HomeMy WebLinkAbout2804 S Park AveCITY OF SANFORD PERMIT APPLICATION
!rmit # : 0 —7 — if V7 ,Q Date:
,b Address: Q ��
,3 6 �I S• V a l 1� Ave
.scription of Work: 1:� R C'STOv ct�T \ C i\ _ Total Square Footage
istoric District: Zoning: _ Value of Work: S `I tJ � 00 00
:rmit Type: Building VI Electrical (*/_ Mechanical � Plumbing i-� Fire Sprinkler/Alarm Pool
ectri"L New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
umbing/ New Commercial: # of Fixtures N of Water & Sewer Lines H of Gas Lines
umbingfNew Residential: # of Water Closets Plumbing Repair — Residential or Commercial
zcupancy Type: Residential Commercial Industrial
instruction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
vuers Name & Address: \ M O'C TN -
a!8 o S. PAC\c kve S
mtractor Name & Address: 61')"f
one & Fax:
nding Company:
[dress.
mrtgage Lender:
dress:
chitect/Engineer
dress:
Contact Person:
Phone. Y o -7 3 Q 3 -- 773 --7 \-
State License Number:
Phone.
Fax:
Phone:
plication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wort: or installation has commenced prior to the
rance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. f understand that a separate
mit must he secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
Z CONDITIONERS, etc.
dNER'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
msttuction and zoning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
!ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
TICE- 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
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
:eptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713-
Signature of Owner/Age t \\ er'' Signature of Contractor/Agent Date
�� ,►[ • • 0''t 1 till , . I
Pri t-Owne,/Agent's Mine +. •�
St ature of Notary -State of Florid p- , ,; `;"y-DateLIZ
~
r G,i.� • gip./W „•.: 1.��
Owner/Agent is Personally Known to Me or
Produced ID�f
?ROVAL.S: ZONING: UTIL: FD:
tial Conditions:
03/2006
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
ENG:
BLDG:
? 5.bo
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.
n
h,t o, C Q,� , 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/Buil er Signature Date
Owner is L_ Pers pftlft to Me or has Produced ID
6 di S
4a AA
Signature of Na y=StA- e pf F�ofid4_ Date
My Commissicxpis: °
'//
BOUNDARY SURVEY
LEGAL DESCRIPTION: THE SOUTH j OF LOT 8 AND ALL OF LOT 9, 1ST. ADDITION TO PARK VIEW,
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 3, PAGE 96, OF THE PUBLIC
RECORDS OF SEMINOLE COUNTY, FLORIDA.
THF AROVF RFFFRFNC'Fn PROPFRTY Iq I nrATFn IN 711NF 'X' ARFA CIF NAINIAAM FI C1nnir\il: AC PFR
F.I.R.M.
COMMUNITY
PANEL
NO. 12117CO045 E, SEMINOLE
COUNTY, FLORIDA. MAP
DATED
APRIL
17,
1995.
DELTA
A/C
AIR CONDITIONER
BLK.
BLOCK
B.O.B.
BASIS OF BEARING
BRG.
BEARING
CAN
CABLE TELEVISION BOX
CHD.
CHORD
C.LF.
CHAIN LINK FENCE
C.M.
CONCRETE MONUMENT
CONC.
CONCRETE
COR.
FND 1"
COV.
COVERED
D.
DESCRIBED
D.E.
DRAINAGE EASEMENT
UTIUTY EASEMENT
BEYOND THE FINAL SURVEY DATE SHOWN.
U.R.B.
UTIUTY RISER BOX
hp.
THE SURVEYOR HAS NOT ABSTRACTED THE LANDS HEREON FOR
Q
WEST
EASEMENTS OR RIGHT-OF-WAY OF RECORD.
W.F.
WOOD FENCE
8.
THERE MAY ADDITIONAL RESTRICTIONS THAT ARE NOT RECORDED ON THIS
W.M.
WATER METER
PLAT THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY.
9.
ALL BEARINGS / ANGLES AND DISTANCES ARE PLAT AND MEASURED
UNLESS NOTED OTHERWISE.
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l.P.
LEGEND
■
FOUND CONCRETE MONUMENT
9
FOUND PROPERTY CORNER
0
SET PROPERTY CORNER
0PERMANENT
CONTROL POINT
'n'
DELTA
A/C
AIR CONDITIONER
BLK.
BLOCK
B.O.B.
BASIS OF BEARING
BRG.
BEARING
CAN
CABLE TELEVISION BOX
CHD.
CHORD
C.LF.
CHAIN LINK FENCE
C.M.
CONCRETE MONUMENT
CONC.
CONCRETE
COR.
CORNER
COV.
COVERED
D.
DESCRIBED
D.E.
DRAINAGE EASEMENT
E
EAST
ENT.
ENTRANCE
ENCL
ENCLOSURE
ESMT.
EASEMENT
FND.
FOUND
I.P.
IRON PIPE
1. R.
IRON ROD
L
LENGTH
M.
MEASURED
N
NORTH
N/D
NAIL & DISC
P.C.
POINT OF CURVATURE
P.C.P.
PERMANENT CONTROL POINT
P. T.
POINT OF TANGENCY
P.O.B.
POINT OF BEGINNING
P.O.C.
POINT OF COMMENCEMENT
P.O.L.
POINT ON LINE
TF')
PLAT
I HEREBY CERffm
Y MEETS OR EXCEEDS PREPARED FOR:
THE MINIMUM SET FORTH BY THE TIMOTHY E. GRACEY
FLORIDA BOARS, PURSUANT TO
SECTION 61G1TIVE CODE, PURSUANT PREPARED BY:
TO SECTION 4UTES. CHARLES ROB DEF00R
3C. -v ASSOCIATES, INC.
CHARLES EFOOR, P.L.S. 4189 DATE P.O. BOX 1763, APOPKA FLORIDA 32703 (407) 880-9811 427 KNOLL TREE
LOT SURVEY DATE:
NOTES
R
RADIUS / RADIAL
1.
BEARINGS ARE BASED ON RECORD PLAT.
S
SOUTH
2.
THE SURVEY SHOWN HEREON WAS SURVEYED BY THE LEGAL
SAN.
SANITARY
DESCRIPTION PROVIDED BY THE CLIENT.
SCR.
SCREEN
3.
ROOF OVERHANGS AND FOOTERS HAVE NOT BEEN LOCATED.
S.W.
SIDEWALK
4.
NO IMPROVEMENTS OR UNDERGROUND UTILITIES HAVE BEEN LOCATED
T
TANGENT
EXCEPT AS SHOWN.
TELTELEPHONE
RISER BOX
5.
THIS SURVEY IS NOT VAUD WITHOUT EMBOSSED SEAL.
TYP.
TYPICAL
6.
THIS SURVEY IS NOT VAUD FOR ANY REAL ESTATE TRANSACTIONS 90 DAYS
U.E.
UTIUTY EASEMENT
BEYOND THE FINAL SURVEY DATE SHOWN.
U.R.B.
UTIUTY RISER BOX
7.
THE SURVEYOR HAS NOT ABSTRACTED THE LANDS HEREON FOR
W
WEST
EASEMENTS OR RIGHT-OF-WAY OF RECORD.
W.F.
WOOD FENCE
8.
THERE MAY ADDITIONAL RESTRICTIONS THAT ARE NOT RECORDED ON THIS
W.M.
WATER METER
PLAT THAT MAY BE FOUND IN THE PUBLIC RECORDS OF THIS COUNTY.
9.
ALL BEARINGS / ANGLES AND DISTANCES ARE PLAT AND MEASURED
UNLESS NOTED OTHERWISE.
I HEREBY CERffm
Y MEETS OR EXCEEDS PREPARED FOR:
THE MINIMUM SET FORTH BY THE TIMOTHY E. GRACEY
FLORIDA BOARS, PURSUANT TO
SECTION 61G1TIVE CODE, PURSUANT PREPARED BY:
TO SECTION 4UTES. CHARLES ROB DEF00R
3C. -v ASSOCIATES, INC.
CHARLES EFOOR, P.L.S. 4189 DATE P.O. BOX 1763, APOPKA FLORIDA 32703 (407) 880-9811 427 KNOLL TREE
LOT SURVEY DATE:
FOUNDATION DATE:
FINAL SURVEY DATE:
7 -31 -
DRAWN DATE:
7-31-06
SCALE:
1" = 30'
PAGE 1 OF
1
REVISION DATE:
NOTICE OF COMMENCEMENT
Permit No.
Parcel ID: C: 1 L- 3 0- S IS c o r) o -- 0 (D `Z 6
State of Florida
County of Seminole
1111111111111111111111111111111111111 It 1111111110 0 11111 1111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
LAK 06585 Pg 08801 Opg)
CLERK'S # 2070208&1
RELORDED 02f6S/20007 11.17:12 A14
RECORDING FEES 10.00
RECORDED BY T Kloke
The undersigned hereby gives notice that improvement will be
made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in
this Notice of Commencement.
_....1. Description of property: (legal description of the property and street address if available)
,�L-C 9- ox, K 3 t'AG G 'I L' �
z �'«,rbc ,die
C1
rL -r c \"o? C.-.
_..— 2. General description of improvement: e pct G C c. k -'a-3 to 5 r�.o ��y" e t P {' -4-
Owner Name and address:
C C°
a. Interest in property Cl c_.; ,'\ k V -
b. Name and address of fee simple titleholder (if other than Owner)
3
CERNFIED COPY
MARYANNE MORSE
4. Contractor Name and address: \tiZ nl €" K OF SIR UIT COURT
crenrrn F
milPITY, FORIDA
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
BY.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
-�- �L�.cz�•�1 Signatu e of Owner
Sworn to (or affirmed) at4titlb before me this c day ofej 20, by
Personally Known �t�')6'pr'�dw' ntification
Type of Identificatxe�P,roduged
°' `-4= IHIS INSTRUMENT PREPARED BY:
Signature of Notary c`td;tsPf'ENAME
:� �r4E OF F`� ��� ADDR.
Commission Expires: ffjf���ll0l\� e"
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
ELECTRICAL & FIRE ALARM SYSTEMS
An owner of property making application for permit, supervising, and doing the work in connection with
the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence
for his or her own use and occupancy and not intended for sale or an owner of property when acting as his
or her own electrical contractor and providing all material supervision himself or herself, when building
or improving a farm outbuilding or a single-family or duplex residence on such property for the
occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial
building with aggregate construction costs of under $75,000 on such property for the occupancy or use of
such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale
or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year
after completion of same is prima facie evidence that the construction was undertaken for purposes of sale
or lease. This subsection does not exempt any person who is employed by such owner and who acts in
the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the
owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an
owner shall personally appear and sign the building permit application.
State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical
wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical wiring in
a commercial building the aggregate construction costs of which are under $75,000. The home or
building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or
lease more than one building you have wired yourself within 1 year after the construction is complete, the
law will presume that you built it for sale or lease, which is a violation of this exemption. You may not
hire an unlicensed person as your electrical contractor. Your construction shall be done according to
building codes and zoning regulations. 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.
C Q C. Q. , do hereby state that I am qualified and capable of performing the
requested construction involy with the permit application filed.
I will assume full responsibility as
allowed by law on the permitted_
L)Ao CH
Print C
`_. c
[der Signature
(- C �s
rBuilde Name
Contractor, and will personally supervise all work
Signature of Notary—State of Florida Date
Owner is Personally Known to Me or has
Produced ID f L