HomeMy WebLinkAbout700 Laurel Ave (2)CITY OFSANFORD PERMIT APPLICATION
Permit R C^y ^ a- 7
lob Address: 0 L Ik-'4- r C-
Description of Work: e^ C.. !
Historic District: N oar Zoning:
Date:
Total Square Footage
Value of Work:-$ _ Son ,! i
Permit Type: Building']-_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - H of AMPS Addition/Alteration Change of Service ;temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout &Energy Calc. Required)
Plumbing/ New Commercial: N of Fixtures N of Water & Sewer Lines N of Gas Lines
Plumbing/New Residential: a of Water Closets Plumbing Repair - Residential or Cornntcrcial
Dccupancy Type: Residential Commercial Industrial
Construction Type: >< of Stories: N of Dwelling Units: Flood "Lone: (FEMIA form required)
0'10rers Name & Address: $e 2L- . Ax e iO '1 (o C rt 51 , 1 6 a -j I C , f .- ( ---
Cc. S S C ILg rj . jCa_ 3 0-Z 0-) Phone: Ya"1 Co'i 1 to ZZ33
contractor Name & Address:
hone & Fax: Contact Person:
3onding Company:
ddress:
Mortgage, Leader.
ddress:
rchitect/Engineer:
ddress:
Stale license Number:
Phone:
Fax:
pplication is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the
ssuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate
rermit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
UR CONDITIONERS, etc.
WNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and drat all work will be done in compliance with all applicable laws regulating
onstruction and zoning WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO 013TAIN FINANCING. CONSULT WITII YOUR LENDER OR AN
TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
d ICE: 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
his county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
cceptance of QFrmit is verification drat I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
9-Y-o ro
Date
Signature of N -State of Olorida Date
ON
1H8Ati1
Owner/ ent is11,: 2007
A.. Co. Produced ID
PPROVALS: ZONING: UTIL: FD:
pecial Conditions:
cv OY2006
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
ENG: BLDG:
CITY OF SANFORD BUILDING DIVISION
OWNER/BUILDER AFFIDAVIT
CONSTRUCTION CONTRACTING
Owners of property when acting as their own contractor and providing direct, onsite supervision
themselves of all work not performed by licensed contractors, when building or improving farm
outbuildings or one -family or two-family residences on such property for the occupancy or use of such
owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to
exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or
lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such
structure by the owner -builder within 1 year after completion of same creates a presumption that the
construction was undertaken for purposes of sale or lease. This subsection does not exempt any person
who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The
owner may not delegate the owner's responsibility to directly supervise all work to any other person
unless that person is registered or certified under this part and the work being performed is within the
scope of that person's license. For the purposes of this subsection, the term "owners of property"
includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this
subsection, an owner must personally appear and sign the building permit application.
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 $25,000. 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.
I, , 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.
12 Ze 2z 9— i —oc..
OAertguilOr-gimidiure Date
Print Owner/Builder Name
Signature of
rl
of F& BLRAVON
MY COMMISSION # DD IM4p1
EXPIRES: February 25, 2007
Owner is Pr4jjjaJtpKnovmvftrM~ No. co -
Produced ID
a
SECTION 25
TOWNSHIP 19 S.
RANGE 30 E.
ASPHALT)
I— -
2' CURB
W PP
W. 24'
LOT 1 --- —
BLOCK 9
TIER 8
BLDG n0.98' OUT rn rn
3 -+
BLDG
1.59, OUT
W. 24'_--
LOT 2
BLOCK 9
TIER 8 GUY
FENCE— —
1.72' IN
LOT 8
BOUNDARY SURVEY
WITH IMPROVEMENTS
CO"—'
REC. 5/8" I.R. N
16.00,
SEVENTH STREET
50' R/W)
ON'CRETE
e '•' PAD
I LESS °
TRpoD
TRUCTUREOARAGE
V'
0d !,BLOCK
24'
91
0o
TIER 8
I
LOT 2 Is.so'
f'I LESS
rw-
W. 24' I.
BLOCK 9
TIER 8FENCE
1.69' IN I 1
I
I
1-STORY o
RES # 700
I
I
I
I
I
I.
FACE I
0.06' TN
i I
i
REC. 2" I.P. S 90°00'00' E 117.00' (P) REC. 5/8" I.R.
IN89°51'18" E 117.13' (M)
LOT 9
5/8" I.R.
2t.N2 —
S 5252
OCK
C RNER
z1.17
A
L— 4L00_
SCALE I"=30'
I
LEGAL DESCRIPTION:
LOTS 1 AND 2, LESS THE WEST 24.00 FEET, BLOCK 9, TIER 8, TOWN OF SANFORD, ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT BOOK 1, PAGE 62, PUBLIC RECORDS OF SEMINOLE COUNTY,
FLORIDA.
AND
THE WEST 24.00 FEET OF LOTS 1 AND 2, BLOCK 9, TIER 8, TOWN OF SANFORD, ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT BOOK 1, PAGE 62, PUBLIC RECORDS OF SEMINOLE COUNTY,
FLORIDA.
LEGEND
A/C - AIR CONDITIONER PAD
A - ALSO KNOWN AS
a/c - BACK OF CURB
C - CHORD
CAN - CABLE TELEVISION UNE
CALC - CALCULATED
CB - CHORD BEARING
CHIW - CONCRETE BLOCK WALL
CM - CONCRETE MONUMENT
COV - COVERED
CPP - CONCRETE POWER POLE
CW - CONCRETE WALKWAY
F - CENTER LINE
CLF - CHAIN LINKED FENCE
CP - CONCRETE PAD
A - CENTRAL ANGLE
DE - DRAINAGE EASEMENT
D)SC - DESCRIPTION
E/P - EDGE OF PAVEMENT
EM - ELECTRIC METER
IF) - FIELD
IR - IRON ROD'
D.U.E.- DRAINAGE k UTILITY
EASEMENT
GM - GAS METER
IP - IRON PIPE
L - ARC LENGTH
LP - LIGHT POLE
B - LICENSED BUSINESS
MS -
MEASURED
MS - METAL SHED
N/D - NAIL h DISK
O.H.U. - OVERHEAD UTIUTY
P.O.L. - POINT ON LINE
p) - PLAT
P.C. - POINT OF CURVATURE
PCP - PERMANENT CONTROL POINT
FOB - POINT OF BEGINNING
POC - POINT OF COMMENCEMENT
PRM - PERMANENT REFERENCE MONUMENT
D&M - DEED h MEASURED
REC. - RECOVERED
R/W - RIGHT OF WAY
R - RADIUS
SBT - SOUTHERN BELL TELEPHONE
UB - UTILITY BOX
UE - UTILITY EASEMENT
WF - WOOD FENCE
WM - WATER METER
WPP - WOODEN POWER POLE
O.R. - OFFICIAL RECORDS
SURVEYOR'S NOTES:
1. SUBJECT TO ANY APPLICABLE EASEMENTS, RIGHTS -OF -WAYS, OR
OTHER RESTRICTIONS OF RECORD.
2. A SEARCH OF THE PUBLIC RECORDS HAS NOT BEEN MADE BY THIS OFFICE.
3. BEARINGS SHOWN HEREON ARE RELATED TO THE WEST R/W
OF LAUREL AVENUE, AS BEING N00'00'00-E, AS SHOWN ON THE PLAT OF RECORD.
4. LEGAL DESCRIPTION PROVIDED BY CLIENT OR CLIENTS REPRESENTATIVE.
5. ABOVE GROUND ENCROACHMENTS, IF ANY, AS SHOWN ON SURVEY.
6. UNDERGROUND ENCROACHMENTS OR IMPROVEMENTS , IF ANY, NOT LOCATED ON SURVEY,
7. PROPERTY LIES IN FLOOD ZONE " X ., AS SHOWN ON FEMA / FIRM MAP.
B. EASEMENTS SHOWN PER PLAT OF RECORD.
9. TAX PARCEL I.D. /'S 25-19-30-5AG-0908-DO10
25-19-30-5AG-0908-001A
CERTIFIED TO:
DOROTHY V. do MICHAEL J. MEW
ANDREW V. ASBURY
REVISIONS
DESCRIPTION DATE
PROFESSIONAL
SURVEYOR & MAPPER
285 W. PINE STREET
LONGWOOD FL 32750
TEL.# (407) 830-0200
FAX # (407) 830-0500
email address: CIVILSURVEYS@aol.com
PRA
54/24
CHECKED BY: AVA
W
06-209
4/25/0
DATE IN FIELD: Q 24
PARTY CHIEF: AD
SCALE: 1 „ _ 30'
SHEET 1 OF
SURVEYOR'S CERTIFICATE
I HEREBY CERTIFY THAT THE SKETCH OF SURVEY
IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY
MADE UNDER NAY DIRECTION AND THAT SAID SURVEY MEETS
AND DR EXCEED` THE MINIMUM TECHNICAL STANDARDS OF FLORIDA
ADMINISTRATIVE CODE RULE 51017-5 PURSUANT TO
FLORIDA STATUTE CHAPTER 472.
ir AWL—
ANDREW V.ASBURY
FLORIDA LICENSE No. 5252
NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL.
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