HomeMy WebLinkAbout704 Meadow StC1 IVSD
AUG 112016 CITY OF SANFORD
BUILDING & FIRE PREVENTION
Y, , PERMIT APPLICATION
Application No:—
Documented Construction Value: $ 0 .
Job Address: 0'rn F C, L-) /y1Q) Historic District: Yes No
Parcel ID: — 2_0 - W r 5 & ` 0001D '- 0 53- Residential E Commercial
Type of Work: New 0 Addition Alteration Repair Demo Change of Use Move
Description of Work: '49 Q 0 ( 1,0 n O A) Cp _-4 . =Lla Q L : ' L pjazhs
Plan Review Contact Person: Title:
Phope: ' , o {--{ '' Fax: ( Email: T6 MVk
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4-4' Lo Property Owner Information
p ^
ame T A-tX_ p YY Q1V Phone: An 024 o gT
Street:704- QCLA- -r Resident—"f ro ertvt?•er
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CAy, State Zip: Ca atu zP u
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Phone: Name
Street: Fax:
City, State Zip: State License No.:
r
Architect/Engineer Information
Name: Phone:
t(
i
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'h 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.
Si {ure of Owner/A- nt Date Signature of Contractor/Agent Date
SQ, /_ FSC' r-r—.f` t
Name
ug;
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ai w lip
1100S111W&
OwlFler n p o
Pic&;" Type of ID
E off„
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Print Contractor/Agent's Name
Signature of Notary -State of,Flo r,Lda _ Date
c,e>nl! leuo!>eN 4"W1 ,•, so,
09tt10 it • ONS61UP403 dP'
ulr kN •
9 Loz ,qt 4
epuoN tps",
Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
uired: Building Electrical Mechanical Plumbing Gas[] Roof
Constr'"ucti'on Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
M.
APPROVALS: ZONING: `i- l!- UTILITIES:
ENGINEERING:
COMMF,NTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Ok to install 6 foot wood fence as shown on plan. Fence shall be constructed with finished side
facing outward.
Revised: June 30, 2015 Permit Application
SEMINOLE COUNTY MULTI%URISDICTIONAL
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: OK"'j I "1-0 I ,
J
n
I hereby name and appoint: (I S C-
an agent of: . 2 -
Name 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):
All permits and applications submitted by this contractor.
Or
The specific permit and application for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License Holder:
STATE OF FLORIDA
COUNTY OFst.wwwu t
The foregoing instrument was acknowledged before me this day of ..('
20 by who is lippersonally known to me or
fary OC 3 INIF L MINOR
PSV C0; »iS3s ld k EE 179128
ti EXPIRES: June iF, 2019
AftA 5snocc rnra i ia: Publt; Uiderwters
as identification
Pn t or Fype Notary name
Notary Public - State of
Commission No. C E
My Commission Expires: In - `'mac. -7-oy
ENIa.
v
a
AUG. 1 a1
PAGE 2 OF 2 MAP OF SURVEY 702/704 MEADOWS STREET
F----------- r337.7
NORTHEASTERLY 1
T ANS Ok to install 6 foot wood fence as shown on CORNER of
LOT 25
plan. Fence shall be constructed with
WIfinishedsidefacingoutward. SEPI":
REMAINDER OF °0
LOT 25 W
NOT INCLUDED EAST LINE
tn' OF LOT 25
I
LINE CHART
Ll S 84'5957" W 33.08' DESC
N 84'5954" E 33.08' MEAS
L2 NORTHEASTERLY DESC
N 75'31'28" E 117.50' MEAS
V)U
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O P7
0 0:
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N N
00
00
I ZZ
0.3'
SET
LB #7084
I.R.
208.71' _
POINT N 84'5957" "
208.71' FROM WESTERLY
FINE OF LOT 25
I
I
8.0• P.O.B 49 YI
137.
E5
1
DEC 0 4.0' S 75'
METAL
W1 X10.3 HED
FND. 1 V2" AXEL 1 m
o WITH 4 ROTOR
6' WF 1.8' 3.4
NO# I
9.0' 2.3' 3.0
6' W Q 1
LOT 25J Lil
LLA_ END. 5/8" IR O M
LB5824 6' WF 1
O 1
7 4
214 COV'D
6 0
5CPOR
HD CK
6' WF
z'' I
3.X4,4' 3 CW acv 27.0 W O 1
C.
20.5' C014 27.0'
Y
BLOCK N 3'p' O I
2.6' 1 SDRESS QZ 435'
Z FN
I
N A DD`RE60 . #C 3 C
C DAC• No# 172' IR
DESB' W 14 C
O D.
114
Ip - FND. 1 " IP 104. g9, M 5
nNC. io NO# 104 I
JDW \o
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3' WF
1.7' L1
ALSO
0.10' S
1.11' E
S25Ll 2" OS o1» E
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8
s.1'
DESC N
i O •
35 , M,S '
10'
01
F/P
IR (60
F//P E j
REMOTD2R OF
NOT INCL UDED
Digitally signe4by'Xndrew A
Perm
e w` fl
Bus
c=US,
Representative,
ACES
610' 1 \/ / Business Representative,
ou=MAP LAND SURVEYING INC.,
L — cn=Andrew A Perry,
APerry 17C0 00014F8958CA93000 3C5
Date: 2016.08.0415:23:30 -04'00'
DF# SC6-92–LOT25U NOTE, UNDERGROUND UTILITIES AND'FDUNDATI17NS HAVE NOT BEEN SHOWN,
BOUNDARY SURVEY CERTIFIED TLP HEIDI ZISSMAN & AL'ISA LATREILL, FIELD DATE: AUG. 3, 2016
SCALE, 1' =20' 1 DRAWN BYE D. R.
BEARING STRUCTURE BASED ON, THE
NORTHWESTERLY RIGHT OF WAY LINE OF
7HIS BUILDING/LOT IS IN. FLOOD ZONE X, BASED ON FLOOD INSURANCE RATE MAP, N0.120289 0070 F, SEMINOLE COUTNY, FLORIDA. MEADOW STREET.
LEGEND IR –IRON ROD
BC – BACK OF CURB
L – ARC LENGTH
CALC – CALCULATED
LB – LICENSE BUSINESS
g –CENTERLINE
MEAS – MEASURED
MS – METAL SHED
CENTRAL ANGLE NQrD –NAIL do DISK
CLF– CHAIN LINK FENCE J4 – NUMBER
CONC –CONCRETE OHE – OVERHEAD ELECTRICALCBW –CONCRETE BLOCK WALL OL – ON LINE
CM –CONCRETE MONUMENT POB – POINT OF BEGINNINGCP – CONCRETE PAD POC –POINT OF COMMENCEMCW – CONCRETE WALKWAY PC – POINT OF CURVATURECOVO – COVERED
DESCRIPTION PP – POWER POLEDESC –
DW DRIVEWAY pdrM – PLAT do MEASURED
DE – DRAINAGE EASEMENT
R _RADIUS
RlI/W – RIGHT OF WAYESMT – EASEMENT
TYP _TYPICAL
E/P –EDGE OF PAVEMENT UE – UTIUTY EASEMENTFFE – FINISHED FLOOR ELEVATION UB – UTILITY BOX
FND – FOUND
IRON PIPE
WF – WOOD FENCE
GUY WIRE ANCHOR
M.A.P.
Land Surve_vina, Inc.
NO. 6124
4515 Curry Ford Rd. otigC sRSuiteC
Orlando Fl. 32812 Andrew Perry, P.S.M.
PH. 407 896 4557 Professional Surveyor & Mapper J6124
FAX 407 277 3778 *NOT VAUD WIIHOUT THE SIGNATURE AND THE ORIGINAL
RAISED SEAL, OR THE ELECTRONIC SIGNATURE AND SEAL
r.com LB #7084 OF THIS FLORIDA LICENSED SURVEYOR AND MAPPER.'i