HomeMy WebLinkAbout2916 S Palmetto AvePermit #
Job Addi
Description of Work: 1,
Historic District:
Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
Value of Work:
Permit Type: Building Electrical V Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #:
Owners Name & ddress
99
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer
Address
\P�0. 1.1 011AJ
(Attach Proof of Ownership & Legal Description)
State License Number:
Contact Person: Phone:
Phone:
Fax:
._ 1 a 1 --)
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 pem-iit 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 p is verification hat I o ' the owner of the property of the requirements of Florida Lien Law, FS 713-
U re
13.ure of Owne ent Date Signature of Contractor/Agent
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
_ Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
CXA
Date
Date Signature of Notary -State of Florida Date
uj
Contractor/Agent is _ Personally Known to Me or
_ Produced ID
Zoning: 2� Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
S 2c". aS
v,
CITY OF SANFORD BUILDING DIVISION
OWNER/•
ELECTRICAL ; • ALARM
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or Improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $25,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. 1» an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $25,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within 1 year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
him, an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. 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.
L (2-u 1 P� L�a , 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.
t.
Owner/Buil r Signature Date
Print Owner/Builder Name
Signature of Notary—State of Florida Date
Owner is Personally Known to Me or has
Produced ID
M
wny.n—,....y,oo.....
Legal Description
Lots 5 and 6. Black 5, ROSALIND HEIGHTS, according to the plat
thereof, as recorded in Plat Book 3, Page(s) 47, of the Public Records
of Seminole C'o1m/v, FL.
Conununi{v number: 110289 Panel: 0045
Stiff". E F I. R.11. Date: 4/1711995 Flood Zone. X
Date of field lvol•k: 412JI2005 Completion Date: 412112005
Certifted to:
Bertha Drake; :llartgagee Title Services, Inc.; Ticor Title Insurance
Company al'Florida; Paramount Financial, Inc., its'successors and/or
assigns.
RR 1/2'
a4'—
4'W
LOT 4
BLOCK 5
a4l'
LQ
J
24..
J
Q
�N
V•
N
w'��
24.:
--<)--
Wire Fence
TEL.
i��♦
o3
u
�O
Found Nail
A
J
2
lzdy M
Property Corner
210' y .
Bearing Reference
METAL "1
Permanent Control Point
SHED h
Record
.
Chord
P.R.M.
Permanent Reference Monument
- 112,1 X1.0'
.1 :RkieJ.4...
• Ian\
s a �
1
134:50" _
N89 45'45 E (M)(P)
ONE STORY
R£SI 2916
LOT 5
BLOCK 5
LOT 6
BLOCK 5
134.50'
58945.45"W (M)(P)
LLL ,EN D
—0--
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
B.R.
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
PVMT.
Pavement
ENCR
Encroachment
A/C
Air Conditioner
P.B.
Plat Book
CL
Centedirie
B.M.
Bench Mark
P.O.B.
Point of Beginning
I
Concrete
C.
Calculated
P.O.C.
Point of Commencement
IL
Property Line
ZZZZ
Block Wall
P.O.L.
Point on Line
C.M.
Concrete MonumentD
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
RIW
Right of Way
D.H.
Drill Hole
R.
Radius (Radial)
N&D
Nail & Disk
DNV
Driveway
R.O.E.
Roof Overhang Easement
D.E.
Drainage Easement
ESMT
Easement
5.I.R.
Set Iron Rod & Cap
U.E.
Utility Easement
EL
Elevation
SNd
Sidewalk
FD.
Found
F.F.Finished
Floor
T.O.B.
Top of Bank
P
Plat
F.C.M.
Found Concrete Monument
TYR
Typical
O.H.U.
Overhead Utilities
F.P.K.
Found Parker -Katon Nail
W.C.
Witness Corner
P.P.
Power Pole
L
Length
10.05
Existing Elevation
TX
Transformer
L.A.E.
Limited Access Easement
E.O.W.
Edge of Water
rely
rayl•, Rim,
MH
Manhole
..
CCNC
I F7R 1/2'
nR 1/2'
MWE
a
j
Q
C
a2'
Ld FlR 1/z'
PropertyAddree.s:
2916 South Palmetto Avenue
Sanford, Fl, 32773
Survey number: W. 50941
V Gl. GIaHL 1. V a GJ
1. 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.
S. 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. 1929 unless otherwise noted.
9. Adjoining lots are within the same block, unless otherwise noted.
10. This is an AS -BUILT SURVEY unless otherwise noted.
11. Not valid unless sealed with the signing surveyors embossed seal.
12. Flood zone detefminations are pros' as a cou ly, and are derived from the
best sources available to the surveyis i or ati Id not be relied upon for flood
insurance purposes• and maydiffer rom of m do rovi ed by others.
13. L.B. 7132
14: Septic tank and/or drainfield locatio ar a ro im an T be verified by appropriate
utility locationcompames.
I hereby cem t rvey aM cared repexntarion o/ a svrwy
c�
�,i„:,��•
Rai Swerdoff Registered LaM Surveyar No. 341 I