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Home My WebLink About106 Rose Hill TrlCITY OF SANFORD PERMIT APPLICATION YJob rmit No.: t / c7 ' —7 Date: 5 ^! 3 4 Address: / 06 R65 k // 7RG _15aC144e_d r r / gaz 7 73 Permit Type: Building Electrical Mechanical n Plumbing Fire Alarm/Sprinkler Description of Work: Ln f- ae_55 Zr rPa/` P1_1r&6CCy 62ZAICP 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 n Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: Value of Work: S 6 00, Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units: Parcel No.: Attach Proof of Ownership & Legal Description) kOwner/ Address/Phone:Ag6eR.T M ARG 10' Ase ZKY/ T,eL _4 CVA/11-L 3 273 Contractor/ Contact Person: Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender: Address: ArchitecttEngineer Phone & Fax Number: State License Number: Phone No.: Address: Fax No.: 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. gnature of Owner/Ag6it Date t Owner/Agent's Name ."_4A/ W , wx 57 f 3/2 ignature of Notary -State of Florida Date JO MN M. JOHNSON 4 * MY COMMISSION # CC 921808 EXPIRES: March 23, 2004 BondadTkuBudge! Noion Services Owner/ Agent is Personally Known to Me or Produced ID O(-1 r- 3 Zy -7-)37// 7GX>-, APPLICATION APPROVED BY: Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/ Agent is Personally Known to Me or Produced ID Date: Special Conditions: 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 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 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. Q- 127f/RG 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 lawn on the permitted structure. offOwner/ Builder Signature Date ne, 4c 4 C/IG// Print Owner/Builder Name gyp P•`t. JO ANN M. JOHNSON MY COMMISSION N CC 921808 gnature of Notary-S ate of Florida Date , EXPIRES: March 23, 2004 Fc: r.o Bonded Thru Budget Notary Services Owner is Perso% llv Known to Me or has Produced ID l-,DLI F3Z® 3 11Zt F I N f--\ lZ--> v F- V I- A d 0 ry LOT # 68 1' 15' drainage -- — easement ROSE_ TRACT " A" RETENTION POND DRAINAGE EASEMENT) LOT # 67 a N89' 58'30"E 50.00'* EGAL DESCRIPTION: r01_ L, ACCORDING TO THf. III -Al THEREOF AS RGED ! N PLAT BOOK 54 , PAGES 41 AND 42, OF THE UBLIC RECORDS OF SEMINOLE COUNTY, fLORIDA. GENERAL NOTES: 1. BEARINGS ARE BASED ON RECORD PLAT. 2. THIS SURVEY IS NOT INTENDED TO LOCATE ANY UNDERGROUND UTILITIES. 3. BASED ON THE NATIONAL FLOOD INSURANCE PROGRAM FIRM MAPCOMMUNITYNO12MC, PANEL N0.0045F. DATED APRII_ tTf : rug. .nn„-..- LOT # 5 3' x3' CONC. PAS L--------------- I10' UTIUTY EASEMENT TRAIL NOTE: FINISH IPLAN SECTION 6 7DII FLOOR ELEVATION CITY OFSANFORDSUBDIVISION CODED LEGEND: FINISH rLOOR F.F CENTER LINE ROAD E ooNo FND. LOT LINE — ADJACENT LOT LINE —_ EASEMENT ESMT. DRG. EASEMENT LINE DRANAGE U11fL11Y UTIL. o— SET 5/8" IRONROD #5192 RiGHT-OF_WAY RW END 5/8' IRON ROD # 2498 4"W CONC. MONUMENT # 2498 ? CABLE I TV9 1< K END POINT OFCURVAIURE - MMBOX fR c };a_ 4: TRACT "A" RETENTION POND DRAINAGE EASEMENT) LOT #67 LOT #68 N89'58'30"E 50.00 *`ffl 1 15' drainage r easement 6. 13.33 o covered o12.0' CONC. 6 LOT #512.6] LO1 'r 3:21 106 ONE STORY CONC. BLOCK RESIOENCE 3'x3' Ca":C. PAD O Z L t l Y E O at_------- QI— — — — — — — — S89'58'30"W 50.00' z 110- UTTLITY EASEMENT ROSE_ HILL TRAIL 0, NOTE: FINIPLANLIMEMEETS SECTION6 CITYOF SANFORD I ENGINEERED COD SUBDIVISION E3AL DESCRIPTION: n_ I- ACCORDING TO Tlif. III -Al 1HEREOF AS K ! N PLAT BOOK 54 , PAGES 41 AND 42, OF THE UBUC RECORDS Of SEMINOLE COUNTY, Lt.ORIDA. GENERAL NOTES: 1. BEARINGS ARE BASED ON RECORD PLAT. 2. THIS SURVEY IS NOT INTENDED TO LOCATE ANY UNDERGROUND UTILITIES. 3BASEDONTHENATIONALFLOOD INSURANCE PROGRAM FIRM MAPCOMMUNIIYN0.1211X, PANEL N0.0045F. DATED APRIL LEGEND: FINISH FLOOR F.F. CLNTER LINF ROAD FOUND FND. LOT LINE .. — _ EASEMENT ESMT. ADJACENT LOT LINE _ DRAINAGE DRG. EASEMENT LINE UTITLITY UTIL o— SET5/8 IRON ROD j5192 RIGHT-OF-WAY R/w FND 5/9'IRON ROD A 2498 • 2498 T CPB+SF: G48RX V. FND 4"x4" CONC. MONUMENT POItJT OF CURVATURE ac;