HomeMy WebLinkAbout114 Belgian WayCITY OF SANFORD
BUILDINGE PREVENTION
PERMIT APPLICATION
Application No:
cumented Construction Value: $ 100
Job Address: `!{ aP.fc/ Historic District: Yes No
Parcel ID: 1 (" d o—'3j 3 0 Residential W1 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: C.'nsa 04W.,414—
Plan Review Contact Person:
Phone: 324 P*10'.ft 7 Fax:
Title:
Email: i r`''-g`s "44L .lv..
Property Owner Information
Name fl 2- Pl/ o fi ,Q S t -
Street: 0 1
City, State Zip.:. O.a// 4 x %
Phone:
Resident of property? :
Contractor Information
Name C% <e_SX Phone:
Street: v Cir Fax:
City, State Zip: 0(!' F1 11.774 5 State License No.: (f6G Is/SIS6
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company:
Address:
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; ctual 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' contra rC excded 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 k' Date i r Contractor/AgentSr/
Date
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date g'ignature e o o[jfBBIE BI,ANTON Date
p4 Y• yA[r i MY COMMISSION # FF 178648
EXPIRES: February 25, 2019
Bonded Thru Notary Public Underwr tors
Owner/Agenns.- Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID' Type of ID 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 Load:
New Construction: Electric - # of Amps
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
Wes,
APPROVALS: ZONING: C- _I —"(_*''JTILITIES: WASTE WATER:
COMMENTS:
ENGINEERING: FIRE: BUILDING:
C")n ice.,.• "
Revised: June 30, 2015 Permit Application
LEGAL DESCRIPTION.
LOT 23, BAKERS CROSSING PHASE /, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 60, PAGES
27-29 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
APPROVED PL A", `1
n
ENG. CREPT.
O it- f0r 4'
CLF c ,
p k 11 0r )- CLF IS2.4N S Ac —
X— —
X- REC.
5/8" lR '`oi ` O (NO IS
I 0.
1' N, 3.0' E il LEGEND
AC
CONCRETE AIR CONDITIONER PAD C&
G CONCRETE CURB AND GUTTER CA
TV CABLE RISER CB
CONCRETE BLOCK CLF
CHAIN LINK FENCE CONE
CONCRETE FC
FENCE CORNER ID
IDEN77FICA77ON LOT 22 IR
IRON ROAD M
MEASURED 1 P
P.
C. PER
PLAT POINT
OF CURVATURE ti% Q P.
T. POINT OF TANGENCY N N REC.
RECOVERED Q Q R/
W RIGHT OF WAY Q Q WF
WOOD FENCE WM
WATER METER n (n CENTERLINE
I
IW
ly
WI
I
Ih
N
8934'30" W 7ZO5' (P) REC. 5/8" 1A N
893346" W 77.07' (M) NO ID) P.
C.—LOT 21 REC.
5/6" IR NO
ID) SURVEYOR'
S REPORT• NOT
PLATTED 89
JJ'S6" E 60.00' CLF
IS 1.4 N FC
IS 9'
S, 2. 1' E X.—
X_ DREC5/
8" IR NO
ID) 1-
2.4' 9=--
LOT
24 N
893430" W 42.97' (P) N
8936'08" W 42.85' (M) 518'
IR] NO
ID) rATV
P.
T.-LOT REC.
5/8" IR NO
ID) N
89'34'17" W 59.98' (M) N
8934'30" W 60.00' (P) BELGIAN
WA Y TRACT
A 50'
PRI VA TE R/W PER PLAT) ASPHALT
1)
Based on the National Flood Insurance Program 'FIRM" Map Community 120289C — Panel Number 007OF Dated 0912812007 the above described Property is
located in Zone " X ", Areas determined to be outside the 500 year flood plain. 2)
Bearings are based on the North right of way line of Belgian Way, having a bearing of N 893430" W per plat. 3)
The Surveyor has not abstracted the lands shown hereon for easements and/or rights of way of record. 4)
No underground installations, foundation footings, or improvements hove been located except as noted. 5)
There may be additional restrictions that are not recorded on this survey that may be found in the public records of this county. 6)
There is no evidence on the ground of use of the property which might suggest- a possible claim of easement other than those shown on the survey. 7)
This Survey was prepared for the Identities named hereon and is 'nontransferable". 8)
Improvements within their specific easements have not been located as a part of this survey. 9)
This Survey is based on existing monuments without confirmation or validity. CERTIFICA
TION. I
hereby certify that the survey represented on this map was made under my direction on the date shown based on the inf ation furnished to me as noted and
conforms to the MINIMUM TECHNICAL STANDARDS FOR LAND SURVEYING AND MAPPING IN THE STATE OF FLORIDA in accordance with _ . G17-6, Florida Administrative Code. BOUNDARY
SURVEY OF
114
BELGIAN WAY 1Dote
of Field Survey. I Revised:
I Drown by. II ABA07128116
NA 16070-
23 1 1 " = 30' Certified
to: IH2
Property IRS 2 LP Professional
Surveyor & lt4gppe Florida
Registration No. 479Z Not
valid without the signature and the of seal
of a Florida licensed surveyor and SURVEYING &
MAPPING CORP J50
S. Central Ave., Oviedo, Fl. 32765 P.
O. Box 621892, Oviedo, Fl. 32762 Voice (
407) 365-1036 Fox (
407) 365-1838 Licensed
Business No. 5777 co
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