HomeMy WebLinkAbout2406 Whippoorwill CtV-7 — CITY OF SANFORD PERMIT APPLICATION �J
Application #: ✓ � Submittal Date: / -
Job Address-
3go(p (.J*(*MCw(U_ �7- � �f AL Value of Work: S CJQ�
Parcel ID: /I�1 , A� [��q Zoning: Historic District:
Description of Work:/ -C� ��XDJ ' `�� (U� Square Footage:
........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service -4 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': / A!:G � PC>A ..XX�tJ J Contractor:
Address: 17 N 14e5�4V c/�/�CL� Address:
jot
Phone: �l0`zi -�Z�3�i E-mail: /�ilr('�" E_->�" Phone: State License Number:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: S64J`_- Phone:
Address:
Plan Review Contact Person:
Phone: Fax:
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. 1 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.
A eptance of permit i itication that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
94- D -7-
ign e of er/Agent ����1/77 Date Signature of Contractor/Agent Date
PrintOnr/Agent's NPrint Contractor/Agent's Name
i7 ttate.ems �• -
Sign " e o otary- �f Ftori ao ®..®
y . o #DD507298 Q, OQ
i J o
'N_ onde l �A
.9 . y. o• p
Owner/Agent is _ Personall�gl�[���t
Produced ID
APPROVALS: ZONING: UTIL: FD:
Special Conditions: �CC�i�Qt ���e� &`AX ZW
Rev 07.07 N
Signature of Notary -State of Florida Date
Contractor/Agent is _
_ Produced ID
ENG:
Personally Known to Me or
BLDG:I
it
ILC cu
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
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, 1 ATTEST THAT: (Initial to the left of each statement)
Property Address: 34b4 c, -r- I�rc
I, e&--( 1134x�i , do hereby state that I am qualified and capable of
performing the r quested const r tion involved with the permit application filed.
�et1NNIuIrwi11?—/,/- o :7
Signature
Form of Identification
A violation of this exemption is a misd"b
exceeding 1 year and a $1,000.00 fineTp
jurisdiction shall withhold final approval,
activity against the owner and any person
(Rev. 4/20/07)
CIO
1CCR,3w,N Date
. �J teary 7o fv
P41fjr � ree punishable by a term of imprisonment not
�QAivil penalties. In addition, the local permitting
it, or pursue any action or remedy for unlicensed
g work that requires licensure under the permit issued.
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
I HAVE ACCESS TO THE ADOPTED CODES.
1 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.
I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Address: 34b4 c, -r- I�rc
I, e&--( 1134x�i , do hereby state that I am qualified and capable of
performing the r quested const r tion involved with the permit application filed.
�et1NNIuIrwi11?—/,/- o :7
Signature
Form of Identification
A violation of this exemption is a misd"b
exceeding 1 year and a $1,000.00 fineTp
jurisdiction shall withhold final approval,
activity against the owner and any person
(Rev. 4/20/07)
CIO
1CCR,3w,N Date
. �J teary 7o fv
P41fjr � ree punishable by a term of imprisonment not
�QAivil penalties. In addition, the local permitting
it, or pursue any action or remedy for unlicensed
g work that requires licensure under the permit issued.
TO: Whippoorwill HOA & ARC
FROM: Earl "Ty" Ostreicher & Ken `Gado" Brown
DATE: 09-05-2007
RE: Hot Tub
We are requesting permission to have a concrete pad poured for our existing
above ground Hot Springs Spa, which we would like to place in our
backyard, as per sketch.
The City of Sanford requires a permit for this type of "Hot Tub".
We would like to have the concrete poured at the same time the driveway is
being poured.
If you have any questions, please feel free to contact me at 407-595-9663.
Sincerely,
Bado Brown
,I (/ jl-n
W
l
TO: Whippoorwill HOA & ARC
FROM: Earl "Ty" Ostreicher & Ken `Gado" Brown
DATE: 09-05-2007
RE: Hot Tub
We are requesting permission to have a concrete pad poured for our existing
above ground Hot Springs Spa, which we would like to place in our
backyard, as per sketch.
The City of Sanford requires a permit for this type of "Hot Tub".
We would like to have the concrete poured at the same time the driveway is
being poured.
If you have any questions, please feel free to contact me at 407-595-9663.
Sincerely,
Bado Brown
,I (/ jl-n
W
6' Block wall / existing
•
Proposed 12' x 12' Concrete pad
for above ground hot tub. _.
Covered Lanai
-------------------
Main House
Under construction
3406 Whippoorwill Ct.
Sanford, FL 32773
Scale: 1/16" = 1'-0"
.y
'r SECTION 07
TOWNSHIP 20 S.
,RANGE 31 E.
SEMINOLE CO.
ti¢
h
SITE PLAN
BOUNDARY & TOPOGRAPHIC SURVEY
>eO 0
EC. 5/8" I.R.
RLS 2269
25.00'
LOT 8
EXISTING F.F.E. = 55.32
9°42'00' 50.64' (P) `has
3°48'24"W1,50.72' (M)
— —
5'D.U.E. — — — —
56.93' 13-M'
25.00.—
yh� y SET S/8" I.R. a6 aQ A
h'' LS 5252 � yab h� ya6 h� ya•
y,`YX yyro x S89°42'001 152.00' (P) x
REC. 5/8" I.R. N89°48'21 "E 152.08'(M)
RLS 2269
0.96' SOUTH
OAT EAST LOT 10
EXISTING F.F.E. = 55.74
-----------
LOT
----------LOT AREA = 13,626 SQ. FT.
AREA = 0.31± ACRES
BUILDING AREA = 6,940 SQ. FT.
IMPF,RVIOUS SURFACE AREA = 50.95%
�-'------------J
LEGAL DESCRIPTION:
REC. X-CIIT
P.C.
Z Z
0 0
0 0
J J �
cq
00-
0
O0 0OC
C C
N N
of in
A N
REC. 5/8" I.
ea RLS 2269
x
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0 1
0
g I O UAIV
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aPROPOS
FD 0?
CONCRE E p
DRI VEW }• O P� p�
6.17' I = f0
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2 p
13.16':, as IO
_ 25.20'
tis 2.17
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REC. 5/8" LR
18"
OAK
/
80.11'
?
m
F
SQ. FT. UNDER AIR: 3700 SF
9 ori
XV
AKA
'
LP
- LIGHT POLE
B/C
A
3 x•97 _x °�,
PROPOSED I -STORY RES. #3406
h1' p
LOT 9
PRO. F.F.E. = 55.75 30.83.'
0
u o
Q
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U
- PRO.OPF.
a
CY. VB W
F- 0 Chao
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v,l o
`5•
- COURTYAR
r
- CALCULATED
`
W 7C
- OVERHEAD UTILITY
M
- CHORD BEARING
OU ,y 12.33'
OV
hh.Z
o
33'T
-n1C
Id
Nary
56.93' 13-M'
25.00.—
yh� y SET S/8" I.R. a6 aQ A
h'' LS 5252 � yab h� ya6 h� ya•
y,`YX yyro x S89°42'001 152.00' (P) x
REC. 5/8" I.R. N89°48'21 "E 152.08'(M)
RLS 2269
0.96' SOUTH
OAT EAST LOT 10
EXISTING F.F.E. = 55.74
-----------
LOT
----------LOT AREA = 13,626 SQ. FT.
AREA = 0.31± ACRES
BUILDING AREA = 6,940 SQ. FT.
IMPF,RVIOUS SURFACE AREA = 50.95%
�-'------------J
LEGAL DESCRIPTION:
REC. X-CIIT
P.C.
Z Z
0 0
0 0
J J �
cq
00-
0
O0 0OC
C C
N N
of in
A N
REC. 5/8" I.
ea RLS 2269
x
V+ ro Z
0 1
0
g I O UAIV
L OAK
aPROPOS
FD 0?
CONCRE E p
DRI VEW }• O P� p�
6.17' I = f0
U', ALK d O
2 p
13.16':, as IO
_ 25.20'
tis 2.17
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15,31'
1VM'
? ` 1
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REC. 5/8" LR
18"
OAK
REC. 5/8" I.R.
RLS 2269
0.18' NORTII
1.52' EAST
LOT 9, WHIPPOORWILL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 40,
PAGE 60, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
LEGEND
SCALE 1"=40'
- AIR CONDITIONER PAD
D
ml
=
AKA
- ALSO KNOWN AS
LP
- LIGHT POLE
B/C
- BACK OF CURB
O
-D
C
- CHORD
o
-a
B #1
—
D
Z I
={ O
SET NAIL IN
20" OAK
- CALCULATED
O
- OVERHEAD UTILITY
ELF.V.=56.96
- CHORD BEARING
c
�9ay7CC7
CBW
,5XF_
-n1C
- PLAT
Nary
�
v r
COV
- COVERED
Ml
r
CPP
- CONCRETE POWER POLE
PCP
- PERMANENT CONTROL POINT
CW
-CONCRETE WALKWAY
PF
O
- CENTER LINE
POB
- POINT OF BEGINNING
CLF
r
=�
Z
I
>7
-i
BM#2
REC. 5/8" I.R.
RLS 2269
0.18' NORTII
1.52' EAST
LOT 9, WHIPPOORWILL, ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 40,
PAGE 60, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
ANDREW V. ASBURY
PROFESSIONAL
SURVEYOR & MAPPER
285 W. PINE AVENUE
LONGWOOD FL 32750
TEL.# (407) 830-0200
FAX # (407) 830-0500
email address: CIVILSURVEYS@aol.com
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 EAST PROPERTY LINE
OF LOT 9, AS BEING N 00'18'00" W, AS SHOWN ON THE PLAT OF RECORD.
4. LEGAL DESCRIPTION PROVIDED BY CLIENT OR CLIENT'S 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,
8. EASEMENTS SHOWN PER PLAT OF RECORD.
9. SEMINOLE COUNTY TAX I.D. N 07-20-31-512-0000-0090
10. VERTICAL DATUM IS RELATED TO SEMINOLE COUNTY BENCHMARK N 4572801,
EL. = 54.49 (NGVD 1929).
11. CITY OF SANFORD FL. WATER AND SEWER AVAILABLE TO SITE.
12. CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL SITE PLAN INFORMATION CONTAINED
ON THIS SURVEY PRIOR TO CONSTRUCTION.
CERTIFIED TO:
EARL M. OSTREICHER, JR.
REVISIONS I SURVEYOR'S CERTIFICATE
DESCRIPTION DATE BY I HEREBY CERTIFY THAT THE SKETCH OF SURVEY
IS A TRUE AND CnRREC'! REPRESENTATION OF A SURVEY
MADE UNDEr, MY DIRECTGN AND THAT SAID SURVEY MEETS
AND OR EXCEEDS TI!t HNNUM PHNICA,L STANDARDS OF FLORIDA
ADMINISTRATI`:E WDE RULE E1Gi7-o PURSUANT TO
FLORIDA STATu rE CHAPTER 472.
DRAWN BY: DATE DRAWN:
AWM & AVA 2/21/07
FIELD BOOK: DATE IN FIELD: 2/13 07
69/73 PARTY CHIEF: AW
CHECKED BY: AVA SCALE: I"=40' ANDREW V. ASBURY
FLORIDA LICENSE No. 5252
DWG ":_07-114 SHEET 1 of 1
NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL.
LEGEND
A/C
- AIR CONDITIONER PAD
L
- ARC LENGTH
AKA
- ALSO KNOWN AS
LP
- LIGHT POLE
B/C
- BACK OF CURB
LB
- LICENSED BUSINESS
C
- CHORD
(M)
- MEASURED
CAN
- CABLE TELEVISION LINE
N&D
- NAIL & DISK
(C)
- CALCULATED
O.H.U.
- OVERHEAD UTILITY
CB
- CHORD BEARING
POL
- POINT ON LINE
CBW
- CONCRETE BLOCK WALL
(P)
- PLAT
CM
- CONCRETE MONUMENT
(P)&(M)- PLAT AND MEASURED
COV
- COVERED
PC
-POINT OF CURVATURE
CPP
- CONCRETE POWER POLE
PCP
- PERMANENT CONTROL POINT
CW
-CONCRETE WALKWAY
PF
- PLASTIC FENCE
- CENTER LINE
POB
- POINT OF BEGINNING
CLF
- CHAIN LINKED FENCE
POC
- POINT OF COMMENCEMENT
C/S
- CONCRETE SLAB
PRM
- PERMANENT REFERENCE MONUMENT
D
- CENTRAL ANGLE
R/W
- RIGHT OF WAY
D.E.
- DRAINAGE EASEMENT
R
- RADIUS
D.U.E.
- DRAINAGE & UTILITY
EASEMENT
REC.
- RECOVERED
SSMH
- SANITARY/SEWER MANHOLE
DSC
- DESCRIPTION
STMH
- STORM MANHOLE
D &(M)- DEED & MEASURED
TEL
- TELEPHONE UTILITY
EP
- EDGE OF PAVEMENT
U.E.
- UTILITY EASEMENT
EM
- ELECTRIC METER
UGP
- UNDERGROUND POWER UTIIJTY
ET
- ELECTRIC TRANSFORMER
VL'W
BOX
_ WATER
- IRON ROD
1
METER
I.P.ALVE
.R.
-IRON PIPE
WPP
_ WOODEN POWER POLE
O.R.
- OFFICIAL RECORDS
ANDREW V. ASBURY
PROFESSIONAL
SURVEYOR & MAPPER
285 W. PINE AVENUE
LONGWOOD FL 32750
TEL.# (407) 830-0200
FAX # (407) 830-0500
email address: CIVILSURVEYS@aol.com
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 EAST PROPERTY LINE
OF LOT 9, AS BEING N 00'18'00" W, AS SHOWN ON THE PLAT OF RECORD.
4. LEGAL DESCRIPTION PROVIDED BY CLIENT OR CLIENT'S 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,
8. EASEMENTS SHOWN PER PLAT OF RECORD.
9. SEMINOLE COUNTY TAX I.D. N 07-20-31-512-0000-0090
10. VERTICAL DATUM IS RELATED TO SEMINOLE COUNTY BENCHMARK N 4572801,
EL. = 54.49 (NGVD 1929).
11. CITY OF SANFORD FL. WATER AND SEWER AVAILABLE TO SITE.
12. CONTRACTOR IS RESPONSIBLE FOR VERIFYING ALL SITE PLAN INFORMATION CONTAINED
ON THIS SURVEY PRIOR TO CONSTRUCTION.
CERTIFIED TO:
EARL M. OSTREICHER, JR.
REVISIONS I SURVEYOR'S CERTIFICATE
DESCRIPTION DATE BY I HEREBY CERTIFY THAT THE SKETCH OF SURVEY
IS A TRUE AND CnRREC'! REPRESENTATION OF A SURVEY
MADE UNDEr, MY DIRECTGN AND THAT SAID SURVEY MEETS
AND OR EXCEEDS TI!t HNNUM PHNICA,L STANDARDS OF FLORIDA
ADMINISTRATI`:E WDE RULE E1Gi7-o PURSUANT TO
FLORIDA STATu rE CHAPTER 472.
DRAWN BY: DATE DRAWN:
AWM & AVA 2/21/07
FIELD BOOK: DATE IN FIELD: 2/13 07
69/73 PARTY CHIEF: AW
CHECKED BY: AVA SCALE: I"=40' ANDREW V. ASBURY
FLORIDA LICENSE No. 5252
DWG ":_07-114 SHEET 1 of 1
NOT VALID UNLESS SEALED WITH AN EMBOSSED SEAL.