HomeMy WebLinkAbout1008 W 6 St (2)Permit # :
Job Address: Ly C
Description of Work:
Historic District:
It
1
NO-- 3 00
RECEIVED
CITY OF SANFORD PERMIT APPLICATION
Date: -1 -t � -�D(W L 2 0 2006
I
Permit Type: Building Electrical ! Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS l Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: I # of Dwelling Units. Flood Zone: (FEMA form required)
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgagf Lender:
Address:
Architect/Engineer:
Address:
State License Number:
Contact Person: Phone:
Phone:
Fax:
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 i e additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is v ification that l
A
Signature of Owner/ t
gent -
514 20
Pk' rer/AgenatName C
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• C:on nM112ANNA1. Af m.
the owner of the property of the requirements of Florida Lien Law, FS 713.
Date
Owner/Agent is_ Persona y own to
_Produced ID t,'I b 2•'" X0'39 • 19 1 O
ee�
APPROVALS: ZON 7 / Uk FD: _
Special Conditions:
Rev 03/2006
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
ENG: BLDG:
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. I1
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/Builder I
ignature Date
Print Owner ilder Name
,gifrnaiure of Notarytate of Florida Date ,l0 MtN M. JOhy
* MY COMMISSION a DD &422
N.9 �� EXPIRES: Memb 23, 2006
Owner is Pers; lly Known to Me or has '�.,�oa Bonded TW am" Nofery Services
Produced IDGL
1125
Sanford (407) 323 -
OWNERS: • • / tLongwood (407) 245-7936
Bruce 8 Nancy Santord ��[3442 WestS.R. 46 < `eltona (386) 860-1119
Sanford, FL 32771 Fax (407) 323-1545
PVC • Aluminum • Chain Link • Wood Coo< U _"
Name ��`0M a Date I1' Iv HomePh4,-yj^I� 3-Ja-
4jgln3
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Address 1� � • CO Zip MoVII _a L�Bus. Ph.
Location of Job
Total Height
Post Spacedi�.
Style Fence
Gauge ❑ 9 914
Knuckled ❑
Safeguard ❑ x x x
TERNS
Cash Upon Complption ❑
Finance ❑
WOOD FENCE
Top Rail of Fence to Follow Ground ❑
No. o eet
Invoice No.
Height
Be Level with Highest Grade ❑
Wood
Terminal Post Ornaments:
Style
SPECIFICATIONS: All work will be performed In a workmanlike manner and In accordance with standard practice.
W G
CHECK CAPTION PREFERRED .
ADDITIONAL SPECIFICATIONS
Top Rail ... . ...
❑ 13"e" O.D.
KEY
..Top Rail .........
O.D.
Line Post ........
❑ 136"'. O.D.
Fence to be erected
Line Post ........
O.D
Top Design
`
'n(get permission) X
End Post ........
❑ 1)V O.D.
Terminal Post O
End Post ........
O.D.
Corner Post ......
❑ 1 A" O.D.
Existing Fence ,K-iE-X X X
Corner Post ......
O.D.
Walk Gate Post ...
❑ 136" O.D.
Walk Gate
Walk Gate Post ...
O.D.
Drive Gate Posts ..
❑ 1*0 O.D.
Double Gate �-
Drive Gate Post ...
O.D.
' '
Clothes post location must be shown on plan.
Gate Frames .....
❑ 1%" O.D.
Indicate It sides are shared.
Gate Frames .....
O.D.
WOOD FENCE
Top Rail of Fence to Follow Ground ❑
No. o eet
Be.Level with Lowest Grade ❑
Height
Be Level with Highest Grade ❑
Wood
Terminal Post Ornaments:
Style
❑ Domes ❑ Horseheads ❑ Birds
W G
Gate Ornaments:
Dr ate
❑ Dogs ❑ Scrolls ❑ Name Scroll
All chain link posts set in concrete
Gate Hardware
OUANTITY
Black ❑
Galy. ❑
rnali
Top Design
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FOR YOUR PROTECTION LUMP SUM TOTAL
ON PAYMENTS TO US, USE CHECK
OR MONEY ORDER PAYABLE TO Less Deposit
COMPANY AS SHOWN HEADING �„ „i QUO
OF THIS SALES AGREEMENT. Balance D eY�`—'�'''`=�
Salesman
Sales Manager
LEGAL DESCRIPTION OF PROPERTY
4M CJHCTG (352) WO -29M
PLAT OF BOUNDARY SURVEY
for
TRIUMPH, THE CHURCH OF THE NEW AGE
Legal Description
THE EAST 91.5 FEET OF THE SOUTH 139 FEET OF BLOCK 7, TIER 13; AND THE WEST 90 FEET OF THE
EAST 181 1/2 FEET OF THE SOUTH 139 FEET OF BLOCK 7, TIER 13, FLA. LAND 8, COLONIZATION CO.,
LTD., MAP OF THE ST. GERTRUDE ADDITION TO THE TOWN OF SANFORD, according to the Plat thereof
as recorded in Plat Book 1, Page 112, of the Public Records of Seminole County, Florida.
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LINE SOUTH 139.00' BLOCK 7 TIER 13
181.50'
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SCALE: 1 "=40' Cw ( i
SURVEY NOTES:
1) The street address of the above-described property is 1006 & 1008 6`h STREET.
2) The above-described property lies in a Flood Zones AE & X.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
REVISIONS: ` CERTIFIED CORRECT TO:
KITNE SURVEYING, INC. TRIUMPH, THE CHURCH OF THE NEW AGE, INC.
R. BLAIR KITNER - P.L.S. NO. 3382 SUNTRUST MORTGAGE
Post Office Box 823, Sanford, F1. =2-0823 FIDELITY NATIONAL TITLE INSURANCE COMPANY
(407) 322-2000 HARRY G. REID, III, ATTORNEY-AT-LAW
PROJECT NO: D6 . 198 SURVEY DATE: Zb APW- Zoo,.
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91.50'
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181L50
SN4T/iRY
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SCALE: 1 "=40' Cw ( i
SURVEY NOTES:
1) The street address of the above-described property is 1006 & 1008 6`h STREET.
2) The above-described property lies in a Flood Zones AE & X.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Minimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
REVISIONS: ` CERTIFIED CORRECT TO:
KITNE SURVEYING, INC. TRIUMPH, THE CHURCH OF THE NEW AGE, INC.
R. BLAIR KITNER - P.L.S. NO. 3382 SUNTRUST MORTGAGE
Post Office Box 823, Sanford, F1. =2-0823 FIDELITY NATIONAL TITLE INSURANCE COMPANY
(407) 322-2000 HARRY G. REID, III, ATTORNEY-AT-LAW
PROJECT NO: D6 . 198 SURVEY DATE: Zb APW- Zoo,.
NOTICE OF COMMENCEMENT
Permit No.(7 �.. _� 0 0 Tax Folio No.
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
CERTIFIED, COPY
-4. Description of property: (legal description of the property and street address if available) IWAR
NNE MORSE
IOU's U.) (s h. /- S'4� u1_ Fj
COURT
AWY-FLORIDA
-2. General description of improvement: ' Cha 'n / �k Z -r
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3. Owner information
- a. Name and address h �l�G �,
b. Interest in property
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c. , Name and address of fee simple titleholder (if other than Owner)
U in S <
4. Contractor
Name and address b- � �i S a (-J
to
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Phone number q0'2- " 2-t-Ei Fax number ev
5. SuretyI
a. Name and address- NT PREPARED BY:
p 8 0in
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b. Phone number AME Fax number
w tb
c. Amount of bond
6. Lender
a. Name and address i
9z
7.
b. Phone number Fax number
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address i
b. Phone number Fax number
8. In addition to himself or herself, Owner designates i of .
713.13(1)(b), Florida Statutes.
to receive a copy Iof the Lienor's Notice as provided in Section
a. Phone number Fax'number
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
n,
g�e f 0 1 e�(SI
Swots to (or affirmed) a0d subscribed before me this day of tit �Z , 20 y , by
Personally Known OR Produced Identification
Type of Identification Produced F=) t,
DEBBIE BLANTON
Signature of Notary Public, State of Florida MY COMMISSION # DD 188491
Commission Expires: (z EXPIRES: February 2s, 20o7
13003.NOTARY FL Notay 1>3=W ApOo Co.
5