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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