HomeMy WebLinkAbout357 Conch Key WayIs
Permit # : �l
Job�dres, -3 S 7 Co, v f A
Descripti- ofAW,ork:
Historic District: Zoni
CITY OF SANFORD PERMIT APPLICATION
Date:
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 Calc. 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 Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Own'e-rss-Name &—Ad'dress:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
S
32 3 � 7
Contact Person:
(Attach Proof of Ownership & Legal Description)
State License Number:
Phone:
Fax:
Phone:
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. 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 p . is verification t I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signatui,e•of-Ow AgeiTf ?----0aMZU Signature of Contractor/Agent Date
t� S Ca
Print- - W r/Agen 's- e _ Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
,j�a = °b<,� FLORENCE A. DE GRAVE
MY COMMISSION # DD 164280
®M or, Contractor/Agent is Personally Known to Me or
II et Pl /� ^� Produced ID
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(Initia (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
3a77/
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 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.
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.
s
OwnerB der Sign re �Da esu
T46 oa J J /e.
_
LEnt OwnerBui d =Name
o
A.� T
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- M p M
Signature of Notary—State of Florida Date
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Owner is Perso ally Known to Me or has
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Produced ID _�
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NOTICE OF SELLER'S BUSINESS AFFILIATIONS
TO: LUIS A JACOBO JR PROPERTY: 357 CONCH KEY WAY
[Homebuyer(s)] SANFORD, FL 32771
FROM: D.R. HORTON, INC. DATE: June 30, 2005
Orlando, FL
[Seller]
This is to give you notice that D.R. Horton, Inc. has a business relationship with:
DHI MORTGAGE COMPANY, LTD. DHI TITLE OF FLORIDA, INC.
5850 T. G. Lee Blvd. Suite 140 5850 T. G. Lee Blvd. Suite 135
Orlando, FL 32822 Orlando , FL 32822
The nature of this business relationship is that these companies are corporate affiliates, each being wholly or
partially owned by, or by a subsidiary of, the same parent corporation. Because of this relationship, this referral
may provide D.R. Horton, Inc. a financial or other benefit.
Set forth below is the estimated charge or range of charges by each company for settlement services listed. You are
NOT required to use these companies as a condition of your purchase of the Property from D.R. Horton, Inc. or as
a condition of your application for, or settlement of, a mortgage loan on the Property in connection with your
purchase. THERE ARE FREQUENTLY OTHER SETTLEMENT SERVICE PROVIDERS AVAILABLE WITH
SIMILAR SERVICES. YOU ARE FREE TO SHOP AROUND TO DETERMINE THAT YOU ARE RECEIVING THE
BEST SERVICES AND THE BEST RATE FOR THESE SERVICES.
DHI MORTGAGE COMPANY, LTD.
DHI TITLE OF FLORIDA, INC.
Service Charge Or Range
Service
Charge Or Range)
Loan Origination Fee: 0%-l%
Search:
$70.00
Application Fee: $175.00
Exam:
$60.00
Transfer Fee: $50.00
Closing Fee:
$350.00
Loan Processing Fee: $400.00
Closing fee (const -perm):
$400.00
Administration Fee: $180.00
Mortgagee's Title policy:
(simultaneous issue with Owner's Policy)
$175.00
Endorsement (each):
$25.00
FI. Form 9:
10%
of total title premium
(1) Charge estimates are based on an average home price of
$135,000. The estimated title premium for the mortgagee's title
insurance policy assumes issuance in combination with an owner's
policy paid by seller. Your charges may vary based upon the purchase
price of your home or the amount of your loan.
NOTE: A Good Faith Estimate of all settlement charges will be provided to you at or within
three business days after loan application. You may be entitled to additional builder
discounts paid by D. R. Horton, Inc. for the purchase of a package of discounted
settlement services as set forth in the Builder's Allowance and Concessions Addendum
to your Earnest Money Contract.
ACKNOWLEDGMENT:
I/we have read this disclosure form and understand that D.R. HORTON,- INC. referring me/us to purchase the
above-described settlement services from DHI MORTGAGE COMPANY, LTD., AND DHI TITLE OF FLORIDA,
INC., and may receive a financial or other benefit as the result of this referral.
✓ i he o ien.nan ip �' , .
PLAT OF SURVEY
DESCRIPTION: ( AS FURNISHED )
LOT 215, CELERY KEY,
AS RECORDED IN PLAT BOOK 64, PAGES 85-96 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
PI
NOTE:
THE FINISHED FLOOR ELEVATION OF THIS KEY HAVEN DRIVE
STRUCTURE MEETS OR EXCEEDS THE
THE REQUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A).
Ill
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L=78.48'
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R=50.00'
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CB=N45°02'00"E
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C=70.67'
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LUIS A. JACOBO JR.
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DHI MORTGAGE COMPANY, INC.
J
LOT 214
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SET 1/2" IRON ROD AND CAP
Q_ U
LB #6393 (06/24/05)
:�—1
d- in
FND NAIL AND DISC
— RIGHT OF WAY LINE
LB 05736 (06/24/05)
cy) D1
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CAP
L6
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LOT 216
117.59'
N89'56'00"W INo L'� rosin
5' DRAINAGE do UTILITY EASEMENT
----- -------------------------- -------'4-
TWO STORY
CONCRETE BLOCK
k WOOD FRAME
RESIDENCE
FINISH FLOOR
ELEVATION -15.85
I 10' UTILITY
/1 EASEMENT
7 777777777 -.7
O. -r OFF' 67.65'(C)
N90'00'00"E
PC 67.64'(P)
Z �-
CONCH KEY WAY
RIGHT OF WAY VARIES
NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON ,THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 06/24/05, UNLESS OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
5. NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
I HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL
110. 120294 0065 E, DATED 4/17/95. AND
FOUND THE SUBJECT PROPERTY APPEARS TO UE
IN ZONE X, AREA OUTSIDE THE 100 YEAR FLOOD
PLAvN. THE SURVEYOR MAKES NO GUARANTEES AS
TO THE ABOVEINFORMATION. PLEASE CONTACT
THE LOCAL F.E. M.A. AGENT FOR VERIFICATION.
ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE
COUNTY VERTICAL CONTROL AS FURNISHED.
GIARMS SHOM HEREON ARI BASED
ON THE SOUTHERLY LINE OF LOT 215
BEING N90'00.00"E, PER PLAT.
(FIELD DATE:) 03/18/05 REVISED:
SCALE: 1" = 30 FEET �—
APPROVED BY: Si —
ASM47060 FINAL 06/24/05 Jp
JOB N0. '— FORMBOARD 04-07-05 VH
DRAWN BY: ,/�. , -- PLOT PLAN 1-28-05 DLC
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L-117.72'
R-75.00' 75.00'
3 CB-N45'02'05"E
C-106.00'
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1" 30'
GRAPHIC SCALE
0 15 3u
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PT - RIGHT OF WAY O p =89'56'00"
32789 (407) 426-7979
I HEREBY CERTIFY, THAT 'THIS BOUNDARY
SURVEY, SUBJECT TO THE SURVEYOR'S NOTES
CONTAINED HEREON MEETS THE APPLICABLE
'MINIMUM TECHNICAL STANDARDS' SET FOR1H
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS iWD MAPPERS IN CHAPTER
611317-6, FLC,YIDA ADMINISTRATIVE CODE PURSUANT
TO CHAPTER 472.027, FLORIDA STATUTES.
JAMES JAY JILES PSM x/4997
FOR
THE
FIR:_I
Dl11iL '
L=78.48'
R=50.00'
FOR THE BENEFIT AND
CB=N45°02'00"E
EXCLUSIVE USE OF:
C=70.67'
D.H.I. TITLE OF FLORIDA, INC.
FIDELITY NATIONAL TITLE INSURANCE CO. OF NEW YORK
LUIS A. JACOBO JR.
DHI MORTGAGE COMPANY, INC.
LEGEND
O
SET 1/2" IRON ROD AND CAP
LB #6393 (06/24/05)
— CENTERLINE
FND NAIL AND DISC
— RIGHT OF WAY LINE
LB 05736 (06/24/05)
EXISIINC'ELEVATION
0
CAP
L6
J63932- 31(06/24/05)ND
CONCRETE
CNA
CORNER NOT ACCESSIBLE
0
DENOTES DELTA ANGLE
LB LICENSED BUSINESS
L
DENOTES ARC LENGTH
LS LICENSED SURVEYOR
C.B.
DENOTES CHORD BEARING
PSM PROFESSIONAL SURVEYOR AND MAPPER
PC
DENOTES POINT OF CURVATURE
PRM PERMANENT REFERENCE MONUMENT
PI
DENOTES POINT OF INTERSECTION
PCP PERMANENT CONTROL POINT
PRC
DENOTES POINT OF REVTRSE CURVAIURE
(PT PER PLAT
PT
DENOTES POINT OF TANGENCY
(M. MFASURED
(TYP)
TYPICAL
FND FOUND
A/C
AIR CONDITIONER
C/W CONCRETE WALK
COW
CONCRETE BLOCK WALL
S/W SIDEWALK
RP
RADIUS POINT
CCP COVERED CONCRETE PAD
OHU
OVERHEAD UTILITY LINE
CP CONCRETE PAD
ID
IDENTIFICATION
CS CONCRETE SLAB
POL
POINT ON LINE
C CHORD LENGTH
PCC
POINT OF COMPOUND CURbL
PK PARKER KALON
UP
UTIUTY PAD
R RADIUS
POC
POINT OF CURVE
32789 (407) 426-7979
I HEREBY CERTIFY, THAT 'THIS BOUNDARY
SURVEY, SUBJECT TO THE SURVEYOR'S NOTES
CONTAINED HEREON MEETS THE APPLICABLE
'MINIMUM TECHNICAL STANDARDS' SET FOR1H
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS iWD MAPPERS IN CHAPTER
611317-6, FLC,YIDA ADMINISTRATIVE CODE PURSUANT
TO CHAPTER 472.027, FLORIDA STATUTES.
JAMES JAY JILES PSM x/4997
FOR
THE
FIR:_I
Dl11iL '