HomeMy WebLinkAbout323 Placid Lake DrPermit # : If
Job Address:
Description of Work:
Z2 -l(
Historic District: Aho U Zoning:
CITY OF SANFORD*PERMIT APPLICATION
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — #of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical. Residential 1//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 w. -`O' Commercial Industrial Total Square Footage:
Construction Type:'Fgx *_ # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel tl: , (Attacb Proof of Ownership & Legal Description)
Owners Name & Address: M Astra 3a3 Plk4.4 _Lgke- Ali— .5&a6 a q, 3 77?
Phone:
Bonding Company:
Address:
Mortgage Lender: -t -� `Z 04 Z-40& 1.S
Address: a �i d'leN1�h; c , %N
Architect/Eogiamr: Phone:
Address: Fa::
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: 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.
Acceptaannc`"itiverificationthnall tifytheown oft �,ertyof the requirements of Florida Lien Law, FS 713.
Date Signature ofContractor/Agent
Print Owner/Agents Name Print Contractor/Agent's Name
qgVnk.�e
�q;�Joy-�SIU*kW N # DD 285622
Date Signature of Notary -State of Florida
EXPIRES: March 23,2W8
rf OF FLOW Bonded Thro fidget Notary Services
Date
Date
Owner/Agent is_ Pe ovally ow t e or •� ntractor/Agent is _ Personally Known to Me or
o-frroduced 16 • �� 3 • 4' Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
(Initial &
Special Conditions:
Utilities: FD:
(Initial & Date) (initial & Date) (Initial & Date)
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 l 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. I 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.
I
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, Tc�j za_ in 1e.7� n ' , 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.
I
ti
Owner/Builder S a Date
Print Owner/Builder Name
b •t•uo
ure of Notary—State o lorid%,,_
at%,Ite
jo XmWN
MY CaNM SS►,
Owner is Personally Known00;9, 3r1„ XP1RES: March23,2U
Produced ID � L t�3eded Thru Aed9et Notary Service.,
ARCHITECTUR,� REVIEW APPLICATION
PLACID WOODS PH I HOA Property Des cri tion
c/o Penn First Management, Inc.
498 Palm Springs Drive #235 P u
Altamonte Springs, FL 32701�� 5 Z�o�
Phone: (407) 260-5344 Fax: (407) 260-5944 (For office use only)
Mailing ss.- Property Description: (�
Name: /on/e(. 9!/ ,L� Neighborhood: cmc agQ6 Lot#
Address:g� �G �,, ,1 ,L �/ j j� Owners Name: /C�i�/G� / I �eT {�
�a�i
�►� ��r � �a7 7�---Property Address: i lvc-
e
Signature: / 04L-1— 414 _ Phone: Da '07 q�2 �T( Night: Z07
NOTE: THIS FORM WILL BE MAILED BAdKTO THE PROPERTY OWNER: THE FOLLOWING ITEMS NEED TO BE
SUBMITTED, IN DUPLICATE, ALONG WITH THIS FORM: 1.) PLOT PLAN SHOWING LOCATION OF MODIFICATION;
2.)DRAWING AND COLOR SAMPLES. ONCE ARC IS APPROVED AND DATED, WORK MUST BE COMPLETED
WITHIN 90 DAYS OR A NEW APPLICATION MUST BE SUBMITTED.
Please complete the following, if applicable:
Contractor: = �' �1 a�.J 'tjr' (((��;6 � `!� ! ,t C j
Architect: (lej
..-_
r
Phone: dpi? Phone: C+ �tf� � Tf
Purpose of Application: Check appropriate it(
Exterior Color Selections (attach color '�,
Pool - s 1 "ITT
/Fence Plan
Landscaping Plan
f7:
Construction project such as screer l { j
Other i % , . Ig !jJ ,
"THESE PLANS HAVE BEEN REVIEWED FOR
COMPATIBILITY OF THE DESIGN PLANS WIT r `i i,;'D �.
UNDERSIGNED. THESE PLANS ARE REVIEI'
RESPECT TO THE FUNCTIONABILITV SAFE , i i
'ie
OTHERWISE AND NO RELIANCE ON THIS AF � t I
TO ANY SUCH MATTERS. THE UNDERSIGNE Y.� , •� "x I_ .. c %ITH RESPtC I
TO THESE PLANS, THE REVIEW HEREOF, OR ANY STRUCTURES BUILT PURSUANT HERETO, INCLUDING BUT
NOT LIMITED TO, LIABILITY FOR NEGLIGENCE OR BREACH OF EXPRESS OR IMPLIFn WAPPANTV
`tN:ood Panel fencing can
Provide Privacy.
tte
/ _Comments bV ARC:
Approved: '0 -5
Signature Date A z'c'Es\ 7" i 0704a,
a, f 7s
Disap
Signature Date
Date submitted to AInn Date returned to homeowner: Y 30- 0, -*57-
.BOUNDARY SURVEY
PROPFRTY DFSCRIPTION: LOT 12, PLACID WOODS PHASE ONE, ACCORDING TO THE PIAT THEREOF
AS RECORDED IN PLAT BOOK 51, PACES 23 THROUGH 29, OF THE PUBLIC RECORDS OF SEMINOLE
COUNTY. FLORIDA.
V%-
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' ap !O�/
_ 20'
GRAPHIC SCALE
0 t0 20
FOUND
I' 4►,
6 CM ►JI
FOUND
k CAI' Ff00!
i
Soo
TRACT "D"
CONSERVATION AREA
RESERVOIR
LAKE
LLQLWL
O,R, - OFFICIAL RECORDS
NR NOT RADIAL
F�
O/S/A - OOINC BUSINESS AS
RAO - RAOIAL
4 I. CONCRETE
V.E. - UTILITY EA5E*FENT
R - RAD VS
CENTRAL ANGLE
r0., a Wpp
o.E. = ORAINAOE EASEMENT
.
L = ARC LENGTH
0 = SET 1/2' REPAIR A CAP 09M I/ 7020
D.U.E. a DRAINAGE k VTILITY CASEMENT
CA.BRG = CHORD BEARING
q - FOVN0 PROPCRTT CORNER
RES - RESIDENCE
V.R. tsmTILITY ROOM
LS . LAND SURVEYOR
LB. + LAND $Un'VEYWG BUSINESS
a - rOUND a" X 4` CONCRETC MONUMENT
C
CONC. = CONCRETE
r =FIELD
® - WELL
C.B. = CONCRETE BLOCK
M = MEASURED
® - CAS MITER
W.F. - WOOD FRAMC
COV, - CODED
C - CALCULATED
D - DESCRO"'ON
FIRE HYDRANT
ENT, _ ENTRANCE
P - PLAI
_ - CENTERLINE
W1.1, _ WATER 1AETEF
PERMANENT CONTROL POINT
PCP - E
YPP
MONUMENTBUILDING
PRM - POINT
O'
CPP a CONC. POWER POE
Or CURVATURE
—K—%—%—H-
- BARGED MIRE FENCE
A/C = AIR CONDITIONCR
R/W - RICHT OF WAY
pRC - poINY OF REYERSE CURVATuRE
—0-0-0-0-
= WOOD FENCE
I.R. - IRON ROD
PT = POINT OF TANGENT
—p—o—o—o-
- CHAIN LINK FENCE
I.P. - IRON PIPE
C.M. = CONCRETE MONUMENT
POB n POINT OF BEGINNING
POC = POINT OF COMMENCEMENT
— OM7 —
OHu — - OVERHEAD UTILITY lUJES
FF EEv . FINISHED FLOOR ELEVATION