HomeMy WebLinkAbout409 Cypress AveCITY OF SANFORD PERYHT APPLICATION
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Permit No.: pl - ` v Date: - l s - O a
Job Address: LA Ir3ot -u S PO&
Permit Type: X Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: Irc xy-Q- --
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: _LResidential _Commercial _ Industrial Total Sq Ftg: Value of Work: $ 513
Type of Construction: 01,wr j„n 1L Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: 31t vxewe
Oq C4 0f-5-5 s fr4k . SaJQ6r- , FL -a 7 -t j 010 32- 3 - 7016
Contractor/Address/Phone:
State License Number:
Contact Person: 7ie0-* M MQA,, k cu%Lv— Phone& Fax Number:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
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 FINANCINQr, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. A
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.
of permit is verification that 1 will notify the owner 4thproperty of the requirements of Florida Lien Law, FS 713. Owner/
Agent's Name z //
s/62 Date
r'
p••.,, Melissa Cameron s _
Comatission # DD079918 s oa JPires Dec. 20, 2005 p'
O?.• Bonded Thm Atlantic
Bonding co., Inc. Owner/
Agent is Personally Known to Me or Produced
ID Z b0 q :/ Q9210 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: 1 ' Date: 15dt.- Special Conditions:
CITY OF SAN ORD BUILDING DIVISION
OWNEAUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property Nyhen acting as their o n 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 otcred 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 officred 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 Lased 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 lacy. The exemption alloys you, as the owner of your propem, 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 \-our 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 \ our responsibility to make sure that people employed by \ou have licenses required by state lacy and
b\. 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 \rork under _your direct supervision and must be employed by
you. Which means that you must deduct FTC.A. and withholding tax and provide \yorkers* compensation
for that employee, all as prescribed by law. Your constniction must comply with all applicable lays.
ordinances. building codes. and zoning repilatlolls.
1. _`SflarNa e do hereby state that 1 am qualified and capable of performing the
requested construction involved \yith the permit application filed.
ill assume full responsibility as an Owner/Builder Contractor. and will personally supers -Ise all work
alloy o by la\y on the permitted structure.
vETvE
O cr uil cr Signature Dale 5g11n.
CA A.Ift- C
Prins Oivner/Builder Namc"
5
W
pP.n
4114- f M
Si,,nauirc Notan—Slate Florida Dateoof p00
ON\ ner is Personalty Kno\\ n to Me or has
Produced ID 13,z (p
BOUNDARY SURVEY FOR: Mo)QGAI_)
DESCRIPTION. THE NORTH 48 FEET OF LOT 5, BLOCK 18, CHAPMAN AND TUCKERS ADDITION TO SANFORD, ACCORDING TO THE
PLA f THEREOF AS RECORDED IN PLAT BOOK I PAGE 24, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
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SWAGGERTY LAND
0SURVEYING,
INC.
LICENSED BUSINESS N0.4906
4450 KASTNER PLACE. SUITE 100
P.O. BOX 2364
SANFORD, FLORIDA 32 772-2384
407)322-4630 FAX (407)322-6611
3
NORTH LINE OF LOT 5
REC.3/4'I.P. 1>F---------
S. 88'S1 21" E. 120. 00,
CHAIN LINK
FENCE (TYP.)
I SET 5/8"I.R.
NO#)
JF-------------*- -------- 1.2'
7f-----------1( ---- is1 (L.S.3764)
10.33' BRICK Tj i
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PLANTERt14'
3$' 7 O L
30'
ONE STORY C.B.
RESIDENCELiROOFEDWALKN
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CONC. ROOFED n
0.3' i =
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DRIVE O' CONC. o
CARPORT 24. M
0.5' 0
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cv 2'X 2' PLASTIC
A.C. PAD
REC.1/2"I.R. N. 88'51' 21" W. 120. 00, SET 5/8"I.R.
L.S.671) L.S.3764)
3 SOUTH LINE OF THE NORTH 4$' OF L07 5
N
N
h
30'
SOUTH LINE OF LOT 5
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ABBREVIATIONS
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3w
tY V)
V1 a
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w=
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O O
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CD Z
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SCALE:1"=20'
DATE OF:
BOUNDARY:2-13-02
FOUND:2-13-02
FINAL:2-13-02
CERTIFIED CORRECT TO:
REC. DENOTES RECOVERED C.B. DENOTES CONCRETE BLOCK
C.M. CONCRETE MONUMENT W.F.
RES.
WOOD FRAME
RESIDENCE THIS PROPERTY LIES IN FLOOD ZONE 'X', PER 114TTECY CERTIFY PiAT TriF SURVEY SHOWN
I.P.
I.R.
IRON PIPE
IRON ROD CONC. " CONCRETE F.E.M.A. FLOOD INSURANCE RATE MAP, COMMUNITY —PANEL HEREON WAS 44A E IN ACCORCANCE TO THE
1: CENTERLINE A.C. AIR CONDITIONER NUMBER 120294 0045 E, DATED APRIL 17,1995. MINIMUM TECHfY!CAL STANDARDS" FOR LAND
R/W RIGHT-OF-WAY UTIL. UTILITY 2. TITLE DATA HAS NOT BEEN FURNISHED TO THE SURVEYOR, SURVEYING IN .THE STATE OF FL.ORIDA CH.
R.) RADIAL DRAIN.
ESMT,
DRAINAGE
EASEMENT
3. UNDERGROUND IMPROVEMENTS HAVE NOT BEEN LOCATED.
472.027 AND CH. 61G17 -6.
N.R.) NON —RADIAL 4 N07 VALID UNLESS SEALED WITH AN EMBOSSED SEAL. r14",4DATE: 2-/3-OZ R.P. RADIUS POINT L.S. LICENSED SURVEYOR 5.
THIS PROPERTY LIES IN SECTION 30, TOWNSHIP 19 SOUTH, P.
C. POINT OF CURVATURE L.B. LICENSED BUSINESS RANGE
31 EAST, SEMINOLE COUNTY, FLORIDA. REGISTERED LAND RV YOR NO. 3764 P.
T. POINT OF TANGENCY P. PLAT