HomeMy WebLinkAbout205 Dogwood Drb CITY OF SANFORD
BUILDING & FIRE PREVENTION
yr�I� PERMIT APPLICATION
` DEC 5 2016 Application No:
BY: Documented Construction Value:
Job Address: 205 Dogodood ]fir Historic District: Yes ❑ NoCie
Parcel ID: 33 101-30' 5E M —O A00_0k (.00 Residential Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: �T)S Q O kc 3` \A"WW l Q± -CS to`�!1
Plan Review Contact Person,:' Rau \f1 (A VIC't— Title:
Phone: 1401 qCU 2ggC) Fax: Email: r)2�1C�S
Property Owner Information com
Name �oS�pl(1 LO��o
Street: 2-05 _DC)S 1O(A
City, State Zip: S 1f-Qrd 32-7 i
Phone: "4' 17-1— 35 3CLon
Resident of property?
Contractor Information
Name MOSsi.A t<) CencQ_ Phone: 40-1 CO0 aQ�O
Street: 2-1 t O rl dQCL i CdA&-IaLI Dr Fax:
City, State Zip: _10010 re -S , E-_� 3 2 :1�g State License No.:
Name:
Street:
City, St, Zip:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Bonding Company: Mortgage Lender:
Address: 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
NOTIC8: 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
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
��-� 1 2_1A l to
Signature of No -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is %C Personally Known to Me
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: 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
APPROVALS: ZONING: I -L -I& UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Fire Alarm Permit: Yes ❑ NO ❑
WASTE WATER:
BUILDING:
Ok to install approx. 193 linear feet of 6 foot privacy fence as shown on plan. Fence shall be
constructed with finished side facing outward. —
Revised: lune 30, 201 S Permit Application
V
2120 N Orange Blossom Trail
Orlando. FL 32804
888 -44 -MOSSY
Fax: 888-864.2785
4640 North USI
Melbourne. FL 32935
321-255-1020
Fax: 321-255-1036
www.mossyoakfences.com
FOR INTERNAL USE ONLY
DATEINSTALLED:
INSTALLER:
LOCATES 0: `JC
LOCATES DATE:
)�' a 116'
�
No.
43736 la
PROPOSAL / CONTRACT
SI�J4NE mlL. let I -2 - to
PKIPARfO aY 3AIE
SPECIAL INSTRUCTION
1 _ RZ�GTS ' 2
GtA3SIc..1111JYt MAT NAt-
NAME JOE LMLL.0 HOMEpmokE
STREET WORK PHONE
CRY FAX
JOB NAME/ADDRESS CELL
CONTACT EMAIL
1 PORTANT INSTALL INFORMATION
PVC
FOOTAGE �Q31
ALUMINUM STEEL
FOOTAGE
FENCE TO FOLLOW GROUND CONTOUR ❑ FENCE TO TOP LEVEL
REMOVAL 6 DISPOSAL OF EXISTING FENCE FT Q NO
CLEARING OF FENCE LINE NEEDED O YES Ej NO
HEIGHT.
HEIGHT
CLEARING TO BE DONE BY ❑ OWNERMOSSY OAK FENCE
STYLE C�,$S,� f
STYLE
OPEN POOL ❑YES NO
COLORF
COLOR
_
HDA APPROVAL REQUIRED YES NO
RAILS IIS Jre�
GRADE
PERMIT REQUIRED YES ❑ NO
a,1c
POSTS I�L71T
PICKETS
POST CAPS Isle T* b
LINE POSTS
PICKETS '-
TERMINA OSTS
a OM r 41 .o T164VMEAPPRMIMX-C
PICKET CAPS
GATE P STS
Otor
OPTIONS: Vow M►Ya
CGN[i�
o S:
WOOD
CHAIN LINK
❑ PT PINE ❑ CYPRESS ❑ CE R
FOOTAGE
(ECOLIFE)
TYPE
FOOTAGE
HEIGHT
HEIGHT
GRADE
I�\
13l
STYLE
TOPRAIL
RF�►10UM-
PICKETS
LINE POSTS
RUNNERS
TERMINALP S
-
POSTS
GATE PO S
GATE P STS
OPT S:
GATE F AMES
OPT NS:
13l (�
10tRHOUSE:-"
61Mt�sef
1 r
GATES
QTY
SIZE TYPE ARCM D RACK D SWI G HINOY N OY N OIN OUR OL-S1.N61�=may -•I OY[3N ❑Y N ❑IN UTIZ
OY[MlN ❑Y 8H OlNijoUT R
❑Y ❑N
OY ❑N
❑IN ❑OUT ❑L OR
opTiome Ll r' of
PROPOSAL AMOUNT: f V�Q
DEPOSIT AMOUNT' S 57
AIa
oPTtoH�AL
PROPOSAL AMOUNT. S I
DEPOSIT AMOUNT• S _.0� 0
DY ON
OYON
OINOOUT❑LOA
OPTIONS: w�-
BALANCE OLE ().45
UPONCOMPLETtON: $ _�-!
N: BALANCE DUE /1 �„r�
I UPON COMPLETIOt �1�
UNDERGROUND SYSTEMS: Mossy Oak Fence will parform locates for power, telephone.
and cable lines. Purchaser agrees that Mossy Oak Fence will not be held responsible
for damage to any sprinklers. underground pipes, drapes, foundations, or any other
unmarked underground systems.
WOOD PURCHASE NOTICE: Mossy Oak Fence shill not be iaabla for any labor or similar costs, or for
any itis or damage which may be associated with the natural Characteristics Of wood, Wood lances
have a lendenty to shrink sold, warp, crack and twist an hot hum;d weather. Small gaps will Oppeay
between boards and are a c"mon occurrence nut does not constnula failure of IN wood.
RIGHT TO CANCEL Per Florida and Federal Consumer statutes this contract may, be caacellod by
eathen the buyer or the sellar In witting by mldfught of thetheta business day snot signing. or by
Postmarked no later than 3 business Gays after Signing.
Purchaser agrees that bnal Price will be CONTRACT AMOUNT: $
delermanud by total footage installed and
may be different than estimated. Purchaser
also agrees Shot MI products dNivered and DEPOSIT AMOUNT: S
installed remain the pr•. Mossy Oa
k T
BALANCE DUE
until rug en:d m UPON COMPLETION: s
I1�7 /,CJ
ACC-?frp g+' le, NA O / � Cl4vlo 1 D&IC
aY0/ICfT OHOIITONS OsI/McttAClf. INAveRe!1DAN fTANDTNQCONOITN7M{ON TMIeACII.
'11
moi/
N
THIS INSTRUMENT PREPARED BY:
Name• �
Address: )'
NOTICE .OF COMMENCEMENT
Permit Number:
Parcel ID Number: fl —0t (1-0
NARYANNE MORSE? SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
BK 8817 Pa 1056 (1Pss)
CLERK'S v 2016125457
RECORDED 12/105/21116 11:38:310 AM
RECORDING FEES $10.00
RECORDED BY hdevare
The undersigned hereby gives notice that Improvement will be made to certain real property, and In accordance with Chapter 713. Florida Statutes• the
following Information Is provided In this Notice of Commencement.
1. DESCRIPTION OF ROPERTY: ( I description of the roperty a d street ddres if av Ilabl
MT l to �1 k A T�� k � l t ► �� � ►cipe c� 1«1��� 1�1C M S_ Co p _a Z1 p G �D
2. GENE Al DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: fees t MEW
Interest In property: ZQ12
Fee Simple Title Holder Of other than owner listed above) Name:
4. CONTRACTOR:
Address: -2.L
25
6. SURETY (If applicable, a copy of the payment bond Is attached): Name%
Ad�ss: Amount of Bond:
6. LEAER: Name: Phone Number:
Addr:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.130)(07., Florida Statutes.
Phone Number:
8. In addition, Ower designates of
to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of Commencement (The expiration Is 1 year from date of recording unless a different date Is specified) I ��
-WARNING TO -OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE. EXPIRATION OF THE NOTICE 'OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES. AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
co
(Slgnelur r ar ues or s or Lezeee'e (Print Name end Provide SlgnatoryeTUo/OUlce)
Authorized OMIcodDIrectodPertnodMeneger)
State of FEL. County of t�T 4� ir+►«�
CO
0
N
The foregoing Instrument was acknowledged before me this 2—
day of I JCe�l 20 L�O
by L, F Ql.]--3
— — —
Who Is personally known to me 0 OR p
Normo or person makNg,otolomont
i Q
`
who has produced Identlflcatlon>t rEA of Identification produced:
e
_�� �� z D
AyVIN ICK
tj
� �
Ou FF941338
-t?4•0�a7�
Mf�MISSI
December 05. 2019
Noto�ry SlgneNro +
EXPIRES
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LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1'L 121 l lV
I hereby name and appoint:
an agent of:
) oj, -' V
(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):
The specific permit and
Expiration Date for This Limited Power of Attorney: 1 ZI 2I 11
License'Holder Name:�a,i��d r
1 Nit t t LQ.
State License Number: 15-15 3(3
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF -1 PrtjE-7
The foregoing instrument was acknowledged before me this Z day of b122-1,20�- by ZZ.8 � t kA.11 i-- e who is 94iersonally known
to me or o who has produced—
identification
roducedidentification and who did (did not take an oath.
L
Signature jOce—,
(Notary Seal) t
;4'•f"'kil% RAYVIIV VICK print or type name
MY COMMISSION # FF941338
EXPIRES December
¢!„ 06. 2019
407 399-0'S3 cbrgiNou'YSemcs oWr'
(Rev. 08.12)
Notary Public - State of
Commission No.
My Commission Expires:
as
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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
U// Fence Permit Application completed and signed. Application must include correct address and complete
parcel I.D. number.
q/ 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).
M/ 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.
S 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