HomeMy WebLinkAbout145 Oak View PlCITY OF SANFORD PERART APPLICATION
Permit
Job Address:
Date: i l Z Z/Oz
Permit Type: -X— Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: AAa Lo t n F }7n rch
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
Occupancy Type: YResidential Commercial _ Industrial Total Sq Ftg: Value of Work: S 1700. OO
Type of Construction:_ P0rCN-% ' Flood Zone: Number of Stories: Number of Dwelling Units: I
Parcel No.:
Contractor/Address/Phone: S8.0 oe—
Contact Person:
Title Holder (If other than Owner):
Address: 145 (38-k \) e"
Bonding Company:
Address:
Phone & Fax Number:
ai
Attach Proof of Ownership & Legal Description)
State License Number:
Mortgage Lender: Wash n a -o rJ M o h) a i_ M o r -- g a G e
Address:
Architect/Engineer
Address
agtl
Phone No.:
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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713,
01
LZ
Signature Owner/Agent Date
3ervr,I hex Ft Text v T- . 5
Print Owner/Agent's Name
yr n t - -3 -O'L-
ary7StatdW Florida Date
JO ANN M. JOHNSON
MY COMMISSION # CC 9218M
EXPIRES: March 23, 2004JJ
rFOF P0P\O' Bonded Thru Budget Notary Senrcae
Owner/Agent is Personally Known to Me or
Produced ID FAD(. < („ ,o 71 -7n 3
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
APPLICATION APPROVED BY: a 4 Z!o -F Date: /—" 21-/— O 2_
Special Conditions: .S Gl;il crc.
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 chat 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 I 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 lacy 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.
l /
6) , 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 stpc f6 e.
Signature
Print Owner/Bui
IAIO Z
Date
L YY1 23 I(-1Z
ignature of Notary—Stal of Florida Date
Ov.,ner is Personally Known to Me or has
Produced ID -FL i) (. C(v 0 33 la %0 a—__>70
Y -
o" JO ANN M. JOHNSON
M Cfb+nldl;.SiON A CC 921808
M4 Cn 23, 2004
Far OQ - B:•o : • + WC10'y se vem
PLAT OF BOUNDARY
LOT
for:_ MAROND HOi1Lfc INC;.
DESCRIPTION: LOT 17. STERLING WOODS
RECORDED IN PLAT HOOK _ 54 PAGE(S) PUBLIC RECORDS OF SEMINOLE COUNTY. FLORIDA
SANFORD BUILDING DEPT.
THESE PLANS ARE REVIEWED AND CONDITIONALLY
ACCEPTED FOR PERMIT A PERMIT ISSUED SHALL BE
CONSTRUED TO BL A LICENSK TO PROCEED WITH
THE WORK AND NOT AS AUTHORITY TO VIOLATE,
CANCEL, AL'ER, OR SET ASIDE ANY OF THE
PROVISIONS OF THE TECHNICAL CCDE9, NOR SHALL
ISSUANCE OF A PERMIT PREVENT THE BUILONT6
DEPT FROM THEREAFTER REQUIRING A COSJPP"-
TION OF ERRORS ON THE PLANS, CONSTR ION
OR OTHER VIOLATIONS OF THE CODES.
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LOT 16 0
City of Sanford
Model Codes in effect: ILLJ
Standard Building Code 1997 ed. s
Standard Plumbing Code 1997 ed.0)
Standard Mechanical Code 1997 ed..)
National Electrical Code 1996 ed. j o
See City Code AMENDMENTS
FL. Acco9Sibility Codes 1997 0)
rL. l=nergy Code 107 00
to
PERMIT VA
OFFICE COPY
FLOOD CERTIFICATION:
Based on the Federol Emergency
Monogement Agency flood insurance rote
mop, the 57Xs47i/Q4 shown hereon
DOES LIE within the 100 year flood
hazord area. THIS SITE LIES IN ZONE -A-
Community Pone1 No. 1202940045E,-
EffecC)ve Date: 4-17-95 --
Mop Revision Dote: ----
SUBJECT TO CHANGE RADIUS
POINT
l7bumn DISC
NO.
h
SURVEYOR'S NOTES:
1 _ __.. --
2. Q L# 4-(—XAMCIER IROM PIPE N1H CAP N. LSI005+'J
3 _DIAMETER Y?ON PIPE .}y,TH CAP o.
4 . _NAIL AND DISK NO y
3. dANE TER )RON ROD WITH CAP o _.
6 4 X4• CONCRETE MaFAINENT No.
RIdCAYES
B. x CROSS COT IN CONCRETE-
9 VEHICULAR ACCESS RIGHTS TO
ARE DED.ICA TED f0 ----
a EL:VA TIONS BA SEU ON NATIONAL GEODE TIC
VER DC AL DA TUN OF 1929
lI. UNOERCROUND LOWOVE11ET4TS HAVE NOT BEEN LOCATED
12 80"IsC TIES ARE TO FOUNCLABON
23. ROOF OVERHANGS d FOOTERS HAVE NOT SEEM LOCATED.
14 BULLING nrS ARE h= TO TO BE USED TO CONSTRUCT
DEED 40 PLATTED LINES.
15 BEARINGS AND DISTANCES SNOwV HEREON ARE
MEASURED AND PER RECORDED PLAT UNLESS OTHERWISE
NOTED
4
TRACT "A"
RETENTION AREA, DRAINAGE
AND CONSERVATION EASEMENT
S 00*44901 " W 78.00
10' ENVIRONMENTAL -
CONTROL EASEMENT
19P?S`
tom. o •.
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4 q P;, . e co oH. R 0 2 ` • 9s
SQC 1, ti•
4` \
61
ADDRESS: I
OAK VIEW PLACE
BEARING REFERENCE:
EIeorvigs are based on the:
SOUTHERLY LINE OF LOT 17
BEING. N 89.56.22" W
25.35'
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25.26' `
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NON —RADIAL)
LOT 18
CERTIFIED TO:
Terry L. E Jennifer Cruise
Pinnacle Financial Corp,
Kampf Tit-}e & Guaranty Corp.
Adnoram Title Company,lnc.
Chicago Title Insurance Co.
THE UNDERSIGNED AND CAVONE, WC LAND SURVEYORS and MAPPERS MARE NO RESERVA77ONS OR GUARANTEES AS TO THE INFORMATION REFLECTEDHEREONPERTAININGTOEASEMENTS, RIGHTS OF WAY, SETBACK LINES. AGREEMENTS MID OTHER MATTERS. AND FURTHER THIS WSTRUMENr IS NOT
BIIENDED TO REFLECT OR SET FORTH ALL SUCH MATTERS. SUCH WFORMATKW SHOULD BE OBTAINED AND CONFIRMED 8Y OTHERS THROUGH
APPROPRIATE TIRE WR)F)CATON. LANDS SHO"" HEREON MERE NOT ABSTRACTED FOR RIGHTS OF WAY ANDIOR EASEMENTS OF RECORD
RECERTIFIED SCAL E
V OR
Not valid without FINAL 7'2'
T "= 20
d o the signature and FOUNDATION Jr" f '
LAND SURVEYORS AND MAPPERS
the orignal raised STAKED _
1
sed of a Florida
3O0 COUNTY ROAD 427 SOUTH Licensed Surveyor —
LONGWOOD, FLORIDA 32750-5499 and Mapper DO IC F. AVON - P (DENT
TELEPHONE (407) 8.30-9080 Ronoo Lord Surveyor and Mopper Reglstrahon No. 2005
FAX N. 407) 339-3636
w0. STAKE LOT i4- 3Z W.O. STAKE HOUSE Z- 3Z34- WO. FORM CHECK____ LICensed Business
WO. FOUNDATION UDO -501D W O. FINAL S - W.O. RECERT #LB- 5073
ABBRE VIA TION
P.C. POINT OF CURVATURE
PT POINT OF TANGENCY
P.I. POINT OF INTERSECT"
Pit C. POINT DF REVERSE CUR -ROC
PC.0 Pow OF COMPOUND CLRVArLW
CN CHORD
CH.BRG CHORD BEARING
R RADIUS
IN. DEL TA (CENTRAL ANGLE)
CENTER LINE
LB LICENSED BUSINESS
CONC. CONCRE IF
A/C AIR CONa DOWER PAD
LS. LAND SURVEYOR
No NUMBER
145 Oak View Place, Sanford, FL 32773 CRUISE
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