HomeMy WebLinkAbout304 Clydesdale CirI."
CITY OF SANFORD PERMIT APPLICATION
Permit # : 17 3 Date: 3y 5 Job
Address: 304 Cludead4l. cillcle Description
of Work: Historic
District: Zoning: Value of Work: $ ' 3ov - — Permit
Type: Building X Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical:
New Service — # of AMPS . Addition/Alteration Change of Service Temporary Pole Mechanical:
Residential Non -Residential Plumbing/
New Commercial: # of Fixtures Plumbing/
New Residential: # of Water Closets _ Occupancy
Type: Residential Commercial Construction
Type: # of Stories: Parcel #:
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) Owners
Name & Address: 1`1 <ke i,eol, 6t&'. 304
Glycla,-0,6I, Ct'ek S*.P. a• FL 3Jn'l3 Phone: Lion, 3.27-'119g Contractor
Name & Address: Phone &
Fax: Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Eagineer: Address:
State
License Number: 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
mist 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 infomnation 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 verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature
of Owner/Agent F Date Signature of Contractor/Agent l.
eoL, M .+restc,i Pri
t Owner/Agent's Name Print Contractor/Agent's Name Signature
of Notary -State of Florida Nate Signature of Notary -State of Florida DEC-
T3'.Z 01ANTON MY.
00,10 Psi N D 18849 Date
0
uenc
t .; _
Pe?orcnaall 2
o
a or Contractor/AgentProduced ID is —
Personally Known to Me or 1-
0w3NOTARY L o. ' - APPLICATION
APPROVED BY: Bl Zoning: Utilities: i
1 & 1 e) (Initial & Date) (initial & Date) Special
Conditions: iim
initial &
Date) L19 °°
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 codes, and zoning regulations.
I, mil. IM . C.V_3 , 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.
f" 4+,. .3. ")-o,
Owner/Builder Signafure Date
Print Owner/Builder Nam
o S"
Signa otary-State-of-Flori
DEBBIE BLANTON
AY COA!„j_SION # DD IW91
OwneLld?4D3-NOTAIIY
PergWMyFi &fie o has
Produ FL Notary Discount Assoc. Co.
PLAT OF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 7, BAKERS CROSSING PHASE 2,
AS RECORDED IN PLAT BOOK 62,' PAGES 97-99, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
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).
PROPOSED
ROSE HILL PHASE II
NOT PLATTED
PROPOSED PROPOSED
LOT 4 I LOT 5
ill 30'
GRAPHIC S I SO.00
0 15 30 S89'33'46"E
aeti LOT 7
ir
5,0'
PA TIO,: o
50
LOT 6 w
3 LOT 8
D1DON
ORY
N N1\
N
u%
CONRETETBLOCK N LnN
O
RESIDENCE
FINISH FLOOR o
ELEVATION-4875Ok-l
Z
1)
NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 09-3-03, UNLESS OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
5. NOT VALID WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER.
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 PLAIN.
ELEVATIONS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY
VERTICAL CONTROL AS FURNISHED.
BEARINGS SHOWN HEREON ARE BASED ON
THE NORTHERLY LINE OF LOT 7 AS
BEING N89.33'46" W PER PLAT.
FIELD DATE:) 5-27-03 REVISED:
SCALE: 1" = 30 FEET
APPROVED BY: WRM
ASM40136
FOUNDATION/FINAL 9-4-3 CI(e
JOB ND. TES ! BOUNDS 04/28/03 SI
DRAWN BY: LOT PLAN 03-11-03 CKS
COVEREDENTRY
p oF.716 31!
WALK IS 10' UTILITY EASEMENT.;'
11
WALK IS
1.7' OFF ":I6.0.; 1.8' OFF
N;g N89'17'34"W
1 50.00'
493.1
N89'17'34"W 501.18 CENTERLINE (i
RIGHT-OF-WAY
TRACT A
UNNAMED ROADWAY
50' RIGHT OF WAY
LEGEND
BUILDING SETBACK LINE
CENTERLINE
LB 16393 (01/26/03) 0' FND NAIL AND DISC
g7
RIGHT OF WAY LINE
j5 EXISTING ELEVATION O SELBT#63931(01/26/03RONROD )AND CAP
L .'I CONCRETE CNA CORNER NOT ACCESSIBLE
LB
a DENOTES DELTA ANGLE
LAND SURVEYING BUSINESS
LENGTH
LS LAND SURVEYOR
L DENOTES ARC DBEA
PRM PERMANENT REFERENCE MONUMENT
C.B. DENOTES CHORD REAPING
PCP PERMANENT CONTROL POINT
PC DENOTES POINT OF CURVATURE
PI DENOTES POINT OF INTERSECTION
P) PER PLAT PRC DENOTES POINT OF REVERSE CURVATURE
M) MEASURED PT DENOTES POINT OF TANGENCY
FND FOUND TYP TYPICAL
C/W CONCRETE WALK A/C AIR CONDITIONER
S/W SIDEWALK CBW CONCRETE BLOCK WALL
CP CONCRETE PAD
CS CONCRETE SLAB RP RADIUS POINT
C CHORD LENGTH OHU OVERHEAD UTILITY LINE
PK PARKER KAEON ID IDENTIFICATION
R RADIUS POE POINT ON LINE
POC POINT OF CURVE
PCC POINT OF COMPOUND CURVE
ORLANDO. FLORIDA
32801- (407) 426-7979
I HEREBY CERTIFY, THAT THIS BOUNDARY
SURVEY, SUBJECT TO THE SURVEYOR'S NOTES
CONTAINED HEREON MEETS THE APPLICABLE
MINIMUM TECHNICAL STANDARDS" SET FORTH
BY THE FLORIDA BOARD OF PROFESSIONAL
SURVEYORS AND MAPPERS IN CHAPTER
61G17-6. FLORIDA ADMINISTRATIVE CODE
PURSUANT TO CHAPTER 472.027, FLORIDA
FORTHEFIRM
WILLIAM R. MUSCATELLO JR. PSMp4928 DATE
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Date
v
an No. Z
n101m"""A om Approved By
RICHARD L. BULLOCK PIT .wm rxa iI W
C 3
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w561=90 a TWO 6 f1 Florida Certificate ", _7 6
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.
VA is CVO`.aS:,nC
Association Name Date of Application
M'k l.eo1. Oev.a cv L4011 3.7-7. '1 9
Applicant's Name Phone Number
304 CIC Property
Address Changes
to be made: a Home Exterior *Landscaping O Pool Addition O
Recreational- Equipment J&bther 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 landscapingplansmustincludethbsize, number and type of plants to be approved.' e
L caNNf GF v Gv O h 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 / JJIZ4 4 Date Denied / / BOARD MEMBER'
S SIGNATURE: COMMENTS: . SUBSTANTIAL
COMPLETION:
Inspection Date /
Final Inspection
Date / J SMI P-
4 10=