HomeMy WebLinkAbout215 Holly AvePermit No.: b 2,A' 3
CITY OF SANFORD PERMIT APPLICATION
Date:
Job Address:
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: __A?Aks' 2 of &L—'rf /WIMAF JW14 %t/ Aze_ &P !,4/
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: _11Residential Commercial _ Industrial Total Sq Ftg: Al Value of Work: S 3 &0
Type of Construction: "Ob Flood Zone: Number of Stories:_ Number of Dwelling Units:
Parcel No.:
Owner/Adc
Contractor/Address/Phone:
Title Holder (If other than Owner):
Bonding Company:
Attach Proof of Ownership & Legal Description)
State License Number:
Number:
1='
h
Address: -%?/Z/ - .uus'i.Je, /1.43TL /i 3Z7s1
Architect/Engineer iw P,—/®,C- Swe4AS' awe' Phone No.: 4U7-(ps6 ZCt(o
Address: AO /7-fZ 4Wywd A. --TZ750 Fax No.: %720o?
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. t
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.
1 -1
Signature Owner/Agent Date
of
in er/Agent's
y
Signature of Notary -State of Florida Dat
4ky P&* SHARON D. ALEXANDER
y g, COMMISSION # CC 704046
cq EXPIRES DEC 21, 2001
yj SONDED TNRU
f r F ATLANTIC BONDING CO., INC
Own /Agent is Persoy I1 Kno to Me orOwn
ID p= ( (1/ ,D 944e-
41
APPLICATION BY: / <C11— L 'S' rr-
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
Date: z'2 ' 3/ - V/
Special Conditions: - //(5 /(Gcc o L.—
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, , 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/BuildepSignaturie Date
Print Owner/Builder Name
gnature of State of Florida Date
Owner is Perso ally Known -to a or has
Produced ID 2 5 21 "5Z3,o - G
i" •aka SFIANNA HAMM iMYCOMMISSION• / DD 022471
EXPIRES: June 5, 2DD4
9onaeo Thru Sudpet Notary Ser*As ;
T
MARGE QUAST
Sales
SUPERIOR SHEDS INC.
1057 Hwy. 17-92
Longwood, FL 32750
Phone: (407) OW2006
Fax: (407) OW7209
N+
INC.".'SALES"ORDr;R!'.AOREER
SERIALC
SOURCE' k-Tt,,y.:tI;c
f
E
STATE: C
NINU
197-7;P-n'7'
MODEL S TYLE SIZE-- COLOR&t I
I' ItoDECKING-FLOOR
I,BOD 1-ROOFy
SIDE WALL- `WINDOWS VENTS--, '..ELECTRIC. RAMPr",; HE4`:WFD'!4`MF1D1 WNilU
9673614W-.., HEIGHT
7
1% P.?;' GARAGE DOORS' -"J" ik 531u
WXHR
FINANot
4P!
TEAM
pq% P.
E
Ifs" PYMT'
A K
DEPOSIT.1'" COMPANY
R
CRD.;. PROGRAM
NCE"
DUES "
WILL
BUYER PROVIDE AN UNOBSTRUCTED PATH LARGE . ENOUGH^TO MOVE`SHED"'TO','I'NS"TA'L"L',S'L"T.,"E'BEFORE '- D'EOVE i `,---
I-:';k-::! ADDITIONALkES'/ INSTRUCTIONS': 1DELIVERY.. PATH
IS'NEEDED:. FENCES, SHRUBS; CLEAR' PATH BUYER'
S RESPO 7BLOCKS; AND ANCHORS
PROVIDED.`A . DDITI ON SITE AL! BLOCKING PREPERATION;
YVI-L-.BE-AT'AN'ADDITI ON L' 100-_%
FEE` WILL'f.BE .CHARGED., ..RETURNED 44, 4'
DELIVERIES; DUE. - 0 . SPACE.. PROBLEMS:` ;,,WHEN SPECIFIC;,,
CEMENT OF-A"UNIT.-IS REQUESTED; E EqXBUYER
A EPTS,'FULL-RESPONSIBILTY. FORV EEN
INCURREDPLEASE
TO'DELIVERY "" REQUEST FOR
LOADING ,INSTRUCTIC)NS,AND Ci[kECTI NSt"Pt:, PERMITS:: -
BUYER
IS RESPONSIBLE: FOR *ALL PERMITS" AND,' SET - - NO CONDITIONS OF THIS AGREEMENT' REQUIREMENTS.
CONTACT LOCAL -MUNICIPALITY BEFORE DELIV`ERY.,%e-',`::: ENGINEERED
DRAWING 'AT TIME OF PURCHASE, STORAGE SHEDS.,-.,,:. BUYER .-;'. WILL
BE PLACED WHERE'INDICATED-,BY. BUYER, RETURN TRIPS TO MOVE
SHEDS WILL BE'CHARGEABLE, THIS IS. A PRE -CONSTRUCTED S -
tDATE: PORTABLESTORAGEBUILDING -TRAN PORTED TO,TkE'BUYERS"' LOCATION
AND PLACED PER BUYERS INSTRUCTIONS." v.
w_k SUPERIOROLr. - DEPOSITS: DEPOSITS
REOUIRED.-WITH BALANCE DUE UPON -DELIVERY. UNITS, OF
Oc
PLA
cc
REMOVED ..
HAS
5EAD'AL WILL -
BE HELD AT LOT X-MAXIMUM OF 3 WEEKS PENDING DELIVERY, ..... UNLESS
IN -FULL. TO.:.;.. BUILDINGSMANUFACTUREDPAID 'LOTAD 17- SPECIFICATIONS
WILL HAVE A20% CHARGE FOR CANCELLATIONS. G0003:
MS7 ALL
GOODS REMAIN PROPERTY OF SUPERIOR; SHEDS, INC. UNTIL` V PAID
IN FULL. COLLECTION COSTS, INCLUDING ATTORNEY -FEES, WILL;` BE
THE RESPONSIBILTY.Of BUYER. 'PHONE' A,
y e.
r
Soundafy Survey
of
The South 36 feet of Lot B and the
North 7 feet of the West 82 feet of
Lot 9, Block 4, Te i r 10
E.R.TRAFFORDS MAP OF THE TOWN OF SANFORD
Plat Book 1, Pages 56-64,
Seminole County, Florida
33' 8'
I
I I I
14'
II Lot ZLot7
I Block 4Block4ITier10Tier10
I I
L— — — — — — _j — —
I
ofIoLot8 IBlock4
o C dirt road e1.5' off2' concrete curb Tier 10 to
walk .1' of I"s/e' Iron nod not / 117. DO, ( P) ccV
S89' 55' 17' W 116.82' (M)
Lot
0l North line of the
I
Block 34
South 35 feet Lot e
3az
y
Lot B I Tier 10
Liu' Block 40concretestepsTier10 J
i Story mo
Residence
Z15
er pole
overhead line"
iL 7' 30. 3' ` , I
Q
fence -on Ilne
I
7. WIN 82.00'(D) — — — — N L4 Edge of dirt road —
J
a
S89' 31, 06' W 81, 87' (M) o hItne
I I
J
82. 00' ( D) I reef u raei of Lot 9 I I
lO
walk ao. 9' oft I Yt II a of p
fence e0. 7' off
w°:i(eiiiei of lot 9 Lot 9 --I I Lot 4
Block 4 o Block 4tTier10IITier10I
I
I o -
vmk Ii
P. 00' (P) — — — — ---I I— — — — c""
I Lot 10 BlocTier10114'
I B of 5
10LINE •
BEARING
LENGTH 33' 8'
I L 1 N00' 00' 00' W 43. 30' (M) 43.0010) D) L2NO2'
55' 09' W 6.86' (M) 7.00' (D) L3 N00'
29' 51' E 35.9011111) 36.00' (D) I l L4
N89'
58' 15' E 34.94' (M) 35.00' (D) Southeast corner
Lot ID Legend o -
Recovered
Concrete Monument in WellBox Set 4'
x4' Concrete Monument oLB5300 This Survey Certified To: N e
z
Recovered 1' Iron Pipe not Henry B. s Joan P. Goldberg Recovered X
Cut in concrete James M. Aviles and Gorgina Ouinones I o -
Recovered
112' Iron Rod •LB6097 Walter R. Moon 9 = Recovered
112' Iron Rod not Walter R. Moon, P. A. o - Light
Pole as shown Attrone s' Title Insurance Fund, Inc. o— -6'
Wood Fence —x— -4' Cha i n link fence y Fence as
shown 6-Central Angle L-Arc R-Radius R/W-Right of Way Concrete Slab
A/C -Air Conditioner (R)-Radial (NR)-Non-Radial Bearings are based on the IP)-Plat (
M)=Measured (C)-Calculated (D)-Deed centerline of Holly Avenue POO-Point
of Beginning POC-Point of Commencement as being N00.00'OO1E, assumed SCALE: 1'=
30' POL-Point On Line Not valid
without the signature and the original raleed Beal
of a Florida licensed surveyor and REVIENED BY: MWS Thls survey Is certified to and prepared for the Legal Description furnished by upper. Additions
and deletions to surrey maps, sole and exclusive benefit of the entities and/ client (unless otherwise noted) sketches or
ports by other'th n the Igning or Indlvlduals listed and shall not be relled on party or
p lee Is proAlDlte !tn written DRAWN BY: SAW by any other entity or Individual whomsoever. This Is to certify that I consent i
s nine r r p i have reviewed the Flood DATE: December
12, 2001 Underground foundations and/or Improvements were Insurance Rating Map (FIRM), not located
as a part of this survey. Panal Number 120294 0045 E. withal w.
sonao, Psw.use JOB No.:
15023 Dated4/17/95 and determined For the
Fire of Altamonto surveying Lands shown hereon were not abstracted for rights that the lands show hereon and Platting,
Inc. •LBWDOI,{ Revised: of ways and/or easements of public records. lies in Flood Zone 'XI. @[Loft
Ja®9120"[E SSHEKEU0mM IME [°IL880"Iff0m[Ea 0mICo 445 Douglas
Avenue, Suite 1505 Phone 1407)
862-7555 A I ta4lonte Springs, Florida 32714 Fax (407) 862-6229
t
A. Set• ant Statement
U.S. Department of Housing
and Urban Development /•%*.
B. Type of Loan OMB No. 2502.0265
Or
1. FHA 2. FmHA 3. Conv. Unins File Number Loan Number
GOLDBERG Mortgage Inra sunceCase Number 4. VA
S. 0 Conv. Ins. C. NOTE:
This form is fumished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "p.o.c" were paid outside of closing; they are shown here for informational purposes and are not included in the totals. D. NAMEANDADDRESSOFBORROWER: JAMES M. AVILES GEORGIANA QUINONES 2641 SouthElmAvenue, SANFORD, FL 2ti41 South Elm Avenue, SANFORD, FL E. NAME
AND ADDRESS OF SELLER: H N L BE JOAN P.
GOLDBERG 1421 SUNNYSIDEDRIVE, Maitland, FL 32751 1421 SUNNYSIDE DRIVE, Maitland, FL 32751 F. NAME
AND ADDRESS OF LENDER: 1421 SUNNYSIDE
DRIVE, Melf/and, FL 32751 G.PROPERTY
o y Avenue ou LOCATION: SANFORD,
FL 32771 H. SETTLEMENT
AGENT: Wa/terR. Moon; P.A. PLACE OF
SETTLEMENT: 200 North Primrose Drive, Orlando, FL 32803 TIN: 59-2207015 I. SETTLEMENT
DATE: 1211412001 RESCISSION DATE: 400. GROSS
AMOUNT DUE TO SELLER: 101. Contract
Sales Price 7 401.
Contract Sales Price 102. PersonalProperty402. Personal
property 103. Setttemenlschargestoborrower. from line
1400) 104 11,
192.
25 105. 404.
405.
ADJUSTMENTS
FOR
ITEMS PAID BY SELLER IN ADVANCE: 108. Cityltown
taxes ADJUSTMENTS FOR ITEMS PAID BY SELLER IN ADVANCE: to 10. Count'
Taxes 12/11/2001 to 01/01/2002 400, Cityltown
Taxes to 24. 51
407. County Taxes 1211412001 to 108. Assessmentsto021021200? S24.51 109. 408.
Assessments to 110. 409.
111,
410.
112.
411.
412.
120.
GROSS
AMOUNT DUE FROM BORROWER: 58, 716 776 420. GROSS AMOUNT DUE TO SELLER: 00. AMOUNTSPAIDBYORINBEHALFOFBORROWER: 57, 521.51 500. REDUCTIONS
IN AMOUNT DUE TO SELLER: 01. Deposit
or earnest money 500. 00 501. Excess deposit (see instructions) 02. Principal
amount of new loans) 4 7,
500. 00 502. Settlement charges to seller (line 1400) 03. Existingloan(s) taken subject to 503. Existing loans) taken subject to 4, 543.
05 04. 504.
Payoff
of first mortgage loan 505. Payoff
of second mortgage loan 07. 506,
Purchase Money Mortgage 47, 500. 00 06. 507.
d
09. 508. I
ADJUSTMENTS
FOR
ITEMS UNPAID BY SELLER: LE 509. ADJUSTMENTS
FOR
ITEMS UNPAID BY SELLER: 210. City/t wn taxes tp 510. City/town taxes to 211. Countytaxesto511. County taxes to 212. Assessments
to 512. Assessments to 213. 51.3.
214. 514.
215.
515.
216.
516. _
217.
517,
218.
219.
519.
A.
TOTAL
PAID BY/FOR' BORROWER: 48,
000. 00 520. TOTAL REDUCTIONS °1.. ,. , • , 't ir•, ., IN AMOUNT
DUE TO SELLER e' 1' ) 1 1 Ott:•: 52, 043.
05 H - Gross
amount 12. Less
amount t: FROM) ( 0
TO) 120) 1
220
BORROWER: E
716.
76 601. Gross amount due to seller (line 420)557,524.51 000. o0
602. Less reductions in amt. due seller (line 520) $52, 043. 05 IO, 716.
76 603. CASH (0 FROM TO) SELLER: $5, 481.46 HUD-1 (
3-86) - RESPA, HB 4305.2 PAGE 1
City of Sanford
Model Codes in effect:
Standard Building Code 1997 ad.
Standard Plumbing Code 1997 ad.
Standard Mechanical Code 1997 ed.
National Electrical Code 1996 ed.
See City Code AMENDMENTS
FL. Accessibility Codes 1997
FL. Energy Code 1997
THESE SANFORD 8UILOINr, DEPT. ACCEPTPL
FOR P
NS E REVIEWED AND CONDITIONALLYCONSTRUEDTO8EAITAPERMITISSUEDSTHELICENS= , p p HALL- Be
CANCEL, AND NOT AS AUTHO' O PROCEED WITHPROVISIONALTER, OR SET ASIDE O VIOLATE,
ISSUANCE OFr'
T`
rR Sc~FR L rODE NOR SNYOFZ
TION
O,
if', _'f ` VENT .:
E BUILDINGOFERRCR Or: TfIE 1.. r,, '7?ING A CORREC- OR OTHER VIOLAr.
O"S OF T• L:.fay CONSTRUCTIONHECODES.
pCnM IT. #o:•4# 73
OFFICE COPY