HomeMy WebLinkAbout2416 S Cedor AveRECEIVED
MAR 5 2012
BY:
S(A(Uetj
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: V — /1 Documented Construction Value: $ Coo ' Y 7
Job�Address: ANN Ca _ 4W_., 89711 Historic District: Yes ❑ No ❑
Parcel ID• Zoning:
'Bees—c7qftion of Work: Qca)tk r7Qr\t_SL 0A
Plan Review Contact Person:
Phone: Fax: E-mail:
rP..ropecty Ow.ner_Information
ame Lk n,� -a- Phone:
ti
treet: a`\\\o <Sr��s\� 0 )6w Pue—
ity, State Zip:Zc�
Title:
Resident of property? :
Contractor Information
Name
Phone:
Street:
Fax:
City, State Zip:
State License No.:
Architect/Engineer Information
Name:
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company:
Mortgage Lender:
Address:
Address:
PERMIT INFORMATION
Building Permit O
M
Square Footage:
Construction Type: No. of Stories:
No. of Dwelling Units:
Flood Zone:
Electrical O
Plumbing O
New Service — No. of AMPS:
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm O No. of heads:
t
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 M'AY °
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.
",2�,, 8-S . IL
Signature of Owner/Agent Date
Print Owner/Agent's Name
I L/
Signature of N
��•�p, DEBBIE BLANT
ue'•.,
;,: • Notary Public - State of Florida
• My Comm. Expires Feb 25.2015
dF Commission +Y EE 60182
Bonded Through National Notary
Assn.
- y
Owner/Agent is Personally � own to Me or
Produced ID Type of ID Le M,a ( °441 /7
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
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:
MpWy Address: ' � J C_QAW tit' &n �Czc�,� ---� ( I
Q2� CU.- t-, , 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
9 -r-'el4c
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
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.mygorida.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
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
Pn,
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
►`/p j
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a 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
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
coverage.
MpWy Address: ' � J C_QAW tit' &n �Czc�,� ---� ( I
Q2� CU.- t-, , 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
9 -r-'el4c
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
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
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 1 do not have a
license.
n
1 understand that building permits are not required to be signed by a property owner unless he or she is
(VJIt
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
VV
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
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.
(h
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
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persons working on my building or residence. It is my responsibility to ensure that the persons whom I
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employ have the licenses required by law and by city ordinance.
I 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
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
OMZR130A LOWE'S HOME CENTERS, INC. PAGE: 1
SAF 1657
PROJECT ESTIMATE
CONTACT: BACHI, LINDA
CUST #: 100383136
PROJECT NUMBER: 344668340
SALESPERSON: HALLEY, SHAWN
SALES #: 738696
DATE ESTIMATED: 03/04/12
NEW FENCE
QTY
ITEM #
ITEM DESCRIPTION
VEND PART #
PRICE
-----
16
---------
202817
------------------------------
6X8 DE STCKADE FN 4" PKT ACQ/C
--------------------
NA
----------
575.52
18
201596 .
4X4X8 ACQ .40 TOP CHOICE TREAT
TC448T240N
107.46
1
69263
NAIL COMMON GALV 5 LB 12 D
12HGC5
14.87
0
22710
1 1/4" SCH40 CROSS 420012
420012RMC
0.00
16
222710
50# QUIKRETE CONCRETE MIX
110140
44.48
This Quote is valid until 04/03/12.
MANAGER SIGNATURE
DATE
TOTAL FOR ITEMS 742.33
FREIGHT CHARGES 0.00
DELIVERY CHARGES 0.00
TAX AMOUNT 44.54
TOTAL ESTIMATE 786.87
THIS ESTIMATE IS NOT VALID WITHOUT MANAGER'S SIGNATURE.
THIS IS AN ESTIMATE ONLY. DELIVERY OF ALL MATERIALS CONTAINED IN THIS
ESTIMATE ARE SUBJECT TO AVAILABILITY FROM THE MANUFACTURER OR SUPPLIER.
QUANTITY, EXTENSION, OR ADDITION ERRORS SUBJECT TO CORRECTION. CREDIT
TERMS SUBJECT TO APPROVAL BY LOWES CREDIT DEPARTMENT.
LOWES IS A SUPPLIER OF MATERIALS ONLY. LOWES DOES NOT ENGAGE IN THE PRACTICE
OF ENGINEERING, ARCHITECTURE, OR GENERAL CONTRACTING. LOWES DOES NOT ASSUME
ANY RESPONSIBILITY FOR DESIGN, ENGINEERING, OR CONSTRUCTION; FOR THE
SELECTION OR CHOICE OF MATERIALS FOR A GENERAL OR SPECIFIC USE; FOR
QUANTITIES OR SIZING OF MATERIALS; FOR THE USE OR INSTALLATION OF MATERIALS;
OR FOR COMPLIANCE WITH ANY BUILDING CODE OR STANDARD OF WORKMANSHIP.
70 NVaynwnl Comm a I -eke Mary. Fl- 32746 • voice 407.688 7631 • Fax 407 658.7691
Legal Description
Lot 19, Block l0, DREAMWOLD 3RD SECT/ON, according to the
plat thereof, as recorded in Plat Book 4, Page(3) 70, of the Public
Records of Seminole County, FL.
Community number. 120294 Panel. 0070
Suffix: F F.LR.M. Dale: 9/28/2007 Flood Zone: X
Date of field work: 2/3/2011 Completion Date: 2/4/2011
Certified to:
Linda Banchi; Title America of Central Florida, Inc.; Chicago Title
Insurance Company; Habitat for Humanity in Seminole County,
Florida, inc. a Florida Nun-Profil Corp., its' successors andlor
assigns.
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a l e eio•
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iso
C ,H A 9 E V A V E• N U' E a i�P•
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L, A H I•A V E N U ••E
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a.
to /l K is /4 /3 it it I
Y
A v a N U E v •'k -
It
LOCAT/ON SKETCH
Not to Seale
FIR 5/87 9.7' 4' WIRE FENCE - - N5771 d
7.5' RESERVED FOR U.E. 0.2' ON �yGj
-- — �—""—�— --- ---- tel•
4.6' . — ✓i
I'
ts SHED cvO1 LOT 19 �
4.6' a 0. A/C, BLOCK 10
14.1' 25.3' Y
R
of
� 1
RESIDENCE
7 S
DN
SCALE 1'=30'
w 13.2'
Lt COV 21.5'
c g
14.2' GONG �� a
1 / \ 3:�
A
J
LOT 20 s
CITY OF SANFORD - BUILDING PI.A9L WO 4 --, �� n V
PLANNING AN7 DEV L P� Q ME.NT SE�Rvo
C�
APPROVED CP v 12.0• ' . ' LOT 18 C DAT BLOCK ' 2 BLOCK 10 /
4.0' �5
AL
FIR
852
EDGE OF PAVEMENT -
CEDAR AVENUE _
60' R/W (ASPHALT)
1.L'trV1I11J "L'1Vi!,KALdVV1L'J
Properly Address:
2416 Cedar Avenue
Sanford, FL 32771
-0-
Wood Fence
W.M.
. .�� J
O.R.
Official Records
4,:
•it
- - -
-
r0 /o
/J N ra
nt tt-
O.R.B.
Official Records Book
2. The lands shown hereon were not
a.
to /l K is /4 /3 it it I
Y
A v a N U E v •'k -
It
LOCAT/ON SKETCH
Not to Seale
FIR 5/87 9.7' 4' WIRE FENCE - - N5771 d
7.5' RESERVED FOR U.E. 0.2' ON �yGj
-- — �—""—�— --- ---- tel•
4.6' . — ✓i
I'
ts SHED cvO1 LOT 19 �
4.6' a 0. A/C, BLOCK 10
14.1' 25.3' Y
R
of
� 1
RESIDENCE
7 S
DN
SCALE 1'=30'
w 13.2'
Lt COV 21.5'
c g
14.2' GONG �� a
1 / \ 3:�
A
J
LOT 20 s
CITY OF SANFORD - BUILDING PI.A9L WO 4 --, �� n V
PLANNING AN7 DEV L P� Q ME.NT SE�Rvo
C�
APPROVED CP v 12.0• ' . ' LOT 18 C DAT BLOCK ' 2 BLOCK 10 /
4.0' �5
AL
FIR
852
EDGE OF PAVEMENT -
CEDAR AVENUE _
60' R/W (ASPHALT)
1.L'trV1I11J "L'1Vi!,KALdVV1L'J
Properly Address:
2416 Cedar Avenue
Sanford, FL 32771
-0-
Wood Fence
W.M.
Water Molar
O.R.
Official Records
1. Legal description provided by others.
ONLY. AND ARE DERIVED FROM
-0-
Wire FenceTEL.
Telephone Facilities
O.R.B.
Official Records Book
2. The lands shown hereon were not
THE BEST SOURCES AVAILABLE TO
C L.F
Chain Link Fence
®
Covered Area
P.C.P.
Permanenl Control Point
abstracted for easements or other recorded
THE SURVEYOR. THIS INFORMATION
F.N.
Found Nail
B.R.
Bearing Reference
P.R.M.
Permanent Reference Monument
encumbrances not shown on the plat.
SHOULD NOT BE RELIED UPON FOR
CONC
Concrete
CH
Chord
PG.
Page
3. Underground portions of Poolings.
FLOOD INSURANCE PURPOSES. AND
M
Field Measured
RAD
Radial
PVMT
Pavement
foundations or other improvements were
MAY DIFFER FROM INFORMATION
CL
Clear
A7C
Air Conditioning
E.O.P.
Edge of Pavement
not located
PROVIDED BY OTHERS.
ENCR
CL
Encroachment
Centorline
B.M.
C.
Bench Mark
Calculated
P.B.
POB
Plat Book
Point Beginning
4 Wall lies are to the face of the wall.
11. Seplic lank and/or diarnfiofd locations are
of
S. Only visible encroachments located.
approximate and MUST be verified by
R
Concrete
ZZZZ
Block Wall
POC.
Point of Commencement
6 No identification found on property corners
appropriate utility location companies.
FL
Properly Line
�
Central Angle/Della
PO.L
Point on Line
unless noted
12. Bearing basis shown per plat unless
C.M.
Concrete Monument
D.B.
Deed Book
PC
Point o1 Curvature
7 Adjoining lots are within the same block.
^Ihaiwi%0 shown.
F.I.R.
Found Iron Rod
D.
Description or Deed
P R.C.
Point o1 Reverse Curvature
unless Otherwise noted.
13 Survey is for reference only unless signed
FI P.
R/W
Found Iron Pipe
Right o1 Way
D.H
D/W
Drill Hole
Driveway
P.T.
R.
Point of Tangency
Radius (Radial)
6. This Is a BOUNDARY SURVEY unless
and sealed by lorida Registered Lend
L
N8D
Nail B Disk
ESMT
Easement
R.O.E
Root Overhorrg Easemero
otherwise noted.
'
D.E.
Drainage Easement
EL
Elevation
S.I.R.
Set Iron Rod d Cap
g Not valid unless sealed with the sig
�J
14, IlJhnr ; a e of gatlial unless otherwise
Utility Easement
F. F.
Finished Floor
Sm
Sidewalk
surveyors embossed seal.
FLOOD
flopo
FD.
Found
PC M
Found Concrete Monument
TOB
Top of Bank
10. ZONE DETERMINA ONS
t5. R co Arra Ir n d et r. indicate an
P
Plat
FPK.
Found Porker -Kalov Nail
TY P.
Typical
. ARE PROVIDED AS A COU ESY
of da o.
O.H.U.
Overhead Utilities
L
Length
W.C.
Witness Corner
t horeey cattily roar this survey is • into a carroct apro m airs of $ rVoy e0 rod r my duectron.
P.P.
Power Pole
L.B.
Licensed Business
10.05
Existing Elevation
Tx
Transformer
L.A E.
Limited Access Easement
E.0 W.
Edge of Water
- - - L.B. 7132
CATV
Cable Riser
--'1—
Line Break Not 16 Scale
PC.C.
Point of Compound Curve
'
CB
Chord Bearing
M.H
Manhole �'
PI
Point of Intersection
F.C.C.
Found Cross Cut
OHL
Overhead Linos
TB.M
Temporary Bench Mark
F.
Field
N.T.S.
Not 10 Scale
— RaIr Swerdloll
Reaisteied Land Sumovoi No. 3c 11