Loading...
HomeMy WebLinkAbout118 Sycamore Ct^ rA *) Mph 912016 CITY OF SANFORD M.' C _ BUILDING & FIRE PREVENTION PERMIT APPLICATION F D Application No: Documented Construction Value: S 300-00 Job Address: `r$ SV ciamm e CA- • Go3A- A 3Zr13 Historic District: Yes ❑ No [Q Parcel ID: Residential ® Commercial ❑ Type of Work: New ❑ Addition ❑ AlterationEl Repair ❑ Demo ❑ Change of Use ❑ 11Move Description of Work: (C15�A���(lA b Ft !i00A ay\ce Plan Review Contact Person: -A "i ►in Title: Phone: 3Z 1- 2-41 (,-G t,U5 Fax: Email: AN%\jot Pu wa© rne,JJ.c�n..vt \ Property Owner Information 1 Name eAe�� Co, )cka�c1 Phone: Street: WSS C �IMt�C °� C-� • Resident of property? City, State Zip: Se, Jol 6 , V:I-- 3 �C0 3 Name �1 1 Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Contractor Information Phone: Fax State License No.: 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. 1 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. Signature of Owner/Agent Date Signature of Contractor/Agent Date Pr' caner/Agent's N Print Contractor/Agent's Name X1.8-3.1 (O S ature of Nog>=Si to Signature of Notary -State of Florida Date ANNETTE SCOTT +� Notary Public . State of Florida �• My Comm. Expires Jan 16. 2018 +;+ Commission p FF 011760 '••'" " Bonded Through National Notary Assn. uuro•` Owner/Ag t 's r ' wor Contractor/Agent is Personally Known to Me or Produced ID Type of ID FL tpL 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 ❑ APPROVALS: ZONINGA _-2I.- UTILITIES: ENGINEERING: COMMENTS: FIRE: Ok to install 6 foot wood fence as shown on plan facing outward. WASTE WATER: BUILDING: Fence shall be constructed with finished side Revised June 30, 2015 Permit Application 1~ '• ,OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) Rev. 9.14.2009 understand that state law requires construction to be done by a licensed contractor and have applied for i an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of listed, 1 do have N the property may act as my own contractor with certain restrictions even though not a , license. I understand that building permits are not required to be signed by a property owner unless he or she is 1� responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, 1 am the responsible party of record on a permit. I understand that 1 may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed r n 1 in his or her name instead of my own name. I also understand that a contractor is required by law to be licensed in Florida and to list his or her license numbers on all permit and contracts. 1 understand that I may build or improve a one -family or two-family residence or a farm outbuilding. 1 may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that 1 have built or substantially improved myself is sold or leased within in l year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, l must provide direct, onsite supervision of the construction. 1 understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I G,N , employ have the licenses required by law and by city ordinance. 1 understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any N' injuries sustained by an unlicensed person or his or her employees while working on my property. My homeowner's insurance may not provide coverage for those"injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage'for injuries to workers on my property. 1 understand that I may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 r Property Address: kk� IS ijc_i, mokP_ QA - K cm�otc� �7L 31T)3_ I, 1-1m\0.Ct\CXX �S."cl _ Q- O • A- • , 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. wk Signature of Owner -Builder Date Form of Identification (Must be Photo ID) 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, 1 will abide br all applicable laws and requirements that govern owner -builders as well as employers. 1 also understand that the construction must comply with all applicable laws, ordinances, building codes, and \� zoning regulations. �lv 1v I am of aware of construction practices and 1 have access to the Florida Building Codes. 1 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 1 may contact the Florida ,V Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/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 �N listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that 1 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 Ncivil 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: kk� IS ijc_i, mokP_ QA - K cm�otc� �7L 31T)3_ I, 1-1m\0.Ct\CXX �S."cl _ Q- O • A- • , 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. wk Signature of Owner -Builder Date Form of Identification (Must be Photo ID) 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 CEEMI, FICATIE OF ACKNOWLEDGMENT OF KOTARY PUBLIC flepublic of Hungary STATER f)F-"FtIDA City of Budapest SS COUNTY OF Embassy of the United Sijisa of America This dowment was acknowledged before ,mean MAV -64 Ili W [Date]by I LjF-d Ai,,) A �� [name of p incipaQ. Kirk Portmann. Vice Consul ED .44:L of the Q. (Sigti�m of Klotatial Offiodq Wedl StattICS of America NOW y' -Pat ft, 10 IlV ftte a! Flo �UD AV My commission ex f . ares: INDEFIN F ACKNOWLEDGMENT OF AGENT BY. ACCEPTING OR ACTING UkDER THE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBMES OF AN AGENT. A n r) o,, rh a r \ a\ pcku n 0A [Typed or Primed Name of Agent) A - " .0n.'t, - ftnature of Agent] e PREPARATION, STATEMENT This document was prepared by the mowing individual: .0 V,\ d \ %j F. V)o%v n c\ [Typed or Pdrded; Name], if arryf� VIP., Kirk Portmann. Vice Consul ED .44:L of the Q. (Sigti�m of Klotatial Offiodq Wedl StattICS of America NOW y' -Pat ft, 10 IlV ftte a! Flo �UD AV My commission ex f . ares: INDEFIN F ACKNOWLEDGMENT OF AGENT BY. ACCEPTING OR ACTING UkDER THE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER LEGAL RESPONSIBMES OF AN AGENT. A n r) o,, rh a r \ a\ pcku n 0A [Typed or Primed Name of Agent) A - " .0n.'t, - ftnature of Agent] e PREPARATION, STATEMENT This document was prepared by the mowing individual: .0 V,\ d \ %j F. V)o%v n c\ [Typed or Pdrded; Name], MARYf�W. NIlR 9 S IINI}LE l ltArrlf CLIERK OF CIRWIT umr t CMI)THWIX O SK 08.341 pgs 1934 - 19401 t7p9s) CLERK'S * 2014308343 MUM 10/03/2014 09r1054 AN WWA&A?1115 C['C•C C1 M FLORIDA GENERAL DURABLE POWER OF ATTORNEY TH, E. POW, ERS YOU GRANT- BELOW ARE EFFMTIVE EVEN IF YOU BECOME DItABLED OR INCOMPETENT NOTICE: THE PO'W'ERS GRANTED BY THIS DOGU'MENT.ARE BROAD AND SWEEPING. THEY ARE EXPLAINED IN THE UNIFORM STATUTORY FORMA POWER -OF ATTORNEY ACT. IF YOU HAVE ANY QUESTIONS ABOUT THESE !POWERS, OBTAIN COMPETENT LEGAL ADVICE. THIS DOCUMENT DOES NOT AUTHORIZE- ANYONE TO MAKE MEDICAL AND OTHER HEALTH-CARE DECISIONS FOR YOU. Y. MAY REVOKE THIS POWER OF ATTORNEY .IF YOU LATER WISH TO DO SO. THIS POWER OF ATTORNEY. IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE TO BE EFFECTIVE EVEN 'IF YOU BECOME DISABLED,'INCAPACITATED, OR INCOMPETENT. your name and address] appoint F L +O'2 \k--,) 1A - y S, 'R [insert the name and address of the person appointed] as my Agent (attorney-in-fact) to act for me in any lawful, war with respect to the following in, subjects: TO GRANT ALL OF THE FOLLOWING POWERS. INITIAL TIME LINE IN, FRONT OF (NN) AND IGNORE'THE LINES IN FRONT OF THE OTHER POWERS, TO GRANT ONE OR MORE, BUT FEWER'THANI ALL, -OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF EAC14 POWER YOU ARE GRANTING., . TO WITHHOLD A POWER, DO NOT INITIAL .THE LINE IN FRONT OF IT. YOU MAY, BUT NEED NOT, CROSS OUT EACH POWER WITHHELD. Note: tf you ihitied Item A. or Item B, which follow, a.cratarized Signabure will be required on behatf of the Pri neipd L ' INITIAL 14 N (A) Real praperly transactions. To -lease.. sell, mortgage,,purohase, ex-dvange, and acquire, and to agree, bargain, and contract for the tease, sale; pumhase, ex0ange, and acquisition of, and to aooept. take, receive, and possess any, interest in Teal property. whatsoever, on such terrins; and conditions. and under such covenants, as my Agent shall deem proper, and to mak rlain, repair; tear down, alter, rebuild., -improve manago, cnsureo, move,, rent lease, sell, convey, subject to, liens, mortgages, and security deeds, and in any way -or manner deal with .all or any part of any interest in real property whatsoever, inducting specif' olty, lit without lirn ftfion, real properly Iying' and being situated in: the Slate,ol Florida, under such . terms and conditions, and under such covenants. as my Agent shall -deem proper and may for all deferred payments aooept purchase money notes payable to me and secured by mortgages or deeds to secure. debt, and; may from time to time collect and cancel any of said notes, mortgages, security interest, or deeds to secure debt (B) Tangible. personal! prapddy 1ransaoions. To lease., sell, mortgage, purchase, rsounoary -jurvey Legal Description: Lpt 62, HIDDEN LAKE VILLAS, PHASE II, according to the Plat thereof as recoard6d in Plat Book 27, Page(s) 1-2, Public Records of Seminole County. Florida. Flood Zone: X Panel: 0070 F Community Number: 12117C Date: 9/28/2007 CERTIFIED TO: Etelca Naghl JP Morgan Chase Stewart Tide Company Stewart Title Guaranty .�' ,,/� 2 WED (50' Platted Public Right -0l -Way) i—� V G r Sycamore Court r Lot 50 i (Asphalt Road) • ^�----�A� I Fnd. %' Reber �� • /•% ; • •"i/• b Cep' a 2100' --rrla�l _.,bol moo R 50.00'(P) Ok to install 6 foot wood fence as shown on 15 a=57°297'(P) ) plan. Fence shall be constructed with i Chord Bearing= finished side facing outward. S 49°27'41° E 48.09'(P) S 49°27'32" E 48.13'(M) • \ {nb ttettettcaoonl Lot 49 Q E 47 ND ,/' YMIamICtuD Fnc.NBD. s °, y4TCa ' • • q° 3 1 ry 6'•• :.::' r: R ........ae/s!e:::.::.•::o: i. Fnd. 518• Room s O /pry W>yWo" 0 C g.. e j `: :::: 0• Lot 62 o............... of W. Lot 61 05 CO' S N J Lot 63 oar ) / t FnQ 518' Reber \ (NO Identllkaim) ` w E / s Lot 64 ` Gra hlc Scale \6, 16 Ar 4' Scale: 1.620' Field Dole: 08.1844 jDateCorn 9d.08-1904 ppg�.. r ftp tar o>nayen.>de.a ca ea wce.ty >Svveybpe��spaeed rtporr the" OeeMen SuDDeed by Cart *vrB Cn•aybrw Mrtarr a++°i•.•ro Mrrn•«..•1 er�wrw Drawn By: SP FOB Number IS -17481 >AMrWrB =,1 Doeoc Inve�Qj boon Reso6ched br Cape. rtlo oust,, r. t.eer cr°�r r+cre d tntsnub: es�ato, n w OVwbpe dndM Itl�n. a noto° nro C."'. e b ;h° Sunanree of PmedCe w tone laperd >Sa' to an Eacerofbcopra RecNtOoneot Recaa a+••r>0 t+tv S:r• dra>b>b•,a•err<awWC%oWa 7A9Re•br >C • Palnf m Cancra, t>feCt Y >mrtrbeew Goer. Pu•wro c+7'l+�c>w S:er„rr. C . _W$,e o >Boorhp =Easements Won.. b Ascanod OW Bac°° Lw:w lin CB •Cvr we Bbc. al vPa�almmcedon ,mase cath e'Be•. r`+ A, CJn .Cox7re vorw+en 6.0.6-Pd"d 9;.'-&m'te�1•>aefJQjbMaeeo fo ncaa:nrc: Progeny Wets ror •Dervloedr pA.t.,. Pant on lira -Fero O'-wehtpb. dw merd ' f ..j{{��'' t 1-1 •P'+•e'�• AM Ore Urdergrouncl U:Mm angor Fw.m hew(�T • �T�•/• r :Orctrpo Pie -rerwrwfr sw*'ene been bested o:hawbe•vred. eEert-ucrran MWW"arr matq�__ ___ Pattkk K. Irda •:o. 637 LB 7623 FiAtA-Frmrl Ereemcy r, -01,1 of Teryosy `Septiclar►!Jalnndforr D�raMMe locodprc av appro>Yram aro 1,957 S1,bttray Is Hard dSab Cer�ec eareea t✓rrerrwft Ap�ry R •Rar re bDwebc by aooroprbm Ugly bdra:bnCwpwfts. M tWtVND1R♦L SC 76TSfbdr. St3 •'•E : F... tea Deneao+ Reo.. RedW -Use of this n'eY rot elayosee other dram VAU°r1 Op • Oo F RM . Rr wsc p ' Ve don. Nl pp al e,e Ueeh ea yyN�ra Ireland & AssoctiafeS Surveying Inc. IP .eon FV• Ree -Rt e,AC I m Sureayn. VOM'D Mer°onJ EOCmcbl•oob�N •le•t 1.14/ Rte. • Rode° ANV hb or BpWED to Myon° Odf°r Par. ft" CpOac. 1 N .NWaed bet .Sr.'A'R.bM♦ Flowgrow for hewnHoa•h •en os f�trresY.aro 1301 S.lntomatbnalPark-may Suite 2001 Ni0 •Nora Bet, 9°ov Copt B 7e77 ZZ ttyy $$ F,E.MA, (tl� pe: NR • rlvRedhl Tr T�ary� Fl Sugro Ppnl Apppval by Ttb em°brelor may a 090 .00kU pwn, arc► UE .IJmry Ewn•em reefed by Rood F°c:ae wdbr oUnr b b An NERRER brown lake Mary. Fbrlda 32748 P . RA y41 • r7anr vw reefed pMr a d+A Suneylne U do r/:n d WsEMtara www.bolanawrvoyl%.dom Pa -tacr Boo. p - 7ob::erord Atbrr Irdted a Aaoda:ee Surreybry Irc. are o -e a�r►+p ewga aewro nf•lw•�wn1 G90 9•eCe C...._AN7 77n eeCG