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HomeMy WebLinkAbout900 S Palmetto Ave7MI cSIvr CITY OF SANFORD Y ���� BUILDING FIRE PREVENTION _. PERMIT APPLICATION Application No: �q Documented Construction Value: S Job Address: 900 S pQkil o t�2 Ayx" Historic District: Yes DIN- ❑ Parcel ID: Residential commercial E]Type of Work: New ❑ Additionn ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ 111-rMove Description of Work: NQYV -tn c� V-C�1Q- C _ CAA4n, CCS G� EL Plan Review Contact Person: qcr k ,� DGC.t -t, Title: Ate, Q d*J` A.¢ Phone: A07-1(pb`a 11 c3- Fax: Email:�OS4y'GLr'A6Ly%-t (14rm r) t CY►2 Property Owner Information Name JOS kAka 1� Te h Yn'1 t ►— paYtlt— Phone: `1(o (o -0) 1 7L Street: 200 Pa_i rn. -. -6 24.11- Resident ofrti •e P P,, �? • - U �eS City, State Zip: Contractor Information Name Street: City, State Zip: Phone: Fax: State License No.: Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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 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: 5"Edition (2014) Florida Building Code Revised: June 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. 0&&J, C5I cp atu of er Agent Date Print 1 er/Agent's Name Q skyP�( P♦ P ANNIME SCv"'F Notary Pubk - Stale ut Florida . •- My Comm. Expires Jan 16. 2018 • .. Commission B FF 071760 Bonded ThmugrNNonal Notary Assn. Owner/Agent is Personally KFF E7 tMe r Produced ID Type of ID 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 BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Lodd: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: A6:75.110 UTILITIES: ENGINEERING: COMMENTS: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application - CERTVI,F~,ICAi�E, OF. APPR-,�,,,OP®R, IATEN!E�-S1S ' : HISTORI IP;RESERUAT►ION BOARD -�-� CLTYiOF._SAflFmQQ,R& ....� •••rc:,`- ,.. _ , , . . c ��.. _ ' . fir: �. ._. _ . 30 1.� Park�A�uen - <. :... S nf-02 Ar�d, F oriddai 32771 - - :. • • � _ .. •4�7.6�8<51�4� ���w���uvl�sanf�or�df �o���H1P • .... • • .. .. .. •--• Wo .2 ) f�Y�i�Yi�i�fi(w11w���ti7 twllwilul���fe��r?7- w �w 0— t 'AKNCEJ /w\ ;ir• �-ilwllw-'el.ri4a'i - 'V L• J • 1- -�T-- — l.!L�rrr., V JJ5�—JJ ':JJ ':l �J.;J,+ra �... -=/� L�l_+J'�i .�L l .V1J l=_✓'�/•�'� J'�j'�i�:, . �•...� -• ..�'- �'•:� ... • �.. .�PROJE�. Tr�JIS�COMPLE�TE ���.✓, •• �... � . �..:...�: � `;� . :IIS'$UED DATE3i1SS1UEDo -`r1-:�..�,�--/',..--1 Joshua�ll)an, . �rNouember .: .. � • '� � '� ... � :fore' .. .: ..... •.'. .�-•4.ti-• . .. - . •� .,T1 � ' .. �,.. �.,-: •� •�' • -. -r. ` , ,. ., • ..• . DA(E�XPIRES ..,.� . • � - i X900 ,Pa-� Imetto %A nue "�_ - s J-5 for,;d�IFL 307n7;1� ° ... Ma 3Jr201r6 t 5 �.X,y/: `Appy ved to.�rep a e�x sti'n �w o fence �with� newt 6' pr�ivacy fenc . L c tion r •„ • � � -'4-.-•--- r' ' '7 `•--�!•'�v-•- l •Z--�Yr7 -.'-.� •--rr�-rv��-� 1�- f"�'--r, n--n^v' • ' p�pro�v,�ed by nth Deuelopmen Review Team aper-t%he tat�t►ached� � eU- titer Cdated ��oue-tuber 3, y2,01% a�ndi ig ed'IbYI�Ru0Gwi �bs ,n�IP,.Iani�ng�L�F elopmen�t�t��ces 17 CO. - Chr s n Dal on; AIUVOWk, s t' �i�'stoc�Pre,` e,,Arvato�n'�L,ff�icerjCommunity�CPlanne �Pgl!�asev ed; it''ta roved COA tha arise and obtainl`�a royal �'r o to c rmmen g the Cchanges tiThis Certifci atef �off� , - ' � :: � . � .I.IS I ►,fBUI IN,�(PERMIT R l it able depart, mems before initiat`ngde apm nt:, Y' ED FORTH AIU_,I�TIf LIS;TiED B UE$ DYES IO NO � � is �;:• 't •�..,' t`;, - .. �,�, 'r�1.:1•. Depa �men�URep.�;rre,� sent�at u �• - � ' . ' .. _ +{f � ' x,•' - i ' a 7.4 - n .. �� t � , e : !i '� .i' Imo\ . . �' y,' • e Property Address: 90© 5 VcJ wld �D AW11114— D/A AJ , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. ► 510 Of Form of Identification (Must be Photo ID) 2015 Date 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 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 1-850487-1395 or at www.myflorida.conVdbpr/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 Tlisted 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 firm is 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. Property Address: 90© 5 VcJ wld �D AW11114— D/A AJ , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. ► 510 Of Form of Identification (Must be Photo ID) 2015 Date 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 Fence Permit Application Checklist All permit application packages must be complete prior to acceptance. You must check each boz 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. ti 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, and type of material on application. �y Two (2) copies of site plan indicating where the fence will be located on the property. ll 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. Contact person information entered in Naviline? Application forms stamped received and initialed? Revised. • May 2015 ..uy nrvnr want - coca, runty. - vvr1. wr.vvv.rwr - . u.. +v r.vvv.ry-i. - I-- "Y —... Description Lots I and the North 20.0 feet of Lot 2, Block 11, Tier 2, E.R. TRAFFORDS MAP OF THE TOWN OF SANFORD, according to the plat thereof, as recorded in Plat Book 1, Page(s) 56 through 64, of the Public Records of Seminole County, FL. Community number: 120294 Panel. 0070 Suffix: F F.LR.M. Date: 9/2812007 Flood Zone: X Date of field Ivork: 5/20/2014 Completion Date: 5/21/2014 Certified to: Joshua S. Dane; Jennifer T. Dane; First Signature Title, Inc.; Old Republic National Title Insurance Company; Waterstone Mortgage, its' successors and/or assigns. LOT 7 LOT 8 I BLOCK 11 BLOCK 11 ( TIER 2 TIER 2 I — — — — — J — — — — — ALLEYWAY — 10'(P) F 30.00'(C) 8 I 0. , BLOCK WALL 8. aJOrr SI I \ v I N LOT 3 ( c BLOCK 11 W co, TIER 2 I z Ln 10) DO I I LOT 2 BLOCK 11 I/ TIER 2 I 1.►• ----� 30_00_(C) LIGHT POLE LINE TABLE LINE BEARING DISTANCE LI(R) 70.00 L1 M S 00'04'49" W 70.50' L2 R Official Records Book 70.00 L2 M S 00' 16-4 11 E70.01 Description or Dead L3 P Page 117 L3 M N 90'OO 00" E 116.49' LL'LPL'IVU —.• txF_ 4' Chain Link Fence —r CLF— 6' Chain Link Fence _.• FVC— 4' PVC Fence —r wc— 6' PVC Fence —.• Va — 4' Wood Fence — r•wF— 6' Wood Fence — otu — Overhead Utilities 'Q,P.P.Power Pole g W.M. Water Motor Ir' .. Asphalt o Block Wall ® Brick Cf, Centerline Q Central Anglo/Dolla m Concrete ® Covered Area Line Break Not to Scale A/C Air Conditioning B.R. Bearing Reference B.M. Bench Mark CAN Cable Riser C Calculated C,LF. Chain Link Fence CH Chord C.B. Chord Bearing CONC. Concrete . LOT 6 BLOCK 11 TIER 2 MUM WJ M_ Tf l� f r fllaiq , e � r w�xx car wotou•was ID'1 10 c i can $ r.•wme4vs n_CA7ION SKETCH ao► ro r.11r SOUTH PALMETTO A VENUE 66' R/W (IMPROVED) PALMETTO AVENUE(P) A. SPHAL T ROADWAY PER PLAT SCALE: 1 "=30' Property Address: 900 South Palmetto Avenue Sanford, FL 32771 V G114 G4v1III I11V 1 9i0 C.M. Concrete Monument O.R.B. Official Records Book 1. Legal description provided by others. 13. Unless otherwise noted, flood zona D. Description or Dead PG. Page 2. The lands shown hereon were not information provided by others. D.B. Dead Book PVMT. Pavement abstracted for casements or other recorded 14. Septic tank a Wor draktfleld locations D.E. Drainage Easement P.C.P. Permanent Control Point encumbrances not shown on the plat. are approximate and MUST be verified by D.H. Drill Hole P.R.M. Permanent Reference Monument 3. Underground portions of footings.loundatlons appropriate utility location companies. D.U.E. Drainage 8 Utility Easement Drainag P Plat or other Improvements were not located. 4. Wall lies are to the loco of the wall. 16. The closure of structures may not be precise due to Imperfections and decorative items. DNY Driveway P.B. Plat Book S. Only visible encroachments located. 16. Pools and/or patios may be drawn as an ESMT Easement P.O.B. Point of Beginning 6. No Identification found an properly comers approximation and not fully dimensioned E.O.P. Edge of Pavement P.O.C. Point of Commencement unless noted. due to Irregular shape. E.O.W. Edge of Water P.C.C. Point of Compound Curve 7. Dimensions shown aro plat and measured 17. The nature. extent or existence of riparian ENCR Encroachment P.C. Point of Curvature unless otherwise noted. rights is not addmseod hereon. XX.XX' Existing Elevation P. 1. Point of Intersection 8. This is a BOUNDARY SURVEY unless /8. Surety bfor reference only union signed and F Field P.R.C. Point of Reverse Curvature otherwise noted. soared by a Rodda Registered Land Surveyor. FO Found P.T. Point of Tongency 9. Not valid union sealed with Us. Ing 1 . This survey meets all applicable accuracy surveyors embossed seal. requirements. FD N8D Found Nall 3 Disk P.O.L. Pointon Lino t o. wnoro plat or 000d botring kfamicW t 0. Mils survey is In accordance with the F.C.M. Found Concrete Monument Rad Radius (Radial) I measured, this shag ewe the basis of Minimum Technical Standards promulgated F.I.P. Found Iron Pipe R. Record bearings, union noted o erwlse. by the Board of Professional Land F.I.R. Found Iron Rod Paw Right o/ Way 11. AD lines are not re" unl otherwise noted. is, W-17. of go Florida Administrative L Length S.I.R. Sot Iron Rod It Cap 12. Recertification does not Indicate an updat . Code Section 473.027. Florida Statutes. L.B. Licensed Business S/W Sidewalk M Field Measured TEL Telephone Facilities I homey eomh urar ons suety a o true and e t rosonrat r ola su omparod undor my duaelan. M.H. Manhole T.O.B. Top of Bank NdD Nall 8 Disk TX Transformer .- N.R. Non Radial TYR Typical N.T.S. Not to Scale U.E. Utility Easement r /" O.R. Official Records W.C. Witness Comer 1 Ralph Swordloff Roalsrorod land Surveyor No. 3411 1 R 71.142