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HomeMy WebLinkAbout131 Carmel Bay DrRECEIVED g OCT 062010 1101Drl I CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: t T Documented Construction Value: 3[,pb Address: 1 2-A W-PEA 05ftq A q!fFi CP_)1 , rt 3' l istoric District: Yes No Parcel ID: Zoning: 6 ftescription of Work: Q f00Qh.Q WlaxQb X-t-( 2ji'W-F 4au-fUeLy- Plan Review Contact Person• TAJ2 ic) rR Title: Phone:-21— 3 1 y Fax: E-mail: P er y Owner Information NameT f}t?S l i9- !`(ti r'1 Phone: Street: 3 l ( zl'{Q- pon - Resident of property? City, State Zip. t '2 / + -7-7 1 Contractor Information Name Street: City, State Zip: Name: Street: City, St, Zip: _ Bonding Company: Address: Building Permit PP Square Footage: No. of Dwelling Units: Electrical New Service — No. of AMPS: Phone: Fax: State License No.: Architect/Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: ' X, `See A4_ a, Q Mechanical (Duct layout required for new systems) Plumbing New Construction-- No: of Fixtures: Fire Sprinkler/ Alarm No. of heads: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Date Print Owner/Agent's Name Signature of Notary -State of Florida Date 2 SPP"°° DEBBIE T3L fTf 1V ly MY COMMISSION if 01)hO gliq lil1o 0Fl IgSIMOF1J- NOTARY EXPIRES: Feb ru, 25, D FL Notary Discount g c, C^u. alAAr. AAnaiJVN PiF!'ae d6{'tifi'Ft4t' Owner/ Agent is Personally Known to Me or Produced ID Type of ID 1_ e S—o APPROVALS: ZONING: COMMENTS: Rev 11.08 UTILITIES: ENGINE E FIRE: Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/ Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: I 1 yid E 5 ; 61 r_ i.. i ' ' Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of the. property listed, may act as my own contractor with certain, restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she isrresponsiblefortheconstructionandisnothiringalicensedcontractortoassumeresponsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit: 1 understand that I may protect, myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale ornlease. If a building, or..residence that I have built or substantially improved myself is sold or leased within in 1 year after the construction is complete, the law will presume that I built or substantially improvedvit, for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to :supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I employ have the licenses required by law and by city ordinance. I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any rinjuries sustained by an unlicensed person or his or her employees while working on my property. Myhomeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understandthat I may not delegate the responsibility for supervising work to a licensed contractor who is O') not licensed to perform the work being done. Any person working on my building who Is not licensed, J must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board .at 1-850-487-1395 or at www.Myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department 'immediately of any additions, deletions, or changes to any of the information that I have.provided on this disclosure or in the permit application package. Licensed contractors are regulated "by laws designed to protect the public. If you contract with a person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an individual or firmis injured while working on your property, you may be held liable for damages. If you obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying whether the contractor is property licensed and the.. status of the contractor's workers' compensation coverage. 4Address: ' i O f Z 3 '] do hereby state that I am qualified rand capable of perfog4ing the requested construction involved with the permit application filed and agree 'to the conditions snedifiedove. /% Form of Identification Must be Photo `ID) A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 City of Sanford Planning and Development Services Engineering — Floodplain Management Flood Zone Determination Request Form Name: Firm: Address: City: State: Zip Code: Phone: Fax: Email Property Address: Property Owner: g p' Cp sLb, Parcel identification Number: Phone Number: 37-1 • 3r:, 3 • 1 "4 G Email The reason for the flood plain determination is: New structure Existing Structure (pre-2007 FIRM adoption) X Expansion/Addition Existing Structure (post 2007 FIRM adoption) Pre 2007 FIRM adoption = finished floor elevation 12" above BFE Post 2007 FIRM adoption = finished floor elevation 24" above BFE (Ordinance 4076) Flood Zone: x Base Flood Elevation: Datum: t. ( A FIRM Panel Number: 120 'ZQ 4 cop(,,S Map Date: 9 •28, D ? The referenced Flood Insurance Rate Map indicates the following: The parcel is in the: floodplain floodway A portion of the parcel is in the: floodplain floodway 0--- Theparcel is not in the: floodplain floodway The structure is in the: floodplain floodway 9' The structure is not in the: floodplain floodway If the subject property is determined to be flood zone 'A', the best available information used to determine the base flood elevation is: i3P I l - qq CZ rr e s I q Reviewed b : Date: 10 .11. 10 T:\ Engr-Files\Elevation Certificate\Flood Zone Determination Request Form.doc figrowillall illmillevil1P9I461TUBPI!* a Prepared by and 4 Rrst American Title 13903 CarnAwood Tampa, ri 33618 5EHINRLE C0 CLEW [IF! WM)JJI Wi LtK 0 ,896 FrGS O l4 CLERK'S 1i 2fK1aL a;> i3' GWIPIP" I2:5:tiSl. PH IlECtUIW AF5 %A,W RfUVAD BY t holdim P WER C1F ARQRNEY Spedfic) I, Fausto Da Costa, desiri o ate a Durable Power of Attorney pursuant to Florida Statutes 709,08, hereby revoke any and all pr f a Power of Attorney or a Durable Power of Attorney relating to the land subject to this Power and provide as follows: 1. GRANT OF POWER T"TTORNEY-IN-FACT. I hereby appoint Fabiola Da Costa, ("Attorney -In -Fact"), who' sound mind and eighteen (18) years of age or older, as my lawful agent with full er act for me and in my name in any and all of the matters hereinafter set forth, g II authority to make, acknowledge, and deliver for me any in my name all contra s, leases, .assignments, mortgages, releases, and other instruments that my Att Fact may deem proper in connection with any matter hereinafter set forth and in ch ay be interested, and generally to act for me and in my name with respect to egging, with the same effect as thougi I were personally present and acting for 2. DURABLE NATURE OF POWER. THIS P ATTORNEY ('THE "POWER") SHALL NOT. BE AFFECTED BY ANY PHYSICAL OR ME BILITY OR INCAPACITY THAT I MAY SUFFER EXCEPT AS PROVIDED BY STATUTE, LL BE EXERCISABLE IMMEDIATELY FROM, THIS DATE WITHOUT ANY OTHER AC710 D ON WHATSOEVER 3. EXERCISES OF POWER. All powers and discre conferred upon my Attorney -In - Fad hereunder shall be exercisable by my Attorney In- named herein. All actions taken by my Attorney -In- Fact'pursuant to this power c ing acts taken during any, period of my disability or incompetency, shall inure to efit of and bind me, my heirs, devisees and personal representatives, as if I were co and not disabled. 4. DURATION OF POWER, This Power shall not be affecte p of time between it's grant and its exercise. This Power shall be valid until th a [) 45 days, (ii) my death, or (iii) my written revocation of this Power; subject howev the provisions of Section 12 below. Page 1 Or 5 1042 - 91407 Book5896IPage741 CFN#2005155673 r___ 5. F OF FILING OF PETITION TO DETERMINE INCAPACITY OR APPOINTVVtGN. At, any time a petition to determine my competency or a petition to a uardian for me is flied, this Power shall be temporarily suspended. Notice of petition shall be given to all known donees of this Power. This Power shall re pended until the petition is dismissed or withdrawn, or I am adjudged corn t which time the Power shall be automatically reinstated and any exercise of this r shall be valid. If I am adjudged Incompetent, this Power shall be automatically Qked except to the extent the court having jurisdiction over myguardiandeterminesthatanyauthoritygrantedbythisPoweristoremain exercisabl J nay ttorney-In-Fact. 6. LAND SUBJE WER. This Power applies solely to the real property located at: 131 Carmel ord, FL 32771 and more particularly described as Exhibit A" attached here n II interest therein, including my homestead rights (if any), and all furniture, fixturF,ut r personal property, tangible or intangible,,related to the, foregoing real propeective of whether such property is held In any type of joint tenancy, includint limitedto, a tenancy in common, joint tenants with right of survivorship or a tenancpg entirety. This Power of Attorney Ikipea ic for the closing for Worlds Savings. 7. POWER OF ATTORNEY-IN-FA4M out limiting the broad powers conferred by the preceding provisions, I authorize A* ey-in-Fact to a) SELL, RENT, LEASE OR EXC 6 AL PROPERTY. Sell, rent, lease for any term or exchange any real pro heggin described or interest therein for considerations and upon such terms itions as my Attorney -In -Fact may see fit, and execute, acknowledge and delive I pnts conveying or encumbering title to. property herein described. b) BORROW MONEY. Borrow money o rms, and with such security with respect to the real and personal property scribed as my Attorney -In -Fact may think fit and to execute all notes, mortgag sand other instruments that my Attomey-In-Fact finds necessary or desirabi . c) SELL PERSONAL PROPERTY. Sell all furnitur ures and other items of tangible or intangible personal property related to the real proherein described as a fixture and belonging to me, and execute all assighmen n the instruments necessary or proper for transferring them to the purchaser or rs, and give good receipts and discharges for all money payable in respect to them d) COLLECT MONEY AND OTHER PROPERTY, Collect of money and other property that may be payable or belong to me with he real and personal property herein described, and to execute receipts, relea tions, or discharges relating thereto. e) DEAL WITH COMMERCIAL INSTRUMENTS. Draw, a rse or otherwise deal with any check or other instrument in connection with the real and personal property herein described specifically including the right to make deposits or withdrawals from any savings accounts, checking accounts, money market accounts or Page 2 of 5 1042 - 914647 33y i Book58961Pa9 e742 CFN#2005155673 ar accounts. PLOY AGENTS. Employ and pay reasonable compensation to agents, wants, attorneys, and investment counsel to assist in the exercise of any of the p set out herein. fig) HIGH DEGREE OF DISCRETION. It is my intention that the powers to my Attorney -In -Fad be interpreted broadly so as to allow my Attorney - In a igbdegree of discretion in managing my affairs. Therefore, I authorize my A In -Fact to do anything regarding my estate, property and affairs that Icouldf. a. RESERVATION OF GHTS. I hereby reserve: (1) all rights to do personally any acts - that my Attorn Is authorized to perform hereunder; (2) the right to grant similar powers o to others; (3) the right to amend this Power in any manner; and (4) the right t r the Power in whole or In part. 9. TERMINATION OF((PP This Power shall terminate as provided in Section 4 above or may be terminated any time prior thereto by either me or by my Attorney -In -Fact by giving written notice of suc1.rt1r"m*t nation to the other. i 10. GOVERNING LAW. This is executed by me in the State of Florida and shall be governed by the laws ofte of Florida. 11. RECORDING. I specifically gra y Attorney -In -Fact the authority to record this instrument in the public recordsW a county within which I reside and in any other jurisdiction where an Attorney -In -Fa i retion.believes necessary or appropriate, O. 12, RELIANCE BY THIRD PARTIES. Unl n it a third party has received "notice", as provided in Section 13 below, of revocatic of er, partial or complete termination of the Power by adjudication of my incapa nsion by initlation of proceedings to determine my incapacity or my death rd party may ad on reliance upon the authority granted to my attomey-In-Fact i r and I hereby confirm all such acts. 13. NOTICE. In any circumstances in which "notice" uired to be delivered to me, my Attorney -In -Fad or to any third -party relying on the a thor' of my Attomey-In=Fact to act hereunder, to be effective such notices shall be in writin ust be served on the person. or entity to be bound by the notice by any form of mail ires a signed receipt or by personal delivery as provided for service of process under FI ' Page 3 of 5 1042 - 914617 Book5896JPage743 CFN#2005155673 l IN WITNESS WHEREOF, I have signed this Durable Power of Atbomey, crosisting of three 3) typewritten pages, in the presence of two (2) witness and all of them have signed in the presenoe of each other, all as of the date first above written. Sig led and delivered In the presence of: wit witness: State of 2-YS County of L THE FOREGOING EIMEIYT WAS ACKNOWLEDGED, befize me this f day C `tA who is personally }mown to me or who has produced a as identification. NoMi6y Public Book58961Page744 CFN#2005155673 E? r TT "A" Lot 51, MONTEREY OAKS PHASE II, A REPLAT, according to the plat thereof, as recorded in Plat Book 58, Pages 22 and 23, of the Public Records of Seminole County, Florida. OO 4:J O 6fl, E Book58961Page745 CFN#2005155673 DO 1. b vlo 4 2 0 IRA 77- Itts S 4.AJ o A9- k5 PLAT OF BOUNDARY SURVEY for. Ipnonr• LOT 5 1. mot INC 0 DESC SWINO1 RECORDED IN PLAT BOOM PAGE(S) 2Z Id 23 Pt 1 REtx tDS CDUNTr, FLORIDA NOT PLATTED Wr 67 peeMONTOMY OAKS PHASE It. A PXMAT SCALD Ill- sa PLAT 8O0r, 58. FAGM 22: 23 N890 45°23W 50.0a Lor GG d3 iV Z LAT 52 a h I -aS SAT 5W .0 L aP L V WAagP c n Z i sVv N 58904742T- CAMEL BAY DRIB 17--- 5W474M LB 2856 N07M, FLOOO CERTIRCATICW I. BEARINGS ARE BASED ON .THE CENTERLA E OF BASED ON THE FEDERAL MWENCY CARYEL BAY DRIVE BEING S"Ur42't MANAGEiEET AGENCY M0 2. UNDERGROUND AIPROVEMENTS ROOF OVERHANGS RATE MAP, THE STM)CR RE AND F007ERS HAVE NOT BEEN LOCATED. SHOm HEREON DOES NOT LIE iSif ! I ELEVATIONS ARE BASED ON NATIONAL GEODETIC THE 100 YEAR FLOOD HAZARD AREA. VERTICAL DATUM OF 1929. THIS STRUCRIRE LIES IN ZONE ' 11 ' 4.' Bi UWG TIES ARE TO FOUNDATIbM , ComuMTY PANEL NO. 120294 0040 E s MLOWC TIES ARE NOT TO BE USED ,10 EFFECTIVE DATES APRIL 17, 1993 CONSTRUCT DEED OR PLATTED LINES. MAP Rt:MON DATE: BEARENGS_AN1i DISTANCES SN01W 1IAEGN ARE (-qaEECT TO CHANGE) Jorge Bulfone Pinnacle Direct ndm-33&Corp. Kampf Title & Guaranty Gorg. Adnotam Title gCompany, Inc. i sVv N 58904742T- CAMEL BAY DRIB 17---5W474M LB 2856 N07M, FLOOO CERTIRCATICW I. BEARINGS ARE BASED ON .THE CENTERLA E OF BASED ON THE FEDERAL MWENCY CARYEL BAY DRIVE BEING S"Ur42't MANAGEiEET AGENCY M0 2. UNDERGROUND AIPROVEMENTS ROOF OVERHANGS RATE MAP, THE STM)CR RE AND F007ERS HAVE NOT BEEN LOCATED. SHOm HEREON DOES NOT LIE iSif ! I ELEVATIONS ARE BASED ON NATIONAL GEODETIC THE 100 YEAR FLOOD HAZARD AREA. VERTICAL DATUM OF 1929. THIS STRUCRIRE LIES IN ZONE ' 11 ' 4.' Bi UWG TIES ARE TO FOUNDATIbM , ComuMTY PANEL NO. 120294 0040 E s MLOWC TIES ARE NOT TO BE USED ,10 EFFECTIVE DATES APRIL 17, 1993 CONSTRUCT DEED OR PLATTED LINES. MAP Rt:MON DATE: BEARENGS_AN1i DISTANCES SN01W 1IAEGN ARE (-qaEECT TO CHANGE) Jorge Bulfone Pinnacle Direct ndm- 33&Corp. Kampf Title & Guaranty Gorg. Adnotam Title gCompany, Inc. Jorge Bulfone Pinnacle Direct ndm- 33&Corp. Kampf Title & Guaranty Gorg. Adnotam Title gCompany, Inc. 1loll flNllllEllfl IlldN8011111110111911110111111110110wi11N Permit No.. —1 — 3b " Sao "hC06 -o /yo MARYM uE MORSE, CLERK OF, CIRCUIT COURT Tax Folio No. SEMINOLE COUNTY NOTICE OF COMMENCEMENT EK ERk S #. 2 101 CLERH:" S it `t. t Lt.y 1 19'310 State ofFloridaRECORDED0/14/2010 0304s lO PIN County of Seminole RECORDING FEES 10.00 The undersigned hereby gives notice that improvement RECORDED BY T Smith, will be made to -certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: l . Description of property: ( legal description of the property, and strret address if available) U C7C1Y' I i3' ^` v , iV r T _ , ..c j ".—; . 2. General description of improvement: I l e/ri or 'fi CY- 6vil r WU 3. Owner information: Na e: &aiy (' . 1 Address: / N b. Interest in property: 0L"\' f' c. Name and address of fee simple titleholder (if other than Owner): Name: ` Address: 4. Contractor Name: t-ilAA1_ .. Phone number: c. Address: aqt] C' 4 5. Surety Name Address: Pr b. Amount of bond:.$ . P' 6. Lender: Name: N Address: _ to Pf` b. Lender's phone number: Ta. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.; Florida Statutes: Name: Address: 8.a: In addition to himself or herself, Owner designates of _ to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. b. Phone number of person or entity designated by owner: MY 9., Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER- ANY PAYMENTS MADE BY THE OWNER AFTER THE.EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS ,UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDASTATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED. ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEJ TT. ; Signature of Owner or Owner's Authorized Officer/Director/Partner/ Manager Si natory's Title/Office ol Yam. The foregoing instrument was acknowledged before me this day of 1, year) by (name of person) as (type of authorit . e.g. officer, trustee, attorney in fact) for (name of party on be] of Who' instrument was executed) . r° . •.9e% JO ANN M. JOHNSON MY COMMISSION q DD 76076 SEAL) EXPIRES March23,2012 s nature of Notary P is Bonded TfiN Budget Notary Senses Personally Known OR Produced Identification UJ L Type of Identification Produced W- L Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts st fed in it are true to the best of my knowledge and belief. i . IHlS iN.tktj'ui.'a rt±' r t ii Fllt: . Signature of Natural Person Signing Above NAME Rev. date 3/2008 / ' G, ADDR. c:m . __.