HomeMy WebLinkAbout101 Longleaf Pine CtA
CITY OF SANFORD PERMIT APPLICATION
Permit # : 5 — /J (7 D Date:
Job Address: 01 C(} Pr N
Description of Work: .ve2 OGL, p�,
Historic District: Zoning: Value of Work: $ J "d 1 U u
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole _
Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Plumbing Repair— Residential or Commercial
Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:ii ii (Attach Proof of Ownership & Legal Description)
Owners Name & Address: iC i 1�!"L `2 S `-�\ OVV`I " e'
k �1 eLe.Mt QnA' CQ C iVt C U CAV, gYL8 3 z'I-13 Phone: � 3 Z 2 -39� r
Contractor Name & Address
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
Phone:
Fax:
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 permit is verification thati will noti the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
A
er/ gent's Name
�� &/d3/v
A&
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or / 1
Produced ID _tr"�. ► Uyp . � l a U
V -
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
(Initial & Date)
Utilities:
FD:
(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 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.
I, CA4 j0S �o 5' , 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.
Owner/Builder Signature Date
Print Owner/Builder Name
Signature of Notary—State of Florida Date
Owner is Personally Known to Me or has
Produced ID
i�or: r1�07r rh�.'hrf_
----- ------------
Legal Description
it
Lot 38, HIDDEN LAKE VILLAS, PHASE IV, according to the plat
1 aur �,� ,0; l0 a 419c 47
thereof, as recorded in Plat Book 18, Page(s) 26 through 28, of the "� ' �,> t
`Y `f:43
�
Public Records of Seminole County, FL.
Community number: 120294 Panel: 0045 1044
Suffix: E F./.R.M. Date: 4/17/1995 Flood Zone: X
Date offteld work: 5/15/2005 Completion Date: 5/17/2005 "' WI , �" "e : ae
J,y
36 10-+
Certified to:
Charles G. Thomas: Chase Title Insurance, LLC.
LONGLEAFgyyf r n/ 34 iL 4T
m ear
Co trek
CURVE TABLE a aAr „tib
. ,
48
N0. RADIUS DELTA ARC TANGENT CHORD CHORD BEARING
I S0.00' J5'08'48"
' 30.67' 15.84' 30.19' N.58.53'06 £ a' 2 at
6J. 1946.49N.70'16'0•,�r• 4a,. s 41 15.00/J6'49'S659.70
J176'05'56I7005.'13OI.18' 51.19' 101.13S.0!'S01t
OI8 ��` `!c;o=;•
LOT J9
6000,N) nR 5/8" LOT 40
WITNESS
fIR 1/1" N.81'54'46E. 63.00' CORNER
AIH
CORNER
Ly
I
LOT JB
$
Not to Scale
Q I
TEL,
Telephone Facilities
FR I/1"
Official Records
I
II
® Covered Area
O.R.B.
nR 1/1"
•
SC��O
C
I
��J
Permanent Control Point
nR i/1"
3
CH
J9.0'
LEA
_ EA pINE CO
Permanent Reference Monument
ONE STORY
W
RAD
ATTACHED
PG.
Page
RESIOENCE
J I
N.R.
101
PVML
Pavement
ENCR
IJ
A/C
Air Conditioner
P. B.
Plat Book
4
Centerline
B.M.
Bench Mark
PO.B.
Point of Beginning
4.0'
Concrete
C.
I!
I16.0'
Point of Commencement
I(
SCALE: 1" = 30'
LOT 37 1
ti
a ATTACHED
p RESIDENCE
!V
O
VI
�y Wood Fence
W.M.
.'I00K€
$
Not to Scale
Wire Fence
TEL,
Telephone Facilities
FR I/1"
Official Records
F.N.
II
® Covered Area
O.R.B.
nR 1/1"
•
Property Corner
(1)
I
��J
Permanent Control Point
nR i/1"
I
CH
Chord
LEA
_ EA pINE CO
Permanent Reference Monument
URr
Field Measured
RAD
�y Wood Fence
W.M.
Water Meter
N.T S.
Not to Scale
Wire Fence
TEL,
Telephone Facilities
O.R.
Official Records
F.N.
Found Nail
® Covered Area
O.R.B.
Official Records Book
•
Property Corner
8.11.
Bearing Reference
P.C.P.
Permanent Control Point
R.
Record
CH
Chord
P.R.M.
Permanent Reference Monument
M
Field Measured
RAD
Radial
PG.
Page
CL
Clear
N.R.
Non Radial
PVML
Pavement
ENCR
Encroachment
A/C
Air Conditioner
P. B.
Plat Book
4
Centerline
B.M.
Bench Mark
PO.B.
Point of Beginning
O
Concrete
C.
Calculated
P.O.C.
Point of Commencement
I(
Property Line
ZZZZ
Block Wall
P.O.I.
Point on Line
C.M.
Concrete Monument
A
Central Angle/Delta
P.C.
Point of Curvature
F.I.R.
Found Iron Rod
D.B.
Deed Book
P.R.C.
Point of Reverse Curvature
F I.P.
found Iron Pipe
. D.
Description or Deed
P.T.
Point of Tangency
RTW
Right of Way
D.H.
Drill Hale
R.
Radius (Radial)
N&D
Nail & Disk
DAN
Driveway
R.O.E.
Root Overhang Easement
D.E.
Drainage Easement
ESMT
Easement
S.I.R.
Set Iron Rod & Cap
U.E.
Utility Easement
EL
Elevation
5/vV
Sidewalk
FD.
Found
FF.
Finished Floor
T.O.B.
Top of Bank
P
Plat
F.C.M.
Found Concrete Monument
TYR
Typical
O.H.U.
Overhead Ubht-
F.P.K.
Found Parker -Katon Nail
W.C.
Witness Corner
PP.
Power Pole
L
Length
10.05
Existing Elevation
T%
Transformer
L.A.E.
Limited Access Easement
E.O.W.
Edge of Water
rATV
Cahle Riser
M.H.
Manhole
Property Address:
101 Long Leaf Pine Court
Sanford, FL 32773
Survey number: SL 52455
1V Legal description provided by others.
2. The lands shown hereon were not abstracted for easements or other recorded encumbrances
not shown on the plat.
3. Underground portions of footings, foundations or other improvements were not located.
4. Wall ties are to the face of the wall.
5. Only visible encroachments located.
6. No identification found on property corners unless noted.
7. Dimensions shown are plat and measured unless otherwise noted.
8. Elevations If shown are based upon N.G.VD. 1919 unless otherwise noted.
9. Adjoining lots are within the same block, unless otherwise noted.
10. This is an AS -BUILT SURVEY unless otherwiseAean
i t. Not valitl unless sealed with the signing surveyrob seat.
12. Flood zone determinations are provided as , d re derived from the
best sources available to the surveyor. This infb relied upon for flood
insurance purposes, and may differ from infort is.
13. L.B. 7132
14. Septic tank and/or drainfield locations are appU be enhed by appropriate
Sublity location companies^rm rpepareHv derxw
. Ralph Swerdloff Land Surveyor 110. 3411