HomeMy WebLinkAbout2916 S Palmetto Ave (2)Permit # U z
Job Address: �c 1
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION RECEIVED
f// -� ' ✓
JI Date: �v � C, L —�
(�•yl; � -3-JUN 7, 2 2005
Zoning:
Value of Work:
Permit Type: Building l'/ Electrical 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 M , (Attach Proof of Ownership & Legal Description)
Owners Name & Address: G 24 E t �{�IR LTCAt\ _
Phone: � 0-7` J� J -7
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
Contact Person:
State License Number:
Phone: a
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 p t is v 'fication th��pti¢ o er of the property of the requirements of Florida Lien Law, FS 713.
/ _
Signature of Owner/A t Date Signature of Contractor/Agent
s Name
.State of Florida Date
DEBBIE BL4NTON
MY COMMISSION # DD 188491
is EYFItPersor1"JY Mvpd67M
e
Print Contractor/Agent's Name
Date
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: 1 (OZ`'` Zoning: Utilities:
(Initial & Date) (Initial & Date)
Special Conditions:
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, Gpte� C--. l P (k L OO 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
ed by law on the permitted structure.
OwnerBuilfde 'ignature Date
Print OwnerBuilder Name
IE BLANTON
8491
Signature of}y, State "of Flonda ztUaP-3 00
i Soo -3 -NC-:. F'=.. '' :crp Discount Assoc. Co.
Owner is Personally Known to Me or has
Produced ID
.61 Tyr
Nam TXXE I
-'TF77A -
Al DAIRLOCAY1.7i24.
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OVERALL LENGTH VARES
OF ROWS
CAROUNA CARPORTS INGA
P.O. BOX 1263
D 'M NC 27017
OWS
TOLL FREE 1-804.670 4262
LOCAL 336-W7-6400
FAX 33&-367-6410
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CAROLINA CARPORTS INC;.
P.O. BOX 1263
DOBSON. RIC 27017
TOLL FREE 1-800-670-4262
LOCAL 336-367-64UO
FAX 336-337-•6410
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POST
29 GAGE
3AtVATIIZEI3
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PANELS
_ ORGtI'AI D ANCH[?ItS
® CVERY MIER
MME:
END PO&T LDC&MN
EXTERIOR NNdIOWS AWD OLASB DOORS RHRLL NE T ESTfD BY
SEF DF rA L SHEET 3
A" APPRUVE-OIMQ£PENDEKT T'1 -8T LADDRATDR V• AND WAR
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it
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— ! END POST
LOCA940M
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Legal Description
Lois 5 and 6. B1uCk 5, ROSALIND HEIGHTS, according to the plat I '
thereof, as recorcled in Plat Book 3, Page(s) 47, of the Public Records <
ofSeininoleC'ouniv, FL.
eCann+unitr nuniher: 120289 Panel. 0045
Suffer: E /.1.RJL Date: 4/17/1995 Flood Zone: X r !i
Date of field rvork: 4/21/2005 Completion Dale: 4/21/2005 Rd rriyNo
Certified It,.
Bertha Drake; .Ilorigagee Title Services, Inc.; Ticor Title Insurance
Company o(Florida; Paranlouni Financial, Inc., its'successors and/or
assigns. s ,�
f7R 1/2'
1
C,
LOT 4 ^ o
BLOCK 5 o
O
1JA 50' 2
nR 1/2' '0. 4' N89'4545 £ (M)(P)
FIR 1/2'
0.4' - 13.8 CONC. IW L 1
7 • DRIVEJ \
J
J
24.1' o J2. J' N 9.8.
Q
ONE STORY j
N R£SI 2916 'n W.OQD
N ry CK77-71 Q
24.2' o, 0 9.8'
ice\ 0 31.J' N J8.4'
f
CONd
LOT 5 DRIVE
--- BLOCKS
LILJ
0 3 `- J
�C) ^o
1JJ�{ LOT 6 o
2 O
25. o' BLOCK 5
METAL
SHED n
1.0 0.1'
I1.0.
JO.0'
FlR 1/1' 1.0' 1 J4.50' 1.0' FIR 1/2'
589'45'45'W (M)(P) Property ,l cich•e.c.c:
J0.0' 2916 South Pulnletto Avenue
- Sanford, FL 32773
Survey number:.';L 50941
14G"Zi
--0- Wood Fence
w M.
Water Meter
N.T.S.
Not to Scale
l rn"n \ffL I'm 1 GJ
1. Legal description provided by others.
-0-
Wire Fence
TEL
Telephone Facilities
O.R.
Official Records
2. The lands shown hereon were not abstracted for easements or other recorded encumbrances
F.N.
Found Nail
® Covered Area
O.R.B.
Official Records Book
not shown on the plat.
-Property
Corner
R.R.
Bearing Reference
P.C.P.
Permanent Control Point
3. Under ound
9portions of footings. foundations or other Improvements were not located.
R.
Record
CH
Chord
P.R.M.
Permanent Reference Monument
4. Wall liess are to the lace of the wall.
M
Field Measured
BAD
Radial
PG.
Page
5. Only visible encroachments located.
CL
Clear
N.R.
Non Radial
PNMT.
Pavement
6. No identification found on property corners unless noted.
ENCR
Encroachment
A/C
Air Conditioner
RB.
Plat Book
7. Dimensions shown are plat and measured unless otherwise noted.
Centerline
B.M.
Bench Mark
PO.B.
Point of Beginning
B. Elevations if shown are based upon N.G.V D. 1929 unless otherwise noted.
D
Concrete
C,
B.
Calculated
P.O.C.
Point of Commencement
9. Adjoining lots are within the same block, unless otherwise noted.
R
Property Line
Block Wall
P.O.L.
Point on Line
10. This is an AS -BUILT SURVEY unless og noted.
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
surveye-w
11. Not valid unless sealed with the signing surveyors embossed seal.
F.I.P.
Found Iron Pipe
D.
Description or Deed
P.T.
Point of Tangency
12. Flood zone determinations are prow ed as a cou sy ly, and are derived from the
WW
Right of Way
D.H.
Drill Hole
K
Radius (Radial)
best sources available to the survey is , or at, sh Id not be relied upon for flood
insurance purposes, and may differ rum of m do rove ed by others.
N&D
D.E.
Nail & Disk
Drainage Easement
DNd
ESMT
Driveway
Easement
R.O.E.
S.I.R.
Roof Overhang Easement
Set Iron Rod & Cap
13. L.B. 7132
U.E.
Utilry Easement
EL
Elevation
SW
Sidewalk
14. Septic tank and/or drainfield locatio at a to im an U T be verified by appropriate
FD.
Found
F.F.
Finished Floor
10.8.
Top of Bank
utility location companies.
P
Plat
F.C.M.
Found Concrete Monument
TVP.
Typical
rneredy cerr, -Y roe a�dcarecrrepres nonora wrvey
O.H.U.
Overhead Utilities
F.P.K.
Found Parker -Katon Nail
W.C.
Witness Corner
(-• prepared and
PP.
Power Pole
L
Length
10.05
Existing Elevation
TX
Transformer
L.A.E.
Limited Access Easement
E.O.W.
Edge of Water
%'
CAN
Cahle Riser
M.H.
Manhole
.11 Swerdloff Regntaed U cl Surveyor No. 3411