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HomeMy WebLinkAbout132 Brush Creek Dr 04-370 FenceCITY OF S_ANFORD PERMIT APPLICATION Permit # : " / I 76 Date: T_ o aJobAddress: .s-U5 GrP.2 C f i UC'. Description of Work: I n S I LG. 0 T e n C t' 6 Historic District: Zoning: Value of Work: $ 4100,00 en ce Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/ New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential 1Z Commercial Industrial Total Square Footage: /.IQ © 6 Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: ( Attach Proof of Ownership &^Legal Description) 1 Owners Name & Address: C <'x-- r- r- t P L e w i s Wbr Kq 01 t i H 1300 f-0- 4 13a 3 r Ish reei Drive. noryv-Phone: q()-7 30;;L -3260(a Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Contact Person: State License Number: Architect/Engineer: Phone: Address: Fax: Phone: Application is hereby made to obtain a permit to do the work and installations as indicated. l 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. 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 he additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance o ermit is verifrcafon that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713 JUQ A/ l X 111101 D_ Signature of Owner/ Agent Date Signature of Contractor/Agent CO-cr-ie Lewis Print Owner/AgentZak e Print Contractor/ Agent's Name u n !(lD U3 ature of Notary- Stat of rida Date Signature of Notary -State of Florida Owner/Agent is )( Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Ky. Zoning: Initial & te) Special Conditions: Y' P rDAWN MY COMMISSION # DID MY a EXPIRES: Apol 3, 2006 Bonded Thru Notary Public Underwriters Date Date Contractor/ Agent is Personally Known to Me or Produced 1 D Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) 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 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 substantiallyimproved 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. 1, 0—a V1 i ,(,W(1S , do hereby state that 1 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. o 0103 Owner/ Builder Signature Date L.. e-vjiS Print Owner/Builder Name DAWN LOPEZ, MY COMMISSION DD 105658 ` l I o >. • EXPIRES. April 3, 2006 E 6OFFOpBondedThruNotaryPpbficUMeAvntes; ignature ol` otaryStat _ f Florida Date Owner is . Personally Known.to.Me or has Produced D 0V+ of D j - e-Ct,reci S+0GkG-je pencin rna-fce -Pence j 4--) en c e 5 a.re 0 f Con 5lr'vc ed Ilk lit, a 1 t • *»» ` y Legal Description m.. r ROCKH111 DRIFI J ,: Lot 145, COUNTRY CLUB PARK (PHASE ll), according to the plat - " ,._.. " . I' b'_. ,tee---='°.._.'°'---""=-- ',' thereof, asas recorded in Plat Book 54, Page(s) 22 through 24, of the R - - Public Records of Seminole County, FL. tt 149 149 150 . 151 152 - 153 154 Community number: 120294 Panel: 0040 Suffix: E F.LR.M. Date: 411711995 Flood Zone: X e Date offield work: 1011812003 Completion Date: 1012112003 c 147 - 146 1 144 . 143 -142 - dI r 4 '*;' a or.— t Certified to: o. .. u Carrie Lewis: Equitable Title Agen(_r, Inc.; Chicago Title Insrtrance J_ „_.,_'>na "*F W _ Company; SunTrust Mortgage Corporation, its' successors and/or assigns. / 102 101.I.100 :I 99 :) 98 _I 97 98 LOT 151 50.00' LOT 150 IS89- 4 4 '30 "E (M)(P) a2' 0.3' 7 F./.R.1/2" J LB/ 3282 LOT 145 q LOT 144 LOT 146 5.00' WW 4a o0 o3 ONE STORY ^ R£S# 132 2 8 S o p 8.30' l i 12.30' 5.00' 0 19.40, 36.80' a F. R.1/2" 4- 10' . E r. R.112 F•I.R.112' LB/ 3282 LB 3281 50.00' 50.00' N89-44'30"W (M)(P) N89-44'30"W (P) 25.00' CL BRUSHCREEK DR. 50' R/W Property Address: 132 Brushcreek Drive Sanford, FL 32771 Survey number: SL 25606 LEGEND Wood Fence Cr\" Cahlr Rr•^ r i i \• ,•m•,.I,. s-X- F.N. Wire Fence Found Nail V Fid Ila \I.. Telcpllune I.,, l' ($th—d R—ml, 6ENI RAI NOTES Properly Corner E -_I overed Area t I.R. B Official Records Book I. 1-cgal desmpnon pronded by others. 2The lands shown hereon were not abstracted for casements or other recorded encumbrance, o R. Record 13. R. Bearing Reference P.( P Permanent Control Point a+I, .n+ dn• plat M Fuld Meamned fll 1'luml PR h1 PCII1111IJCI11 RCIVILAWC Munm1tm11 II'ndcrgnnmtoI ru.nsof I gs, lhundauun,orotherunp—taucnts were not located CL Clear RAI) Radial 116. Page 4. Wall tics are it, the face of the wall. ENCR Encroachment N.R. Non Radial PVMT. Pavement S.Only visible enemachmentslocated t No idcrinficandri found on property corners unless noted. lL Centerline A.0 Air Conditioner P.B. Plat Book mmensinns shown arc plat and measured unless otherwise noted. O Concrete B.M. Bench Mark P.O.B. Point of Beginning 8 P levnlions ifshown arc hated upon N.G...D. 1929 unless otherwise noted. I} Property Line C. Calculated P.O.0 Point of Commencement J Adwinmg lots arc within the same block, unless otherwise noted. C. M. Concrete Monument 2777 Block Wall P.O.L. Point on Line In nus is an AS -BUILT SCIRVEV unless otherwise noted. I I Not valid unless scaled with the signing surveyors embossed seal. F. I.R. Found Iron Rod Central Angly Delta P.C. Point or Curvature I.` 1 h....I inn,• determinator are pu,v'nlcd as.dr c y only. and arc derived from the oval x•o. FATFoundIronPipeD.B. Deed Book P.R.('. Point of Reverse Curvature available to the surveyor. This information shoo not be relied upon for Rood insurance R/ W Right Of Way D. Description or Deed P.T. Point of Tangency purposes, and may dilTer from infnnnaunn prmi d by others. N& IJ Nod k I),sk 1) It Dell Ilolc R Radm, IRadlall I I I it '1 I) o, , mArr D. E. D.mage Easement 1) W Dri,c way R O.F. Root Occrhang Easement J•I r.. non rn. 0 d,r, .,ro,',•I ,. u nn,•.,nd., ,•er .rnr,,r,.u, 1 p.rpn U. E. Utility Easement ESMT Easement S.IR. Set Iron Rod R cap i FD. Found EL I'le,auo ti W Cnlnv alk P Plat F.F. Inl.hcd I hn,r LOP I. -I —I lt;ttlk Ralph swerdlnlrl.and nver fin' N Asphalt V('.\1 Found Gon, t,cM itintenl lYP ly,t-.tl Swerdloff&Cones ne, O.H. II. OvcrheadUtilities F.I'k IoundParl.rl.K 1"',\allP.0 \\mu•v.tomer I .+ h5 WmmonoCourl. Sidle Itlel. Lake Man. I :- P. P. Pomccr Pole 1 I rn;ali In.n> I in.Cd ii'hsS'A;I I.Ivlu-n s'J:II I\ Iralish' toer I \I Iuuu,d \.•. I ., cm 11i\1 I!. Io\\d,l