HomeMy WebLinkAbout408 E Mattie St (4)ll //``�� CITY OF SANFORD PERMIT APPLICATION •
Permit #:-- -- V0V0t Date: I lD
Job Address: 'i-Di�� Mta t E ST#ZE-�T S(�N�fl R "moi. 3x-7-73
Description of Work: f" M^C_t-4 efO S t c, tJ
Historic District: (Lb Zoning: Value of Work: S Lo C�o . C7'C>
Permit Type: Building ✓ Electrical
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential _
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool _
_
Addi tion/A Iteration 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:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: OLO • cPO • -;:�; 1 • 1503 — 1500 — p 100 • 1 9 LP I (Attach Proof of Ownership & Legal Description)
Owners Name & Address: PARSUD-4 A L SuK WDIE�O
'W. 408 -;e•M'f�'CTTrG S'TiZE T%V-,NF;QC_t> T-L�--,,:)773Phone; 4<�>7 - (.DqV% cl70'7
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
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 must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 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 is verification that 1 wi tify the wner of the property of the requirements of Florida Lien Law, FS 713.
n O
eN c Signature of Ow /Agent
t ` Signature of Contractor/Agent
dao 2v
t� c 0 $ = P ' mer/Agent' am
Print Contractor/Agent's Name
A2
0a V V
Ut� ,�{ igna re of Notary -State of Flonda
ate Signature of Notary -State of Florida
orv:
Date
Date
Owner/Agent isrsonally Known to a Contractor/Agent is _ Personally Known to Me or
Produced I D�(ly _ Produced 1 D
APPLICATION APPROVED BY: Bldg: "Zoning:
nival & Date)
(Initial & Date)
Special Conditions: IR'rr-S L.0 ti IQs -.0
OkZ*A,t-1,12 Zgk,(;64� sto;eel-rM CUNL��)
Utilities: FD:
(Initial & Date) (Initial & Date)
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 farin
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 tha.l
you built or substantially improved it for sale or lease, which is a violation of this* exemption. ion rjay
not hire an unlicensed person to act as your contractor or to supervise people working on your buildii,.l;'. It
is your responsibility to make sure that people employed by you have licenses required by state law ;.,rid.
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, , 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.
_C
Owner wild Signator Date ff (///(��`o0 0
f
v
n
c
l J �Qu e
�opB
Print Owner/BmIderl4ame -"•= y g
E
U sc 4
rcof \—teoforSignanio)a
owner is Personally Known u4,(2e or has
Proud e(I 11, SZ �jI'JV J I c7d •y�
SANFORD BUILDING DEPT.
THESE PLANS ARE REVIEWED AND CONDITIONALLY
�^ ACCEPTED FOR PERMIT. A PERMIT ISSUED SHALL BE
CONSTRUFD TO BE A LICENSE TO PROCEED WITH
THE WORK AND NOT AS AUTHORITY TO VIOLATE, Z
CANCEL. ALTEk, OR SET ASIDE ANY OF THE
GG _ N PROVISI'JKS O THE TECHNICAL COCES. NOR SHALL
ISSUA.NCE OF i. F'r.".Fckill- FRF_VENT -FAE BUILDING
Tp:[+�r P::`ljir NG A CORREC-
C". ...� ... :.!Y?_ 7:tii5
COLLISION EXPERT * FOREIGN & DOMESTIC
FRAME WORK * COLORMATCHING * CUSTOM PAINTING CUSTOM DESIGNS
MUFFLER "BRAKES' SHOCKS' SPRINGS *TUNE UPS *OIL CHANGE "ETC.
INSURANCE 407-330-6161 ALL MAJOR
CREDIT CARDS
ESTIMATES ACCEPTED
cardirect@aol.com
SIZE
10FT X 4FT
COLOR
YELLOW. BLACK RED BLE & WHITE
CAR
APP. 121N X 151N
NAME
APP. 1 FT IN HEIGHT
RED PARTS
APP. 8.51N IN HEIGHT
BLUE PARTS
APP. 3.51N IN HEIGHT
WHITE & BLACK
BOX
APP. B.51N X B.51N
PHONE NUMBER
APP. BIN IN HEIGHT
sign l 1 k,>&- I v -Fee-t N -i a h
9 Feer w1k1 bele ctrl .bo+ -h sides tp be 'cn
i1x1L C -F nr% r .
OFFICE COPY
�kol
1�.s -
��-'� PERMIT to&o 9L
3.0 15.4 g g
" TOPOGRAPHICAL SURVEY "
ti
0
"REAL PROPERTY DESCRIPTION"
a4 .I
LOT 10,
BLOCK 15, A.B. RUSSELL 'S ADDITION TO FORT REED, ACCORDING TO
THE PLAT THEREOF
AS RECORDED
IN PLAT BOOK 1, PAGE 97, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FL.
�
LOT 6, BLOCK
n
FND 1/2 -IR
15 84.0' (P&M) NO I.D.
FIND 1/2"IRC
WS 1693
GO
J
8.0
o
o m
��
Q,,6 g
GRASS I
w
n
:)16.3
ppp
- -22.1.,. - 14.0.
(PAVEMENT-
Lodol
1�-
p
I
qg� pp Y
1 STORY
FRAME
pe
�O 15.0 CONC DRIVE 6
^FF = 100.34
�. _ g
�
I
I-
17.8 qh .0r1:�:�6
16.3
' 22.3
I
5.0
I
28.0
-O
h -
z a
5
'c
I
2.0
-1 gg�
a Cp o I
a� �' ' 9.gh
I
�l
`
I 6.0
I $S
• LOT 10, BLOCK 15 '
°p
�
Ia
m
�
1 STORY
ASPo, LT
g �'
PAVEMENT gg�
A.D. RU�SELL�S AMITION
a-.
CONC BLOCK
IC, (REMAINS)
I TO FORT REED
I�
Gv1� c_j
BUILDING
_
o
I P_ B: 1, -PG.- �7 - I
Z
w
I
6.0
ASSUMED ELEVATION
CONC PA VCidENt
r�LL
100.00
ON FINISHED FLOOR
z
J
5.5
I
mF
34.0
ggO 27.7' 9� v
a
o
3
I
gb 16.0
10.2
o i
o
I Ln
SHEDI c
gg�g
��
N
Q
\
10.2
_ CONC-
PAVEMENT
cr
a. gh"
3.0 15.4 g g
ti
0
a4 .I
19.0 I
((1
I
J
GRASS I
w
n
I"
-
N -
CONC
(PAVEMENT-
L6.2L9,0
p
I
qg� pp Y
�
p
I-
17.8 qh .0r1:�:�6
a 9.5
CONC DRIVE
.,
GRASS
I - __ l - `�
z a
5
'c
O
74.0
a Cp o I
a� �' ' 9.gh
I
�l
`
'—
n�0
-;
• LOT 10, BLOCK 15 '
°p
r
c'c QI
A.D. RU�SELL�S AMITION
YQw6'
I TO FORT REED
Gv1� c_j
_
o
I P_ B: 1, -PG.- �7 - I
o_
m __J -
w .
��
CONC PA VCidENt
r�LL
-LOO .--
- - LUNC PAVLML14I - -
A 8 8 R E V I A T 1 0 N L E G E N D'
o
N.Y. -NATER METER CERTIFIED TO:
P.0.0 - PONT OF COMMEIICluENT PA - PLAT BOO A/C - M COOUptR CLF. - CHAPY LPN FERCE
v.0 - PONT OF CRVATUTIE PSE. - PACE TIP, - T"wft RI. - 'TODD FENa
515.0
vR.0 - PONT Or RE%tWX NRVATURE R. - RON-RADIAL U.E. - UTLIR' EASEMENT C A G - CURB • CUTTER
J
.x_-xJ
I
IO• CHAIN F1 -NCE J r
RISER PWT, - PAVEMENT
P.T. _ Am a TAII"4 R. - IIA0RT5 Fl. - FPR9(0 noon TILE - RLEPNOYE MUR
LINK
P.I. - PONT OF NTERXCTNN L - ARC "AGM 0.S. - UMVMC SETBACK TRANS - TRANSFORMER PAD uIL - YANIIDIE
I.0►. - PEIIYAI[Nr CONTROL PONT A - OCLTA CBS - COWRETE ROCK STRUCTURE L.P. - LICA POLE EAI - KNAI
PAL - PONT ON UM( R.P. - RADII/S IpIIT - PLAI P.P. - PDRER POLE
REC - RECOLE o
AV S(P)
NAL OOURA
CILT.S
N9 - NO SW TE 1085 OEIfKA TpN
20.00 I RUlLO1NC SETBA6K u'
pE . 7.0 in
'
6UILOING.
THIS SURVEY IS NOT COVERED BY PROFESSIONAL LIABILTY INSURANCE.
SETBbCK, . . pO a
• _ rc
SURVEYOR'S NOTES:
SURVEYOR'S CERTIFICATE:
—pp —
RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
n OQ� a CONC.
"REAL
AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS
, Y
PAVEMENT
Q
AND MAPPERS IN CHAPTER 611317-6, FLORIDA ADMINISTRATIVE CODE,
WITH THE DESCRIPTION PROVIDED BY THE CLIENT.
CONC PAVEMENT" A.
PURSUANT TO SECTION 472.027, FLORIDA STATUTES
m• 0 - -
LOCATED OTHER THAN SHOWN.
• -
N
4. BEARINGS ARE BASED ON THE CENTERLINE OF SANFORD AVE. ASSUMED AS
- . . •' O O Z N . W. O .
Yi U CC >.
...
5. HAVING CONSULTED THE NATIONAL FLOOD INSURANCE PROGRAM FIRM, I
0 Z_ •- U
I HAVE DETERMINED THAT THE SUBJECT PROPERTY LIES IN ZONE "x",
NEW R/W
V
O
FLORIDA REGISTRATION NUMBER 5807
LINE
a.i ESO a.0 10.0
g0 40,6 ' Qp. Qp� u r
6. SURVEYOR HAS NOT ABSTRACTED LANDS SHOWN HEREON FOR EASEMENTS.
REGI/2-IRC
PSM 5913
I o Q - 84.0 P&M o . I REC 1 /2"IRC -
i� p0• 4' CONC WALK . �• - p0� o� PSM 5913
CLffNI: SUKHO£O
EO
---------1-----
JOB NUMBER:
7. THIS IS NOT A BOUNDARY SURVEY, ONLY ASSUMED ELEVATIONS WERE ADOEO
PLATTED R/W
LINE S
SANFORD
A VENUE
A 8 8 R E V I A T 1 0 N L E G E N D'
vA1.Y, - KRUMOCHT NQEpENM MOLIME/IT C.Y. - CEKREW MONVWD1T EL - CLEN-0- CONC. - EoNOE1c
N.Y. -NATER METER CERTIFIED TO:
P.0.0 - PONT OF COMMEIICluENT PA - PLAT BOO A/C - M COOUptR CLF. - CHAPY LPN FERCE
v.0 - PONT OF CRVATUTIE PSE. - PACE TIP, - T"wft RI. - 'TODD FENa
FAL - FRE WORANT
N O -MME Ap OIX
vR.0 - PONT Or RE%tWX NRVATURE R. - RON-RADIAL U.E. - UTLIR' EASEMENT C A G - CURB • CUTTER
R!L - K.O. YARN OE ONARINE SU MENDED
I.CC - PONT OF COmPOUNO CURVATURE RAO. - RACIAL 0.0 - OANAC[ EASEYCNT GTv - CARE TCUEWPON
RISER PWT, - PAVEMENT
P.T. _ Am a TAII"4 R. - IIA0RT5 Fl. - FPR9(0 noon TILE - RLEPNOYE MUR
I.R. - FIEUO 600
P.I. - PONT OF NTERXCTNN L - ARC "AGM 0.S. - UMVMC SETBACK TRANS - TRANSFORMER PAD uIL - YANIIDIE
I.0►. - PEIIYAI[Nr CONTROL PONT A - OCLTA CBS - COWRETE ROCK STRUCTURE L.P. - LICA POLE EAI - KNAI
PAL - PONT ON UM( R.P. - RADII/S IpIIT - PLAI P.P. - PDRER POLE
REC - RECOLE o
AV S(P)
NAL OOURA
CILT.S
N9 - NO SW TE 1085 OEIfKA TpN
- TANQNTT BEARNG F~ - .10 IVIG 1C) - CALCULATED SCK. FT. _
THIS SURVEY IS NOT COVERED BY PROFESSIONAL LIABILTY INSURANCE.
SURVEYOR'S NOTES:
SURVEYOR'S CERTIFICATE:
1. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL
RAISED SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
THIS IS TO CERTIFY THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL STANDARDS
"REAL
AS SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS
2. THE PROPERTY DESCRIPTION" SHOWN HEREON IS IN ACCORDANCE
AND MAPPERS IN CHAPTER 611317-6, FLORIDA ADMINISTRATIVE CODE,
WITH THE DESCRIPTION PROVIDED BY THE CLIENT.
PURSUANT TO SECTION 472.027, FLORIDA STATUTES
3. NO UNDERGROUND IMPROVEMENTS OR VISIBLE INSTALLATIONS HAVE BEEN
LOCATED OTHER THAN SHOWN.
4. BEARINGS ARE BASED ON THE CENTERLINE OF SANFORD AVE. ASSUMED AS
BEING NORTH PER PLAT.
5. HAVING CONSULTED THE NATIONAL FLOOD INSURANCE PROGRAM FIRM, I
5COTT BECHIR, P.S.M.
I HAVE DETERMINED THAT THE SUBJECT PROPERTY LIES IN ZONE "x",
PROFESSIONAL SURVEYOR & MAPPER
NOT A SPECIAL FLOOD AREA PER FIRM PANEL 0 12117CO045 E, DATED
FLORIDA REGISTRATION NUMBER 5807
APRIL 17, 1995• SEMINOLE COUNTY, FLORIDA.
6. SURVEYOR HAS NOT ABSTRACTED LANDS SHOWN HEREON FOR EASEMENTS.
RIGHTS-OF-WAY OR"ANY OTHER MATTER OF RECORD WHICH MIGHT AFFECT
CLffNI: SUKHO£O
EO
THE TITLE OR USE OF SAID LANDS.02-87
JOB NUMBER:
7. THIS IS NOT A BOUNDARY SURVEY, ONLY ASSUMED ELEVATIONS WERE ADOEO
CA00 OHC. FILE. 02-87 MATT!£ S>•REET
TO PREVIOUS SURVEY DONE BY PETER Q JDHNSON,PSM /5913 AND PROVIDED BY CLIENT.
SCOTT'S SURVEYING SERVICES, INC.
COMMENTS FIELD DATE OFFICE DATE
TOPOGRAPHICAL SURVEY A. R. 6/28/02 S.R.B. 7/8/02
258 SHADYDALE CT.
DELTONA, FLORIDA
PFI. (407) 330-5738 FAX 330-3797