HomeMy WebLinkAbout205 Belgian Way (3)CITY OF SANFORD PERMIT APPLICATION
Permit #:
Job Address:
Date:
Description of Work: j N5-FA (.LA- tS -i (O'?q4 - ri ON P !! _ -tew4z. 11y
Historic District: Zoning: Value of Work: $ WooOC7 o 0
Permit Type: Building 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 #:
Owners Name & Address:
rj25' 8r4rAN boa
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)
r Phone:
State License Number:
Contact Person: Phone:
Phone:
Fa::
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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.
Z83 Z7Zlo h
OWNER'S AFFIDAV ff: 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.
TI E: 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 eritication that 1 will n e owner of)he property of the requirements of Florida Lien Law, FS 713.
as
Si re of Owner gent
r,\ 0,..
Date Signature of Contractor/Agent
N
Pript,Owner/Agent's are Print Contractor/Agent's Name
Signature o o to of FitIYBIE B. NITON Dt
MY COMMISSION # DD 1(j8491
EXPIRES: February 25, 2007
Owner/Ag ig eW3.WW4 I L No1Hr Di--"1 Assoc. co.
Produ t?
APPLICATION APPROVED BY: Bl 1 Zoning:
itial a e
Date
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
Utilities: 1993
Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
39
CITY OF SANFORD BUILDING DIVISION
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 code*, and zoning regulations.
I, , 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.
5e'4, 3 /d" I-e—
Signatee-of-tqomy---Stffte-ofi9crida- out,
DEBBIE BLANTON
MY C0N.A,:1jSI0N # DD 18MI
Ownei is Pe " h10 Fl 9HtI't#iw%e o has
Produ `
NO1ef' c
I J J
PLAT OF SURVEY
DESCRIPTION: AS FURNISHED)
LOT 101, BAKERS CROSSING PHASE I,
AS RECORDED IN PLAT BOOK 60, PAGES 27-29, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
TRACT A
BELGIAN WAY
PT117 ^ S8K17'34"E 50'
RIGHT OF WAY 448.60' I -RIGHT CEN
WAY - LINEOFPC L _ _
179.
51' — 269.09' 50.
00' wl Nlp
S
89'1 7' 3 „% „CONCRETE :':<' :
t N WALK
IS 1.
3' OFF Asti
WALK IS 10'
UTILITY EASEMENT r';..:',:,' 1.6' OFF. CD
O.
IiIYEWAY,: 5.
0' 5.
2' 0
COVERED
ENTRANCE
z
L7 3'x3' CPADw
L
O T 102 ONE STORY RESIDENCE
r L0IIOU FINISH
FLOOR i w
UJN
O ELEVATION =
41.75 a
205 BELGIAN WAY N a1D Nzwo
N O
o
O Z
O 40.
0' 9
j
oPATIO I
I
3`
t,3 I
al I
LOT101j
N
89'17'34" W 50.
00' LOT
71 ; LOT 73 NOTE:
THE
FINISHED FLOOR ELEVATION OF THIS STRUCTURE
MEETS OR EXCEEDS THE THE
REQUIREMENTS SET FORTH IN THE CITY
OF SANFORD CODE CHAPTER 6, SEC. 6-7(A). CERTIFIED
TO: D.
R.H. TITLE COMPANY OF FLORIDA INC. FIDELITY
NATIONAL TITLE INSURANCE COMPANY OF PENNSYLVANIA CH
MORTGAGE COMPANY, I , LTD. JONATHAN
W. HOUSTON AND MELISSA B. HOUSTON NOTE:
1,
ALL DIRECTIONS AND DISTANCES HAVE BEEN
FIELD VERIFIED AND ANY INCONSISTENCIES
HAVE BEEN NOTED ON THE SURVEY,
IF ANY. 2.
THIS BOUNDARY SURVEY MEETS THE MINIMUM
TECHNICAL STANDARDS SET FORTH IN
CHAPTER 61G17-6 OF THE FLORIDA ADMINISTRATIVE
CODE PURSUANT TO CHAPTER 472.
027, FLORIDA STATUTES. I
HAVE EXAMINED THE F.I.R.M. COMMUNITY PANEL NO
120289 0045 E DATED 4/17/95 AND FOUND THE
SUBJECT PROPERTY APPEARS TO LIE IN ZONE X, AREA
OUTSIDE 100 YEAR FLOOD. ELEVATIONS
SHOWN HEREON ARE BASED ON SEMINOLE COUNTY VERTICAL
CONTROL AS FURNISHED. BEARINGS
SHOWN HEREON ARE BASED ON THE
NORTHERLY LINE OF LOT 101 BEING
S 89'17'34" E PER PLAT. FIELD
DATE:) B-12-02 REVISED: SCALE:
1 = 30 FEET APPROVED
BY: WRM FINAL 8-12-02/CC ASM32917-
ORMBOARD 07-08-02/C JOB
NO. LOT PLAN 6-22-01 JML DRAWN
BY: LOT FIT 5-2-01 JML LOT
72 BUILDING
SETBACK LINE CENTERLINE
RIGHT
OF WAY LINE l
EXISTING ELEVATION CONCRETE
LB
LAND SURVEYING BUSINESS LS
LAND SURVEYOR PRIM
PERMANENT REFERENCE MONUMENT PCP
PERMANENT CONTROL POINT P)
PER PLAT M)
MEASURED FND
FOUND C/
W CONCRETE WALK S
W SIDEWALK CP
CONCRETE PAD CS
CONCRETE SLAB C
CHORD LENGTH PK
PARKER KALON AMERICAN
SURVEYING & MAPPING CERTIFICATION
OF AUTHORIZATION NUMBER LBQ6393 320
EAST SOUTH STREET, SUITE 180 ORLANDO.
FLORIDA 32801- (
407) 426-7979 LEGEND
FND
IRK NAIL LB
N4671 (08-12-02) FND
5/8" IRON ROD AND CAP O
LB N4eB71 108-12-02) CNA
CORNER NOT ACCESSIBLE DENOTES
DELTA ANGLE L
DENOTES ARC LENGTH C.
B. DENOTES CHORD BEARING PC
DENOTES POINT OF CURVATURE PI
DENOTES POINT OF INTERSECTION PRC
DENOTES POINT OF REVERSE CURVATURE PT
DEN07ES POINT OF TANGENCY TYP
TYPICAL A/
C AIR CONDITIONER CBW
CONCRETE BLOCK WALL RP
RADIUS POINT OHL
OVERHEAD UTILITY LINE ID
IDENTIFICATION 1.
THE SURVEYOR HAS NOT ABSTRACTED THE LAND
SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RLSTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND 2.
NO UNDERGROUND IMPROVEMENTS HAVE BEEN LOCATED
EXCEPT AS SHOWN. 3.
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED
SEAL OF A FLORIDA LICENSED SURVEYOR AND
MAPPER. R
JVF0HERM
WILLIAM
R. MUSCATELLO jr. PSM #492 DATE
ARCHITECTURAL REVIEW BOARD APPLICATION
Please complete the application form and forward, with requested information, to the Associations
property manager for processing. Please do not commence work until you receive approval of your
application from the Architectural Review Board.
Association Name
Applicant's Name
Date of Application
baI* 'a-9y :Is a.-7
Phone Number
Property Address t '
Changes to be made: Home Exterior Landscaping Pool Addition
Recreational. Equipment Q'*0'ther Afr)r-A Provide
complete description of what changes will be made. Applications must include lot survey, site plans, diagrams, color chips, material
specifications, sample products, photographs and any information which will adequately describe the finished project. All landscaping
plans must include this size, number and type of plants to be approved. Failure
to provide complete information will delay the approval process. NOTE:
All request must conform to all applicable zoning and building regulations and it is the
property owner's responsibility to obtain all necessary permits if application is approved. THIS
SECTION TO BE COMPLETED BY ARCHITECTURAL REVIEW BOARD Request:
Date Approved / A 20 00 -/ ' Date Denied BOARD
MEMBERS SIGNATURE: COMMENTS:
5 29 S 4 t(—r,/2 S rc 101n I SUBSTANTIAL
COMPLETION: Inspection
Date / / Final
Inspection Date SMI
P-4 low