HomeMy WebLinkAbout106 Clear Lake CirCITY OF SANFORD PERMIT APPLICATION
Permit #
Job Address: 10 LG K -e
Description of Work:
Historic District: 'Zoning:
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
rR
pp Date: _
,dt. Ft-
- a s-0(,
Z
Total Square Footage
Value of Work: S t 00QW-
Mechanical Plumbing Fire Sprinkler/Alarm Pool
_ Addition/Alteration Change of Service Temporary Pole _
_ Replacement New (Duet Layout & Energy Calc. Required)
_ # of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial
# of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name &Address: j3�;a.,,� � P re clear Lr"i--
�a-.1 0-1 ! Fe- Phone: x/07' 32Y -F790
Contractor Name & Address:
State License Number:
Phone &Fax. o7,3 t4' 7fe 1' 91- SYO:ontactPerson: Phone:
Beading Company:
Address:
Mortgage Lender.
Address:
Archit"VEngineer: Phone.
Address: 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. 1 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: 1 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 M 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 OI: 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 FI ida l.icn Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING: UTIL: FD:
Special Conditions:
Rev 03/2006
Name
of
Date
DEBBIE 13LANTON
My CObib;1SS10N d DD 180481
EXPIRES: February 25, 200
I owls .... -
_ Produced ID
ENG:
IRS "14 mel
T3S �
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/Builder Signature Date
Print Owner/Builder Name
DEBBIE BLANTON
W COMMISSION # 09188491
Signature of Notary -State o FI ' t Es: February 25; 2007
14W444OTARY FL NOWY Discourd A93M Co.
Owner is Personally Known to Me or has
Produced >D 6tt
JILL -18-2006 09:33P FROM:JOE SAWILIPPO 40729085TS T0:3212816540 P.1
Sanford Hidden Lake Villa Homeowners Association, Inc
Approval Form
Architectural Control Committee (ACC) approval for improvements to exterior of Hidden Lake
Villas and Carlton Homes.
Instructions: Please complete the following information and mail or fax form to the address
below. Upon approval, a-signedcopy will be forward to you. Visual inspection by ACC member
or Managing Agent may be necessary. Some improvements may require a permit from the City of
Sanford and application would be made after receipt of approval,
(Please Print)
Name;�-� T� a�" F, r re.
Address: l t7 % i,l-ea r Lake- C, rG�
Telephone: pax:
natc: -7'I �-O (o
Description of Improvements:
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a L et.ar Y
For Fences and additions: Applicant must submit drawing on Plat or Survey of property
showing it is 10 (Ten) feet from property line.
For painting: Villas - Applicant must provide color selection package number.
Homes -- Applicant must rovide paint color samples(s).
Signature of Applicant:
Mail to: Sanford Hidden Lake Villas HOA, Inc
PO box 1962
Sanford, Fl. 32772-1892
Fax: 407-290-8576 - Any questions call the Managing agent on 407-340.0006.
Approved by Representative of ACC or Association Board Member or Managing Agent.
Date:
Signature: !�
May 15 03 03:05p Boundary and Mapping 407 6/161150
NOiES:
1 THIS SURVEY WAS PREPARED FRbM TITLE INFORMATION FURNISHED TO THIS SURVEYOR. THERE MAY BE OTHER RESTRICTIONS OR
UNRECORDED EASEMENTS THAT AFFECT THIS PROPERTY.
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHERWISE SHOWN.
O AND SHOULD NOT BE RELIED UPON BY ANY OTHER ENTITY.
3. THIS SURVEY IS PREPARED FOR THE SOLE BENEFIT OF TH06E'CERTIFIED T
i 4. DIMENSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD NOT BE USED TO RECONSTRUCT BOUNDARY LINES.
5. BEARINGS ARE BASED ON RECORD PLAT DATUM AND ON THE LINE SHOWN AS BASE BEARING (BB).
8. PROPERTY HEREON LOCATED IN ZONE ' XPER F.I.R.M. COMMUNITY PANEL NO. 120294 0045 E DATED 04.17.95.
Curve Delo Ra�ws Art
1 22'3553" 100.00 39.44
2 4'1751' 530.00 40.06
3 10'11'14' 100.0 17.78
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P.C.
CERTIFIED TO:
JAMES AFFIE i EVELYN M. AFFIE
CENTRAL FLORIDA TITLE COMPANY
BANK OF AMERICA
OLD REPUBLIC NATIONAL TITLE INSURANCE GO -
O.SCALEI.4207
SCALE ll'..4 217
DESCRIPTION. LOT 39 HIDDEN LAKE VILLAS, PHASE 111, ACCORDING -TO THE PLAT THEREOF, -
AS RECORDED.IN PIAT BOOK 28, PAGE(S) 3-6. OF THE PUBLIC RECORDS
OF SEMINOLE COUNtY, FLORIDA :' '
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This instrument prepared by:
Name: Brian Farrell
Address:
Return to: Brian Farrell
106 Clear Lake Circle
Address: Sanford, FL 32773-5637
Property Appraisers Parcel Identification Number(s): 20-30-02-
5GJ-0000-0390
Grantee(s) S.S p's:
l.bill it lla U �.w Ii .ei 4 q W YII a! w....++-.... w Wiwi k440
MtIRWOE W tom, CLEW OF CIRUJIT Ci"T
WNIMLF [Xl1iM
BIS 06340 Pq 09071 tlpg)
CLERK'S tv �^I ►i>»E.l) L 5
RECORDED 07M25/n% 0.s:0:17 PH
DED DOC TFIX (170
REWNDIN6 FILL 10.00
RWOM- by t holden
SPACE ABOVE THIS LINE FOR RECORDING DATA
1'1115 Quit -Claim Deedr Exearted this 20'T dmf of July 2006, by James Affie and Evelyn M. Afjie, husband and wife , whose
post office address is 125 Glendale Dr. Longwood, FL 32750, first part, to Brian Farrell, a single man, whose post office address is706
Clear Lake Circle, Sanford, FL 32773 second party:
(Wherever used herein the terms "fust part" and "second part' shall include singular and plural, heirs, legal representatives. and assigns of
individuals, and the successors and assigns of corporations, wherever the context so admits or requires.)
WITNESSETH, That the said first part, for and in consideration of the sun! $10.00, in hand pnid by the said second part, file
receipt whereof is hereby acknowledged, does hereby remise, release and quit -claim unto the said second party forever, all the right, title,
interest, claim and demand which the said first party has in and to tie following described lot, piece or parcel of laird, situate, lying and
being in the County of Seminole, State of Florida, to -wit:
Lot 39, Hidden Lake Villas, Phase 3 according to Plat Book 28 pages 3 - 6, Public Records of SeTTtilrole
County, Florida.
To Have and to Hold, The same together with all and singular the appurtenances thereunto belonging or in nnylnise
appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of the said first party, either in Imo or equity, to the
only proper use, benefit and behoof of the said second party forever.
In Witness Whereof, The said first party has signed and sealed these presents the day and year first above written.
igned, sealed and deliv, r d he pr Bence of.•
iiItGINIA L. GOODIN
4nnPSignaturere
,cam, 0YIAIwP,:;
Printed Signature
STATE OF FLORIDA
Evelyn M. A e (G�
COUNTY OF SEMINOLE
The foregoing instntment was acknowledged before me this day of July, 2006 by , who is personally known to me or Tvha
produced as identification and who did/did not take all oath.
Notary Pub[seal]
My Commission Expir
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