HomeMy WebLinkAbout329 Lusitano Way (2)CITY OF SANFORD
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I jD BUILDING & FIRE PREVENTION
PERMIT APPLICATION
MAR 10 2016
iApplicationNo: 110 8 (p
Documented Construction Value: $ 1 - 40 ev
Job Address: vbV Historic District: Yes No
Parcel ID: t
Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:d
Plan Review Contact Person :13Oaa\sin \J*1Ck Title:
Phone: 4b1-%6-2-0140 Fax: RM JLQ\A-Q%S_ Email:Q, 4`f ossS l
Property Owner Information COfYL
Name Kiel NgLtVPYI
v
Street: J2q \ , \k0 .M ;(IQ
City, State Zip: Qn r(( , tom(
Phone:
Resident of property? : rV-V-
Contractor Information
Name (YiOSSI l 'nG.-k, Feno
Street: 3T
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax: 2_3(k4 -2%$S
State License No.:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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 OFCOMMENCEMENT.
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 constructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: Th Edition (2014) Florida Building Code 0
Revised: June 30, 2015
Permit Application1^
r
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as waterinanagementdistricts, 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 at the time of permit submittal. A copy of the executed contract is requiredinordertocalculateaplanreviewchargeandwillbeconsideredtheestimatedconstructionvalueofthejobatthetimeofsubmittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, inaccordancewithlocalordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent
rant Vwner/Agent's Name
Date
signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
aA-ml ren Q 3Ia
Signature of Contractor/Agent Date
YVl 1(pr
Print Contractor/Agent's Name
Signature of N#ry-State of Florida Date
ArRAININ VICKMYCOMMISSIONNFF941338
EXPI RES DeeOMbor 06, 2019
fConn to Me or
Produced ID Type of I
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
Gas Roof
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: 6JTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
WASTE WATER:
o % 6'.300J
BUILDING:
Revised: June 30, 2015
Permit Application
Llrizt n h• o A tonl
Date; '3 q _ .. •• ..
hercby ame and appoint: iY1 an agent of Mossy oak Fence to be
lawfd attomey-in-fact to act for _me' -to' apply for, receipt for, sign fox -and do all things
ecessaz to thisappointment for:
c pernut and application for work Iocated
atLUQ _ 1 v
hof License Holder. ..:
STA.TF,OFFLORiDA - .•
COtNIYOV
was ackiowkh d• before
The ra going. ms who is personAy'knowu -to me or v10 has
d cation and who did (did not) take. oath .
orilpe Mme V' Vi
miIN V
7 a 11Ci "' State l '
x's MY COMiAISSION N FF941338 .
No}pt`te•, J• EXPIRES Decen+ber 06, 2019 .
0) 39e o, a7
FwreMra vvbm car
on No.' Facpixes: _
1- s a y9 '
2120 N Orange Blossom Trail
Orlando, FL 32804 RgCg
it888-44-MO$"pOs•`'
Fax: 888-864- 85 Q
J`
4640 North US7 61
11110(
Melbourne, FL 32935
321-255-1020
Fax: 321-255-1036
www.mossyoakfences.com
NAME
Hien Nugyen
STREET
329 Lusitano Way
CITY
Sanford, FL. 32773
JOB NAME/ADDRESS
Same
CONTACT
Hien Nugyen
P C
FO GE
HEIGH
STYLE / M EL
COLOR
RAILS
POSTS
POST CAPS
PICKETS
PICKET CAPS
OPTIONS:
WOOD
PT PINE CYPRESS CEDAR
ECOLIFE)
FOOTAGE 99
HEIGHT b
STYLE / MODEL O
PICKETS )fL k (o
RUNNERS a k y
POSTS 4 X q
GATE POSTS
OPTIONS:
GATES
QTY SIZZj TYPE
1.vq-'ei' a r fnQPC h
I FOR INTERNAL USE ONLY
RATE INSTALLED:
NSTALLER:
LOCATES #:
LOCATES DATE:
No. 34787
PROPOSAL/ CONTRAtf
Jeff Spears 02/10/16
PREPARED BY DATE
SPECIAL INSTRUCTIONS:
Owner To Provide Survey
HOMEPHONE
WORK PHONE
FAX
CELL ( 71 6) 553-3815
EMAIL
Hienduc89@yahoo.com
r
A UMINUM / STEEL
FO TAGE
HEIG
STYLE / ODEL
COLOR
GRADE
PICKETS
LINE POSTS
TERMINAL POSTS
GATE POSTS
OPTIONS:
C AIN LINK
FO AGE
TYPE
HEIGHT
GRADE
TOPRAIL
LINE POSTS
TERMINAL POSTS
GATE POSTS
GATE FRAMES
OPTIONS:
AREDCHRACKED SWING HINGE
Y N Y N IN OUT L R
Y N Y N IN OUT L R
N Y N IN OUT L R
Y N N IN OUT L R
ALL DII'1EN§PNS AND SPECIFICATIONS ARE APPROXIMATE
I
jla (loal j 9
All Post In Wet Mix Cement**
Lifetime Workmanship Warranty**
Ask About Our 0% Financing**
AMOUNT -
OPTION • OY N Y N OUT L RMOUNT• $ ) -7 4 Q _ PROPOSAL AMOUNT: $
OPTIONS:
OUNT. $ -7U DEPOSIT AMOUNT: $
E c' BALANCE DUELETION• $ 77 7Q
1
UPON COMPLETION- $
UNDERGROUND SYSTEMS: Mossy Oak Fence will perform locates for power, telephone, th fCnQa priVwell b ` (
ed +
and cable lines. Purchaser agrees that Mossy Oak Fence will not be held responsible determined by total footage Installed, and CONTRACT AMOUNT: $ 1 1 N0
for damage to any sprinklers, underground pipes, drains, foundations, or any other may be different than estimated. Purchaserunmarkedundergroundsystems.
also agrees that all products delivered and DEPOSIT AMOUNT: $
WOOD PURCHASE NOTICE: Mossy Oak Fence shall notsbe liable for any labor or similar costs, or for Installed remain the property of Mossy Oak BALANCE DUEanycostsordamagewhichmaybeassociatedwiththenaturalcharacteristicsofwoodWoodfencesFenceuntilfulpaymentismade.
UPONhaveatendencytoshrink, split, warp, crack and twist In hot, humid weather Small gaps will appear OMPLETION: $
between boards and are a common occurrence that does not constitute failure of the wood / /
RIGHT TO CANCEL: Per Florida and Federal Consumer statutes this contract may be cancelled by W l/ either the buyer or the seller In writing by midnight of the third business day after signing, or by ACL"EPTED BY PURCHASER CONTRACT DATE Jpostmarkednolaterthan3businessdaysaftersigning,
SUBJECT TO CONDITIONS ON THE BACK. IHAVE READ AND UNDERSTAND THE CONDITIONS ONTHEBACK. /lit/
11CIVE
City of SanfordT
D MAR 1 0 216 Fence Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
Fences must be compliant with the City Land Development Regulations, Schedule F
V/ Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
f Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Copy of the Business Tax Receipt (if the contractor is the applicant).
Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
Indicate the number of linear feet, height , number of gates, type of material on application.
Y Two (2) copies of site plan indicating where the fence will be located on the property.
I/ All fences over six feet in height require two sets of signed and sealed sets of plans and drawings to a readable
scale. Structure details signed and sealed by a Florida licensed design professional. Architectural drawings signed
and sealed by architect.
These guidelines were compiled to assist the applicant in preparing a fence permit application and may not be
complete. The applicant is required to meet all City of Sanford codes and requirements.
Revised: February 2015
X
C
1" 0 3Q,
6C4LC
ADDRESS
329 LUSITANO WAY
SANFORD, FL 32771
LEGEND
O = Iron Rod & Cap (IR)
OR Book = Official Record Book
FND = Found
ID - Identification
LB - Licensed Business
Cable TV Riser
Electric Box
a - Fre Hydrant
0- Guy tyre
Light Pole
Sanitary Cleanout
Q = Telephone Riser
Q= Water Meter
JOB #: VISR16-14290
CLIENT #:
FIELD DATE: 03-02-16 CREW: 2200
DRAFTER D8
APPROVED: JEW
SCALE: 1' = 30'
m
a
c
d
a X c X
Bonvwees Acknowl.dynat Borrowers Ativgwledij—d
and Ameptance and Ameptanm
EASEMENT NOTE:
THERE IS A 10' UTILITY EASEMENT
UE) ALONG THE RIGHT OF WAY LINE
AS SHOWN HEREON.
TRACT "A"
La61-7 4W 4 AMY
50' PLATTED RIGHT OF WAY
ASPHALT
4' CONC. WALK + FND i4" IR
FND X" IR-' NO ID
N90'00'00"W 85.00' NO ID =N90=00'00"IE 50.00'- 0.1' E
L :. _____— —
o DRIVE.
N CONC.
PP_ROVED PLANS
1
qa
O °
13.9' ,"-.' 121.6',' _
w
ENG. DEP
ok +0 I%n%
to Lo o cool -Ae
LOT 139
LOT 124
W
N 'r-- CNT
LOT 136
SET !4" IR N90°00'00W 50.00' FZ XJ" IR
L87788 r T NO ID
tQ/I' 0.1'N,0.2'W
LOT 125 1 LOT 126 LOT 127
0
uiN
LOT 135
LOT 128
Leya/ Jeser pf;oh Cper D ADnk y, Pa9e
Lof I3-:7, BAC 6 CeOSSSn/G all,46E a, aCCord;n9 z`o el7e 'naP or plze ehereo as recorded ;n
Plae 800 &2, Pa3 - 974 eh"3h 99, Publ;c eeGord'5 o r Sen?%no% Coney' f/or;da.
CERTIFIED TO: (AS FURNISHED)
HIEN NGUYEN -
FLOOD ZONE
SUBJECT PROPERTY SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD
ZONE'A', AREAS DETERMINED TO BE WITHIN THE 100 -YEAR FLOOOPWN,
PER F.1 R.M. PANEL NUMBER 12117CO070F, LAST REVISION DATE 0328-07
PER MAPWISE WEBSITE). THIS SURVEYOR MAKES NO GUARANTEES AS TO
THE ACCURACY OF THE ABOVE INFORMATION. THE LOCAL F.E.MA AGENT
SHOULD BE CONTACTED FOR VERIFICATION.
LIST OF POSSIBLE ENCROACHMENTS.
FENCE CROSSES PROPERTY LINE. OWNERSHIP NOT DETERMINED
BASIS OF BEARING
BEARINGS ARE BASED ON THE NORTH LINE OF LOT 137 WHICH HAS A
BEARING OF N 90'00'00' E PER PLAT.
NOTES
1. Underground utility Installations, underground Improvements, foundations and/or
other underground structures were not located by this survey.
2. The purpose of this survey Is for use In obtaining title Insurance and financing and
should not be used for construction purposes.
3. Additions or deletions to this survey by anyone other than the signing party or
parties Is prohibited without the written consent of the signing party or parties.
4. The property shown hereon is subject to all easements, restrictions and
reservations which may be shown or noted on the record plat and within the
public records of the county the subject property Is located. This survey only
depicts survey related information such as easements and setbacks that are
shown on a record plat or have been furnished to the Surveyor.
5. Building ties and dimensions for Improvements should not be used to reconstruct
boundary Ines.
THIS SURVEY IS PREPARED FOR THE EXCLUSIVE
USE AND BENEFIT OF THE PARTIES LISTED
HEREON. LIABILITY TO THIRD PARTIES MAY NOT
BE TRANSFERRED OR ASSIGNED.
LB 7788
VISIQN (.AND_
i i r v 1 C E
941 S Pennsylvania Ave, Winter Park, FL 32789 1 (888) 399-8474
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS SURVEY IS A TRUE AND AIZCURATE
REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION.
nuururr '
3
rrc asn `
STATE OF
ice,;: F70RIW1 r
Joseph E. Williamson, PLS r u,,,"
nw
ja 1` DATED: 03-03-16
PROFESSIONAL LAND SURVEYOR
FLORIDA REGISTRATION #6573
NOT VALID WITHOUT THE ELECTRONIC SIGNATURE AND/OR ORIGINAL
RAISED SEAL OF THE LISTED FLORIDA LICENSED SURVEYOR AND
MAPPER
DATE REVISION DATE REVISION
Its ILQ
ki
ZOT 138 LOT 137LUj
F -•acv. O
W
N 'r-- CNT
LOT 136
SET !4" IR N90°00'00W 50.00' FZ XJ" IR
L87788 r T NO ID
tQ/I' 0.1'N,0.2'W
LOT 125 1 LOT 126 LOT 127
0
uiN
LOT 135
LOT 128
Leya/ Jeser pf;oh Cper D ADnk y, Pa9e
Lof I3-:7, BAC 6 CeOSSSn/G all,46E a, aCCord;n9 z`o el7e 'naP or plze ehereo as recorded ;n
Plae 800 &2, Pa3 - 974 eh"3h 99, Publ;c eeGord'5 o r Sen?%no% Coney' f/or;da.
CERTIFIED TO: (AS FURNISHED)
HIEN NGUYEN -
FLOOD ZONE
SUBJECT PROPERTY SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD
ZONE'A', AREAS DETERMINED TO BE WITHIN THE 100 -YEAR FLOOOPWN,
PER F.1 R.M. PANEL NUMBER 12117CO070F, LAST REVISION DATE 0328-07
PER MAPWISE WEBSITE). THIS SURVEYOR MAKES NO GUARANTEES AS TO
THE ACCURACY OF THE ABOVE INFORMATION. THE LOCAL F.E.MA AGENT
SHOULD BE CONTACTED FOR VERIFICATION.
LIST OF POSSIBLE ENCROACHMENTS.
FENCE CROSSES PROPERTY LINE. OWNERSHIP NOT DETERMINED
BASIS OF BEARING
BEARINGS ARE BASED ON THE NORTH LINE OF LOT 137 WHICH HAS A
BEARING OF N 90'00'00' E PER PLAT.
NOTES
1. Underground utility Installations, underground Improvements, foundations and/or
other underground structures were not located by this survey.
2. The purpose of this survey Is for use In obtaining title Insurance and financing and
should not be used for construction purposes.
3. Additions or deletions to this survey by anyone other than the signing party or
parties Is prohibited without the written consent of the signing party or parties.
4. The property shown hereon is subject to all easements, restrictions and
reservations which may be shown or noted on the record plat and within the
public records of the county the subject property Is located. This survey only
depicts survey related information such as easements and setbacks that are
shown on a record plat or have been furnished to the Surveyor.
5. Building ties and dimensions for Improvements should not be used to reconstruct
boundary Ines.
THIS SURVEY IS PREPARED FOR THE EXCLUSIVE
USE AND BENEFIT OF THE PARTIES LISTED
HEREON. LIABILITY TO THIRD PARTIES MAY NOT
BE TRANSFERRED OR ASSIGNED.
LB 7788
VISIQN (.AND_
i i r v 1 C E
941 S Pennsylvania Ave, Winter Park, FL 32789 1 (888) 399-8474
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THIS SURVEY IS A TRUE AND AIZCURATE
REPRESENTATION OF A SURVEY PREPARED UNDER MY DIRECTION.
nuururr '
3
rrc asn `
STATE OF
ice,;: F70RIW1 r
Joseph E. Williamson, PLS r u,,,"
nw
ja 1` DATED: 03-03-16
PROFESSIONAL LAND SURVEYOR
FLORIDA REGISTRATION #6573
NOT VALID WITHOUT THE ELECTRONIC SIGNATURE AND/OR ORIGINAL
RAISED SEAL OF THE LISTED FLORIDA LICENSED SURVEYOR AND
MAPPER
DATE REVISION DATE REVISION