HomeMy WebLinkAbout345 Live Oak BlvdCITY OF SANFORD PERMIT APPLICATION
Permit #: I Date:
Historic District:
Zoning:
Value of'Work: $ ,D- G"
Permit -Type•. --Bu- - ild'ing ` ~✓ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
04ne-ri Name & Add_i•ess: J
ID
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Addition/Alteration
Change of Service Temporary Pole
— Replacement
New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines
# of Gas Lines
Plumbing Repair — Residential or Commercial
Industrial
Total Square Footage:
# of Dwelling Units:
Flood Zone: (FEMA form required for other than X)
(Attach Proof of Ownership & Legal Description)
-Phone: "
State License Number:
- °into -7
Contact Person: Phone:
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
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. 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.
Acceptance of permit is verificati that Iwill tify the owner of the property of the requirements of Florida Lien Law, FS 713.
10 C4-
gn re wner/Agent Date Signature of Contractor/Agent
t" solup_ Q •
Print O er�s Name Print Contractor/Agent's Name
rvli ' y
SigAature of Notary -State of Florida Date
jrID
isersbnal Kaiown to Me or
DIEY COIU+„ giSSION EXPIFiES: Feb# DD 188491APPLICAED B Bldguary 25,20 \` Notes p�ISCoutI"W.&D A)'�Q``
Special Conditions:
Date
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
-FT3 q 69
CITY OF SANFORD BUILDING DIVISION V..
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, Kcw d a- G�� A 2az , 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.
V 10/11 <p4
rdder Signature Date
Print Owner/Builder Name
Signature of Notary—State of Florida Date
Owner RWI,E BLANT,QN
Produced My c, °; �gDu�a
�r �: 200
1-800-3-NOTARV ;--!s: Discount Assoc. Co.
BOUNDARY SURVEY CERTIFIED CORRECT TO:
Miguel A. Alvarez Pndependence One Chicago Title Insurance
Miriam Alvarez Mortgage Company Company
345 Live Oak Boulevard 130 University Park Drive
Sanford, Florida Winter Park, Florida
LEGAL DESCRIPTION (FURNISHED BY CLIENT):
LOT 53, HIDDEN LAKE PHASE III, UNIT IV, according to the plat thereof, as recorded in
Plat Book 28, Pages 1 and 2, Public Records of Seminole County, Florida
PER PLAT
61 \ 62 I 51
S. 13' 20' 57' E. 63.07'
REG. 1/2' I.B. � � REG. 1/2' I.B. `l--
— NO 111 1.3' 0.5-#3422
\
0.5' c 0.2'
0J,
7.5'I=UTIUTY k DRAINAGE 7.5' WOOD FENCE L/
EASEMENT \
I \ ?
o I \ o
Q I \
N 5' \ r'• 52
\
111 CONC. >
p
54 I o PATIO 22:1•-•-'"-
CHAIN LINK FENCE 1 48.0' \
(TYPICAL) Ld I
I ONE STORY o \
CONC. BLOCK \
c 3.7' 1.5' 0.0'
om T
CONC. SUB k STUCCO 'p• 7C
RESID. /1345 O
µ 24.0'
ro ~ PORCH
93' 3' CONC. WALK
� t7
4'x
SUB Z 6CONCRETE \ O -A
0.6,-/10.0: 22.0' DRIVE \
o:)
10' EASEMENT L _ _ _ _ _ 5B REC. 1/2' I.B.
PER: O.R. BOOK 1485 /NOT LEGIBLE
PAGE 1845 g.4'
Rm320.00' L=100.00'
6-17'54'20' CHD-99.60'
y3BB3 IN METER
BOX
LIVE OAK BOULEVARD
(80' R/W)
FLOOD CERTIFICATION: This is to certify that I have cnaulted the National Flood Insurance
Progre -FIRM" Map and he— determined that the Building Site is not located in a special
flood a ZONE C -
Per Community -Panel Humber 120294 00058 Dated 9 / 17 / 60
The Surveyor has not abstracted the lands shown hereon for easements and/or rights of way of record.
No underground Installations or Improvements have been located except as shown.
FORESIGHT SURVEY NIGH INC.AL LAND
2469 Aloma Avenue
Crealde Mall e Suite #210
Winter Park, Florida 32792
Phone: (305) 677-4444
SCALE: 1" = 30' SURVEY DATE: 2 / 9 / 87
PROJECT NO. 87 — 150 REVISED _
CERTIFICATION:
I HEREBY CERTIFY THAT THIS PUT OF SURVEY IS CORRECT TO THE BEST
OF MY KNOWLEDGE AND BELIEF. I FURTHER CERTIFY THAT THIS SURVEY
MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE
FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO ADMINISTRATIVE
CODE RULE 21HH8 AND SECTION 472 OF THE FLORIDA STATUTES.
John Gene -no
PROFESSIONAL LAND SURVEYOR No. 4085
VALID ONLY WITH EMBOSSED SEAL
BOUNDARY SURVEY CERTIFIED CORRECT TO:
Miguel A. Alvarez Independence One Chicago Title Insurance
Miriam Alvarez Mortgage Company Company
345 Live Oak Boulevard 130 University Park Drive
Sanford, Florida Winter Park, Florida
LEGAL DESCRIPTION (FURNISHED BY CLIENT):
LOT 53, HIDDEN LAKE PHASE III, UNIT IV, according to the plat thereof, as recorded in
Plat Book 28, Pages 1 and 2, Public Records of Seminole County, Florida
PER PLAT
61 \ 62 I 51
S. 13' 20' 57' E. 63.07' 1;
REC. 1/2" LB. � I REC. 1/2' I.E. Y
NO / 0.5' 1.3' O.S' I3422 • , \ \ ��
— — 0.5' o 0.2' ai
—_--------
7.5'r�UTIUTY k DRAINAGE 7.5' WOOD FENCE
EASEMENT \
I \ 2
'00
a \ O
v I \
i \
I 15' \ N 52
54 PATIO q21-
10;2'
CHAIN LINK FENCE 46.0' \
(TYPICAL) 41 I
ONE STORY
2.5'x 3.7' _ L5' CONC. BLOCK\ 6L
CONC. SLAB e k STUCCO 0.D' U` 7
RESID. #345 O.
24.0'
Y PORCH
9J 3' CONC. WALK
GO m 'O `tt1
4'x 4' CONC. r + \ U
SUB Z c CONCRETE \ ��
10.0' DRIVE \ L
r
REC. I.B.
10' EASEMENT �_ — �0�
PER: O.R. BOOK 1485 L-- --- LEGIBLE
PAGE 1845 9,4' I NOT L
R=320.00' L=100.00'
REC. 1/2' I.B. t,-17'54'20' CHD-99.60'
#3993 IN METER
BOX
UVE OAK BOULEVARD
(60' R/W)
FI/JOD CERTIFICATION, This rc to certify that I have sa
c lted the National Flood Inxurance
Prog "FIRM' Map and have determined that the B-1dlong Site re not located rn a special _
flood a ZONE C
Per Co,enuni ty-Panel Number 120294 00058 Dated 9 / 17 / 90
The Surveyor has not abstracted the lands shown hereon for easements andlor rights of way of record.
No underground Installations or improvements have been located except as shown.
FORESIGHT SURVEY NIGNAL LAND
INC.
2469 Alonna Avenue
Crealde Mall a Suite #210
Winter Park, Florida 32792
Phone: (305)677.4444
SCALE: 1 30' SURVEY DATE: 2 / 9 / 87
PROJECT NO. 87 — 150 REVISED _
CERTIFICATION:
1 HEREBY CERTIFY THAT THIS PLAT OF SURVEY IS CORRECT TO THE BEST
OF MY KNOWLEDGE AND BE:LIF. I FURTHER CERTIFY THAT THIS SURVEY
MEETS THE MINIMUM TECHNICAL STANDARDS AS SET FORTH BY THE
FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO ADMINISTRATIVE
CODE RULE 21HHL AND SECTION.472 OF THE FLORIDA STATUTES.
John Go evrino
PROFESSIONAL LAND SURVEYOR No. 4085
VALID ONLY WITH EMBOSSED SEAL