HomeMy WebLinkAbout104 Monterey Oaks DrCITY OF SANFORD PERM,.T APPLICATION
l 012LCO(og Date: 6 ` 1APermitNo.: `
1,, De- PermitJobAddress:
1 MQ 1 1 V / ()0.lK ts
Type: -,& Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
a w A _
Description of Work:
Additional Information for Electrical & Plumbing Permits
Electrical: _Addition/Alteration _Change of Service Temporary Pole _New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
WA
Occupancy Type: l/ Residential Commercial _ 0,5 5IndustrialTotalSqFtg: Value of Work: $ GOB• aG
Type of Construction: &&e Flood Zone:' Number of Stories:t Number of Dwelling Units:
Parcel No.: Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: 164 *oAk/'@y_ ea 8191'De J-cYA4/c/ FL V I
Contractor/Address/Phone: (-v 7 .Z 7,1di Contact
Person: P_cl h A Phone & Fax Number: Title
Holder (If other than Owner): Dec le ke1/P /- Address:
Il I
Bonding
Company: Address:
Mortgage
Lender: Address:
ArchitecttEngineer
Address:
kJ
d ri State
License Number: for
32P 7.71G Phone
No.: Fax
No.. 77
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. Z-
0 2 Tig—
nafure of Owner/Agent Date DCCs„
h 6Ile K o4-12-d2 Prmt Owner/
A ent's Name at Signature
ofNotary -State of Florida o rv%,,
Melissa Cameron sCommission # DD079918
Expires Det
20 2005 Bonded Tani
nn. Atlantic
Bonding Co., Inc. Owner/Agent
is Personally Known to Me or Produced IDTTCq
61-% 3-n 3ltw Signature of
Contractor/Agent 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:P/6zp i Date:
41111k-
2— Special Conditions:
PLOT PLAN for.
DESCRIPTION:
RECORDED W PLAT BBOOK
MARONE. .10ME5, INC.
LOT 3, MONTEREY OA 5 PHA5E1, A REPLAT (Unrecorded)
PAGE(S) PUSUC RECORDS Of 5CMINOLf COUNTY, FLORIDA
LOT 4
N89043'38" W
COUNTKY CWB PARK (PHA5r- II)
PLAT BOOK 54, PAGr_5 22-24)
589°43'380E
G ,
Cfi, B RG. N78398043 88 • 1
W
N09',s'sDw :
M ONTER Y 0
F.H.A. PLOT PLAN
P - DENOTES PROPOSED ELEVATION
PER ENGINEERING PLANS.
E - DENOTES EXISTING ELEVATION FATc
PER ENGINEERING PLANS.
4
za
a 5' 10 20
GRAnilc 9CAi1
eCOT 2
PLANS P
CITY OF SIN ORI
FLOOD CERTIFICATION BUILDING SETBACKS_ NOTES:
1. BEARINGS ARE BASED ON THE CENTERLINE Of BASED CV THE FEDERAL EMERGENCY FRONT: 20'
MONTEREY OAKS DRIVE BEING N89'I3'3B'W. MANAGEMENT AGENCY FLOOD INSURANCE REAR: 15'
2. ELEVATIONS AND LOT DRAINAGE TYPE SHOWN RATE MAP, THE STRUCTURE SIDE: 5'
HEREON ARE BASED ON SITE ENGINEERING SHOWN HEREON DOES NOT LIE WITHIN
SIDE STREET: 15'
PLANS FOR THE PROJECT.
J. BUILDING TIES ARE TO FOUNDATION.
THE 100 YEAR FLOOD HAZARD AREA.
THIS STRUCTURE LIES W TONE " X '. BUILDING LINE: 50'
4. PLOT PLAN ONLY. LOT HAS NOT BEEN STAKED COMMUNITY PANEL NO. 120294 0040 E
IN THE FIELD. EFFECTIVE DATE: APRIL 17, 1995 LOT J CONTAINS
THIS IS NOT A SURVEY. MAP REWS/ON DATE: 5.554 SQUARE FEET/0.125 ACRES
SUBJECT TO CHANCE)
THE UNDERSIGNED AND CAVONE, INC. LAND SURVEYORS and MAPPERS MAKE NO RESERVATIONS OR GUARANTEES AS TO THE INFORMATION REFLECTED HEREON
PERTAINING TO EASEMENTS, RIGHTS OF WAY, SETBACK LINES, AGREEMENTS AND OTHER MATTERS, AND FURTHER THIS INSTRUMENT IS NOT INTENDED TO
REFLECT OR SET FORTH ALL SUCH MATTERS, SUCH INFORMATION SHOULD BE OBTAINED AND CONFIRMED BY OTHERS THROUGH APPROPRIATE TITLE VERIFICATION.
ABBREVIA TIONS/LEGEND:
R P.T.-POINT OF TANCENCY CONC-CONCRETE
P.I.-POINT OF INTERSECTION L.S.-LAND SURVEYOR P.R.C.-POINT OF REVERSE CURVATURE O.E.-DRAINAGE EASEMENT
P.C.-POINT Of CURVATUREEAWARC O.R-OFFICIAL RECORDS P.C.C.-POINT OF COMPOUND CURVATURE U.E.-UTILITY EASEMENTENGTHL.B.-LICENSED BUSINESS CH.BRG.- ORD BEARING SQi/.f.-SIDEWALK h UTILITY EASEMENTD.U.kS.E.-DRAINAGE, UTILITYINEA/C -AIR CONDITIONER PAD DELTA (CENTRAL µGLE) D.QU.E.-DRAINAGE & UTILITY EASEMENT SIDEWALK EASEMENT
AVONE INC.
THIS SURVEY NOT VALID UNLESS EMBOSSED
W' THESIGNATURE YOTURF ANDRAl5i0SEALA
FL IDA LICENSED SURVER MAPPER REVISION
DATE LAND
SURVEYORS AND MAPPERS J00
COUNTY ROAD 427 SOUTH LON00
CW0, FLORIDA32750-5499 TELEPHONE (407)
A3O-9090 FAX No. (
407) 339-3836 DOMWICK F.
CAV+XNE - PRESIDENT FLORIDA SURVEYOR
k MAPPER NUMBER 2005 LICENSED BUSINESS
NUMBER 5073 h/[ TU
IC EA -AL 7•ZJd •'m PLOT PLAN
9-17 99 LOT by
CHIP W.0.99-8G72 CADD FlLE: MOAKSLJ.OWt;
CITY OF SANFOi?D M;ILD1NG DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property Nyhen 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 tkyo-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease_ or building or improving commereial 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
stricture by the owner -builder within I year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt an., 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 Avork 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 \,our property; to act as \,our own
contractor with certain restrictions even though V ou 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 $2i.000. The building or residence must be for your own use or occupancy. It ntay
not be built or substantially for sale or lease. If you sell or lease a building you have built or
substantially improved yourself within I year after the construction is complete, the lacy 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 \,our contractor or to supervise people »orking 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 \,our 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.
1, DCC,6h ` e R 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 lacy on the permitted structure.
Ox%,ncr/Builder Signature Date ;.,`a ' o'••,
b
Print Owner/Builder Namc g
y! •
w rn
g o w
Signature of NotaX-State of Florida Date
y
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Ox\-ncr is Pcrsonalh Kno\\n to `lc o r,,has
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Produced ID _ 7, k 77 -37+ —