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HomeMy WebLinkAbout101 Longleaf Pine Ct (2)A CITY OF SANFORD PERMIT APPLICATION Permit # : 5 — /J (7 D Date: Job Address: 01 C(} Pr N Description of Work: .ve2 OGL, p�, Historic District: Zoning: Value of Work: $ J "d 1 U u Permit Type: Building Electrical Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets _ Occupancy Type: Residential Commercial Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair— Residential or Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:ii ii (Attach Proof of Ownership & Legal Description) Owners Name & Address: iC i 1�!"L `2 S `-�\ OVV`I " e' k �1 eLe.Mt QnA' CQ C iVt C U CAV, gYL8 3 z'I-13 Phone: � 3 Z 2 -39� r Contractor Name & Address Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: State License Number: Contact Person: Phone: Phone: Fax: 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. 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 thati will noti the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date A er/ gent's Name �� &/d3/v A& Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or / 1 Produced ID _tr"�. ► Uyp . � l a U V - APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under. this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You 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 your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I, CA4 j0S �o 5' , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. Owner/Builder Signature Date Print Owner/Builder Name Signature of Notary—State of Florida Date Owner is Personally Known to Me or has Produced ID i�or: r1�07r rh�.'hrf_ ----- ------------ Legal Description it Lot 38, HIDDEN LAKE VILLAS, PHASE IV, according to the plat 1 aur �,� ,0; l0 a 419c 47 thereof, as recorded in Plat Book 18, Page(s) 26 through 28, of the "� ' �,> t `Y `f:43 � Public Records of Seminole County, FL. Community number: 120294 Panel: 0045 1044 Suffix: E F./.R.M. Date: 4/17/1995 Flood Zone: X Date offteld work: 5/15/2005 Completion Date: 5/17/2005 "' WI , �" "e : ae J,y 36 10-+ Certified to: Charles G. Thomas: Chase Title Insurance, LLC. LONGLEAFgyyf r n/ 34 iL 4T m ear Co trek CURVE TABLE a aAr „tib . , 48 N0. RADIUS DELTA ARC TANGENT CHORD CHORD BEARING I S0.00' J5'08'48" ' 30.67' 15.84' 30.19' N.58.53'06 £ a' 2 at 6J. 1946.49N.70'16'0•,�r• 4a,. s 41 15.00/J6'49'S659.70 J176'05'56I7005.'13OI.18' 51.19' 101.13S.0!'S01t OI8 ��` `!c;o=;• LOT J9 6000,N) nR 5/8" LOT 40 WITNESS fIR 1/1" N.81'54'46E. 63.00' CORNER AIH CORNER Ly I LOT JB $ Not to Scale Q I TEL, Telephone Facilities FR I/1" Official Records I II ® Covered Area O.R.B. nR 1/1" • SC��O C I ��J Permanent Control Point nR i/1" 3 CH J9.0' LEA _ EA pINE CO Permanent Reference Monument ONE STORY W RAD ATTACHED PG. Page RESIOENCE J I N.R. 101 PVML Pavement ENCR IJ A/C Air Conditioner P. B. Plat Book 4 Centerline B.M. Bench Mark PO.B. Point of Beginning 4.0' Concrete C. I! I16.0' Point of Commencement I( SCALE: 1" = 30' LOT 37 1 ti a ATTACHED p RESIDENCE !V O VI �y Wood Fence W.M. .'I00K€ $ Not to Scale Wire Fence TEL, Telephone Facilities FR I/1" Official Records F.N. II ® Covered Area O.R.B. nR 1/1" • Property Corner (1) I ��J Permanent Control Point nR i/1" I CH Chord LEA _ EA pINE CO Permanent Reference Monument URr Field Measured RAD �y Wood Fence W.M. Water Meter N.T S. Not to Scale Wire Fence TEL, Telephone Facilities O.R. Official Records F.N. Found Nail ® Covered Area O.R.B. Official Records Book • Property Corner 8.11. Bearing Reference P.C.P. Permanent Control Point R. Record CH Chord P.R.M. Permanent Reference Monument M Field Measured RAD Radial PG. Page CL Clear N.R. Non Radial PVML Pavement ENCR Encroachment A/C Air Conditioner P. B. Plat Book 4 Centerline B.M. Bench Mark PO.B. Point of Beginning O Concrete C. Calculated P.O.C. Point of Commencement I( Property Line ZZZZ Block Wall P.O.I. Point on Line C.M. Concrete Monument A Central Angle/Delta P.C. Point of Curvature F.I.R. Found Iron Rod D.B. Deed Book P.R.C. Point of Reverse Curvature F I.P. found Iron Pipe . D. Description or Deed P.T. Point of Tangency RTW Right of Way D.H. Drill Hale R. Radius (Radial) N&D Nail & Disk DAN Driveway R.O.E. Root Overhang Easement D.E. Drainage Easement ESMT Easement S.I.R. Set Iron Rod & Cap U.E. Utility Easement EL Elevation 5/vV Sidewalk FD. Found FF. Finished Floor T.O.B. Top of Bank P Plat F.C.M. Found Concrete Monument TYR Typical O.H.U. Overhead Ubht- F.P.K. Found Parker -Katon Nail W.C. Witness Corner PP. Power Pole L Length 10.05 Existing Elevation T% Transformer L.A.E. Limited Access Easement E.O.W. Edge of Water rATV Cahle Riser M.H. Manhole Property Address: 101 Long Leaf Pine Court Sanford, FL 32773 Survey number: SL 52455 1V Legal description provided by others. 2. The lands shown hereon were not abstracted for easements or other recorded encumbrances not shown on the plat. 3. Underground portions of footings, foundations or other improvements were not located. 4. Wall ties are to the face of the wall. 5. Only visible encroachments located. 6. No identification found on property corners unless noted. 7. Dimensions shown are plat and measured unless otherwise noted. 8. Elevations If shown are based upon N.G.VD. 1919 unless otherwise noted. 9. Adjoining lots are within the same block, unless otherwise noted. 10. This is an AS -BUILT SURVEY unless otherwiseAean i t. Not valitl unless sealed with the signing surveyrob seat. 12. Flood zone determinations are provided as , d re derived from the best sources available to the surveyor. This infb relied upon for flood insurance purposes, and may differ from infort is. 13. L.B. 7132 14. Septic tank and/or drainfield locations are appU be enhed by appropriate Sublity location companies^rm rpepareHv derxw . Ralph Swerdloff Land Surveyor 110. 3411