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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. k/ 0