HomeMy WebLinkAbout2550 Grandviews AveCITY OF SANFORD PERMIT APPLICATION
Application # : M I Submittal Date:
Job Address: Value of Work: $ -4p�5 oo, V0
Parcel ID: n ` Zoning: Historic District:
,'Description of Work- C l++osv �t� `C f=PN� �- Square Footage:
........................................................................................................................
Permit Type: Building ❑) Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial 0
Occupancy Type': Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
-................................................................................................... 0....................
Property Owner: IC Adit ct4it ON "Plc_ Contractor:
Address: a S�AIJ 0 P<44--/, V e .,-, AV'41 Address:
514�.�'�vco PA/s. 32 773
E%07�- X20 :2,2Ir6�
Phone: 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 ve 'fication that I wrl notify the owner of the property of the requirements of Florida Lien Law, FS 713.
ignature of Owner/Agent Date Signature of Contractor/Agent Date
rint Owner/Agent's N Print Contractor/Agent's Name
3, X07
gnatu Notary -State of FI r' a Date Signature of Notary -State of Florida Date
�° .�� JO ANN M. N5t7N
MY COMMISSION t DD 285622
EXPIRES: March 23, 2008
410e Bonded Thru Budget Notary Services
Owner/Agent is Personally Known to Me or
�oduced ID PC — b(_
APPROVALS: ZONING: UTIL: _
Special Conditions:
Rev 02/2007
FD:
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG: BLDG:
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 I 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, %/ C 1 GAe_OA ee_ , 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 pe itted structure.
Owner/Builder Signature Date
Owner is Personally Known to Me or has Produced IDQ'" "'� �
3 - --) (2, °ti PRY pV
:°re^ JO AVN M. JOMiV9t�ry
gnature of Notary—Stye of Florida Date . * MYCOMMISSIONH N 285622N
My Commission Expires: EXPIRES: P4arch 23, 2008
P 7
9r`OOp F�OQ'`O Bonded Th, Budget Notary SeNiRS
r
1IL
r_.. _. 1 I. 111.._.. Fl 400A6 V..:,.e 4011 688 9641 _ F.... Ano 688 0601
Lots 15, 26, 27 and 1/1 vacated street on the East , Block 2, PALM {—'o `_ o —t A o o rn T
TERRACE, according to the plat thereof, as recorded in Plat Book 4, s } o o o m �;� Iwo I0 1,
Page(s) 81 and 83, of the Public Records of Seminole County, FL. 1t� L1L
Community number: 110294 Panel: 0045
Suffix: E F.LR.M. Date: 411711995 Flood Zone: X p l� u f �� m " a h, _ �� 1_;
Date of field work: 6/512006 Completion Date: 612612006_
Certified to: u'.. v
Ol ci co J L�
Michael Gardner; Julie Lardner; Realty Advantage Title, LLC; Old or � N �►`
Republic National Title Insurance Company; Countrywide Home
Loans, its'successors and/or assigns.
1•z r O G C. --4 ry a is90
O C
SCALE 1"=40'
ra F4 ra ro ro 1.1 111 y
PER PUT Location Sketch
15
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PUT BDUNOMPY N.00'12'03'W.. 149.98'(M)
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U I30.00'(0)(BR)(ASSUNED) M
GRANDVIEW AVENUE 1 —
RICHT OF WAY (NO THRU ROAD) /
Property Address:
2550 Grandview Avenue
Sanford, FL 32773
Survey number: SL 74352
!_FNFRAT. NnTFC
-(3--G Wood Fence
W M.
Water Meter
N.T 5.
Not to Scale
Wire Fence
TEL
Telephone Facilities
O.R.Official
Records
F.N.
Found Nail
® Covered Area
0,R.a
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
O
Concrete
C.
Calculated
PO.C.
Point of Commencement
Ft
PropLine
erty
7722
Block Wall
RO.L.
Point on Line
C.M.
Concrete Monument
0
Central Angle/Delta
P.C.Point
of Curvature
F LR.
Found Iron Rod
D.B.
Deed Book
P.R.C.
Point of Reverse Curvature
F.LP
Found Iron Pipe
D,
Description or Deed
PT
Point of Tangency
R(W
Right of Way
0 .
Drill Hole
R.
Radius (Radial)
N&D
Nail & Dlsk
D/W
Driveway
R.O.E.
Roof Overhang Easement
D -.E.
Drainage Easement -
ESMT
Easement
5.I.R.
Set Iron Rod & Cap
U.E.
Utility Easement
EL
Elevation
SNd
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.PK.
Found Parker-Kalon 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 Rise,
M.H.
Manhole
PC 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
1. Legal description provided by others.
11. Not valid unless sealed with the signing
2. The lands shown hereon were not
surveyors embossed seat.
abstracted for easements or other record-
12. Flood zone determinations are provided as
ed encumbrances not shown on the plat.
a courtesy only, and are derived from the
3. Underground portions of footings, foun-
best sources available to tlie surveyor This
dations or other improvements were not
information should not be relied upon for
located
flood insurance purposes, and may differ
4. Wall ties are to the face of the wall
from information provided by others
5. Only visible encroachments located.
13. L.B. 7132
6, No identification found on property
14. Sgltu: Lnk and/or dr—field locations are
corners unless noted.
approumate and MUST be verified by
7. Dimensions shown are plat and measure'.
appropriate utility location companies.
unless otherwise noted.
15. Bearing basis shown per plat unless
B. Elevations if shown are based upon
olluPwrse shown.
N.G.VD. 1929 unless otherwise rated.
16. Survey is Iry reference only unless
9. Adjoining lots are within the saris; block,
signed and sealed by a Florida Registered
unless otherwise noted.aryd-S�nreyor
Gnes otherwise
10. This is a BOUNDARY SURVEY u0' 5/17'.
All are rot radial unless
otherwise noted.
a
3
I hereby cerdy IN, Ihr n'ry iss .1�/K ^n'Y Preoa,M — my d„ttrro,
Ralph Swerdloff leoki red kand surveyor No. 34I
Louis R. Ramirez
PrdNidW Surveyor” Mapper W 63N