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HomeMy WebLinkAbout329 Lusitano Way (2)CITY OF SANFORD V"- J ,- 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