HomeMy WebLinkAbout301 Clydesdale Cir (2)Permit # : J 'J
Job Address: d�
Description of Work: ale
CITY OF SAMTORD PERMIT APPLICATION
Date:
Historic District: Zoning: Value of Work: $ (%V l/
/0✓ -
Permit Type: Building 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 #:
Owners Name & Address:
25 S-17
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
A (Attach Proof of Ownership & Legal Description)
— 3zc/— l70
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 ELECT ICAL 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 verj�ication that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signatre uof Owner/Agent d Date Signature of Contractor/Agent
T
1. • -9V/1.94Z
Print Owner g is Nam Print Contractor/Agent's Name
Gc� ADe 3 OSign ure of N ry-Sta e of Florida Signature of Notary -State of Florida
���..,��,,,,, KATHY 1.OWENS
Owner/Agent is NW"bllc . State of FWdo Contractor/Agent is.
Produced ID cis 2008 Produced ID _
? ` Commission # DD344129
APPLICATION APPROVED B ������Bonded ByNationa fin' Utilities:
(Imtia & 11ateT — — — — 7iii7al & Date)
Special Conditions:
Date
Date
Personally Known to Me or
FD:
(Initial & Date) (Initial & Date)
CITY OF SANFORD BUILDING DIVISION
OWNERBUILDER 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.
v
I, ZS.9t//Id �c�pv .�/,9L , 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 D to
_T,
Print Owner/Builder Name
Sig tore of Notary—State of Florida Date
0111 t,,, KATHY L OWENS
/ Y No ry Public - State of Fiodda
Owner is r� Personally�A95 2008
Produced ID 's'� mission # DD344129
'''•,°; Bonded BV National NotaryAssn.
PLAT OF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 42, BAKERS CROSSING, PHASE 2
AS RECORDED IN PLAT BOOK 62, PAGES 97-99 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
NOTE:
THE FINISHED FLOOR ELEVATION OF THIS
STRUCTURE MEETS OR EXCEEDS THE
THE REQUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 6, SEC, 6-7(A),
CERTIFIED TO AND FOR THE
EXCLUSIVE USE OF:
DRU TTCLE COMPANY OF FLORIDA, INC.
FIDELITY NATIONAL TITLE INSURANCE CO. OF PENNSYLVANIA
PEDRO ISAURO DIAZ AND IRMA O. DIA7
CH MORTOAOE COMPANY, 1, LTD.
NOTE:
1. ALL DIRECTIONS AND DISTANCES HLE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2 PROPERTY CORNERS SFIOWN HEREON WERE
SET/FOUND ON 10-20--03, UNLE95 OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN,
5 NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR ANO MAPPER,
I HAVE EXAMINED THE FLR,M.COMMUNITY PANEL
NO 120289 0045 E DATED 4/17/95 AND FOUND
THE SUBJECT PROPERTY APPEARS TO LIE IV ZONE X.
AREA OUTSIDE 100 YEAR FLOOD.
CLE VATNONS SHOWN HEREON ARE BASED 0. SEMNOLE COUNTY
WRIICAL CONTROL AS FURNISHED.
BLARINGS SHOWN HEREON ARE BASED ON
THENORTHERLYLME OF LOT 42,
TRACT A
(FIELD DATE:) 6-10-03 CKB
REVISED:
SCALE:h` 30 FEET
CLYDESDALE CIRCLE
APPROVED BY: WRMV
CE
JOB N0. ASM 41198
\ORICHT OF WAY
_FINAL
TEs a eE
ORAWN Y:
LOT RAN
LSLAND
SURVEYOR
-
-
N89IY34'W
-- "
FCP
501.18'
Pr
PER PLAT
—
4434.88' d6 30 - --
- —A�
END
CENTERLINE OF
Flo
PC
5fLV
PIGH T -OF- WAY
h�ry
PAD
CONCRETE SLAB
C
PK
CHORD LEND rH
PARKER KALON
S89'17'34"E 50.00_'
RADIUS
POC
WALK IS :...4.O,S .
1.8' OFf
WALK IS
I.6' OFF
-_-
10' UTILITY EASEMENT
_ ____-_---- rt.Y�yt
� vtiy�
MNCRETC
'
O.nC REO.....^`_�`•At-.
i .FYI
� 9.6'
5.0
fi S. 7' F•i
\J
9
W
"D
TWO STORY
I" 30'
-RAPHI
r�
LOT 43
O CONCRETE OLOCK
N A WOW FRAME
a CO
LOT 41
. A
N FIRESIDiNCE
N �
b
0 15 30
LOOR
O ELEVATION
N
-43.92
O —
d O
z
o
N
CERTIFIED TO AND FOR THE
EXCLUSIVE USE OF:
DRU TTCLE COMPANY OF FLORIDA, INC.
FIDELITY NATIONAL TITLE INSURANCE CO. OF PENNSYLVANIA
PEDRO ISAURO DIAZ AND IRMA O. DIA7
CH MORTOAOE COMPANY, 1, LTD.
NOTE:
1. ALL DIRECTIONS AND DISTANCES HLE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2 PROPERTY CORNERS SFIOWN HEREON WERE
SET/FOUND ON 10-20--03, UNLE95 OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN,
5 NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR ANO MAPPER,
I HAVE EXAMINED THE FLR,M.COMMUNITY PANEL
NO 120289 0045 E DATED 4/17/95 AND FOUND
THE SUBJECT PROPERTY APPEARS TO LIE IV ZONE X.
AREA OUTSIDE 100 YEAR FLOOD.
CLE VATNONS SHOWN HEREON ARE BASED 0. SEMNOLE COUNTY
WRIICAL CONTROL AS FURNISHED.
BLARINGS SHOWN HEREON ARE BASED ON
THENORTHERLYLME OF LOT 42,
AS BEING S89'17'34' E PER PLAT.
(FIELD DATE:) 6-10-03 CKB
REVISED:
SCALE:h` 30 FEET
---- -
APPROVED BY: WRMV
CE
JOB N0. ASM 41198
TO -I
_FINAL
TEs a eE
ORAWN Y:
LOT RAN
A0 0'
0'
LO r 42
—
I � \s
LOT 34 LOT 35 LOT 36
BAKERS CROSSING PHASE I
PLAT BOOK 60, PAGES 27-29
32801- (407) 426-7979
• SEI 1/2' RCN ROD
ND 10. (10/20/03)
4 END NAIL AND DISC
L8 /6393 (10/20/03)
0 'SFT 1/j- WON ROD AND CAP
LB 16393 (10/20/03)
CNA
LEGEND
--
— BUILDING SETBACK UNE
L
CENTERLWE
---- -
- - RIDNT OF WAY ONE
PC
A}g% EKISIWG ELE VA'IDN
PIDENOTES
C NJCRE IE
LB
LAND SURVEYNO BUSINESS
LSLAND
SURVEYOR
FOU,
PERMANENT REFERENCE MONUMENT
FCP
PERMANENT CONTROL PONT
(P)
PER PLAT
M)
MEASURED
END
FOUND
C/W
CONCRETE WALK
5fLV
SIDEWALK
CPCONCRETE
C5
PAD
CONCRETE SLAB
C
PK
CHORD LEND rH
PARKER KALON
R
RADIUS
POC
PONT OF CURVE
32801- (407) 426-7979
• SEI 1/2' RCN ROD
ND 10. (10/20/03)
4 END NAIL AND DISC
L8 /6393 (10/20/03)
0 'SFT 1/j- WON ROD AND CAP
LB 16393 (10/20/03)
CNA
CORNER NOT ACCESSIBLE
A
DENOTES DEL1A ANGLE
L
UENOTES ARC LENGTH
C.B.
DENOTES CHORD OEARWD
PC
DENOTES POINI OF CURVATURE
PIDENOTES
PONT OF INIERSECFIGN
PRC
DENOTES POINTOF REVERSE CURVATURE
PI
DENOTES PONT OF TANCENCY
TYP
TYPICAL
A/C
AIR CONDIIIONER
COW
CONCRETE BLOCK WALL
RP
RADIUS PONT
ONU
q
0VERHEAO UTILITY LWE
IDENTIFICATION
POL
PCC
F'OHT ON UHF
POINT OF COMPOUND C•URVT
SURVEY, SUBJECT TO THE SURVEYOR'S NOTES
CONTAINED HEREON MEETS THE APPLICABLE
'MINIMUM TECHNICAL STANDARDS" SET FORTH
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORSANO MAPPERS IN CHAPTER
61C17-6, FLORIDA ADMINISTRATIVE CODE
PURSUANT TO CHAPTER 472.027, FLORIDA
STATUTES.
do—U-03
ARCHITECTURAL REVIE"W BOARD APPLICATION
Please. complete the application form and forward, with requested information, to the Associations
property manager for processing. Please do not commence work until you receive approval of your
application from, the Architectural Review Board.
7�yc= /�,9/�E/zs �ilUssi�v� ,E�o�ev wN�2S
ss o Q/� 7io� , INS. Gc Z J
Association Name
Applicant's Name
Property Address
D=T�Ap�ai
07) 3241—
Phone Number
t, 3Z 773
Changes to be made: ❑ Home Exterior ❑ Landscaping ❑ Pool Addition
Recreational Equipment Ql Vther '
Provide complete description of what changes will be made. Applications must include lot survey, site plans, diagrams, color chips,
material specifications, sample products, photographs and any information which will adequately describe the finished project. All
landscaping plans must include thb size, number and type of plants to be approved.
l/f4a-7 ze 2 11�?dl2
Failure to provide complete information will delay the approval process.
NOTE: All.request must conform to all applicable zoning and building regulations and it is
the property owner's responsibility to obtain all necessary permits if. application is approved.
THIS SECTION TO BE COMPLETED BY ARCHITECTURAL REVIEW BOARD
Request: Date Approved / -151<16 / Date Denied/ /
BOARD MEMBER'S SIGNATURE:
e
COMMENTS:
SUBSTANTIAL COMPLETION:
J.
Inspection Date /_
Final Inspection Date
SMI P-4
10100
_ Fidelity National 'Title
Insurance Company
45441-MA04-1056
Agent ID: FL -2469
Agent File No. 040007-S
Policy Jacket No. 5332-347997
SCHEDULE A
Related Mortgagee Jacket No. 5482-461410
hlg
Date of Policy: February 24, 2004 at 03:15:03 P.M.
Amount of Insurance: $156,519.00
1. Name of Insured
ISAURO PEDRO DIAZ AND IRMA G. DIAZ
2. The estate or interest in the land which is covered by this policy is:
FEE SIMPLE
3. Title to the estate or interest in the land is vested in:
ISAURO PEDRO DIAZ AND 1RMA G. DIAZ, HUSBAND AND WIFE by virtue of Warranty Deed recorded in
Official Records Book 5206, at Page 1805, Public Records of SEIMINOLE County, Florida.
4. The land referred to in this policy is described as follows:
Lot 49, of BAKER'S CROSSING PHASE 2, according to the Plat thereof, as recorded in Plat Book 62, at Page(s)
97, 98 AND 99, of the Public Records of Seminole County, Florida
Countersigned: DRH Title Company of Florida
5850 T.G. Lee Blvd, Suite 135
Orlando, F132822
Authorized Signatory
FORM $332 (994)
REPRINTED (5197)
.ANTMICAN LAND TITLE 0.SSOCIATION OWNERS POLICY (10- 17.92)
with Florida Modification