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Home My WebLink About152 Wheatfield CirApplication No: a- 1038 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $1Z61). O0 Job Address: /S'Z /,y",F z2—=/,��z ,n C lRc Le- Historic District: Yes ❑ No ❑ Parcel ID: 3Z— /9 oaon 6cs.7- t-) Zoning: 0 Description of Work: 1-_E/UCgos- /ti! ;5AGk (o f 1�JL Plan Review Contact Person: vE Title: AXOM6colol&?- Z Phone: 46Z- 7,F -''Z 9F Fax: E-mail: Property Owner Information Name 4�hwa:R6^ClL, yc Phone: -902- "L 7198 Street: ,152 60/06-4-rAA&Z/) CIRC Lzr Resident of property? City, State Zip: ,3;*Vo=,!i-<b 3Z77/ Contractor Information Name Street: Phone: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Building Permit O Square Footage: No. of Dwelling Units: Electrical O New Service - No. of AMPS: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION .•+ M' tit +'t^� `' =y/ a Construction Type: Flood Zone: Mechanical E3 (Duct layout required for new systems) No. of Stories: Plumbing O New Construction - No. of Fixtures: Fire Sprinkler/Alarm O No. of beads: .'aj P, a�� 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, beaters, 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent 'Date fZ, OZ4 v415- Print Owner/Agent's Name of Nota Stat�,—`Hr1QJ,da DEBBIE BLAR06► Notary Public -State of Florida ' • . • My Comm. Expires Feb 25.201s 'N "o;•' Commission N EE 60182 Bonded Tbrou9b National Notary Assn. Owner/Agent is Personally kown to Me or Produced ID Type of ID • I I APPROVALS: ZONING: 14.141 -5-VO, UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 1404:4 Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: R/ Ir �Z �14 OWNER BUILDER STATEMENT/AFFIDAVIT Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (initial to the left of each statement) Rev. 9.14.2009 I understand that state law requires construction to be done by a licensed contractor and have applied for 0 an owner -builder permit under an exemption from the law. The exemption specifies that I, as the owner of ',� the property listed, may act as my own contractor with certain restrictions even though I do not have a license. I understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name. I also understand that a contractor is required by law to be �J licensed in Florida and to list his or her license numbers on all permit and contracts. I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I may also build or improve a commercial building if the costs do not exceed $75,000. The building or residence must be for my own use or occupancy. It may not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 9 in 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise persons working on my building or residence. It is my responsibility to ensure that the persons whom I - �. employ have the licenses required by law and by city ordinance. 1 understand that it is a frequent practice of unlicensed persons to have the property owner obtain an owner -builder permit that erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or her employees while working on my property. My 7 homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner - builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand that I 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 my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation for the employee. I understand that my failure to follow these laws may subject me to serious financial risk. Rev. 9.14.2009 l �) I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern owner -builders as well as employers. I also understand that the construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the United States Small Business Administration, the Florida Department of Financial Services, and the Florida Department of Revenue. I also understand that I may contact the Florida Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for more information about licensed contractors. I am aware of, and consent to, an owner -builder building permit applied for in my name and understand 0that I am the party legally and financially responsible for the proposed construction activity at the address listed below. I agree to notify the building department immediately of any additions, deletions, or changes to any of the information that I have provided on this disclosure or in the permit application package. Licensedt with contractors are regulated by laws designed to protect the public. If you contrac wa person who does not have a license, the Construction Industry Licensing Board, the Department of Business and Professional Regulation and the building department may be unable to assist you with any financial loss that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an )\ individual or firm is injured while working on your property, you may be held liable for damages. If you • , /J obtain an owner -builder pennit and wish to hire a licensed contractor, you will be responsible for verifying V whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: `f�/16-2¢1 Qxo cSWN>✓a Q% I, Cdr, 1q• Ql/ !/e , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. Form of Identification (Must be Photo ID) ate A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed activity against the owner and any person performing work that requires licensure under the permit issued. Rev. 9.14.2009 BOUNDARY SURVEY LEGAL DESCRIP770N. LOT 2, CELERY LAKES PHASE 1A, ACCORDING TO 7HE PLAT 7N£REOF, AS RECORDED IN PLAT BOOK 67, PAGES 98-99, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. OX at* CELERY LAKES PHASE 1 P.B. 62, PGS, 75-76 S 0078'03" E 60.00'[PJ fW) I % 5' WALL & FENCE EASEUI Nr w 1 I I I I I I I I W LOT 3 W e1 , � I I I I I a 41 y 2 h 1 20.0' CITY OF SANFOPJ . B411.00I1 PIAN PLANNING A^lf� DEVE11.00W-'aT SER' I ISL I I 1 I I I 1 I I �- 10.0' 1 I I I o I • I N I I bl ■ 1 y I 15' U.E. 1 I I I I I I I I I I I I A/C I 1 I ONE STORY CAS jF152 i W C h SCALE. 1 "-20' h w 3 LOT 1 f`' `S leo N 0021'43" Iti • irY 70.00TP&MJ g g WEA MELD CIRCLE (50' R/W) -- — 6 — — — -- — MERCURY TITLE COMPANY ORANN BY: CHECKED BY.' GR BRETT CERTIFIED TO., EDWARD H. OLIVE REGIONS BANK MERCURY TITLE COMPANY COMMONWEALTH LAND TITLE INSURANCE COMPANY COMMUNITY NO:. 120294 PANEL, SUFRJL• 0765 - G FLOOD ZONE SURVEY Na 44067 FI.R.M. DATE.' 09/28/07 naD DATE. 11/18/11 A/C - AIR CONDITIONER A - CENTRAL ANGLE SIX - BLOCK CO. - CHORD BEARING CB.S - CONCRETE BLOCK STRUCTURE C.M. - CONCRETE MONUMENr CONC. - CONCRETE D- DEED D.E. -DRAINAGE EASEMENT E -EAST F.F.E. -nmSHEO FLOOR ELEVATION FND -FOUND ID. - IM RnCA ROV I.P. - WON PIPE • I.R. - IRON ROD I.R.0 - IRON ROD R CAP L - ARC UWGIN LB. - LAND SURVEYING BUSINESS LS - LAND SURVEYOR M - MEASURED N - NORTH Nd0 - NAIL AND DISK P - PLAT P.C. - POINT OF CURVATURE P.C.C. - PONT OF COMPOUND CURVA P.CP. - PERMANENT CONTROL POINT P.L. - PROPERTY LINE P.O.B. - POINT OF BEGINNING NOES BEARINGS SHOWN HEREON ARE BASED UPON 1) This sone 7NE CENTERLINE OF WHEA7FIEL0 CIRCLE the 0Ant BEING N 00 2l '4J" W PER PLAT 2) This Suns Long Surveying, Inc. "Specializing In Residential Surveying" LB No. 7371 143 Villa Di Este Terrace #113 Lake Mary, FL 32746 Office 407-330-9717 or 407-330-9716 Fax 407-330-9775 1 V I V I V. L ONGS UR VE Y)NG. COAT affect the J) Do not wee 4) No ffoofhg 5) No inprea Morn 6) This s� IsVot %dkl without the slgno� and the crlghof eal sof % Ronor do Ikensed SLne,d Mapper P.00 - POINT Or COMMENCEMENT P.O.L. - POINT ON UNE P.R.C. - POINT OF REVERSE CURVE P.R.M. - PERMANENT REFERENCE MONUMENT P.T. - POINT OF TANGENT R - RADIUS R - RIGHT OF WAY /W - SIDEWALK S - SOUTH UE. - UTILITY EASEMENT HEST W.F: FRAME STRUCTURE 0 T 1/2' I.R.C.PSM L617J71 Is Dosed an Me legd esajrrtkn as proWIded by r Aos nL rocfed fA /an0 Morn Aerom for rightsor restrict soffrecordwhkhmay Itla or uAs laud ,truct y lines Dam ororhon orn ewept oa Morn utaitles how been ated swept as GtYUfiecti ., 1 cePtify that this sirney n mode under my Vection and that It meets the minimum f kot stondords set forth by the Boots of PVoffessknol L d Surwryore and Mappers h Chapter 61017-6, naWo A hlstrVOW Coda. pursuant to Section 472.027. n Stofutea. 6.7' I I I I I I I w 13.3' I , � I I 1 y 1 I 20.0' :� I 1 .•C001C. I ..DR. ' I -`-�=--= - ------------i-- • • 10' U.£. Id N 0071'43 W 60.00 [PJ ..'. SCALE. 1 "-20' h w 3 LOT 1 f`' `S leo N 0021'43" Iti • irY 70.00TP&MJ g g WEA MELD CIRCLE (50' R/W) -- — 6 — — — -- — MERCURY TITLE COMPANY ORANN BY: CHECKED BY.' GR BRETT CERTIFIED TO., EDWARD H. OLIVE REGIONS BANK MERCURY TITLE COMPANY COMMONWEALTH LAND TITLE INSURANCE COMPANY COMMUNITY NO:. 120294 PANEL, SUFRJL• 0765 - G FLOOD ZONE SURVEY Na 44067 FI.R.M. DATE.' 09/28/07 naD DATE. 11/18/11 A/C - AIR CONDITIONER A - CENTRAL ANGLE SIX - BLOCK CO. - CHORD BEARING CB.S - CONCRETE BLOCK STRUCTURE C.M. - CONCRETE MONUMENr CONC. - CONCRETE D- DEED D.E. -DRAINAGE EASEMENT E -EAST F.F.E. -nmSHEO FLOOR ELEVATION FND -FOUND ID. - IM RnCA ROV I.P. - WON PIPE • I.R. - IRON ROD I.R.0 - IRON ROD R CAP L - ARC UWGIN LB. - LAND SURVEYING BUSINESS LS - LAND SURVEYOR M - MEASURED N - NORTH Nd0 - NAIL AND DISK P - PLAT P.C. - POINT OF CURVATURE P.C.C. - PONT OF COMPOUND CURVA P.CP. - PERMANENT CONTROL POINT P.L. - PROPERTY LINE P.O.B. - POINT OF BEGINNING NOES BEARINGS SHOWN HEREON ARE BASED UPON 1) This sone 7NE CENTERLINE OF WHEA7FIEL0 CIRCLE the 0Ant BEING N 00 2l '4J" W PER PLAT 2) This Suns Long Surveying, Inc. "Specializing In Residential Surveying" LB No. 7371 143 Villa Di Este Terrace #113 Lake Mary, FL 32746 Office 407-330-9717 or 407-330-9716 Fax 407-330-9775 1 V I V I V. L ONGS UR VE Y)NG. COAT affect the J) Do not wee 4) No ffoofhg 5) No inprea Morn 6) This s� IsVot %dkl without the slgno� and the crlghof eal sof % Ronor do Ikensed SLne,d Mapper P.00 - POINT Or COMMENCEMENT P.O.L. - POINT ON UNE P.R.C. - POINT OF REVERSE CURVE P.R.M. - PERMANENT REFERENCE MONUMENT P.T. - POINT OF TANGENT R - RADIUS R - RIGHT OF WAY /W - SIDEWALK S - SOUTH UE. - UTILITY EASEMENT HEST W.F: FRAME STRUCTURE 0 T 1/2' I.R.C.PSM L617J71 Is Dosed an Me legd esajrrtkn as proWIded by r Aos nL rocfed fA /an0 Morn Aerom for rightsor restrict soffrecordwhkhmay Itla or uAs laud ,truct y lines Dam ororhon orn ewept oa Morn utaitles how been ated swept as GtYUfiecti ., 1 cePtify that this sirney n mode under my Vection and that It meets the minimum f kot stondords set forth by the Boots of PVoffessknol L d Surwryore and Mappers h Chapter 61017-6, naWo A hlstrVOW Coda. pursuant to Section 472.027. n Stofutea.