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HomeMy WebLinkAbout837 Rosalia DrX CITY OF SANFORD PERMIT APPLICATION Permit #: Date: --Job Address: Description of Work- I�`Z—I�Si 42 a (� � ��'t- J, _�-i1 i�'�Y 2S Historic District: Zoning: Value of Work: $ _ ,/ 0,0 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: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer: Address: Contact Person: (Attach Proof of Ownership &, Legal C, Phone: II I � DY State License Number: 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 that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. w---oigiiacarc-vi ^- . - Owner Signature of Owner/Aee� , Date Signature of Contractor/Agent Date DEBBIE BLANTON MY COMPAISSION # DD 188491 Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Produced ID APPLICATION APPROVED BY: Bldg: l lF 4 2-7 a Zoning.—;_ 7 2G `�rUtilities: (Initial & Date) (Initial & Date) Special Conditions: Personally Known to Me or 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' r�I-®�4 A" , do hereby state that I am qualified and capable of performing the re ted consftkt on mvolved 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. wner uilder Signature Date Print Owner/Builder Name DEBBIE BLANTON MY COMAAI,,I�i^ni, ^, Personally Knovn�toe r has " DOUNDARY SURVEY " REAL PROPERTY DESCRIP77ON" C.M. NO I.D.W/ LOTS 19 AND 20, (LESS THE SOUTH 12 FEET FOR ALLEY), BLOCK 18, SECOND SECTION OF SAN LANTA, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 4, PAGE 40, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA, �� DgIVE PAVEME a RlPET PV`T P,05 REC. 1/2" IP /4401 f � '__--- 1 �5vi�j �zo.eo'tP) 10 I W REC. 1/2' IP /4401 FHONp 1.0. 12' ___---'- R. A. 11/04 L( ) 12/07/04 o? tJ 04 N 11� NO PC WAS FOUND OR SET DUE TO LACK OF CURVE INFO ON PLATIL 84.62• , ' �. i1 bt14.1'p 6.5 U II a I S 12'`L LOT 39 ' 1 12.38' 0 8.2' 28.1 ' °. o 6.0, ONE J1�� - a ~ I O T 1 s.o' ,� W.F.S. #837 �+ 40.2' a+ Z L 0 I� ';Q OFF A 8 8 R E V I A P.RM.' - f°EBIANENT REFERENCE MONUMENT GM. - CONO1ETE MONUMENT 14.4' 3 t LOT 20 1 LOT P.O.C. - POINT OF COMMENCEMENT P.d - PUT BOOK PP�p,, - PAGE LOT 19 I .4 P. C.- PONT W CURVATURE P.R.G - POIN 0 ICURVATEYERSE CURVATURE N.A -MON-RADIAL BLOCK'T 18 BY - BENCH C • C - CRIB k GUTTER L CAN - CABLE TFIEN9C11 gL471 PAVEIAENT P.GG - PONT OF COMPQDN CURVATURE RAD. - RADIAL R - RADIUS Fl. - FINISHEDFLOOR TEF - TEIDIIONE RISER 101 P.T. - POINT OF TAN�NCY NT d: �LTIOG L - ARC LENGTH P.L -POACTUAL RS - BUILDING SETBACK C.S.S - CONCRETE BLDG( STRUCTURE 1'� �Np/I.D M.N. - P.GP. - PERMANdT PONT A - DELTA P.QL - PONT ON UNE RP. - RADIUS PONT (P) - MT W• No SURVIE1,0111 •w IDENTIFICATION GB. - 0407E BEARING - Po01T-GF-WAY M - MEASURED N.G. - NATURAL GTOUIID xi R. - SQUARE FEET 13 E�'M T.S. - TANGENT BEARIN - CENTER lUE oFF , 89.80(M 30,( _ REC S80 OOH_ ply '__--- 1 - 3�8 1.R. PERO wFY I WPP �M CV OV 1 FHONp 1.0. 12' ___---'- R. A. 11/04 L( ) 12/07/04 10 i1 LOT 40 I LOT 39 ' 1 T FID WELLBOX W/ L L E G E N D C.M. NO I.D, A 8 8 R E V I A P.RM.' - f°EBIANENT REFERENCE MONUMENT GM. - CONO1ETE MONUMENT T 1 0 N fL - ELEVATION A/C -AIR C(U/DI IIOIEEI CDNG -COIN LD CLE. - OIAW I11NK iENCE FLIM - IRE H DRANT - EWE HYDRANT P.O.C. - POINT OF COMMENCEMENT P.d - PUT BOOK PP�p,, - PAGE TMP. - TIPTCAL W.F. - WOOD FENCE OVI IN 0 - NAL AND DISC M MARIE P. C.- PONT W CURVATURE P.R.G - POIN 0 ICURVATEYERSE CURVATURE N.A -MON-RADIAL LLE - UTILITY EASEMENT DL - DRAINAGE EASEMENT BY - BENCH C • C - CRIB k GUTTER L CAN - CABLE TFIEN9C11 gL471 PAVEIAENT P.GG - PONT OF COMPQDN CURVATURE RAD. - RADIAL R - RADIUS Fl. - FINISHEDFLOOR TEF - TEIDIIONE RISER FAPWT_ FIELD SOCK MAHNOLE P.T. - POINT OF TAN�NCY NT d: �LTIOG L - ARC LENGTH P.L -POACTUAL RS - BUILDING SETBACK C.S.S - CONCRETE BLDG( STRUCTURE TRANS - 1RANSPoRYEU PAD LP. - UONT POLE M.N. - P.GP. - PERMANdT PONT A - DELTA P.QL - PONT ON UNE RP. - RADIUS PONT (P) - MT PP. - POWER PO.E No SURVIE1,0111 •w IDENTIFICATION GB. - 0407E BEARING - Po01T-GF-WAY M - MEASURED N.G. - NATURAL GTOUIID xi R. - SQUARE FEET FMO FOUND FOLd.EIED E�'M T.S. - TANGENT BEARIN - CENTER lUE C - CALCULATED _ REC SURVEYORS NOTES: 1. NOT VAUD WITHOUT THE SIGNATURE AND ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER. 2 THE 'REAL PROPERTY DESCRIPTION SHOMN HEREON IS IN ACCORDANCE WITH THE DESCRIPTION PROVIDED BY THE CLIENT. 3. NO UNDERGROUND IMPROVEMENTS OR VISIBLE INSTALLATIONS HAVE BEEN LOCATED OTHER THAN SHOWN. 4. BEARINGS ARE BASED ON THE CENTERLINE OF ROSALIA DRIVE ASSUMED AS BEING N. 80'00'00' E., PER PLAT. 5. HAVING CONSULTED THE NATIONAL FLOOD INSURANCE PROGRAM FIRM, I HAVE DETERMINED THAT THE SUBJECT PROPERTY UES IN ZONE 'X', NOT A SPECIAL FLOOD AREA PER FIRM PANEL / 12117COG45 E. DATED APRIL 17, 1995. CITY OF SANFORD(120294), SEMINOLE COUNTY, FLORIDA JOB NUMBER: 04-J97 CADD DING F E• 837 ROSAUA DMW COMMENTS FILLU UA It. Urrll,c UH IL BOUNDARY SURI£Y R. A. 11/04 ABA 12/07/04 CER ABED TO: ELAINE L BONUN SURVEYOR'S CERTIFICATE.• THIS IS TO CERTIFY THAT THIS SURE MEETS THE WO MUM TECHNICAL STANDARDS AS SET FORTH BY THE FLORIDA BOARD OFA PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 611317-6, FLORIDAMINISTRATIVE CODE. PURSUANT TO SECTION 472.027, FLORIDA STAPTE)L PROFESSIONAL SURVEYOR k MAPPER FLORIDA REGISTRATION NUMBER 5807 SCOTT'S SURVEYING SERVICES, INC. 7 S. HWY. 17-92, SUITE 7-A DEBARY, FLORIDA PH. (386) 668-7332 FAX 668-7337 t 00 ( Ia; g' Pb, -5 a.. r R'Itla, p,1 h;� �I c-�, X D q a, d PoA, o x 3 a) E, �e b�z� I Ga�� "76 0, Bi6c.K I e, end Ste. San L O,/4� P B L4 PG L R'Itla, p,1 h;� �I c-�, X D q a, d PoA, o x 3 a) E, �e b�z� I Ga�� "76 0, �x"4 R" 'xis ��-� S:cl,n� o, sh �-F Ps (),A) �.(.3e as o� bl e . &S Y3 '7 of>y.lia. IJP: to ;;i- X 4 Ro-F e.s . V� jstActw 7 )o4 F- 1 tR —' n� G � TI b s a� Y3 '7 of>y.lia. IJP: to ;;i- X 4 Ro-F e.s . V� jstActw 7 )o4 F- 1 tR —'