HomeMy WebLinkAbout506 Plumosa DrA • z a�
s t ���'v� BUILDING & FIRE PREVENTION
�— PERMIT APPLICATION
D JUN 01 2018
Application No:
Documented Construction Value: S
Job Address: �� t/ &A4064- Historic District: Yes ❑ No ❑
Parcel ID: '3J• /9- it. '562• 66d/0• Residential Commercial❑
Type of Work: New P9 Addition ❑ Alteratiion ❑ Repair ❑ Demo ❑ Change of Use ❑ Move
Description of Work: Iq
Plan Review Contact Person: Ai' & ` ,t(,0,5� Title: A/4/2"lX
Phone: {�� • b 3 • �✓`3 % Fax: 3X -'v68• S%Sa Email:ht%- e //e- O/V
/ Property Owner Information n, /
Name �J !�!L/Zi�LL�d G�/L >� Phone: �% �-- y%,el, to 6z 3.5-
Street: 16106 /' /� 10V /71OSQ. br' Resident of property?
City, State Zip: �L� O2 A2 3c-201
Co tractor Information
Name Phone: 40 • 5''39
Street: / �i12 �f = Fax: `?2dPza • 6 6 S-•
City, State Zip: L 3A 13 State License No.: / 99 /�Da/ 90716
Architect/Engineer I
Name:
Street:
City, St, Zip:
Fax:
E-mail:
Bonding Company:ortgage Lender:
Address: 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 OF
COMMENCEMENT.
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51" Edition (2014) Florida Building Code
Revised: lune 30, 2015 Permit Application
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 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
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature orContractor/Ageri Date
nwame
SXnature of Notary -State of Florida Date
+^ DEBBIE BLANTON
MY COMMISSION 0 FF 172648
�= EXPIRES: February 25, 2019
Baled 7Aiu NOM Pubk Underwrbf
Contractor/Agent is 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:
Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ NO ❑
Jo(�^
APPROVALS: ZONINGL- I -- 1(g> 8(y�, 12 UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
WASTE WATER:
BUILDING:
Ok to install approx. 309 linear feet, 6 foot high wood fence as shown on plan. Fence shall be constructed with
their finished side facing outward.
Revised: lure 30, 2015 Permit Application
Proposal DeBary Fence, LLC
Contract Licensed & insured 003259
_ \ PVC •CHAINLINK *WOOD *ALUMINUM
T' \� NO MONEY DOWN Tel: 386.668.8269
Free Estimates Fax:
386.663.5539
148 Catalina Dr. Fax: 386.668.5782
Debary, FL 32713 Email: DebaryFenceLLC@hotmail.com
DATE l
CONTRACT #
OWNER N E
HOME PHONE #
ADDRESSl�/1/�
r
WORK PHONE #
CITY
CELL PHONE #
SPFC'IFICA IONS
HEIGHT
TYPE
COLOR
GATE SPECS. �L /1?Ci`^�lt15 W7 0%a4llc
❑ 4 FT
❑ FT
❑ PVC ❑ SPLIT RAIL
❑ ALUMINUM ❑ BARBWIRE
❑ WHITE
❑ BLACK
❑ GREEN
❑ BROWN
❑ WALK WIDTH — #
b DOUBLE DRIVE WIDTH �� # _1
6 FT
O OTHER
❑ CHAINLINK ❑ FIELD
WOOD OTH R
❑ TAN
❑OTHER
❑ SLIDE WIDTH #
❑�OT�HERC iLEASE DO NOTOPEN GATES❑
BOARD R
DISTURB POSTS FOR 24 HOURS
P RMIT INCLUDED
YES ❑ NO
GAUGE
1.4 RESIDENTIAL ❑ COMMERCIAL
EARING NEEDED
;YES ❑ NO S HOMEOWNER ❑ DEBARY FENCE
NEW INSTALLATION ❑ REPAIR
❑ FRONT YARD BACKYARD
(WARRANTY
/'�' 1 year ❑ 2 years ❑ 5 years
NEW FENCE FOOTAGE .30'? feet
�
REMOVAL FOOTAGE 31 _ feet
111t f ropOSt hereby to furnish material and labor - complete in accordance with above specifications, for the sum of:
rinllam IS: 7/ %�, OoJ
Payment for job will be paid in full upon completion of job.
All material is guaranteed to be as specified. All work to be completed Ina workmanlike manner according to standard practices. Any alteration or deviation from above specifications
Involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or
delays beyond our control. Owner to carry fire, tomado and other necessary Insurance. Our workers are July covered by Workmen's Compensation Insurance.
DEBARY FENCE will not assume any responsibility concerning property lines. The OWNER Is responsible for suppling company with survey of property. (Will be needed to pull
permit). The homeowner has three days after signing contract to cancel job If they wish to do so. If company not contacted within 3 days of signing contact for cancellation the home-
owner will be responsible for any costs occurred by company.
I DESCRIPTION / DIAGRAM
Ott
Authorized
Signature
NOTE: This proposal may be withdrawn by us and the price is subject to change if not accepted
(0 y I within 30 days.
.;: f l
61,?[71 L COPIA&Z
MccePtance of 3pl oponl • Comma- The above prices.
specifications and conditions are satisfactory and are hereby accepted. You are
authorizing to do the work as specified. Payment will be made as outlined above.
DATE OF ACCEPTANCE
SIGNATURE
Pen -nit No.
Tax Folio No. ey"— ev �G
' NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
will be made to certain real property, and in accordance
,..vith Chapter 713, Florida Statutes, the following
information is provided in this Notice of Commencement.
ARYANNE MORSE► SEMINOLE COUNTY
OF CIRCUIT COURT' &COMPTROLLER
BK 8693 1`9 1140 (1P9s)
CLERK'S 'L 2016056633
RECORDED O6/iii/2016 03:25:00 PM
RECORDING FEES $10.00
RECORDED BY .ieckenro
of property: (legal description of the property, and. street address if available)
Zy
3 :r •3
2. General description of improvement: (6-1 1'1 ` 46jeer'
3. Owner information: Name: , . ►,vrz—
Address: A -y>' /:i— :3 IT,
/
b. Interest in property: 0//9/1aL-
c. Name and address of ree simple titleholder (ifothcr than Owner): Name:
Address:
a. Contractor Name: .) c ? t z. _ L Phone number:. �% >> • G��� 3 - S 5
c. Address: A/9 L'a rt /.;�r_�_ ��. �a/vl. c/ /2� i,4291 .3
'7
5. Surety Name .+
Address: IVIT
b. Amount of bond: S
6. Lender: Name: /
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(l)(a)7., Florida Statutes: Name: AV
Address:
8.a. In addition to himself or herself, Owner designates P# of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes
b. Phone number of person or entity designated by owner:_
9. Expiration date of notice of commencement (the expiration date is 1 year from the (Ian: 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 IlvIPROPER PAYMENTS UNDER CHAPTER 713, PART 1.
SECTION 713.13, FLORIDA STATUTES, 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
COVIMEN� b -NT.
r .7f _... ��5' ��'bpl►r
Sl�ialun ol'O,�nerort ter'sAuthonzedOfficer/Dircctur/PartnerNlanager SiSnotory'sTitle/OI'lice T _ �;.•--•.., r
� 1
The foregoing instrument was acknowledged before me this j�> day or MA, (year) , by (i5. me ul person) as ltypc o� m i uy 4�
authority, ... e.g. officer, trustee, attorney in fact) for (name of parry on behalf ofwhom instrument was executed).
4ot;C'-•1u`+ V "�
(� /,_ i,t_ lr-s •i .(� ! �7C Ly7Zi!r' �'' (SEAL) Oct;
Signature of Notary Public
Personally Known OR Produced Identification 'type of Identification Produced ��c �- �4 D �' �`$ /: • Lc' S•�_
Verification pursuant to Section 92.525, Florida Stances: Under penalties of perjury, I declare that 1 have rent( the foregoing incl Litt
the facts stated in it are true to the best of my Knowledge and belief.
I
Slautre of Natural Person Signing Above ,;,gyp,,%,,
DEBORAH P. HUMENAI
co
0
e -t
Fl-
Rev. date 3/2008
�W/.—kg Notary Public Slate of Florida
My Comm. Expires Sep 10.2016°= Commission # EE 213454
Bonded Through National Notary Assn.
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NOTES
1.13EARING5 BASED OKI 714F- EAST LINE
OF LOT 19,A513EIWG 500" Z5' Z8'E .
2. UNDERGROUND IMPROVEMetAT5 NOT
LOCATED.
3.5UBJECT TD EASEMENT'S AND RE—
STRIGTlonts of RECoaD.
4. SUBJECT PROPERTY uF-51N ZONE
.C', PeR FLOOD INSURANCE RATE
R/w
wo'°eo �O w
N
N
r,rrN eue
►WwG
30'
4.1'
W000 FRAME
ANO
ALV"INUM
STORAC,E
I �,
I
I
I
I
LOT I#
19
16 Z.9 o
T '
)RIVE
6' Co
S ,N^
LL V
0
Z°
J 8
t-
W
PoUNcl I"
IRON PIPE
BOUNDARY 5U9VEV
LOTS 17,18, AND 19, BLOCK G, SAW
LANTA AS RECORDED IN PLAT BOOK
3, PAGE 80, PUBLIC RECORDS OF
APNROVkU SEMIS LE COUNTY, FLORIDA.
MAP PANELN2 IZOZ94400105,
OATED: SEPT' 17, 1c)130.
3. DATE OF FIELD 9VRVE`/: ENG, DEPT.
AUG. 5, I0j93.
Ok to install approx. 309 linear feet, 6 foot high
CERTIFIED T O : I I wood fence as shown on plan. Fence shall be TE: AUG. 5,1993
DALE BALL ANP TI constructed with their finished side facing outward.
JUAN ITA BALL minimum technical standards j>UAL E: 1"= 30
KANIPF TITLE AND set forth by the Florida Board
GUARANTY CORPORATTOAI of Land Surveyors in Chapter
HOME SAVINGS OF 21 H H - 6. F. A. C. JOB NO. 93- 123.83
AMERICA , F 55
CHICAGO TITLE �—P5 BIGLEY LAND SURVEYING
INSURANCE COMPANY
Thomas J. 131gley 124 Robin Road
Flo. Reg. Land Surveyor 04887 ' Suite *1100
Altamonte Springs, Fl.
(407) 767-0166