HomeMy WebLinkAbout2912 S Park Ct' JUN 0 6 2016
CITY OF SANFORD
7 BUILDING & FIRE PREVENTION
PERMIT APPLICATION.
Application No: I n -' S (S 9
Documented Construction Value: S 00
Job Address: Cg_gk%,Q S. PCL r \k Q ;,� - Historic District: Yes ❑ No ❑
Parcel ID: 3b-51g-C->\qc) Residential [y Commercial ❑
Type of Work: New 0 Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: C.e Tir V,*
tom[ �� nI q , �� 1 �'�[4 d QQ O
Plan Review Contact Person:'
Phone: 229-M3 TC 'Fax:
Title:
Property Owner Information
Name JAp,.0 gk1e Z Mot -C I Phone: 1- :x-1-1 - Q oOI
Street: C,q L �. �(� e v -. v -P A Resident of property?
City, State Zip:f-��+\
Contractor Information
Name Phone: (>-Yt56
Street: C11 � �_ f�h►n Ave_ Fax: �,5 S� 22g-- C) L:)!5!)
City, State Zip: La VLo 4e ken. EL 12-1k1 `i State License No.: X99-M.Pb-JtY)lZ,
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
E-mail:
Mortgage Lender:
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM ENCEMENT MAY RESULT IN*YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COI•IMENCEMF.NT iINIUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE ,riiE FIRST INSPECTION: IF YOU INTEND TO OB'T'AIN
FINANCING. CONSULT WITH YOUR LENDER OIi. AN Ai"rORNEY BEFORE RECORDING YOUR NO'T'ICE OF
COM 1•I ENCENI ENT.
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'electricnl work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FITC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5"' Edition 12014) Florida milting Cotte
Revised. hnu 30. 2015 Permit Applicminn
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. maybe additional permits required from other governmental entities suchaswater
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 at the time of permit submittal. A copy of the.executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. 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 Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
1AA. 9A. k - (ell - 21
Signature of Contractor/Agent Date
Print Contractor/Agent's Name]
Signature of Notary -State of Roulte Date
&NOTARY PUBLIC
STATE OF FLORIDA
Conn* FF941563
I. Expires 12/7/2018
Contractor/Agent is V�F Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
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- UTILITIES: WASTE WATER:
COMMENTS:
ENGINEERING:
0 Vl
FIRE:
BUILDING:
Revised- June 30, 2015 Permit Application
Boundary
Survey
PARK A, VENUE
66' R/W •
A& CAL (ASWY dEV) 90.00' A
P.T. N80W100 8&03' A!_
4
S8959'3T'8' 100.22' M.
Alit C." 100.00' A
Sz cam
CIF LOT 13 1 •
N
2
LOT. )8
01 •C K
15ay
I
(C-1) M
A 87'32'53'
j
0
AArorEQ1aTA
R a 20.00'
V
cc
L e 30.56' (M.
L a J1.43, (P.
^�
C)
CH - 27.6T
C
O
C.8 a S44'35.03'W
Q
w
4
S8959'3T'8' 100.22' M.
Alit C." 100.00' A
Sz cam
CIF LOT 13 1 •
N
2
LOT. )8
01 •C K
15ay
APPROVL- U PLANS
AArorEQ1aTA
_ ML
e®
1�' (o l (c I l to oe�
6nh6Bi00CWAI ?w
aommms
GENERAL NOTES: ; •' (. .
/n�
I O t ��� •�°=
EJK W HEYARAN
PVFI�OPIY�R
1J WAILIBSAREIOlIAiACEOFIF�WALIAND L
O TV 1� (1 S`'� 0.`\ Z l0 1 •
AREM77fl0BE&M1VfiWa11S1A r8WWWR1'LM O
���
SI/EBBIm►fY W
BOTREa
S) ONNEWWAIDW10PAfAW. `� f Qvice (r� (��
•�1�'
mu
_Q _
0 1WSfA?WrAEPlC1FDASWMWAa[QSfDGEDUFM/Cf�, M V` DJ �s
6) AIL 1WWWARfi=0NCL0?W$ARFWW MAIWOpI MANM t W11CDA90F
0 FENCED RM=ANDBUdDW ARNAERBBARE WIA09A0+l W= kA Q a4t
.
r0M"WCMDC0X%= VAEAMMAREASSWNK 1 U Q4w--C4KE81W RLS
P. 064W3181
7) SUBWIVAR1'OFDIGQMAC /1101AWINXRESTRl WAIS RESERYATOM ANW OJIL:OVBWADIDIE
OREAMffMSOFREOMAVEXA1MIXWO%TAIEINOEBYSURVEYOR O.R•!OWANIE CIIEW0; zmz-L0m
8) SM CMWANYRE479TFORCAkW.. ADDRESS 1EL:lEIEPHO/B;fAQ .—
IX* 1RANWOMER FIELD DATE: 09105/06
1. 2912 South Park Court. WACW RRA DRAFTER o� L
CRAP16C SCALE Sanford, Florida 32773
APPROVED: 4� �^
0 ?9 40 LEGAL DESCRIPTION: (ILS FURNISHED) SCALE:
1- - 4
Loi 19,• SOUTH PINECREST FIRST ADDITZON, according to the Plat thereof,
es recorded in Plat Book 10, Pages 42-43, of Che PuDJJc Records of
Seminole Counc , Florida.
BASIS OF BEARINGS: Tidy OW W pv4kd Por ft Buk d N90'00 W E ( NOM LW OF PPHN ITY
LIST OF POSSIBLE ENCROACHMENTS: FENM
LIMITED POWER .OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: (o I�e I I W
I hereby name and appoint: ►m 10 -ex I, I Irine net.
an agent of:
of Company)
to be my.lawful attorney-in-fact to act for me -to apply -for, receipt for, sign for. -and do all -things
necessary.to this appointment for (check only one option):.
10 The ,,s�p?ecific permit and'application for work located at:
Caq- 'Q 9S _ Pn I-, k C -S. 9-y-1 r";4'
(Street Address)
Expiration Date for This Limited Power of Attorney: oil I
License Holder Name:
State License Number: 10(Q ri C) gol 0th 3
Signature of License Holder:��
STATE OF FLORIDA
COUNTY OF Vp(USiL'�
The foregoing instrument was acXnowledged before me this &qj1day of —_T�,
200 (�, by �%j j o, (-i-1 (11 who is 4ersonally known
to me or o who has produced as
identification and who did (did not) take an oath.
Signature
(Notary Seal)
Rene M. Raulte
i&NOTARY PUBLIC
STATE -OF FLORIDA
C m" FF941563
E)0resj2j?/2019
(Rev. 08.12)
Ren -p ' Oak
Print or type name
Notary Public - State of
Commission No. -r'F j 5(p
My Commission Expires: