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HomeMy WebLinkAbout1006 Gemstone CoveCITY OF SANFORD PERMIT APPLICATION Permit # : M 3 (� 1 ` Date: Job Address: by Q 0 Description of Work: Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical V/ 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-: Parcel # Owners Name 4 Address: Contractor Name & Address: (Attach Proof of Ownership & Legal Description) one: I Contact Person: \ hone: y 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 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 h, ;or 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 reguh:±i ' construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIi,,!� MICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY Is ' E 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 recor,ls 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 requi Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ _ Produced ID Personally Known to Me or Wr�e of Contractor/Agent Date CI ,) Can n Print Contractor/Agent's Name zP'1-"—j gL ze z Signature\&Notary-State of Florida Date Contractor/Agent is Produced ID 9 7� ersonally Known to Me or APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: �ot�ar p�It Notary Public State of Florida P ncia A Kadlac 1P My Commission DD403373 Or F Ex i, p rs 03/28/2009 7 Q,vvi� . Crrv►5�'�.�fi evt. 'rvLt i I�:S —G ��c���-�. � i��s � j CITY OF SANFORD PERMIT APPLICATION t Permit # : b �6_ Date: =1—=' 0S Job Address: CJA1.1__3) 106(0 4—zmsiv� .�{-,t'/,,N� '/� Description of Work: �, Toamb $X 3a Cw kcbm Tta'kY� e Historic District: Zoning: Value of Work: $ 19D0 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 Occupancy Type: Residential Commercial Industrial Construction Type: # of Stories: # of Dwelling Units Plumbing Repair — Residential or Commercial Total Square Footage: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: MR71801 iJV/ & Contractor (Name & Address: MEN llaAIL R 3 29SJ State License Number: CA�z Phone & Fas: (�%� oZS�lbq(�fJ Contact Person: JYDhk1e, CK. (k- Phone: 07 a . 6 Z) Bonding Company: Address: Mortgage Lender: Address: _ \rchitect/Engineer: Ad& Phone: address: Fax \pplication 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. OWNERS 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, 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 pennits required from other govenimental entities such as water management districts, state agencies, or federal agencies. Acceptance of pennit is ve -ification a' I will n tify the owner of the property of the requirements of Florida Lien iw, FS 713. Signature of Owner/Agent Date Signature of Contractoi,'Agent Da(e Signature of Owner,'Agent is V/ Personally Known to Produced ID APPLICATION .APPROVED BY: Bldg: tlllitial O: Villi:) Special Conditions: 1a�1's Print 61 o� a� .. \�W0� cLg��\�e DatP'0 �Vpo��d Sign �Gr r�r * �oc1: �o Contractor/Agent is /Personally op _ Produced ID � 5D (Initial & Date) % �Jpea�as�' (Initial & Dine) LIMITED POWER OF ATTORNEY DATE: Q I HEREBY NAME AND APPOINT: EACH AN AGENT OF: •• a N:• �fI" TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO THE BUILDING DEPARTMENT OF: 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. # CRC 1327062 (CONTRACTOR'S STATE REGISTRATION NUMBER.) The foregoing instrument as ac cnowlgsiged before me this DATE: li i BY: MAR/WKUN Who is personally known to me and did not take an oath. STATE OF FLORIDA y JENNIFER ELSZgs COUNTY OF ORANGE. •_ MV COMMISSION :of EXPIRES: June g 01161 xled 6orThr ry�yry puMk Urad0oq c� NA OF NOTARY: NOTARY SEAL. Herz * ./associates Inc. z b 0 N W TRACT B OPEN SPACE )0.31'— TRACT B OPEN SPACE Ll0 L9 L8 LOT 1 LOT 2 LOT 3 3.500 S.F. 3.000 S.F. 3.000 S o 0 'Jo, ^ v PROPOSED CONSTRUCTION TRAILER SI L i P.C.P. L7 L5 LOT F. 3.000 F. 0 a e' L2 L3 L4 N 00°50'37-W 159.04' REFERENCED BEARING CIL GEMSTONE COVE (32 LEGAL DESCRIPTION Lots 1, 2 3. 4&5 " GREYSTONE PHASE 2 " according to the plot thereof as recorded in Plot 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 Mop Community Panel Number 12 0 2 9 4 - 0 0 4 0 E Dated 04/17/95. LOT 5 I 3.791 S.F. 03 I I TRACT B I N3 OPEN SPACE W � I � r W L5 C/ R / W) CQ P.C.P. Flood Zone determination was performed by graphic plottingg from Flood hsurance Rote Maps providedby FEMA. No field sLrveying was performed by this Firm to determine this Zone. The exact zone location can only be determined by on elevation study. We assume no responsibility for octud flooding conditions concerning this parcel. General Notes: 1. This is a BOUNDARY Survey performed in the field on PR OPOS ED Legend Not Beorinshown hereon are referenced to the CIL of GEMSTONE COVE as being N 00°5037"W. Vertical datum is based on NGVD per Engineering construction plans by Neal Hner Engineering. Inc. File Name : Greystone 2. No aerial, surface or subsurface utility Installations, underground Improvements or 0 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 BOW Back of sidewalk Map of Survey CUR VE DEL TA ANGLE RAD 1 US ARC TANGENT CHORD CHORD BEARING C I 27°19'43' Central or (Delta) Angle 23.00' 10.97' 5.59' 10.87' N 14°30'28"W C 2 5/°22'44- temporary Benchmark shown hereon. 35.00' 31.39' 16.84' 30.34' N 24°50'45"E LINE C. M. BEARING DISTANCE L 1 N 00°50'37"W 35.00' 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 11 N 43°51'28-W 48.57' z b 0 N W TRACT B OPEN SPACE )0.31'— TRACT B OPEN SPACE Ll0 L9 L8 LOT 1 LOT 2 LOT 3 3.500 S.F. 3.000 S.F. 3.000 S o 0 'Jo, ^ v PROPOSED CONSTRUCTION TRAILER SI L i P.C.P. L7 L5 LOT F. 3.000 F. 0 a e' L2 L3 L4 N 00°50'37-W 159.04' REFERENCED BEARING CIL GEMSTONE COVE (32 LEGAL DESCRIPTION Lots 1, 2 3. 4&5 " GREYSTONE PHASE 2 " according to the plot thereof as recorded in Plot 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 Mop Community Panel Number 12 0 2 9 4 - 0 0 4 0 E Dated 04/17/95. LOT 5 I 3.791 S.F. 03 I I TRACT B I N3 OPEN SPACE W � I � r W L5 C/ R / W) CQ P.C.P. Flood Zone determination was performed by graphic plottingg from Flood hsurance Rote Maps providedby FEMA. No field sLrveying was performed by this Firm to determine this Zone. The exact zone location can only be determined by on elevation study. We assume no responsibility for octud flooding conditions concerning this parcel. General Notes: 1. This is a BOUNDARY Survey performed in the field on PR OPOS ED Legend Not Beorinshown hereon are referenced to the CIL of GEMSTONE COVE as being N 00°5037"W. Vertical datum is based on NGVD per Engineering construction plans by Neal Hner Engineering. Inc. File Name : Greystone 2. No aerial, surface or subsurface utility Installations, underground Improvements or 0 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 C/L 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 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 LB4937 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 Measured © 2005 Herx & Associates Inc. All rights reserved N/D(N&D) N R. Nail and Disk Not Radial Certification: Not valid without the d the original raised seal of Florida licensed Suryeyor a Mapper is s y meets the requirement of the Flc . a Minimum Te nical Standard s contained in Chap iG17- londa Administr ti Code. Sketch of Legal Description Th -is Is not a Survey Darae L. Przemieniecki, P.S.M. Registerel Suryeyorand Mapper No. 6030 William R. Herx, P.S.M. Registered Surve or d Mapper No. 6092 Herx B Associates Inc., State of Florida LB 4937 O/S Offset O.R.B. Oficial 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. 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) Drown by: CM Checked by: DP Prepored For: MORRISON Job Number: 05-009-02 Scale : 1-" 40' Plot plan perrormed: 08.26-05 Foundation Survey: Final Survey: Revisions .