HomeMy WebLinkAbout129 Pine Isle Dr (4)Permit
Job Address:
W
CIT.�SANFORD PERMIT APPLICATION RECEIVED
Date
(,p MAY 8 2006
J
:TII
Description of Work: �,U
WIl Tiitiil S'juari Footage
Historic District: Zoning:
Value of Work: S
Permit Type: BuildingElectrical
Mechanical :Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service of AMPS
Addition/Alteration 'Change of Service Temporary Pole
Mechanical: Residential Non -Residential
Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures
# of Watei & 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:
# of Dwelling Units: Flood Zone: (FEMA form required
Owners Name&Address: (arl
MCo t ctor Nre & Address: ( A 5
4 . Shtkl j;
Phone& Fax: -M-4 u (A CH
Bonding Company:
Address:
Mortgage Lender:
Address:
I Phone:
State License Number:
Contact Person P h o n ell
ArchitectfEngineer:' 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. 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 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 req 'emen of Floriadai Law, FS 713.
Signature of Owner/Agent Date 1 naturrur
e of Contract6r/A —t bate
no
Print Owner/Agent's Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Sigrv
of Notary -State of Florida.. Date
Owner/Agent is Personal ly Known to Me or
Produced ID
APPROVALS: ZONING: UTIL: FD:
Special Conditions
Rev 0312006
JO 01N 4. MNSON
# DD 285622
Contractor/Agentis
erg e or
P
Pro6ced 1 7 MM.
ENG: BLDG:
I
RECEIVE®
CIT-.'. OF SANFORD PERMIT APPLICATION
O �o F:j I I'D 0( MAY 8 2006
Permit #:
('
1D�ate:
SI
Job Address:
1'
��
I� f
Description of Work: Y7 � �_ /1
�Q. Total Square Footage
Value Work: O 1
Historic District: Zoning:
of S
Permit Type: Building Electrical
Mechanical Plumbing ✓ Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
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 A—
Plumbing/New Residential: # of Water Closets
Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial
Industrial
Construction Type: # of Stories:
# of Dwelling Units: Flood Zone: (FEMA form required )
Owners Name & Address:
Co_ utrac4r Name &Addr
CS.
o
Phone & Fax: , UU (_O�
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Phone:
5 C.bLA-r )+ rb cam sZ.
CISttaatte�L�icense/N�umber: DA ( !23
0 Contact Person: c.�1 Il/�.�)nG, Phonei.��(-Q(02� • 611
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 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 rN�gnature
of Florida i Law, FS 713.
Signature of Owner/Agent Date of CContractor/A,{ggentt�
LA hS
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING: UTIL,
Special Conditions:
Rev 03/2006
Print Contractor/Agent's Name
Date Sig e of Notary -State of Florida Date
JO A�'h! U. MHNSON
*� v DD 285622
Contractor /Agent is " Persd�ia(t�Me or
Produced''ID 110 ud, t otaryServkes
FD: ENG: BLDG:
546 South Shell Road
DeBary, Florida 32773
(407) 644-1432
(407) 330-7196
Fax (407) 668-8577
POWER OF ATTORNEY
Date �51/6 l o V .
!1 S
I hereby name and appoint hQ-nnQ- of Discount Propane, Inc.
to be my lawful Attorney in fact to act for me and apply to they
�LLh'y' VI Building Department for a G`'S
permit for work to be performed and to sign My name and do all things
necessary to this appointment.
V�lH R* -n D /Vf U
Name of Certified Contractor
Signature of Certified Contractor //\\
The foregoing instrument was acknowledged before me this
B r'l� I f (--who is ersonall own to me/who ro duced
Y�1� l I�V �111� w P Y P P
as identification and who did not take an oath.
STATE OF FLORIDA, COUNTY OF VOLUSIA
r�t'ttA
Sw n and Subs�bi#ell eesne this day of V " ► 20 0�0 .
�9 a
ry Pub 0, ST of . Flori
April
co O1
o;� #DD289022 a,
7I�®
�•OQ®
• syancr 40 14"'dw 6
�°�� `MUC�STATE
��'62399
I
120 UG
PROPANE
TANK
SPA HEATER
400,000 BTU
20 FT 1/2" COPPER �—
3/4 Hard pipe
2 foot
TANK IS 10 FEET FROM HOUSE,
NOT IN EASEMENT, AND 15 FT
FROM SPA HEATER
FRANCESCAJOHNSON
129 PINE ISLE DR.
SANFORD, FL 32773
DISCOUNT PROPANE, INC 400,000 BTU SPA HEATER
546 S. SHELL RD 120 UG PROPANE TANK
DEBARY, FL 32713 DELIVERY PRESSURE- 11 INCHES
(386) 668-0111 10# GOES TO 11"
LICENSE #04172
_SUR_VF'Y $'I{ETCH OF BOUNDARY suRvE, y c ->Do$ FINSrAD t ANv
AND SPA rrAL SNiRV£Y1N6 CORp
NOT F012 FENCE CONSTRUCTION NrlTt:, rHa INrFNr OF rNrs suRVEr
NOT FOR CONSTRUCTION r Farr rJ rC rROF THIS
a U r
NOT F'DI>' DESIGN rNls xuRvrr Dws NOr R£rLECT vR
FLOWPA STATUTE' 6117!>-6404# IIErERNIN£ UVN£RSIIfP.
lerva SITE' BENCNHARKs REI7UIRED FUR cONsrRUCTIDN.)
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issel
STRF_F_ T ADDRESS
129 PINT ISLE DR.
SAWDRD, FLORIDA
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LEGAL DESCRIPTION :
LOT 87, STERLING WOODS SU9DIVISIOV, ACCORDING 71.7 7HE MAP UR [11,A
rWEREDF AS RCCORDCD IN PLAT BimK 54. PAGES 93 THRU 95, nr THC
AUBLYC RECORDS QF' SE'MINDLC COUNTY, F VR1DA
CERTIFIF»D TO :
VA THAN-10HNSgN
"RIMC LENDING, A P/.AINr CAPITAL CrJ.
r%ORIDA TITLE a ARSMACT
HICAGCI TI TL C INSIJRANCE' CO.
r-l-OrV& nljrllaer 1
Ra dlus r 7.5.00
Del to = 17155103'
Arc= ? AS
Tangent-
Chord- 23.36
Chord Brg. N.49'06 -46-W.
N. 48'4070'Id. CM.)
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GRAPHIC SCALE
Nrr c, Ir- s10-PLICABL£ rWIWCCS SHOWN NFANDCk
IJN CIR 17FP LINES. 010PRCJx. LOCA rIQN ClNL n
r0l0JDArfGN.'U'rJLIrlCX DISCLAIMER
NCJ I Er
rnUNIIArION BENFr1TH T1lC SUkP'ACE -z' GROUND
AeeBa=ud r VATFR nalmHAS Nor DFEN LOr"A rcb.
NOIE'I ALL APPROXINAT£ VAT£R UNurtoskOUND rJTII.Jr/cs 11AVE NOr BF£N l"OCArrA
BOUNDARIES ARE GRAPHICALL Y &INTINI: T
rROM OrNCR PORTIONS DF INC BOUNDARY.
rHE NArER l3OLwziARY THAT IS R£rL£CTED
IS APPROXIMATE LDCA riON ONLY AND =4cv
NGr RCFLCCr rHC LEGAL LOCATION nr THE
VATCR BOUNDARY FOR THIS PARTICULAR
PARCCL 40r LANA
Naret rEH.4 rLODD llA2ARb PIAPPINGo THIS DArr PRODUCT' 4i1S NOT DFSIGAicn
TA' HAKE PRECISE' IN/ DUr r4f= RISK DF_ rERMINATIONs 7'11IS PROPWT IS NOT
SUrTABLE rOR fNGIN1:ERIN17 APPLICATITINS AND CANNOT BE USED TO DCTCRNIN£
ABSQI:IITE-DELINEAIICJNS-QF'-ri.nnD-BDUNDARI£S; CALL- J-077-rCKA -HAP -0k rHAYI.
A HAP sPEcimasr AT 11NVrFMAI7Rr�MrrirsO�Fd-HAPI>-NTH
CERTIPICATION :
I CERTIFY THAT THIS SURVEY WAS MADE UNDER MY DIRECTION AND THAT IT MCETS
THE MINIMUM TECHNICAL STANDARDS. SET FORTH 13Y THC BOARD OF PROFESSIONAL
LAND SURVEYORS AND MAPPERS iN CHAPTER 61017-E, FLORIDA ADMINISTRATIVE
CODE, PURSUANT TO SECTION 472-027. FLORIDA STATUTES.
_ FICI. D
f9 SURVEY DATE J 11 2 t15 --
BY . _ _��__ r �: L__r �� l f L�^ -J SIGNATURE DAIS -70—� t.
PROVIDE*.)) 13Y COUNTY
r'LOOD ZONE • X
COMMUNITY PANEL 120294 0045C
DARED : 4-17-95
(FLOOD ZONE : 'B"."C"."D", do "X" ARE NOT.
11.1 DESIGNA IED FLOOD I IAZARD ZONE AREA.)
PJUIc. PRDPFRTI' OVNFR SHOULD OBraJN
NRI r rEN FL ann 21 "NE lir rrRMINA raw
FROH 41Jk .LOCAL PCRrIJrW6. PLANNING.
AND 0011.1.11Nr PEPAPTrfENT PRIOR 1'rJ ANi'
CONSTR1JCIlfJN PLANNING ANDiDR CDNSrRfJCrJtW
HI1T6_1
ITV COMPLIANCE VI'1'll F.A.T.
611117-6.01131 05) CE) CZE LLICATmN PIF
EASCMENTS PIR RIGIIT-Ol WAY OF RECLIRil.
f7T11[k IRAN THOSE ON RECORD PLAT. IS
REDUiRED, FHIS INF131ZMATICIN MUST DE
I'URNISHCII TPI TIIE SUI:Vk;YOR AND MAPPER,
MARY L: .FINSI'AD. I'SM #5901 CLINTON W. F rNbPAD, Pig #2.15::1 IBI.ANFI P. DYSARD. PIS #3350
GEDIt1 ir. R. RICIIMOAID, PLs #2400 h`II:NNcri.i P. '1'AY[OR, 1°SAI 55:92
NOT A CERTIFICATION OF TITLE, ZONING. EASEMENTS OR FREEDOM OF EPICU4113RANCGs.
NOT VALID WIIWOU'P SURVEYORS SIGNATURE AND I HOSSED SEAL
SURVEY IS VALID FOR 90 DAYS. PLEASE REFER TO REVERSE SIDE FOR GCPIERAL NOIES ti ABBREVIATIONS,
FINSTAD LAND & SPATIAL 215 CEI.EI3RA IIUN PLACE #son , r1EV151ONS
KISSIMINICL", f I Orll')A' 3-t 7.1 /
SURVEYING CORP. IOGI I- AX _t71-559-1065
PROF-SSIONAL LAND SURVEYORS 3r, MAPPERS -4.19 (3917 4.316 NEW RIVER IIII I..S PKWY
I I rIPAWN r3Y.
1001 100 'd
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DOD9 OES LOD(Xlid)
VALRIC0, II.Cn.f11A .13599 1'NOJCCT NO:
}il S R;Y I:.1.11 1'A: NI � 1;1..7 )'el: 4d: I),. r11 , I
S100d ONd110H ' 94:LO (NOW)9002-90-I;IJW