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HomeMy WebLinkAbout1600 Sanford Avet CITY OF SANFORD PERMIT APPLICATION Application # : — �`3�j4-- ,Submittal Date: �' e c, / �" 7bb Address: 0 dQ Q, n f D to U - -Value of Work: L) = =Parcel ID: / Zoning: Historic District: jI)escri tion of Work: r, t7 (/ n n n Square Footage: ....JJ V ...................................................................................................... 0............. Permit Type: Building `OI Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential O 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 ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) .........................................................................0.................. 0........................... ,*Property Owner: t461("401 h ,P11 G r yL ka "A Contractor: ,Address: /�'o 0 SQ vtTO�a /4// U- Address: SC4 VdVf , r-�. 3 217/ .:xPhone:'-ty l' �7� �y`%G E-mail: Phone: State License Number: Bonding Company:_ Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: 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 requirements of Florida Lien Law, FS 713. -Lyo' Sign of Owner/Agent Date Signature of Contractor/Agent Pn� /Agent's Name Signature of Notary -Stat= ofi. J61 Y 6 c � Owner/Agent is _ Persot% owr�"fio Ivig ar �O _ Produced ID�\`� 0 APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 02/2007 Print Contractor/Agent's Name Signature of Notary -State of Florida Date Date Contractor/Agent is _ Personally Known to Me r Produced ID t ENG: BLDG: 191 City of Sanford Owner/Builder Affidavit Construction Contracting 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 $75,000. 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. 1, , 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 b law on the permitted structure. Owner/B lder Signature Date , I f1le -- Owner i *,-Known to to Me or has Produced ID ��ssi;,�,; F • J► i Q-•� ocy fib. �,,• �y Signatgri% ffN , t*:2slae orida Date My Ca�o,aI'1ieo`� \oz 01111�4�� I rry 10 r �r FC E d 7 I____-_ ___• I_____. T _1__ T9_. __ IT n0"IA1 TI____ -1 LOO 7L 71 L'__. A(17 LOO 7L 111 v.v .. u). .v..a vva..a ..u.... ..i .)� ... v-. .v v..... .v ......v......a -r..� �............... _ r — — N 8958 04—E 11700' P - N B975.50" E 11717' M -X — — — ! 0 0l 1 N _89_5_8 D_4_ — w N 8839'42 E_117.0_0_ �P&CZ E 115.22' M N 4 � FlR I/2" FIP 3/I" FIR 1/2" 4.0 a Uo LOT 5 1 Telephone Facilities O.R. s 89x04w 14.oe (vsc) BLOCK 17 F. N. LOT 218 N 8779.19' W IJ89• (M) TIER 1 b 0 io - .-IR 1/2" O U FlR 1/2" I rip 3/4" BLOCK B. R. Bearing Reference i^T I- N 89'41'08" E 116.89' (M) N 8958'04" E 11 Z00' (P&1 J JJ.O' — — r--------•—.------ — — — — �— N 895804 E 130.77' (M) O Z o M SCALE: 1"=50' o , Radial A l - I EAST 16TH STREET ---------D- q'�I -------- - — PVMT. w a , C, ; s 89x•04• W 14.00• (P&Q 50' R/W (P) (IMPROVED) s as .32- W 14.04• (M) g O 1" I SIR 1/2" _ B LB 7132 4 _ r — — N 8958 04—E 11700' P - N B975.50" E 11717' M -X — — — ! L -i N _89_5_8 D_4_ — w N 8839'42 E_117.0_0_ �P&CZ E 115.22' M N _ _ nP J/4" 2.6 N, 11.8• W FIP 3/I" FIR 1/2" 4.0 a 0 - 2 a Telephone Facilities O.R. LOT 7 F. N. LOT 218 ® Covered Area O.R.B. BLOCK 18 PER 1 m n BLOCK B. R. Bearing Reference i^T N ac sh JJ.O' l Chord O Z CA P I M Field Measured LOT 6 Radial A l Page CL �� BLOCK 18 Non Radial PVMT. Pavement ENCR g O PER 1 Air Conditioner _ J74' 118 OI B.M. Bench Mark C Q S ONE SrORr a RESIDENCE " BLOCK = Concrete C. Calculated a 11600 0 TIER 1 ^t vO O Block Wall v Point on Line C.M. a �� 0 Central Angle/Delta P.C. 27r — — JI Found Iron Rod E 16TH SY \ a a 1.0 D 18 i 7� 1 m ' O3'0•_ 0A01- OA00- { a-- m OA02- .,_ i •; OA03- t 0A04- In Z O � m W. M. 1 . 7 8.0 3 � / �- 4.0 a 0 - 2 a Location Sketch Not to Scale LOT 2 BAUMEL'S PLAT (PB J. PG 38) Revised Survey: 1/16/2007 Lots 1 and 2, Block 18, Tier 1, FLORIDA LAND AND COLONIZATION COMPANY LIMITED E R TRAFFORDS MAP OF THE TOWN OF SANFORD, according to the plat thereof, as recorded in Plat Book 1, Pag,i 56 through 64, of the Public Records of Seminole County, FL. Conrnruill nun:her: 120294 Panel: 0045 Suffix: E FI.R.M. Date: 4/1711995 Flood Zone: X Date of field work: 1211612006 Completion Date: 12/1812006 Certiried to: !'Mayne Ryan Burnham; Pohl & Short, P.A.; Attorneys' Title Insurance Fund, Inc.; Sun Trust Mortgage, Inc., its'successors and/or assigns. i.F.GF.NTI i I z g o F 1 --.D- i W. M. Water Meter rill Not to Scale �- Wire Fence TEL. Telephone Facilities O.R. LOT 7 F. N. LOT 218 ® Covered Area O.R.B. BLOCK 18 PER 1 m n BLOCK B. R. Bearing Reference P.C.P. N TIER 1 FI ' R 712 - Record l Chord P.R.M. FIR I/2" 1 ,/7259 '\rte o 12259 M Field Measured Location Sketch Not to Scale LOT 2 BAUMEL'S PLAT (PB J. PG 38) Revised Survey: 1/16/2007 Lots 1 and 2, Block 18, Tier 1, FLORIDA LAND AND COLONIZATION COMPANY LIMITED E R TRAFFORDS MAP OF THE TOWN OF SANFORD, according to the plat thereof, as recorded in Plat Book 1, Pag,i 56 through 64, of the Public Records of Seminole County, FL. Conrnruill nun:her: 120294 Panel: 0045 Suffix: E FI.R.M. Date: 4/1711995 Flood Zone: X Date of field work: 1211612006 Completion Date: 12/1812006 Certiried to: !'Mayne Ryan Burnham; Pohl & Short, P.A.; Attorneys' Title Insurance Fund, Inc.; Sun Trust Mortgage, Inc., its'successors and/or assigns. i.F.GF.NTI i I z g o F 1 --.D- Wood Fence W. M. Water Meter N.T.S. Not to Scale �- Wire Fence TEL. Telephone Facilities O.R. Official Records F. N. Found Nail ® Covered Area O.R.B. Official Records Book • Property Corner B. R. Bearing Reference P.C.P. Permanent Control Point R. Record CH Chord P.R.M. Permanent Reference Monument M Field Measured RAD Radial PG. Page CL Clear N. R. Non Radial PVMT. Pavement ENCR Encroachment A/C Air Conditioner P.B. Plat Book 4 Centerline B.M. Bench Mark P.O.B. Point of Beginning Concrete C. Calculated P.O.C. Point of Commencement R Property Line ZZZZ Block Wall P.O.L. Point on Line C.M. Concrete Monument 0 Central Angle/Delta P.C. Point of Curvature F.I.R. Found Iron Rod D. B. Deed Book P.R.C. Point of Reverse Curvature F.I.P. Found Iron Pipe D. Description or Deed P.T. Point of Tangency R/W Right of Way D.H. Drill Hole R. Radius (Radial) N&D Nail & Disk D/W Driveway R.O.E. Roof Overhang Easement D. E. Drainage Easement ESMT Easement S.I.R. Set Iron Rod & Cap U. E. Utility Easement EL Elevation S/W Sidewalk FD. Found F. F. Finished Floor T.O.B. Top of Bank P Plat F.C.M. Found Concrete Monument TYP. Typical O.H.U. Overhead Utilities F.P.K. Found Parker -Katon Nail W.C. Witness Corner PP. Power Pole L Length 10.05 Existing Elevation TX Transformer L.A.E. Limited Access Easement E.O.W. Edge of Water CAN Cable Riser M.H. Manhole P.C.C. Point of Compound Curve CB Chord Bearing O Found PI Point of Intersection F.C.C. Found Cross Cut OHL Overhead Lines R/W Right of Way gM WEST 117.00' (ili SIR r/z" LOT 3 SIR 1/2" LB 7132 BAUMEL'S PLAT LB 71J2 (PB 3, PG 38) (BASIS OF BEARING) `FlR 1/2" FIR 1/2"_ \ 12259 12259 2 xcsr nv.ao' (P) NORTH 25' OF ? VACATED RAILROAD R/W S 885857•" W 116.67' (Al �ll 4"X4" Il GENERA!. NOTES oaI sl Property Address: 1600 South Sanford Avenue Sanford, FL 32771 Still number: SL 83208 1. Legal description provided by others. 2. The lands shown hereon were not abstracted for easements or other record- ed encumbrances not shown on the plat. 3. Underground portions of footings, foun- dations or other improvements were not located. 4. Wall ties are to the face of the wall. 5. Only visible encroachments located. 6. No identification found on property corners unless noted. 7. Dimensions shown are plat and measured unless otherwise noted. 8. Elevations if shown are based upon 1 1929 unless otherwise noted. 9. Adjoining lots are within the same block, unless otherwise noted. 10. This is a BOUNDARY SURVEY unless- otherwise noted. 1 hereby certif,SParfl survey is a true and correct 11. Not valid unless sealed with the signing surveyors embossed seal. 12. Flood zone determinations are provided as a courtesy only, and are derived from the best sources available to the surveyor. This information should not be relied upon for flood insurance purposes, and may differ from information provided by others. 13. L.B. 7132 14. Septic tank and/or drainfield locations are approximate and MUST be verified by appropriate utility location companies. 15. Bearing basis shown per plat unless otherwise shown. 16. Survey is for reference only unless signed and sealed by a Florida Registered Surveyor. 17. All. )nes am not radial unless otherwise of a surveLpxellgred under my direction. Land Surveyor No. 3411 Louis R. Ramirez Professional Surve and Mapper No. 6304