSTRUM.N1 rxtPARtD µy ESCRiPT10N OF PROPERTY (Legal description of the property and street address) DAME 50 btZt-ANOp F o tOR - 2d-3d- av -0130- kEOLr, tQiF11)V,L'ENERAL DESCRIPTION OF INIPROvENW4T t SELF -ST0eA*,E FRr-tt_tr f _ InqNFl4 54L OFFt(.e / ¢.6512ENCke _ r- r, . OWNER INFORMATION f" Name and address r H AP -LIES E•ZA 1.ES , JQ . 621Z W12T MO'e72_ C't=' rn Interest in property (Fee Simple, Partnership, etc.) I DD /• NAME AND ADDRESS OF FEE SIMPLETrrLE HOLDER OF OTHER THAN OWNER) SAME CO; (TRAtJ CTOR j Lameandaddress -CAQ AQ rIN(-. JamES ,J• V-S 4. 1.,r n ors _ ,..., SURETY ( Bonding Company) Name and address Amount of Bond LENDER Name and address Pcrsoru within the State of Florida designated by Owner upon whom notice or other documenta may be served a provided by Section 713.13(Ixa)7., Florida Statutes: / N ame and address J - fta , 11J C. - Sq 12 9 (1 ) A O E 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. wil lmo CUM Expiratinn Date of Notice of Commencement '— JyIpR,( rPCRSF (The expiration date is I year from date of recording unless a different date is specified.) ni - oat nF CIRC.UITCOURT y e. (ev,- I cj Signature of wnej lf'_ ;At2Le5 C • 1 A I t_t=7 J tZ. Day of 199y-/. My Commisslon Explres: otary Public Tbc foregoing instrument was acknowledged before me this f5M day of DIANE PALMER 1n m t77 c. n 0 T c.: No. CC 791757 wAc 141evw1 1100w I.D. name of person acknowledged), who is personally known to me or who has produced (type of identification) as identification and who did / did not take an oath> r- rTJ 7:: lJ ram- 0 20' d OERAL ELEVATION CERTIFICATE O.M.B. No. 3067-0077 EMERGENCY MANAGEMENT AGENCY Eire` July 31' 1999 NATIONAL FLOOD -INSURANCE -PROGRAM ATTENTION: U o this ce is does not provlds s waMr of one hood bnwranw ptunohass requirement. This form Is used -only to pro- vide elevation Mformatbn nsceesary to enwre oontpNanoe wflh appNoabls Commonly Aoodplaln rrtartagerrternt ordNwtoss, to determirts the proper Insurance premium rate, "or to wppo a r6queet for a Lellsr•of Map•AmoWment orRelrMion (LOMA or•LOMR). You'are not required to respond to this cokodon of Mdormat of Unl6W a valid OMB control numbw Is beplsyed In the -upper right Comer of this form. r 1. Inshuedone for cwnplsting this torn can be found on'6w following pages. A`" SECTION A PROPERTY INFORMATION 1 FOR INSURANCE COMPANY USE I BUILDING OWNER'S NAME S_AN_FO_R_OSELF STORAGE STREET ADDRESS (Induft Apt., Unk. Sure and/or BM@. Number) OR P.O. ROUTE AND BOX NUMBER 8111L DlIV49 * 9 OTHER DESCRIPTION (Lot and Blodt Numbers. lie.) A PORT/O/V Of SECTION // - 2 0 -30 POLICY NUMBER COMPANY NAIC NUMBER CITY STATE ZIP CODE S'ANFORO FL OR/OA 32 773 SECTION B FLOOD INSURANCE RATE MAP (FIRM) INFORMATION Provide the following from the proper FIRM (See Inevuctlons): 1. COMMUNITY NUMBER 2. PANEL NUMBER B SUFFIX DATE OF FIRM INDEX 6. FIRM ZONE WM FLOOD ELEVATION InAO Zorns. usedwfb) 12 02 94 0 0 f- S- E APRII. I7 /99S X 7. Indicate the elevation datum system used on the FIRM for Base Flood Elevatlons.(BFE): QNGVD'29 Other (describe on back) e. For Zones A or V, where no BFE is provided on the FIRM, and the community has established a BFE for this building site, indicate the community's BFE: I I I I I I .0 feet NGVD (or other FIRM datum -see Section B. Item 7). SECTION C BUILDING ELEVATION INFORMATION 1. Using the Elevation Certificate Instructions, Indicate the diagram number from the diagrams found on Pages 5 and 6 that best describes the subject building's reference level I . 2(a). FIRM Zones Al-A30, AE, AH, and A (with BFE). The top of the reference level floor from the selected diagram is at an elevation of L 1_L. ItOf .0 feet NGVD (or other FIRM datum -see Section B, Item 7). b). FIRM Zones V1430, VE, and V (with BFE) The bottom of the lowest horizontal structural member of the reference level from the selected diagram, is at an elevation of I I I I I I.0 feet NGVD (or other FIRM datum -see Section B, Item 7). c). FIRM Zone A (without BFE). The floor used as the reference level from the selected diagram Is LJJ . U feet above or below n (check one) the highest grade adjacent to the building. W. FIRM Zone AO. The floor used as the reference level from the selected diagram Is L U.0 feet above or below (check one) the highest grade adjacent to the building. If no flood depth number is available, is the building's lowest floor (reference level) elevated in accordance with the communflys floodplain management ordinance? Yes No Unknown 3. Indicate the elevation datum system used In determining the above retelenoe level elevadons:.10 NGVD'29 Other (describe under Comments on Page 2). (NOTE: Nthe eleveWn datum used MoWsuring the elevallons is different than that used on the FIRM (see Section B, Item 71, then convert the elevelloris to the dedum system used on the FIRM and show the conversion equation under Comments on Page 2.) 4. Elevation reference mark used appears on FIRM: 0 Yes LA No (See Instructions on Page 4) 5. The reference level elevation is based on: U actual construction construction drawings NOTE. Use ofconstruction drarWngs Is only valid N the buMft does not yet have the reference /ftw flow In place, In which case this certificate will only be valid for the building during the course of Construction. A post -construction Elevation Certificate will be required once construction Is complete.) 6. The elevation of the lowest grade immediately adjacent to the building is: I 1 1 1417 .0 feet NGVD (or other FIRM datum -see Section B, Item 7). SECTION 0 COMMUNITY INFORMATION t . It the community official responsible for verifying building elevation sped%* that the reference level Indicated In Section C. Item 1 Is not the "lowest floor" as defined In the community's fl0odptain InWNp pent ordinance; Ifte elevation of the building's 9owest floor' as defined by the ordnance Is: I I I I I I.0 feet NGVD (or other FIRM datum -see Section B, Item 7). 2. Date of the start of construction or substantial Improvement FEMA Form 81.31, MAR 97 REPLACES ALL PREVIOl1S EDUK)N5 SEE REVERSE SIDE FOR COWNUA110N SECTION•E CERTIFICATION This certification'Is to'be signed byy s•land surveydr, engineer; orarchitect who Is, authorized by state or local law to certify elevatloninformation`when'tha,'slolrallonrinfunnatlon for•Zonbs Al-A30,'AE, AH,•A (with BFE),V1,430,VEiand V (with BFE) Is required. Community'ofQcials'*hiiW*'9dM6tftifdby local taw or ordinance to provide floodplairi'inanagement Information, may also sign the certification. In the case of Zones AO and A'(wlthout a FEMA or community, Issued•SFE), a bulldirig official, a property owner, or an owner's representative may also sign the certification. Reference level diagrams 6, 7 and 6 -'Distinguishing Features -If the certifier Is unable to certify to breakaway/non-breakaway wall, enclosure size, location of servicing equipment, area use, wall openings, or unfinished area Feature(s), then list the Feature(s) not included in the certification under Comments below. The diagram number, Section C, Item 1, must still be entered. I certify that the information In Sections B and C on this certificate represents my best efforts to Interpret the data available. I understand that any false statement may be punishable by line or Imprisonment under 18 U.S. Code, Section f001. CERTIFIER'S NAME LICENSE NUMBER (or Affix Seal) f-&-9NK A. MrinDNO= 532 S TITLE COMPANY NAME PR/IFFSS/ONi9L LAND smf xcyoR quywIGHT silmaYS OF ORLANO , /NG. ADDRESS CITY STATE ZIP 2 01 ? E ADB/NSO ST. S, FL O/4/OA 11803 SIGNATURE GATE PHONE M07) 99 4 -63/4 Copies shouid•ba mad 4f,thls Certificate for:1) community official, 2) Insurance agent/corn ny, and 3) building.owner. COMMENTS: ON . W"" ON PNLES, sus BASEMENT PIERS, ON COLUMNS A y A A• v ZONES ,.... l ' zONEs : ZONES'. ZONES ZONE8 LEM KaDD LIVATION ADJIIC[7IR,:I:• SAN WAM11lFE11ENGELppp '''i'''''" rL000 ELEVATIDN [I[II[1K[ ADJ41 OMO[ ' • LMl LlVATIp1 QPAOQ AI The diagrams aboire• Illustrate the points at•whlch the eleviittlons should be measufed In A Zones and V Zones. Elevatlons,for:4I1.4,;ones should be measured at the top of the reference level floor. Elevations for all V'Zones should be measured at the bottom -of the lowest horizontal structural member. Page 2