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HomeMy WebLinkAbout205 Dogwood Dr (2)b 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 °t'srvk.on W '• Cr 1i19y86e';' S7 O a 2 ;r u ` l"5 vWf d c 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 Caq IN ill 370 9h,wnoat Coun • Lake Mary. FL 32746 • Vokc 407.688.7431 • Fu 407.688.7691 • nndpwrveying ftwoiLcom ILot 16, Block A. IDYLLWLLDE OF LOC19'ARBOR SECITON- 6, occardiov to 4hr p1a1 Oxemof at recorded in Plot Book 71, Pages) 40, of the Public tr of&-&6wde County. F7 - U unity number 120294 Panek 0065 . 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RdpA S.a,dbe MSW inp n►Mal LD, r1 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