HomeMy WebLinkAbout128 Bella Rosa CirCITY OF SANFORD PERMIT APPLICATION
Application 14:
Job_f
yyd:di.ess: 109
Submittal Date:
Value of Work: S 41 ioD
Parcel [D' Zoning: Historic District: .�+�d (�
Description of Work Ltf �( Al , d ,t, a ,) 1. Square Footage: d /� -1 —
......................l ..
..................................................................................................
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Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Property Owner: Contractor:
Address: %, Address:
Phone: (v -mail: Phone: State License Number:
Bonding Company:
Address
Arebitect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax:
E-mail:
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 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.
ceptance of pe mit is verification that I will notif}, the owner of the property of the requirements of Florida Lien Law, FS 713_
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Signat eeooffOwner/Agent / Date Signature of Contractor/Agent Date
Pri t weer/Agent's Na
U,�A AA�r, • 07
Signature of Notary -St o ` . fA�,/ Date
•�M15&iUNF+ �/
Owner/Agent is C -sone Me b_ �
_ Produced [D i��� • `1 j ` ./[ _
/I.G a �4rric tl� i1lY'i '.1:5- V 3 V
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
FD:
Print Contractor/Agent's Name
Signature of Notary -State of Florida
Date
Contractor/Agent is Personally Known to Me or
_ Produced ID hj vly
�I Z
ENG:BL <DG I'�_^
HOM e- dwne-rr-s
o� C. J4,S u- r v
(e,We-,I- o .10
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
FSS 489.103 Disclosure Statement
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 supervision 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.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (initial to the left of each statement)
Property Address:
1, , do hereby state that i am quallhed and capable of
performing the requested construction involved with the permit application filed.
Form of Identification
(Must be Photo ID)
Dat
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. 4/20/07)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
1 HAVE ACCESS TO THE ADOPTED CODES.
I AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
1 UNDERSTAND THAT FOR ANY UN -LICENSED PERSON i HIRE,1 MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Address:
1, , do hereby state that i am quallhed and capable of
performing the requested construction involved with the permit application filed.
Form of Identification
(Must be Photo ID)
Dat
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. 4/20/07)
F *'
ARCH ITECTURAL. CHANGE REQUEST FORM
Community Resource Management
www.EasyLivingLifestyle.com
1802 North Alafaya Trail
Orlando, Florida 32826
(407) 992-4402
(800) 971-1132
Fax (407) 992-4403
Community Name: Cr E{ r S a Vr S
Property Owner.
Property Address: 1 ) cS Ge Lot / Unit Number:
Telephone Number. (Home) '160 — -12 y — K �� (Office) :
Email Address:
INFORMATION ABOUT THE ARCHITECTURAL CHANGE YOU ARE SEEKING
Mark One
O Landscape Change
O Fence/ Wall Installation
O Color Change (House/ Wall)
O Driveway (Pavers or Painting)
O Electrical/ Lighting
O Satelite Dish
O
Roof Replacement
O
Hurricane Shutters
Gr",
Screen / Patio Enclosure
O
Patio/ Deck Installation
O
OTHER (SPECIFY)
Please describe the type of change you are seeking approval for. Please specify any materials to be used
and colors involved.
('5
Form ARB01 Rev. 05105
Community Name:. ���y �1 (--�, /7E7Y1 e 2 `'
Sub -Association (if any) : .
HOMEOWNER INFORMATION Owner Occu
Property Owner.v S f4�41'z
Property Address:. a 01-R- Lot / Unit Number..
Mailing Address:
Telephone Number: (Home)(office):
(Pager) (Mobile)
Email Address:
Emergency Contacts
Name: Has Key? Telephone Number:
Name: Has Key? Telephone Number:
RENTER INFORMATION Not Rented
Renter's Name(s):
Property Address: Lot / Unit Number.
Telephone Number. (Home) (Office) :
460 (Pager) (Mobile)
Email Address:
® PET INFORMATION No Pets
jar to Type: Breed: Color: Weight:
%Type: Breed: Color: Weight:
Form W01 Rev. 06/05Page
i
ems,£
ARCHITECTURAL CHANGE REQUEST FORM
Community Resource Management
www.EasyL!vingL!festyle.com
1802 North Alafaya Trail
Orlando, Florida 32826.
(407) 992-4402
(800) 971-1132
Fax (407) 992-4403
Copy of your property survey, marking the area where the work will be performed on your home / lot.
Contractors License & Certificate of Insurance
Copy of Contractors Contract
Common Area Security Deposit cif applicable—Call for information)
PLEASE READ AND SIGN THE FOLLOWING ACKNOWLEDGEMENT
ONLY the owner of the subject property may make application for alteration or change
Application DOES NOT guarantee approval and that any approval must be received, in writing prior to
making the alteration sought in this application.
Architectural Change approval is based upon the aesthetics of the proposed change and does not
certify the construction worthiness or structural integrity of the change proposed.
Applicants are SOLELY responsible for calling the appropriate utilities BEFORE digging to have all un-
derground services marked. Applicants are SOLELY responsible for any damage or costs associated
with restoring service. Applicants are SOLELY responsible for damaged irrigation.
Applicants are SOLELY responsible for following all. local building codes, obtaining permits and adher-
ing to set -back requirements when making the change.
Applicants MAY NOT deviate in any manner from the plan, once/ if approved. Any change will re-
quire PRIOR WRITTEN approval.
Signature of Property Owner _ Date: 47
ASS'OC1"ATI'ON`USE
DATE RECEIVED CONTROL NUMBER:
DATE SENT TO ARB:
CONDITIONS IMPOSED:
SIGNATURE OF ARB:
DISPOSITION LETTER SENT TO APPLICANT:
Form ARBOI Rev. 05105
DISPOSITION: APPROVED DENIED
DATE:
BY:
e
VEHICLE INFORMATION None on Property
Make:Model: fqqq g
-
Color: State
�
Make: Model: Color: Tag.—Stam—
THIS
ag:State
THIS INFORMATION IS CONFIDENTIAL
We keep resident information strictly confidential and for use in official business and internal
purposes. We do not release this information to anyone.
However, we maintain address books for periodic distribution within the community to
® OTHER RESIDENTS. If you wish to be included in the Address Book, which is also available to
residents on a secured community website, please indicate your approval below. Otherwise,
your information will not be included.
I APPROVE include use me In the address rook.
I DECLINE Keep me out of the address book.
Signature:-9—adz' 2 1 W*7'�
UPON COMPLETION
You may return this form by any of the following methods:
✓ Fax this form to management at (407) 992-4403
✓ Mail this form: Community Resource Management
Membership Director
PO Box 781291
Orlando, Florida 32878-1291
Date:�2
Si ature of orn owner / R 1dent
CnInternal Use Only
Management Date Received: Entered: By:
Form INFO 1 Rev. 06105 Rage ®f 2
Celery Estates HOA, Inc.
c/o CRM
P.O. Box 25192
Tampa FL 33622-5192
407-992-4402
NOTICE OF APPROVAL
Jose & Mary S. Bermudez
128 Bella Rosa Cir.
Sanford FL 32771
RE: 128 Bella Rosa Cir.
09/04/07
Dear Owner:
Your Request for Architectural Change as been approved. Specifically, you have approval to proceed with
the following:Your ARC request has been Approved for the screen enclosure. Enclosed are the
guidelines.
SECTION 9. Fences/Walls/Screens. No walls or fences shall be erected or installed. Invisible fencing
may be permitted with the prior written consent of the ARC. All screening and screened enclosures
shall have the prior written approval of the ARC. Any such screened enclosures and screening shall be
only in such color as may be permitted expressly by the ARC. All enclosures of balconies or patios,
including addition of vinyl windows, shall be approved by the ARC and all decks shall have the prior
written approval of the ARC.
We reserve the right to make a final inspection of the change to make sure it matches the Request you
submitted for Approval. Please follow the plan you submitted or submit an additional Request form if you
cannot follow the original plan.
You must follow all local building codes and setback requirements when making this change. A Building
Permit may be needed. This can be applied for at the County offices.
Our approval here is only based on the aesthetics of your proposed change. This approval should not be
taken as any certification as to the construction worthiness or or structural integrity of the change you
propose. Be aware that you are responsible for contacting the appropriate Utility Companies before digging.
We appreciate your cooperation in submitting this Request for Approval. An attractive Community helps all
of us get the full value from our homes when we decide to sell.
Sincerely,
Celery Estates HOA, Inc.
DESCRIPTION AS FURNISHED: Lot 76, CELERY ESTATES NORTH, as recorded in Plat Book 71, Pages
38 through 145, of the Public Records of Seminole County, Florida.
BOUNDARY FOR/CERTIFIED TO: Jose Bermudez & Mary S. Bermudez; Universal American
Mortgage Co.; North American Title Co.; North American Title
Insurance Co.
LOT 84 LOT 83 LOT 82
N 89050'10" E
REC. 5/8" I.R. REC. 518" 1 R
j7143 60.00 17143
°5F�
BUILDING SETBACKS
= FINISHED SPOT GRADE ELEVATION
SQUARE FOOTAGE CALCULATIONS
RONPROPOSED
REAR =220'
PER DRAINAGE PLANS
SOD (SOD TO CURB): 3,851.* SQUARE FEET
SIDE- 7.5'
r— = PROPOSED DRAINAGE FLOW
11 DRIVE & LEAD WALKWAY. 4571 SQUARE FEET
STREET SIDE= 15'
LOT GRADING TYPE A"
SIDEWALK APPROACH: 414± SQUARE FEET
I
20.13'
LOT 76
20.13'
1
TOTAL LOT SQUARE FOOTAGE: 6,600± SQUARE FEET
I
I
10.00'
I
10.00'
1
CONC.
1
ti
Iw
Uj
00
� I
ONE STORY
RESIDENCE
0)p
LOT 75 p o
j I
FF.- 17.75'
p o LOT 77
o
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Q)
0
o
v I
3.2.1
O
1
FA C]
O 1
I in
in
I
I
i 0.00'
1
o
.r 8.0'
I
10100'
- 8.0. 15.9'
CONC.
I
WALK CONC.
I
DR.
25.2
5.20' 1
-1 —
— — — — —
— — —
F-
WALK
10, UTILITY
EASEMENT
WALK
tj—
�t.
0.8' ON
0.7" ON
,h 162.50' (PC)
SET N&D
J4596
5' CONC. WALK
SET
N 89050'10"
E WALK
I.R.
60.00'
ENDS
SELLA RO,SA CIRCLE
(50' R/W)
TRACT
(PRIVATE INGRESS & EGRESS)
°5F�
BUILDING SETBACKS
= FINISHED SPOT GRADE ELEVATION
SQUARE FOOTAGE CALCULATIONS
RONPROPOSED
REAR =220'
PER DRAINAGE PLANS
SOD (SOD TO CURB): 3,851.* SQUARE FEET
SIDE- 7.5'
r— = PROPOSED DRAINAGE FLOW
11 DRIVE & LEAD WALKWAY. 4571 SQUARE FEET
STREET SIDE= 15'
LOT GRADING TYPE A"
SIDEWALK APPROACH: 414± SQUARE FEET
PROPOSED F.F. PER PLANS = 17.05'
TOTAL LOT SQUARE FOOTAGE: 6,600± SQUARE FEET
/^/ Tl T 7 e -Y T ] T 7 ! " T
DESCRIPTION AS FURNISHED: Lot 76, CELERY ESTATES NORTH, as recorded in Plat Book 71, Pages
38 through 145, bf the Public Records of Seminole County, Florida.
BOUNDARY FOR/CERTIFIED TO: Jose bermudez & Mary S. Bermudez; Universal American
Mortgage Co.; North. American Title Co.; North American Title
Insurance Co.
LOT 84 LOT 83 LOT 82
N 89050'10" E
REC. 5/8" I.R. ,
#7143 60.00
LOT 75
ff
W1-
20.113'
LOT 76
o COV'D.
CONC.
)o'
-19 Z'
W
ONE STORY
RESIDENCE
ti o F. F. =17.75'
�
N
6368-06
(50' R/W)
¢I
TRACT 'E" c
(PRIVATE INGRESS & EGRESS)
0��o
F
PROPOSED = FINISHED SPOT GRADE ELEVATION
2 I
PER DRAINAGE PLANS
SOD (SOD TO CURB): 3,8511 SQUARE FEET
'- -- = PROPOSED DRAINAGE FLOW
� I
LOT GRADING TYPE A"
'vL
PROPOSED F.F. PER PLANS = 17.05'
10.00'
20.0'
I
o
RAD.
V: 8.0'
SET I.R.
i�
N.R.
= NON -RADIAL
REC.
CONC. 8.0
VP.WITNESS
WALK
P.O.B.
2!
CALL
• CALCULATED
P.O.C.
10' UTILITY
,-WALK
0.8', ON
EASEMENT
ICONC.
1 `r 20.0
15.9'
CONC.
DR.
SET N&D 5' CONC. WALK
J4596
N 89050'10" E
60.00'
F-.
I�
I
..I
� I o
`O z
ALU
3.2,1 z
AC'-�o
I
10100
I
5.20' I
F
REC. 5/8" I.R.
#7143
IN
LO O
O
� O
0
o�
O
LOT 77
0.7', ON 11 162.50'
ENDS
SET
I.R.
-RE- L- LA
ROS.A CIRCLE
6368-06
(50' R/W)
c
TRACT 'E" c
(PRIVATE INGRESS & EGRESS)
0��o
F
PROPOSED = FINISHED SPOT GRADE ELEVATION
SQUARE FOOTAGE CALCULATIONS
PER DRAINAGE PLANS
SOD (SOD TO CURB): 3,8511 SQUARE FEET
'- -- = PROPOSED DRAINAGE FLOW
DRIVE & LEAD WALKWAY: 457± SQUARE FEET
LOT GRADING TYPE A"
SIDEWALK APPROACH: 414± SQUARE FEET
PROPOSED F.F. PER PLANS = 17.05'
—
POINT OF COMPOUND CURVATURE
TOTAL LOT SQUARE FOOTAGE: 6,600± SQUARE FEET
CRUSETXHEYER-SCOTT
LEGEND -
6368-06
LEGEND -
P
= PLAT
PILL.
= POINT ON LINE
F
• FIELD
TYP.
•TYPICAL
I.P.
= IRON PIPE
PR r.
= POINT OF REVERSE CURVATURE
I.R.
= IRON ROD
P.C.0
POINT OF COMPOUND CURVATURE
C.M.
CONCRETE MONUMENT
RAD.
RADIAL
SET I.R.
= L2' IR w/BLB 4896
N.R.
= NON -RADIAL
REC.
= RECOVERED
VP.WITNESS
POINT
P.O.B.
= POINT OF BEGINNING
CALL
• CALCULATED
P.O.C.
= POINT OF COMMENCEMENT
PRM
• PERMANENT REFERENCE MONUMENT
Q
= CENTERLINE
FF.•
FINISHED FLOOR ELEVATION
N&D
= NAIL 6 DISK
8SL,
DIJIL.DING SCTBACK LINE
R/V
RIGHT-OF-WAY
BA=
BENCHMARK
ESMT,
= EASEMENT
B.B.
BASE BEARING
DRAIN.
= DRAINAGE
UTIL
= UTILITY
CLFC.
= CHAIN LINK FENCE
WD.FC
= WOOD FENCE
C/B
= CONCRETE BLOCK
P.C.
POINTOF CURVATURE
P.T.
= POINT OF TANGENCY
DESC.
= DESCRIPTION
R
= RADIUS
L
= ARC LENGTH
D
C
= DELTA
= CHORD
C.B.
" CHORD BEARING
NORTH
THIS BUILDING/PROPERTY DOES. NOT UE WITHIN
THE ESTABLISHED 100 YEAR FLOOD PLANE AS PER 'FIRM'
ZONE 'X" PANEL 1120289 0065 E.(04-17-95)
(PC)
BUILDING SETBACKS:
FRONT= 25'
REAR= 20'
SIDE= 7.5'
STREET SIDE= 15'
& A SSOC , INC. - LAND SURVEYORS
NOTisS.400 E. COLONIAL DR. ORLANDO, FL. 32807 (407)-277-3232 FAX (407)-658-1436
1. THE UNDERSIGNED DOES HEREBY CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS SET FORTH BY
THE FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS IN CHAPTER 61G17-6 FLORIDA ADMINISTRATNE CODE PURSUANT
SECTION 472-027 FLORIDA STATUTES.
2. UNLESS EMBOSSED WITH SURVEYORS SEAL THIS SURVEY IS NOT VAUD AND IS PRESENTED FOR INFORMATV KL PURPOSES ONLY.
3. THIS SURVEY WAS PREPARED FROM TITLE INFURMA77ON FURNISHED TO THE SURVEYOR. THERE MAY BE OTHER RESTRICTIONS
OR EASEMENTS THAT AFFECT THIS PROPERTY.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHERWISE SHOWN.
5. THIS SURVEY IS PREPARED FOR THE SOLE BENEFIT OF THOSE CERTIFIED TO AND SHOULD NOT BE RELIED UPON BY ANY OTHER ENTRY.
6. DIMENSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD NOT BE USED TO RECONSTRUCT BOUNDARY LINES.
7. BEARINGS, ARE BASED ASSUMED DATUM AND ON THE LINE SHOWN AS BASE BEARING (B.8.)
8. ELEVATIONS, IF SHOWN, ARE BASED ON NATIONAL GEODETIC VERTICAL DATUM OF 1929, UNLESS OTHERWISE NOTED.
9. CERTV7CATE OF AUTHORIZATION No. 4596. SCALE N 1- - 20' --N DRAWN BY:
CERTIFIED .4Y: MTE ORDER No.
PLOT PLAN 09-11-06
6368-06
REVISED PLOT PLAN 09-13-06
. 01-/9-07
FORMBOARD FOUNDATIONS.
132-07
01
CONC. FOUNDATION/ELEv5. 01-26-07
133-07
ADDED CERTIFICATIONS 05-03-07
561-07
TOM X. GRUSENMEYER, R.L.S. 471
JAMES W. SCOTT, R.LS / 4801
VERNON H. BERRY JR., R.L.S. 1 6262