HomeMy WebLinkAbout1407 Palmetto Ave (2)SEP 2 7 2016
L
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 4.0 - j 6a
Documented Construction Value: $ —7 to 3Z
Job Address: lqo-] ?RmAtc Vvt Historic District: Yeso'No 11
Parcel ID: -_26 —I q - (50 -5PI G - 1 (00 1- 0 09(D ResidentialX CommercialD
Type of Work: New 11 Addition 11 AlterationEl RepairEl DemoEl Change of UseEl MoveEl
Description of Work:
Plan Review Contact Person.-'V n k Avl \J'i CV-- Title:
q2 -7@Phone: Fax: S& 6 Email: DFfM+s i rv) 0_-w n- aVi!-n uz,
CV5 D ^rf r)xArnimr lnf^rm!nfinn
I i C, o rv,-
I %.#F y
Name_3QMj,S W&VU 0,5 Phone: 4D -7 1
Street: m c)-I PCL11UL-k 1h(6 Resident of property? : 41S
City, State Zip: san_u Iq i a .:6 -2-1-11
Contractor Information
Name fflo 56w 0aie- i-enac Phone: q c) -7 00 2_'21'00
Street: 0 b_r Fax: 'SgS' 9bY 2-1 e
City,StateZip: Orjapotp PC 32_-q State License No.: 6U6C70,3Z37--S
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
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: 51h 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
fbimd 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.
JAI13Azin_c4i M ILI
Signature of Owner/Agent Date Signature of Contractor/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
Iaw&
Print Contractor/Agent's Name
Signature of4 Pota State of Flrida ate
Contractor/Agentis,V Personally Known to Me
Produced ID _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building [] Electrical F] Mechanical F] PlumbingF] Gas E] Roof []
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes R No F] # of Heads Fire Alarm Permit: YesE] NOE]
APPROVALS: ZONING: 6'OTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
WASTE WATER:
BUILDING:
X
9
U_ UL
Z0 E
0 E
XW
Ok to install approx. 243 linear feet of 6 foot wood shadowbox fence with one gate and approx.
126 linear feet of 4 foot tall wood picket fence as shown on plan. Fence shall be constructed
with finished side facing outward.
Revised: June 30, 2015 Permit Application
Mossy Oak Fence
Limited Power of Attorney
Date: I
t I .
I hereby name and appoint: -A vi /1 Vj cr_ an agent of Mossy Oak Fence to be
my lawful attorney -in -fact to act for lme to apply for, receipt for, sign for and do all things
necessary to this appointment for:
The specific permit and application for work located at:
146 POJ rKL Ho AV-(.,
License Holder Name: -ar&yal M- LCL- r
Signature of License Holder(. M
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this 19 day of C-_T,
2 0 1 to, by -512M \I who is personally known to me or who has
produced identification and who did (did not) take an oath
Signatu
Print or type name
Notary Public -State of.
Commission No. Expires:
SHONNA MILLER
A.
MY COMMISSION #FF086909
EXPIRES J.,..,y 27, 2018
407) 398-0 153 Floridallotary Service. corn
2120 IN Orange Ljjo som 'T'aq
0WfAndo, FL Z280 -
88$44-MOSS
RIX: sa.5-ull
4640 Notrti,
Melbourne. FL 3 935
321-255-1020
FAx: 321-2$5.10,r,
www,mossyortkie-,;.71—:Wl
Page I of 1
CO
352) 267-4298
No. FOR INTERNAL U E ONLy 1
42 9 3 1
PROPOSAL / CONTRACT
DATE INSTALLED'--
jelf .15pears 08/ 05/16
iNSTALLER,
SPECIAL INSTRUCTIONS!
LOCATESP: Owner To Provide Survey
LOCATES DATE:—_
Tolf/M ry Nash I(J"C PHONE
STPEZI
11 (40-7)
1407 SOulth Palmetto Avenue W014i PitiONE
City
SanEord rL. 32771 PAX
JOB NAmr/,,,
C ILI
r"'Cir (407) 57LI112—MaN,--
Tolf,-- Mnashl 009@yahoo. coin
Px
Mi IMPORTANT INSTALL INFORMATION
A;Ml STEEL Lr FIENCE TO 1`01.1,01,1i GROUND CONTOUR FWC-5 TO TOP LEVEL
FO AGE
NUM --- --------.------ --
X-q- TAGZ REMOV',&C-1',PQ5ALOFV;XISTItIEFFqcL FT
HOGH- . . .... ...... ... .
HEIG CLEAR14n OF FENCE I.(NE NEEOED
STYLE W 0 NO
STYLE CLE A RING 10 BE 0014E BY VN SY OAK FENCE
COLO: COLOR- OPEN PO y
GRADE_ APPROVAL A EQUIRSO NO
POSTS
YE
PICKETS PEPMIT REQUIRED
POST CAPS LINE POFTS
PICKETS TERMmAL POSTS.. N PICKET JPS GATE POSTS
OPTIONS_ OPTIONS:_
WOOD G Al NK
V
SY OAK V NLLE1;05 _
OR
D
P T
T
N L'
3 PT PINE a(CYPRESS 0 CEDAR Vo AGE
ECOUFLE)
TYPEE '
FOOTAGE GHEIGHT
7-5
AHEIG14TGRADE_, to
STYLE PicKpi- tykc. Pk[OPRAIL—_ Otive
PICKETS' CLINE POSTS --
RUNNERS TERMINALpa,;TS7r
POSTS GATEPOSTS bNe
c,ATE POSTS. GATE FRAMES
OPNIONS: OPTIONS:,
F-k L
GATES
QTy $1 IF TYPE ARCiiEDIRAcKwi- s mNG-jHiNrL
IN,0,0' jL[IR All Post In wet t ix Cement** orD6
K
iN DY j, CIIN OUT Lifetime Workmanship Warranty** Y Lt
Cl
OPTION
DYrJN Uy N j0INC)qqTjffL PPOPOSALAMOUNT PPOPOSALAMOUNT' s,
3 ROPTi10 ? OMSIT AmOvNT s DEPO11Al AmOtiNT: $
BALANCE DUE BALANCE DVE
UPON COMPLETION- $—- _UPON COMPLETION: $
UNDERGROUND SYSTEMS. Massy Oak FenC*wIlIpQ1if0rIT1 IOC40001` O&NE001000019, PW41%er agni;P& VIA 911sul PrIce VA be
and cable lines. Putchaser agrees that Mo"y Oak Fence will not be held responsible dPlefollried L-y ala! 1`001boe inaiallecl, ane CONTRACT AMOUNT: $-21-3 —
for damage to any sprinklers, underground pipes, drains, toursditlarts, or any other may ce doirent vw Puectase, I
unmarked underground systems. ww n,"-. tt,; all voducts,dcincfed and DEPOSIT AMOUNt YQS -3-tLq
WOOD PUPCHASE NorICE: P-Ay Cak Ftr4e st not be WwtiAv lor any 14Iut up simlar wstg, of 10' installad nm n Ire Pwovly at mossy c-ai,. BALANCEDUEPemeurwNilcyenlis 'n.,Iqycost,,*, dan3gewhieh May be Aisocialed With ttR. MWW ur woud.%Vood fun.7o' UPON COMPLETION: $
N- a Ler4;nCy to shr1rk, 3;7tit, &P. CWk And Wst 4, hoL, -urnid wea!hm srn"ll gaw ill Opp-, --------
b.t.o b,.wd; and ji a cominoo oce-t-L that does not Convwjta liji4re of fil. %ood. J ( 1--FRjr,kjj'T0 CANCELPi-I rk,,iala anj F(,0*4 Consunor 51A I%A tMi colstract mbyb careolled bj
th r aj# nuy,,q of riqt wWr it% writing by riidrs t ail tho Vi4d t-i-si day otte, skpning,,jr by A=EP T-ED DY PVRC A4,F.Q
Poiun,w-o no iawr t1wo 3 buaniK, clays &ftw'OvIno 6UAACTT0CQk0ITl0N&0N THE aACK. INANtPEADAMT) UNDEASTAXOTHE CoNssmomlioNINg %ACIL
Tqprz/m'lldRORn/AnnT),qtn/T,nc-,,qi/Micrn-,nft/Windows/Temnorarv%201ntemet%2... 8/16/2016
I
130uncfa,'., Survey,
f b:-r
Brian & Elizabeth James
Lot 8. Block 16, Tler i
ER THAFFORDS HAP OF THE TOWN OF SANFORD
Plat cook I . ' page5 56-64,
sallnole Courily, Floplda
Lot 7 Lot 2
Block 16Black16
Ar Tier 1 Tier 1
7
Lot a #11 r IU144
Block 15
Tier I
a 31 1 Story
Residence Block 16JITier
ka 2 #
140?
rac, A
7
3V23'E
I'd
LU
Lot 9
Block 16 OLDt 4
Tier i lack 1 6
Tier I
Lul'Vli VrCL
1Z
CL 117. 00, f P)
k
Lot 10 Lot 5
Block 16 BloCk 16
TTiert ter I
Ok to install approx. 243 linear feet of 6
A )POI-0ll foot wood shadowbox fence with one gate
and approx. 126 linear feet of 4 foot tallReg
Z;7. wood picket fence as shown on plan. FenceENG. DEPT. shall be constructed with finished side
facing outward.
S CeT
VXV C"cr1tt RMURIat oLD53M IhIs Svrvey Cer0f`ied fa Fkcovcr It 1, Iron plot not
Agcoyer 0 C h Conleeporay mortg4ge Services, Inc
RrIAn
iiiiiiiiiiiiiiiiiiiiiilifillillillillilI
MARYANNE MORSEY SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 8774 Ps 1021) (1Pqs)
CLERK'S t 2016100708
RECORDED 09'27/2016 08:30.17 ,)N
NOTICE OF COMMENCEMENT RECORDING F/E4ES
RECORDED BY jec-keni-o
State of Florida
County of Seminole
Permit Number; Parcel 10 Number: J 9 - :)-5AC- -- I L,,C) -QC8C)
T e undersigncd hereby gives noticd that improventerit v.'Il be rnace to certain real orcoc.,ty, and :n .3L;ccr an--e
ChaPter 713, Florida Slauj!,2s, the following informatic.1 is crovided in Vs Notice of ConinnEncernent.
OESCRIPTION.-QF PROPERTY: I'Legal des--ripLLon of zho.-) proper y and s-.reet address if a-ai!able)
LDT 19 B I A- i Lp rig i I Q JV11) 0 r- 6 M r-op-b 1P 0 t PG
14c)-i Pialme-Hin Avc, scm-Focd F-(-
GENERAL DESCRIPTION OF IMPROVEMENT:
A Rno go
OWNER INFORMATION.,
Narno:'.M
A-Jd,esr,: -3401 ROV.M'h b Ve- SCI
Fee Simple Tltle Holder of ow.er Man al-m-2r) Nlame:
Address: —
CONTRACTOR:
Name:M Q (-)Ck-v— Pe-rl ce-
Addre-ss: Lya r0os (::L- ?11L77-M
Pcrsons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided y Section 713.13(i)(b), Florida Statutes.
Name:
Address:
lit addition to h rnself. Owne, Desigrates of
To recei-e a copy the Lienoes Notice as Provided in
Scction 713.13(4, 1(b), Flenda Statutes,
Expiration Date of Notice of Com ment (The expiration date is 1 year from date of recording unless a
difforent date is specified
11A'RN'?NG TO OWNER: ANY PAYMENTS HADE BY 7-:E OWNER AFT ER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPcRCPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA S TATUT ES, AND CAiN RESI-Ii T fill YOUR PAYING T-*ICE FOR I M PROVE: I'll ENTS TO YOUR PROPERTY. A
NOTICE OF CCNitylENCENIENT ?AUST BE RECIOROED AND POS7ED ON THE !OS SITE: BEFORE THE FIRST
fiNSPECTlOf4. IF You INTEND TO OBTAIN FINANCING. C%1.1..NSULT IVI-117H YOUR LENDER OR AN AWORNEY
BEFORE COMI`.1ENCI,*,4*G ViORK OR RECORDING YOUR NOTICE OF
Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief,
CL To--m e, 6
0wT,,.-r't; ;Irir.-.e, Naait:
Fj- rid.1 SLI z j, 7 13. 3 i: T.1 C z,.,n 0 r U S t it I I rl *!i 0 f sur.,r, in ce:i ii n I i rd n o c rc Ns 6 ni b e t,:= iticd o s g n n ii:; w F.v s !e s-i
State of County of ORPIV-4 G 67
0 zTheforegoinginstrumentwasacknowledgedboforemethis2-LO day of 20%(40 <
z D C31by1PWhoispersonallyknowntome < 0 i2
Namr, ot :w-n m.,*ng
U,
OR who has produced identification Xtype of identification produced:
cc
cc M
RAYVIN VICK 0 t CC
J MY COMMISSION P, FF941338 C7
IiLmy S!snmri WEXPIRESDecember06, 2019 Zi 0UL) v)
407)39 -0-53 FlOrMallowyservice.com
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City of Sanford
Fence Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box 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
Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
F"" Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
XCopy of the Business Tax Receipt (if the contractor is the applicant).
19 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, type of material on application.
Two (2) copies of site plan indicating where the fence will be located on the property.
M/ 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.
These guidelines were . compiled to assist the applicant in preparing a fence permit application and may not be
complete. The applicant is required to meet all City of Sanford codes and requirements.
Revised: February 2015