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HomeMy WebLinkAbout1004 Gemstone Ct�I'Y) . ���'fL11�fi"�l►�t. 0i 4 -- Gv¢N s-hm�.3C tat 4- f CITY OF SANFORD PERMIT APPLICATION Permit #:0 o S Date: Job Address:( LUt O 1o64 Gems , , "{{��a',� ` Description of Work: 'j�QY1nio $X3D Co✓tS�,YLtGfiov�(tG(,r Historic District: Zoning: Value of Work: $ � Ob Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alann Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Ylechanical: 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 or Commercial _ Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: :L- 19-30 (Attach Proof of Ownership & Legal Description) Ossners Name & Address: Munson /J- mcs Phone: 467 621 0027 Contractor Name & Address: J51 5w A A411 jkanL_Wailli ila R 3 z9Q State License Number: C�.(i 132 / 0t/p2 _ Phone & Fax: %� o�S�l�Dq(�d Contact Person: bl'oh e, Clash. Phone: 07 t7 Bonding Company: N//T Address: !Mortgage Lender: &jAin Address: Architect/Engineer: / "A- Phone: Address : / , Fax: Application is hereby made to obtain a pennit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a pennit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate pennit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 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. 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 pennit, 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 orida Lien w, FS 713. Signature of Owne/AgvTt ate Signature of Contractor,lAgent ate Owner, A 01 ProducedJ I o a �� � as (,zoN� t\C ••Sad\a ��1 o-PersonAy,)3w��t pop—aN� .d o APPLICATION .APPROVED BY: Bldg: ( Initial & Date) Spcciod Conditions: A Print of - c e s Name r Signature of Notary -State of Florida * �P�• ausue *��EXeP SQ de N �rySeN\G� Contractor/Agent is/ Personallyx e or Produced ID �) I �18-,� STc nfFUti.Zon Uulrues: FD: (Initial & Date) (Initial & Date) �3� LIMITED POWER OF ATTORNEY DATE: D� .I M1 j a 6-WAZEITUl :II1 mi@61I116 EACH AN AGENT OF: DAPHNE CLARK, GUSTAV BOTES, MISONHOMES TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO THE BUILDING DEPARTMENT OF:C*dxez FOR A RESIDENTIAL PERMIT FOR WORK TO BE PERFORMED AT LOT NUMBER : SUBDIVISION: ADDRESS: AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO THIS APPOINTMENT. MAREK BAKUN (NAME OF CONTRACTOR.) (SIGNATURE OF CONTRACTOR.) STATE CERT. # CRC1327062 (CONTRACTOR'S STATE REGISTRATION NUMBER.) The foregoing instrument was ackno led ed before me this DATE: BY: MAREK BAK Who is personally known to me and did not take an oath. STATE OF FLORIDA COUNTY OF ORANGE. �;;Y P�,,JENNIFERELS' S' SZ MY COMMISSION # DD 431161. �•. EXPIRES: June 8, 2009 %� or P �` Bonded Th_ Notary Public Undenv tars GNA�TURC�6FNOTARY:�,`NOTARY SEAL. Herx * .4ssociates Inc. Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping s' Temporary Benchmark Map of Survey CURVE DELTA ANGLE RADIUS ARC TANGENT CHORD CHORD BEARING C 1 27°19'43- 23.00' 10.97' 5.59' 10.87' N 14°30'28-W C 2 5 I ° 22 ' 44 " J5.00' 3 / . 39 ' 16.84' 30.34 ' N 24 ° 50 ' 45 "E LINE BEARING DISTANCE L I N 00°50'37"W 135.00' L 2 N 00°50'37"W 30.00' L 3 N 00°50'37"W 30.00' L 4 N 00°50'37"W 30.00' L 5 N 00°50'37-W 27.44' L 6 S 00°50'37-E 38.00 L 7 S 00°50'37"E 30.00' L 8 S 00° 50 ' 37 "E 30.00' L 9 S 00°50'37"E 30.00' L l0 S 00°50'37"E 35.00' L lI N 43°5/'28"W 48.57' TRACT B OPEN SPACE z Cb �O 0 O N L.I O O O O `C 10.34' — TRAC r B OPEN SPACE L l0 L9 L8 L7 L6 LOT 3.500 S.F. I 3.000 S. F.I 3.1000 S.IF. 13.000 S.F. 0 0 8'+30' PROPOSED CONSTRUCTIO TRA I L ER si L / L 2 ell P.C.P. N 00°50'37-W REFERENCED BEARING L3 L4 159. 04' CIL GEMSTONE COVE (32 LEGAL DESCRIPTION: Lots 1. 2. 3. 4 & 5. - GREYSTONE PHASE 2 " according to the plat thereof as recorded in Plat Book at pages - of the Public Records of Seminole County. Florida. FLOOD HAZARD DATA: The Parcel shown hereon lies within Flood Zone A". according to the Flood hsurance Rate Map Community Panel Number 120294-004 OE Dated 04/17/95. LOT 5 3.791 S.F. 00 O 1 TRACT e I tv OPEN SPACE W � r W .c.P, L5 G I \ P�5� - .� R/W) F.C.P. Flood Zone determination was performed by graphic plotting from Flood hsurance Rate Maps provided by FEMA. No field surveying was performed by this Firm to determine this Zone. The exact zone location can only be determined by on elevation study. We assume no responslbitty for actual flooding conditions concerning this parcel. General Notes: 1. This is a BOUNDARY Survey performed in the field on PR OPOS ED Legend Note: Bear' shown hereon are referenced to the C/L of GEMSTONE COVE as berg N 00'50'37-W Vertical datum is based on NGVD per Engineering construction plans by Neal Hiller Engineering. Inc. File Name : Greystone 2. No aerial, surface or subsurface utility installations, underground improvements or s' Temporary Benchmark B' PB (assumed datum) 3. Building ties shown are to the exterior unfinished foundation surface or formboard. BOW Back of sidewalk 4. Elevations shown hereon, if any, are assumed and were obtained from approved CIL Centerline Construction plans provided by the Client unless otherwise noted, and are shown d Central or (Delta) Angle onlyto depict theproposed or actual difference in elevation relative to the assumed p CALL CB Calculated Chord Bearing temporary Benchmark shown hereon. CD 0 0 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C. M. 0 Rights-of-way of record whether depicted or not on this document. No search of the N 00°50'37-W REFERENCED BEARING L3 L4 159. 04' CIL GEMSTONE COVE (32 LEGAL DESCRIPTION: Lots 1. 2. 3. 4 & 5. - GREYSTONE PHASE 2 " according to the plat thereof as recorded in Plat Book at pages - of the Public Records of Seminole County. Florida. FLOOD HAZARD DATA: The Parcel shown hereon lies within Flood Zone A". according to the Flood hsurance Rate Map Community Panel Number 120294-004 OE Dated 04/17/95. LOT 5 3.791 S.F. 00 O 1 TRACT e I tv OPEN SPACE W � r W .c.P, L5 G I \ P�5� - .� R/W) F.C.P. Flood Zone determination was performed by graphic plotting from Flood hsurance Rate Maps provided by FEMA. No field surveying was performed by this Firm to determine this Zone. The exact zone location can only be determined by on elevation study. We assume no responslbitty for actual flooding conditions concerning this parcel. General Notes: 1. This is a BOUNDARY Survey performed in the field on PR OPOS ED Legend Note: Bear' shown hereon are referenced to the C/L of GEMSTONE COVE as berg N 00'50'37-W Vertical datum is based on NGVD per Engineering construction plans by Neal Hiller Engineering. Inc. File Name : Greystone 2. No aerial, surface or subsurface utility installations, underground improvements or ® Temporary Benchmark subsurface/aerial encroachments, if any, were located. PB (assumed datum) 3. Building ties shown are to the exterior unfinished foundation surface or formboard. BOW Back of sidewalk 4. Elevations shown hereon, if any, are assumed and were obtained from approved CIL Centerline Construction plans provided by the Client unless otherwise noted, and are shown d Central or (Delta) Angle onlyto depict theproposed or actual difference in elevation relative to the assumed p CALL CB Calculated Chord Bearing temporary Benchmark shown hereon. CD Chord 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C. M. Concrete Monument Rights-of-way of record whether depicted or not on this document. No search of the EL. or ELEV Elevation (Proposed) Public Records has been made by this office. FINAL EL. Elevation (Measured) 6. The legal description shown hereon is as furnished by client. FD. Fin.Fl. Elev. Found Finished Floor Elevation 7. Platted and measured distances and directions are the same unless otherwise noted. I.P. Iron Pipe 8. Copies of this Survey may be made for the original transaction only. I.R. Iron Rod • Denotes %"iron rod with yellow plastic cap marked L64937 or LS3182, or L Arc Length %" iron rod with red plastic cap marked 'Witness Corner", unless otherwise noted. LB Licensed Business O Denotes P.C.P. (Permanent control point) LS. Land Surveyor ■ Denotes Permanent Reference Monument Mea MeasuredN/D(N&D) © 2005 Herx & Associates Inc. All rights reserved N.R. Nail and Disk Not Radial Certification: Not valid without the In the original raised seal o/ a Florida licensed Surveyor a Mapper is s y meets the requirement o/ the Flo a Minimum Te nical Standard s contained in Chap 1G17- for da Administr f/ Code. )44na—k—cy 4 Sketch of Legal Descr ipt ion This is not o Survey Wily . Herx, P.L.S. Florida Registered an Surveyor No. 3182 Darae L. Przemieniecki, P. S.M. Registare Su eyor and Mapper No. 6030 William R. Herx, P.S.M. Registered Surve or d Ma William 6092 Herx & Associates Inc., State of Florida LB 4937 0/S Offset O.R.B. Official Records Book PB Plat Book PC Point of Curvature PCC. Point of Compound Curvature P.C.P. Permanent Control Point PG. Page P.R.M. Permanent Reference Monument P/L Property Line P.O.B. Point of Beginning P.O.C. Point of Commencement P.I. Point of Intersection PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAD Radial Line RES. Residence RAN Right -of --Way TBM Temporary Benchmark TYP. Typical --//--//– Fence symbol (see drawing) -X—X- Fence symbol (see drawing) Drown by: CAI Checked by: DP Prepared For: MORRISON Job Number: 05-009-02 Scale I'- 40' Plot plan performed: 08-26-05 Foundolion Survey: Finot Survey: Revisions . J Herz Sr -associates Inc. ; Land Surveyors 769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808 Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping OPEN SPACE L l0 L9 L8 MapSurvey CUR VE DEL TA ANGL E RADIUS (assumed datum) ,of AH TANGENT CHORD CHORD BEARING C l 27°19'43' 23.00 3.500 S.F, 10.97' 5.59' 10.87' N /4°30.'28-W C 2 51°22'44' 35.00' S.F. 31.39' 15.84' 30.34' N 24°50'45-E LINE BEARING 6.,30' DISTANCE L I N 00°50'37'W Calculated 35.00' L 2 N 00°50'37-W Chord Bearing Chord 30.00' L 3 N 00'50'37'W Concrete Monument 30.00' L 4 N 00°50'37-W Public Records has been made by this office. 30.00 L 5 N 00'50'37'W TRAILER 27.44' L 5 S 00°50'37-E 7. Platted and measured distances and directions are the same unless otherwise noted. 38.00 L 7 S 00°50'37-E 8. Copies of this Survey maybe made for the original transaction only. 30.00' L 8 S 00°50'37"E • Denotes 35" iron rod with yellow plastic cap marked LB4937 or LS3182, or 30.00' L 9 5 00°50'37-E 34' iron rod with red plastic cap marked 'Witness Corner", unless otherwise noted. 30.00' L l0 S 00°50'37-E O Denotes P.C.P. (Permanent control point) 35.00 L 11 N 43°51'28-W ■ Denotes Permanent Reference Monument 48.57' ro O N) LV TRACT B OPEN SPACE O O O O TRACT B OPEN SPACE L l0 L9 L8 LOT ILOT 2 (assumed datum) LOT 3 BOW 3.500 S.F, 3.000 S.F. 3.000 S.F. Construction plans provided by the Client unless otherwise noted, and are shown d 6.,30' o 0 Calculated temporary Benchmark shown hereon. PROPOSED Chord Bearing Chord 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C M. Concrete Monument CONsrRUCF10 EL. or ELEV Elevation (Proposed) Public Records has been made by this office. FINAL EL. Elevation (Measured) TRAILER FD. Found 7. Platted and measured distances and directions are the same unless otherwise noted. oI L l L 2 L7 L6 LOT 3.000 F. o 11.0 9' ti N 00'50'37'W REFERENCED REARING L3 L4 159.04 CIL GEMSTONE COVE (32 LEGAL DESCRIPTION. Lots 1. 2 3. 4 & 5. GREYS TONE PHASE 2 according to the plat thereof as recorded in Plat Book at pages - of the Public Records of Seminole County, Florida. FLOOD HAZARD DATA: The Parcel shown hereon lies within Flood Zone according to the Flood hsuronce Rate Map Community Panel Number 120294-0040E.Doted 04/17/95. LOT 5 I 3.791 S. F. (30 TRACT B I N.) OPEN SPACE L.I V r W L 5 C P. c.P.�� _ P. C, c. cls R/W) Flood Zone determination was performed by grcphic plottin from Flood hstrance Rote Mops provided by FEMA. No field strveyng wos performed by this Firm to determine tivs Zone. The exact zone location can only be determined by on elevation study. We assune no responstbiby for actual flooding conditions concerning this parcei General Notes: 1. This is a BOUNDARY Survey performed in the field on PR 0, OS ED Legend 2 No a n d A b rf Note: 8earngs shown hereon are referenced to the C/L or GEMSTONE COVE as being N 00°5037-W Vertical datum is based on NGVD per Engineering construction plans by Neal Hiler Engineering, hc. File Name : Greystone e a , su ace or su su ace u, ty Insiallabons, underground Improvements or ® Temporary Benchmark subs urfacelaerial encroachments, if any, were located. P8 (assumed datum) 3. Building ties shown are to the exterior unfinished foundation surface or formboard. BOW Back of sidewalk 4. Elevations shown hereon, if any, are assumed and were obtained from approved CA_ Centerline Construction plans provided by the Client unless otherwise noted, and are shown d Central or (Delta) Angle only to depict the proposed or actual difference in elevation relative to the assumed CALL Calculated temporary Benchmark shown hereon. CB CD Chord Bearing Chord 5. The parcel shown hereon is subject to all easements, reservations, restrictions, and C M. Concrete Monument Rights-of-way of record whether depicted or npt on this document. No search of the EL. or ELEV Elevation (Proposed) Public Records has been made by this office. FINAL EL. Elevation (Measured) 6. The legal description shown hereon is as furnished by client. FD. Found 7. Platted and measured distances and directions are the same unless otherwise noted. Fin. FI. Elev. Finished Floor Elevation 8. Copies of this Survey maybe made for the original transaction only. I.P. Iron PipeI.R • Denotes 35" iron rod with yellow plastic cap marked LB4937 or LS3182, or L Iron Rod Arc Length 34' iron rod with red plastic cap marked 'Witness Corner", unless otherwise noted. LB Licensed Business O Denotes P.C.P. (Permanent control point) LS. Land Surveyor ■ Denotes Permanent Reference Monument Mea Measured ® 2005 Herx 8 Associates Inc. All rights reserved N/D(N80) Nail and Disk N.R. Not Radial O/S Offset 0. R. B. Official Records Book P8 Plat Book PC Point of Curvature PCC. Point of Compound Curvature P.C.P. Permanent Control Point PG. Page P.R.M. Permanent Reference Monument P/L Property Line P.O.B. Point of Beginning P.O.C. Point of Commencement P.1. Point of Intersection PRC. Point of Reverse Curvature PT. Point of Tangency R Radius RAD Radial Line RES. Residence RAN Right -of -Way TBM Temporary Benchmark TYP. Typical --//--//– Fence symbol (see drawing) -X—X- Fence symbol (see drawing) Certification: Not valid without the nd the original raised seal of a Florida licensed Surveyor a Mapper is s y meets the requirement of the Flo a Minimum Te pica/ Drawn b y : Ck/ Standard s Contained in Chap 1G17- lorida Administr ti Code. Checked b y : DP Prepored For: A40RRISON • Job NuTbar: 05-009-02 ilk�� n Sketch of Legcl Description `�K This is not a Survey Scale : I - - 40' Willi Herx, R L.S. Florida RegisteredUenSurveyorNo. 3182 Plot planp errormed: 0B-26-05 DaraeL.PrzemienieckiP.S.M.Register-eor and Mapper No. 6030 Foundotio nSurvey: William R. Hen, P. S.M. Registered Surved Mapper No. 6092 Final Survey: Herz 6 Associates Inc., State of Florida LB 4937 Revisions CITY OF SANFORD PERMIT APPLICATION Permit # : Cfl�)-CMM-) Date: '�1 ` oc:-) Job Address: Description of Work: Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical ✓ Mechanical Plumbing Fire Sprinkler/Alarm Pool 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 or Commercial Occupancy Type: Residential Commercial ✓ Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other ': a) Parcel H rs NprQe,& A Contractor Name & Address: (Attach Proof of Ownership & Legal Description) Phone: p��,, ,r�\C:l State License Number: +++ru« Fax: yME�l-I��1�ContactPerson:1a hone: Bonding Company: Address: Mortgage Lender:_ Address: Architect/Engineer: Address: Phone: Fax: 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 is i , 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 hu ibr 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 reguhm;a: construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIN6 l `:��'ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY if i:! ")RE 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 recons, county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of'pernit is verification that I will notify the owner of the property of the requi Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or — Produced ID �of Contractor/Agent Date Cn0,� Print Contractor/Agent's Name J Signature o otary-State of Florida Date Contractor/Agent is [.iPFF-§onally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: �'.91 Ni- ^'^-- '^�°. ;'ic State of Florida Patricia A Kadlac MY Commission dor f�°�e E pee403373 s 03/28/2009