The URL can be used to link to this page

Home My WebLink About2624 El Capitan Dr 05-29 COPERMIT ADDRESS �oD�A �7 \ CONTRACTOR 0 p �� ADDRESS PHONE NUMBER �� • WIN -"-a ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR FEE PERMIT NUMBER FEE SUBDIVISION PERMIT # DATE A )- 5 PERMIT DESCRIPTIONS>�„�� PERMIT VALUATION \C� _ ��(':� SQUARE FOOTAGE d H M City of Sanford Certificate of Occupancy This is to certify that the building located at 2624 El Capitan Dr. for which permit number 05-29 was issued has been completed according to the plans and specifications filed in the permit, to wit as New Single Family Residence complies with all the building, plumbing, electrical, mechanical, as well as City of Sanford codes and ordinances and with the provisions of these regulations. Staff Approval Date Conditions (if blank, no conditions apply) Building: R. Addison 05/12/05 Engineering: D. Richards 05/16/05 Public Works: J. Crumpton 05/13/05 Utilities: P. Moore 05/16/05 Fire Department: Zoning: Thomas Robare Property Owner C� yvv. �orv,�,.05/17/05 Building Official Date CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION ****New Single Family Residence**** DATE: 05/10/05 PERMIT #: 05-29� ADDRESS: CONTRACTOR: PHONE #: 2624 El Capitan Thomas Robare 407-831-3928 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. ,,,0E/nghn ' f'OFire ❑Public Works OZoning ❑Utilities CONDITIONS: (TO BE COMP 4; ❑Licensing ONLY IF APPROVAL IS CONDITIONAL) wmlor=�a-- tz 1.1s��t�L►7��1Z`»�itlVt� s CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: ****New Single Family Residence**** 05/10/05 OS-2 2624 El Caaitan Thomas Robare 407-831-3928 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. IL`n ineer' g ❑Fire ublic []Utilities CONDITIONS: .; i 0 icensing (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION ****New Single Family &&WiEceCAttKLjST - UTIUTIES DEFT, _ Ph Request Received _Sll °� -_To Mity Inspector INITIALS DATE DATE: 05/10/05 Utility Inspector's Final-------------------- FDEP Clearance - Water -------------------- PERMIT #: 05-29 FDEP Clearance - Sewer ---------- ---------- City Services Easements ---------- ---------- ADDRESS: 2624 E1 Ca 1tma�enance Bond (10% - 2yd-------------------- U.------------------------------------------ CONTRACTOR: PHONE #: Thomas Robare 407-831-3928 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. ❑Engineering ❑Public Works ❑ Fire OZoning Utilities OI'N P/`� s I�lo ❑Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) LMBC1001 CITY OF SANFORD Address Misc. Information Inquiry Location ID . . . . . . . Parcel Number . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5=View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 271875 01.20.30.504-2700-0040 2624 EL CAPITAN DR 5/13/05 10:19:35 Free -form information ***EXISTING STRUCTURE NO BP ********* SW DEV FEE $1700.00 WA DEV FEE $650.00 3/4"WA METER SET FEE $190.00 WA TAP SET FEE $120.00 (ST) $1300.00 (RW) $300.00 PD 3-17-05 REC#7588 **NO SEWER AVAILABLE ... SB** F2=Address F3=Exit FS=Special Notes F9=Parcel Notes F12=Cancel CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION DATE: . . PERMIT #: ADDRESS: ****New Single Family WgceCAtt �U.ST - UTIUTIES 'DEFT. Request Rm*ed _slrl°'_ __so UM4 lnsWW _ �3�2 -- �Rtas �o � 05/10/05 Utility Inspector's Final N - FDEP Clearance - Water ---------- ---------- 05-294 FDEP Clearance - Sewer ---------- _ -City Services Easements ------------------- 2624 El Capit ---------- Maintenance Bond (1096- 1yr) ________ _ ________ _ CONTRACTOR: PHONE #: Thomas Robare 407-831=3928 The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. OEngineering OPublic Works ❑ Fire ❑Zoning �LTtilities C,� ❑Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) .; FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. No. 3067-0077 NATIONAL FLOOD INSURANCE PROGRAM xpires December 31, 200` ELEVATION CERTIFICATE Important Read the instructions on pages 1 7. SECTION A - PROPERTY OWNER INFORMATIO For Insurance Company Use: BUILDING OWNER'S NAME Policy Number Tom Robare BUILDING STREET ADDRESS (Including Apt, Unit, Suite, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO. Company NAIC Number 613 2624 El Caoitan Drive Ci i i STATE ZIP CODE Sanford FL 32771 PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) Lot 4, Block 27, 4' Section Dreamwold, Plat Book 4, Page 99, Seminole County, Florida BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, if necessary.) RESIDENTIAL LATITUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: ❑ GPS (Type): ( W - ##' - ##.W or t#t.#####� ❑ NAD 1927 ❑ NAD 1983 ❑ USGS Quad Map ❑ Other: O SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP COMMUNITY NAME 8 COMMUNITY NUMBER B2. COUNTY NAME B3. STATE CITY OF SANFORD 120294 1 SEMINOLE I FLORIDA 84. MAP AND PANEL B7. FIRM PANEL B9. BASE FLOOD ELEVATION(S) NUMBER B5. SUFFIX B6 FIRM INDEX DATE EFFECTIVEIREVISED DATE B8 FLOOD ZONE(S) (Zone AO, use depth of flooding) 12117CO045 E APRIL 17,1995 APRIL 17,1995 x NIA B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in B9. ❑ FIS Profile ® FIRM ❑ Community Detr rmined ❑ Other (Describe): 611. Indicate the elevation datum used for the BFE in B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other (Describe): B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)?❑ Yes ®No Designation Date_ SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑Construction Drawings" ❑ Building Under Construction* ® Finished ConshiLton •A new Elevation Certificate will be required when construction of the building is complete. C2. Building Diagram Number 5 (Select the building diagram most similar to the buildrg for which this certificate is being completed - see pages 6 and 7. If no diagram accurately represents the building, provide a sketch or photograph.) C3. Elevations — Zones Al-A30, AE, AH, A (with BFE), VE, W-00, V (with BFE), AR, ARIA, AR/AE, ARIA1-A30, ARIAH, AR/AO Complete Items C3.-a4 below according to the building diagram specified in Item C2. State the datum used. If the datum is different from the datum used for the BFE in Section B, convert the datum b that used for the BFE. Show field measurements and datum conversion calcubbon. Use the space provided or the Comments area of Section D or Secton G, as appropriate, b docuunerit the datui ri conversion. Datum NGVD29 CornrersioNComments - Elevation reference mark used SEMINOLE CO. Does the elevation reference mark used appear on the FIRM? ❑ Yes (0 No j f o a) Top of bottom floor (including basement or enclosure) 43 9 ft(m) o b) Top of next higher floor NA R(m) o c) Bottom of lowest horizontal structural member (V zones only) NA ft(m) o d) Attached garage (top of slab) NA IL(m) E o e) Lowest elevation of machinery ardor equipment W `° ardor servicing the building (Describe in a Comments area) 40.5 IL(m) .00 ' o f) Lowest adjacent (finished) grade (LAG) 41.8 fL(m) Z o g) Highest Ament (finished) grade (HAG) 42.3 ft(m) N o h) No. of permanent openings (flood vents) within 1 ft above adjacent grade NA o ) Total area of all permanent openings (flood vents) in C3.h NA sq. in. (sq. am) SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. 1 certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. CERTIFIER'S NAME MARK I. LUKE LICENSE NUMBER LS 5006 TITLEMANAGING MEMBER COMPANY NAME HENRICH-LUKE & SWAGGERTY, LLC ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE - /% r� 5113105 407 647.7346 J IMPORTANT: In these spaces, copy the corresponding information from Section A For Insurance Company Use - BUILDING STREET ,ADDRESS (Indudng Apt, Unit, Suite, andfor Bldg. No) OR P 0. ROUTE AND BOX NO Policy Number 2624 El Capitan Drive CITY STATE ZIP CODE Company NAIC Number Sanford FL 32771 SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for (1) corrvnunity official, (2) insurance agenUcompany, and (3) buiidng owner. COMMENTS LOWEST ELEVATION OF MACHINERY SERVICING BUILDING IS AIR CONDITIONING EQUIPMENT ❑ Check here if attachments SECTION E - BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zone AO and Zone A (without BFE), complete Items E1 through E4. If the Elevation Certificate is intended for use as supporting information for a LOMA or LOMR-F, Section C must be completed. Ell. Building Diagram Number _(Select the building diagram most similar to the building for which this certificate is being completed — see pages 6 and 7. If no diagram accu ately represents the building, provide a sketch or photograph.) E2. The top of the bottom floor (including basement or enclosure) of the building is_ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E3. For Building Diagrams 6-8 with openings (seepage 7), the next higher floor or elevated floor (elevation b) of the building is _ fL(m) _in.(cm) above the highest adjacent grade. Complete items C3.h and C3.i on front of form. E4. The top of the platform of machinery ardor equipment servicing the building is_ ft.(m) _in.(cm) ❑ above or ❑ below (check one) the highest adjacent grade. (Use natural grade, if available). E5. For Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the cormnunitys floodphain management ordnance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this infomration in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIM CERTIFICATION The properly owner orowners authorized representative who completes Sections A, B, C (Items C3.h and C3.i only), and E for Zone A (without a FEMA-issued a carrvnunity- issued BFE) or Zone AO must sign here. The statements in Sections At, B, C, and E are correct to the hest of my knowledge. PROPERTY OWNER'S OR OWNER'S AUTHORIZED REPRESENTATIVE'S NAME ADDRESS CITY STATE ZIP CODE SIGNATURE DATE TELEPHONE COMMENTS ❑ Check here if attachments SECTION G -COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law orordnance to administer the community's floodplain management ordnance can complete Sections A, B. C (or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. G1. ❑ The infomration in Section C was talker from other documentation that has been signed and embossed by a licensed surveyor, engineer, or architect who is authorized by stale or local law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A (without a FEMA-issued or cornrnunity-issued BFE) or Zone AO. G3. ❑ The following information (Items G4-G9) is provided for community floodplain management purposes. G4. PERMIT NUMBER k5. DATE PERMIT ISSUED G6 DATE CERTIFICATE OF COMPLIANCE/OCCUPANCY ISSUED G7. This permit has been issued for. ❑ New Construction ❑ Substantial Improvement G8. Elevation of as -built lowest floor (including basement) of the building is: — _fL(m) Datum: _ G9. BFE or (in Zone AO) depth of flooding at the building site is: — _ ft(m) Datum: LOCAL OFFICIAL'S NAME TITLE COMMUNITY NAME TELEPHONE SIGNATURE DATE COMMENTS n Check here if attachments BOUNDARY SURVEY FOR: TOM ROBARE DESCRIPTION LOT 4, BLOCK 27, 4TH SECTION DREAMWOLD, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 4, PAGE 99 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. Block 1127 NOTE: THE ELEVATIONS AND LOT GRADING ON THE ABOVE REFERENCED RESIDENCE 39.9 MEETS OR EXCEEDS THE REOUIREMENTS - AS OUTLINED IN SANFORD CITY CODE REC. 3/4'1 P. (L.S.5006) SECTION 6.7 I w I ml ELEVATIONS ARE BASED ON SEMINOLE 1 COUNTY VERTICAL DATUM (NGVD '29). :2 I A BBRE VIA TIONS: REC. DENOTES RECOVERED C.M. CONCRETE MONUMENT I.R. IRON ROD CENTERLINE RIW RIGHT-OF-WAY P. C. POINT OF CURVATURE P.T. POINT OF TANGENCY C. S. CONCRETE BLOCK RES. RESIDENCE C;NC. CONCRETE A. C. _ AIR CONDITIONER L.S. LICENSED SURVEYOR L.B. LICENSED BUSINESS to -j 0 40.271y REC 1"I P Lot 9 (NOd) 1 Lot 3 130.00' P. ;r, N 89'45'35"W 40.t Residence 129.81' M. Q 40.3 0 2.6' x 3.6'- ,_. wood Steps 3'x3' Wood-\ 42 0 Landing I I I I 38' I 13' x3' Conc.� a A C. Pod ❑❑ - I r c L I rj I Septic I I Tank I I C,^!E STORY W.F. N RESIDENCE ON C B. PIERS N Finisr. Floor Elev.=43.37 38' 4 2.3 1 1 10.8' 2 8' x 4. d— WooC Londinq 3• , 4.3' —�� N -flood Steps C6 40.3� 40.4-) S 89'59'14"E 129.9V M. 130.00' P Lot 5 �3'x3' Canc. Pod 40.30' -ll4 2.2 �-5.6' Section of I Plastic Fence 'Typ.) I P. -I Q� N �D �3 REC. 3/4"I.P. (L.S.5006) 40.4 End Of Fence — 0.05'N. 2c 1.15'W 2 F- O z 30' 1 I o v I . 41.51 la I � o w 3 a H N �I W •a W ' I .S J 0. 0`1 (a a I. I v I� ..: n(� � J C �1 I m'. ' a, L � N to rr \\ Ci . . v'�I •' _: 40.64 r�,, • Q �-�i �41,32 I I 1 30' I'. I 0 W z ao 3 W I � O� Lei IQ x= �o in w 3Z xm �Ln vi ow z> W Of ao W mz W � oa in a � U a J CO W SCALE: 1' = 20' 0 0 9 HEIVRICH—L UKE & S WA G G ER T Y, L L C FIELD SURVEr DATES SURVEY REPORT: 1. This surrey does not reflect or determine ownership. —' Mark I. Luke surveyors & mappers 2. Title dotc has not been furnished to this surveyor unless otherwise noted. BOUNDARY: 7-27-04 Professional Surveyor and Mapper 250 S. Ronald Reagan Blvd. PLOT PLAN. 9-09-04 3. Under grrund improvements or underground foundations have not oeen located Florida License No. 5006 Suite 114 Longwood. FL 32750 except cs noted on survey map. FOUNDATION: 5-13-05 4. According to the Federal Insurance Rote Map, this property lies in Zone -X", This survey map or copies thereof ore c�C (407) 647-7346 Fax (407) 647-8097 Z FINAL: 5-13-05 Community-Penel number 120294 0045 D, Dated April 17, 1995. not valid without the signature and the original raised seal of a Florida Licensed Licensed Business No. 7276 WORK ORDER: E1878 5. This pr ;•�erty Ties Section 1. Township 20 S., Range 30 E., Seminc!e County. Floridc, Surveyor and Mapper. Fll F:8-9-04 Permit III: �nn Job Address: nl (0 Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION �Ce i 4-c-, ti Date: q I 13 O Y - / Zoning: Value of Work: S /,O , 000 V Permit Type: Building Electrical (Mechanical Plumbing Fits Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calo. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines t) C\ Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: / g0 SSct- — Contractor Name & Address: Phone & Fax: Bonding C----- - Address: Mortgage Address: e— (Attach Proof of Ownership & Legal Description) Phone: _ !40 7 - YL - 7 3 D State License Number. Contact Person: Phone: Architect/Engineer: - - Phone: Address: w._SEP 13 2004 . , ♦ r — Application is hereby made to obtain a hermit `q Ilan as indicated., I'certify that no work or installation has commenced prior to the issuance of a permit and that all'wtirk,will be to eet� ' ds f I laws permit must be secured for ELECTRICAL W 4egulahng construction in this jurisdiction. 1 understand that n separate IS. 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 VOUIR. 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. 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 t is verifi C notify the owner of th property of the requirements of Florida Lien Law, FS 713. i a��— S o Y Sig., of Owner/Agent Date Signature of Contractor/Agent Pri ner/Agent's Name q �lvy e of Date MY COMMISSION # DD 188491 EXPIRES: February 25. 2007 14WO-3•NOTARY FL Notary Discount Assoc. Co. e or _ Produced ID U .� O APPLICATION APPROVED BY: 27 Q Zpning: I f/[ (Initial 6c Date) Special Conditions: Print ContractodAgent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or _ Produced ID Utilities: FD: (Initial & Date) } co —W l �� CITY OF SANFORD BUILDING DIVISION t' 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 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. 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 worldng 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. /1- S / I, o a,_1. (1 Za �Ar, , 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. (;i� -^ :!�� L ol--� q ( (3 (c L( OwnerBu ider Signature Date l �,0 w,q s b . 1 1D A-c— Print Owner/Builder Name C*1 ignature of No tate of Florida Date ro�,�v Pu�4 JO ANN M. JOHNSON # * MY COMMISSION Owner is�, �Pe a o�has. Produced If3` �11 s J $S O CITY OF SANFORD BUILDING DIVISION OWNEWBUILDER AFFIDAVIT ELECTRICAL & FIRE ALARM SYSTEMS An owner of property 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 law. The exemption allows you, as the owner 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 I year after the construction is complete, the law NVIII 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. I, , A0VVB 20 bq-r 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. Y Own ildcr Signature Date rint Owner/Builder Name )"03 o10 Si ,4tdre of Nota Date * f MYCpMM►SS SON ao�c��O' EXPIRES: M aw x%22 Owner is Personal vn"i��l4fWttAQ�y as Produced 1D cry 2 i top . `S2- v�� •p R.ura r: a�fer ru-wrarw n..Ped .. . lostrpotew Prepared! by: 5A•+u Fes rd , F(- 3-. 77 3 pony A►,misers Pmel laestmullee is MrMr(s): —1,1 S.S. a U) SPACE ABOVE THIS LINO POR DATA first party, to TAamAet Xcift whose post office address is second party. (Whatever used h tM terms 'first parry' nd'Wond Pam' auetaasors end migna of corporations. where r the conle,l m u Witnessed(, That the fi rst party, for in hand paid by the said set nd party,thr and quit claim unto the seco d party fore party has in and to the followi g described �- -N- MARYANNE NORSE, CLERK OF CIRCUIT COURT BRINDLE COINTY BK 05449 P6 1599 CLERK'S it 2004141976 RECORDED 09/13/em/2111147 PH DEED DOC TAX 0e70 RECOADINB FEES ICON RECORDED BY L McKinley SPACE ABOVE THIS LINE POR RECORDING DATA �D day of Zoo Y . by dude all the parties to this instrument and the heir,. legal r•pnsentatnes. and assigns at mdmdpab. and the Its ot, npwres.) nd in consideration of the sum of $ receipt whereof is hereby acknowledged, does hereby remise, release, er, all the right, title, interest, claim and demand which the said first t, piece or parcel of land, situate, lying and being in the County of _ ,Stare of jcafo! , A 0— to -wit: CE1:zr•ir_o Lot 4, Block 27, 4th SectiI on Dreamwold, According to the plat wPr MORSE thereof as recor ed in plat book 4, page 99 of the public r(K QFcl.tY U:]rn;p y ; records of Semin le Couutyl, Florida. R,.'►..,, — —V 1Y (we nH IUD 1 3 9nnf Ma Anfit nnb to lb The sa ie together with all and singular the appurtenances rhereunto belonging or in anywise appertaining, and all the eIrate, right, title, interest, lien, equity and claim whatsoever of the said first party, either in law or eq ity, to the only proper use, benefit and behoof of the said second party forever. Pn pitntas X4e tDf, the said first party has signed and sealed these presents the day and year first above written. Signed, scale and d livered III the presence of.• l It— SI (so r nsv OnuatiloI Dn G Me Nams Nair• I 2G2D �/ (_r,4op-a•>✓ an'v� SA�uFr�� i•' pal SI I. to rw0,7) Post OOk• Address r trio sine w uessas Slapaave (u to Cp-Oraptar. it gay) I ca, Oraa d Slwnus. of say) M•W Nam: I Mated Nate wilsns SIRII (as to co-Oranpr. H say) a Mated Naar STATE OF 17 n COUNTY OF known to me to be the person_ executed the same, and an oath following type of identification: _ d _ Poor Ofnce Address A I , J�] 1 hereby Certify that on this day, before me, an Officer duly authorized to administer oaths and take acknowledgments, personally appeared fescribed in and who exe aced the foregoing instrument, who acknowledged before me that not taken. (Check one:)Said person(s) is/are personally known to me. O Said person(:) provided the r5 NOTARY RLMBRR.W UP SEAL Shord D"Rild My Commisda Io0021= t1 ox gs EvrB. parI Witness my hand and official seal in the County and State last aforesaid this lV� -_ da.r,'SW �J I / Mated Name NOTICE OF COMMENCEMENT FS 713.13 Return to: (enclose self-addressed stomped envelope Name: TAon9 /t5 0 • RAA- re- i 8o 5, Dose Ave- lylddress: 5 �2� �/ / f 3 ;X7 7 1 This Instrument Prepared by: r� Nome: 1 %0PIA 1 $ o 5. 0 rArjse A-v e- Address: SAW r-Drd , F(. 3 �7 7 / Property Appraisers Parcel Identification 6Ic SyYf Pk RAMP SPACE ABOVE THIS LINE FOR PROCESSING DATA 1111191 Is Its ��. n ��. .. �.• _ _. _ .. LgRYANNE MORSE, CLERK OF CIRCUIT COURT 3ENINOLE COUNTY BK 05485 F,G 1261 CLERK° S #t 2t>Cr4160447 RECORDED 10/15/2004 03111126 pN RECORDIND FEES 10.00 RECORDED BY S O'Kelley SPACE ABOVE THIS LINE FOR RECORDING DATA �7 NOTICE OF COMMENCEMENT Permit No. -5' - Z State of Florida County of 5em I N o Q- Tax Folio No. The undersigned hereby gives notice that Improvements will be made to certain real property, and In accordance with chapter 713 of the Florida Statutes, the following Information Is provided In this NOTICE OF COMMENCEMENT. Legal description of property (include Street Address, if available) 1.0T /5/ocl!< .2,7 , AlL74 �G✓� dN �/P/f7191L4 General description of improvements Move- Ex%snA.� lkose Ta [/i} 1,•T Lor (z_4.w Owner's Name 96M/f-1 D. Goo 6Are- Address 1 Flo 5 - Drn,�►se� A-y e_ r./d 3 ;1- 7 7 Owner's Interest in site of the improvement o w N -k^- Fee Simple Title holder (if other than owner) Address Phone: Fax: Contractor 19L.fl�E(L__ Address Phone: Fax: Surety Phone: Fax: Address Amount of bond $ Lender's Name -fD_ Address: Fax: Persons within the State of Florida designated by owner upon whom notices or other documents may be served as pro• vlded by Section 713.13(1)(a)7, Florida Statutes. Name 710 M A 5 'D • fZo � A-r ,-- Address /LQD S. Drlyrjcc. A-Ve- S�Fa,,.(,F/ Phone: 'Yo7- WS'- 730Y Fax: Phone: In addition to himself, owner designates SA,,- K iM, Of y/sy W • l kk M.8:61vd t_A�d &Af - , 322 S6 Phone: 1/° 7- 3;•8 -87XL+ax: 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 the date of recording unless a different date is specified) SiSnature f Otvner Printed Name of Owner I"NOT AItYRUBBER STAMP SEAL 1 hays.rekied uVn the following identification of the Afriant 7-AL),-"6 s lJ 07 23 W-0 Y-Rila OMInI 99 MyComrnla On001m13 Eons July 28, 20M Sworn to and Printed day of S BOUNDARY SURVEY" FOR: TOM ROBARE DESCRIPTION. LOT 4, BLOCK 27. 4TH SECTION DREAMWOLD. ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 4. PAGE 99 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. ' P.C. p W Z Lot 3 30, <o Block I27 I o ;� 1, LL I SET 3/4"I.P. Residence 1.30.00• P. SET 3/4'I.P '; 3 1 Y 13� oN _` c (L.S.5008) N 89'45'35"w 129.81' M. (L.s.5D06) J w I y' g • u IY I� a: o: o aLr)Io mI o o IaCo ►�. -3Z- I c ;4z1 66 73' (L 06 in ABBREVIATIONS: Ia ° I ` Co: REC. DENOTES RECOVERED I ,'^� I C.M. CONCRETE MONUMENT 3 I c I• I vT PROPOSED n to I a I ^Y 4. z �' a W mz LL� I.R. IRON ROD v I ` I Z "' RESIDENCE "' I �. OE f CENTERLINE in I I I 2 1" E--t, 3 u_Iv R/w RIGHT-OF-WAY I u I P.C. POINT OF CURVATURE O P.T. POINT Of TANGENCY m 1- O \ - ,n C.B. CONCRETE BLOCK O I n I — —38' — 25.1 Z I o n c RES. RESIDENCE O I CONC. CONCRETE I I Y t '' u' �': SCALE: in I I 1 =20' A.C. AIR CONDITIONERua'o' L.S LICENSED SURVEYOR !� 1 TT \ ' 'o I o V - L 9. LICENSED BUSINESS co o• o I End 0! Fence I 0.6'N 0.05•N. & I.tS'w. I — — 129.91' M. .P S 89S9taE REC.1 . 4I �• (NO/)REC'I.P. Lot 9 130.00' P. (ND/) ' I Lot 5ea I 30 HENRICH—L UKE & FIELD SURVEY DATES SURVEY REPORT: , S W A G G ER T Y. L L C 1. This survey does not reflect or determine ownership. surveyors &mappers BOUNDARY: 7-27-G4 2. Title data has not been furnished to this surveyor unless otherwise noted. ). Luke Professional essional Surveyor and Mapper 250 S. Ronald Reagan Blvd. 9 PLOT PLAN: 9-09-04 3. Underground improvements or underground foundations have not been located Florida license No. 5006 Suite Ito Lonq.00d. FI 32750 (407)) 647-7346 FOUNDATION except as noted on survey map. 4. According to the Federal Insurance Rafe Map, this property lies in Zone X', This survey map or copies thereof are 'Signature Fa: (4b7) 647-8097 FINAL: Community -Panel number 120294 0045 D. Dated April 17, 1995. not valid without the and the on 'nol raised seal of o Florida Licensed 91 Licensed Business No. 7276 wORK ORDER: EO359 5. This property Iles Section 1, Township 20 S.. Range 30 E.. Seminole County, Florida. Surveyor and Mapper.