HomeMy WebLinkAbout2690 Poinsetta Ave11 Q
CITY OF SANFORD PERMIT APPLICATION
Armit 0 0— ` Date:
Job Address:
0
Description of Work:
Historic District: Zoning: Value of Work: $ cp ;I-
Permit Type: Building Ise 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 than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax: _
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Phone. d IR ' y S S- S 11 a
State License Number:
Contact Person: V Px Phone: • %4 V,-1 S _ S
Phone:
Fax.
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.
OWNER'S AFFIDAVIT: I certify that all of the foregoing infonnation 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.
NOTI 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 permit is
of
notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Q
Date Signature of Contractor/Agent Date
s Name J Print Contractor/Agent's Name
Florida Date Signature of Notary -State of Florida Date
Owner/Agent i Pe onally Knorr o Me or I, /
Produced 1 'G 1
APPLICATION APPROVED BY: Bldg: L—Z—Zoning: _
In & Date)
Special Conditions:
Contractor/Ageni is _ Personally Known to Me or
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
39
BOUNDARY SURVEY
f;SEi'TION6 WITH IMPROVEMENTS
TOWNSHIP 20 S.
RANGE 31 E.
BLOCK CORNER
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5/8" I.R. 6'CLF SE
5/8" I. .• PLS
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1 BLOCK
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SET 5/8" I.R. I z I
REC. 5/8" I.R. wP[' • — —
6'
CLF I
LT5252 C N
90°00' 0" 105.00' P 6' WOOD FENC; wpp I Z
FENCE
ONLINE N 90000'00" E 105.00' M IN 0.6' FENCELOT
7 LOT
8 LEGAL
DESCRIPTION LOT
5, BLOCK 14, A.B. RUSSELS ADDITION TO FORT REED, AS
RECORDED IN PLAT BOOK 1, PAGE 97, OF
THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. LEGEND
A/
C AIR CONDITIONER PAD AKA
ALSO KNOWN AS B/
C BACK OF CURB C
CHORD CATV
CABLE TELEVISION LINE CALC
CALCULATED CB
CHORD BEARING CBW
CONCRETE BLOCK WALL CM
CONCRETE MONUMENT COV
COVERED CPP
CONCRETE POWER POLE CW
CONCRETE WALKWAY CENTER
LINE CLF
CHAIN LINKED FENCE PAD
6
CEENTRALCREEANGLLE DE
DRAINAGE EASEMENT DESC -
DESCRIPTION D)
DEED E/
EDGE OF PAVEMENT EM
ELECTRIC METER F)
FIELD FND
FOUND IR
IRON ROD D.
U.E.- DRAINAGE & UTILITY GM
GAS METER IP
IRON PIPE L
ARC LENGTH LP
LIGHT POLE LB
LICENSED BUSINESS M)
MEASURED MS
METAL SHED N&
D NAIL & DISK POL
POINT ON LINE p)
PLAT PC
POINT OF CURVATURE pOp
PERMANENT CONTROL POINT POB
POINT OF BEGINNING FCC
POINT OF COMMENCEMENT PRM
PERMANENT REFERENCE MONUMENT D&
M DEED & MEASURED R/
W RIGHT OF WAY R
RADIUS SBT
SOUTHERN BELL TELEPHONE UB
UTILITY BOX UE
UTILITY EASEMENT WF
WOOD FENCE WM
WATER METER WPP
WOODEN POWER POLE O.
R. OFFICIAL RECORDS SURVEYOR'
S NOTES: 1.
SUBJECT TO ANY APPLICABLE EASEMENTS, RIGHTS -OF -WAYS, OR OTHER
RESTRICTIONS OF RECORD. 2.
A SEARCH OF THE PUBLIC RECORDS HAS NOT BEEN MADE BY THIS OFFICE. 3.
BEARINGS SHOWN ARE RELATED TO THE CENTERLINE OF GEORGIA AVENUE AS
BEING N 90'00'00" E, AND ARE ASSUMED BEARINGS. 4.
LEGAL DESCRIPTION PROVIDED BY CLIENT OR CLIENT'S REPRESENTATIVE. 5.
ABOVE GROUND ENCROACHMENTS, IF ANY, AS SHOWN ON SURVEY. 6.
UNDERGROUND ENCROACHMENTS OR IMPROVEMENTS , IF ANY, NOT LOCATED ON SURVEY, 7.
PROPERTY LIES IN FLOOD ZONE " X ", AS SHOWN ON FEMA / FIRM MAP. B.
EASEMENTS SHOWN PER PLAT OF RECORD. 9.
PARCEL I.D. N 06-20-31-503-1400-0050 CERTIFIED
TO: LYNDA
HITTINGER REVISIONS
AND
R EW V. AS B U RY DESCRIPTION DATE BY PROFESSIONAL
SURVEYOR &
MAPPER 115
MARGO LANE LONGWOOD
FL 32750 TEL.# (
407) 830-0200 FAX # (
407) 830-0500 emalL
address: ASBURY5252@aol.com DRAWN
BY: EMT ..
2%21 /05 FIELD
BOOK: DATE IN FIELD:12 16 D 57/
11 PARTY CHIEF: AWM CHECKED
BY: AI A SCALE:
1
11=
0'
W°"
05_
412 1 SHEET 1 OF SURVEYOR'
S CERTIFICATE I
HEREBY CERTIIFY THAT THE SKETCH OF SURVEY IS
A TRUE AND CORRECT REPRESENTATION OF A SURVEY MADE
UNDER MY DIRECTION AND THAT SAID SURVEY MEETS AND
OR EXCEEDS THE MINIMUM TECHNICAL STANDARDS OF FLORIDA ADMINISTRAIIVE
CODE RULE 61G17-6 PURSUANT TO FLORIDA
STATUTE CHAPTER 472. ANDREW
V.ASBURY FLORIDA
LICENSE No. 5252 NOT
VALID UNLESS SEALED WITH AN EMBOSSED SEAL.