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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