HomeMy WebLinkAbout517 Wilton CirCITY OF SANFORD PERMIT APPLICATION n
Permit # : P , f Date: `'`+'-0
Job Address: !!'-N hA JA0 n
Description of Work: —1]rtiS+ct l\ t e; t 7c 9 1 +.kt ` Rf a r ve ACt,r,r; am
Historic District: n V Zoning:
Value of Work:
Permit Type: Building tf 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 #: q ' ` ` r (Attach Proof of Ownership & Legal Description)
Owners Name & Address: 1 1 M � e-t'Ce, C)c C �JtOK'IS d -V O � C. C1 -1C C
C) f- �,- 'a 0 6 1� L ��'6 �'� Phone:
Contractor Name & Address: /"jOL!, -„ OCIS Perk c- (-loo
r�_t �LCO- I j rzl4e` State License Number: _0 C f l hlJ
t71 j(
Phone& Fax: I((T�-�gI`11LOk 4-�,-Cj0gt�--Contact Person: i1iC.IfAe «e Phone: UDI- l�L�U {
Bonding Company
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
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 rtior 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 rej.q - in
p.,
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
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature PfNotary-State of lgrWE Date
°,v� die FLORENCE Ut
' * MY COMMISSION # DD 1642N
EXPIRES: November '12,2006
Own i` s eond$RTW fI9t"t9 "10% Me or
Pro aced ID
�jAPPLICATION APPROVED BY: Bldgl� Zoning:
(lniti I , Date)
of
Contractor/Agent's
71^3.
Date
-&H-r1ature o�A& S tE)R �}�-�kaDE GRAVE Date
tot. ai�� �VFi�fVlit
* MY COMMISSION # CD 164280
* EXPIRES: NovembbOt 12, 20D6
Bonde��(y� Q K Ices
Contractot}xR1°s r\l"°a y no to Me or
�oduced ID (:
Utilities:
FD:
(Initial & Date) (Initial & Date) (Initial & Date;
Special Conditions: «
Atlanta -North, GA
Atlanta -South, GA
Charlotte, NC
Jacksonville, FL
Manassas, VA
Melbourne, FL
z::• Orlando, FL
Philadelphia, PA
Savannah, GA.
Tampa / ST. Pete., FL
in C.
West Palm Beach, FL
POWER OF ATTORNEY
Phone (770) 985-8424 Fax (770) 985-8418
Phone (770) 603-9745 Fax (770) 603-9675
Phone (704) 523-4936 Fax (704) 523-4953
Phone (904) 262-1760 Fax (904) 262-1382
Phone (703) 335-2800 Fax (703) 335-5297
Phone (321) 255-1020 Fax (321) 255-1036
Phone (407) 291-1101 Fax (407) 292-9092
Phone (610) 458-5200 Fax (610) 458-3311
Phone (912) 369-4834 Fax (912) 369-3215
Phone (727) 536-1905 Fax (727) 536-0186
Phone (561) 965-9666 Fax (561) 965-9871
Date: {�
c1V� ��2GWS6��
I hereby name and appoint PIV<jeto �� of
VLCC C[� 1 �` to be my lawful attorney in fact to act for me and
apply to the C' : 4 U S rx-po J C)
Building Department for a 4C.�, permit for work
to be performed at a location described as:
Section Township Range Lot 6�4�— Block
Subdivison G r—�4 V(h `
1.'-1-t) n
( Address of Job )
(Lc- �pf-0C S
( Owner of Property and Address )
and to sign my name and do all things necessary to this appointment.
Lt- r ' OCL
Type or Print Namgq Ceritifed Contractor an ntractor's License Number
Signatyfr� of Certified Contractor
vv
The foregoing instrument was acknowledged before me this S day of : ,2003
By Livcu
Who i personally -known to jy who produced
As identification and who did not take oath.
State of Florida
Co my f
Dawn K LaBonte
Seal M' Commission CC881853
otary Public, range ounty, Florida �►•,n�r Expires August 9, 20M
Residential • Commercial
Chain Link • Wood • PVC • Ornamental
05/09/03 14*25 FAX 0001
MA` -08-2003 13:19 MERCEDES HOMES ORLANDO 407 282 1563 P-01/01
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Addm;s: Home Phonw.
Cfty%. State zip- Business Phone: -10z g7s- 5311
Job Slee:
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4EICWT TYPE LE PICKET SIZE PAL SIZE PERMIT CROSS STREET
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Pcx _-0-A_9qnlcw WEARS NOT LIABLE FOR SPRINKLER HEADS LINES
V. i imy tid.% hereby 0 1 told individually guarustet-4 I)XV,V.111 or L116 --bligAligm.
BUY I By)%
Pan
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70 SALESPERSONAN
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TOTAL P.01
MAY -08-2003 09:27 MERCEDES HOMES ORLANDO
PLOT PLAN for: MERCEDES MOMES, INC.
DESCRIP noN: LOT CA PLACID LAKE TOWNIIOMES
RECORDED IN PLAT $OOK G1 PACF'(S) 70 thr u 75 PUBLIC RECORDS OF
407 282 1563 P. 02 a
SEMINOLE COUNTY, FLORIDA
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C4WmIC SCALE
s CONCRETE WALK 580'30'152E: 94.67'
LOT 64 DETAIL
WILTON CIRCLE SCALE: 1' a 10'
T R A C T' A'- ACCE55 4 UTILITY TRACT 580030'1 50E
15.33'
FLOOD CER71FICA RON
BASED ON THE FEDERAL EMERGENCY
MANAGEMENT AGENCY FLOOD INSURANCE
RATE MAP. THE STRUCTURE
SHOWN HEREON DOES NOT LIE WITHIN
THE 100 YEAR FLOOD HAZARD AREA.
THIS STRUCTURE LIES IN ZONE " X '.
COMMUNITY PANEL NO. 120294 0045 E
EFFECTIVE DATE. APRIL 17, 1995
MAP REVISION DATE:
(SUB.,cT TO CMANGE)
NOTES
1. BEARINGS ARE BASED ON THE NORTHERLY
LINE OF LOT 64 BEING S8030.15'E,
2, ELEVATIONS AND LOT DRAINAGE TYPE SHOWN
HEREON ARE BASAD ON SITE ENGINEERING
PLANS FOR THE PROJECT
J. BUILDING TIES ARE TO FOUNDATION,
4. LOT HAS NOT BEEN STAKED IN THE FIELD,
IMPROVEMENTS SHOWN HEREON ARE PROPOSED -
THIS IS NOT A SURVEY.
THE UNDERSIGNED AND CAWNE. INC LAND
SURVEYORS and MAPPERS MAKE NO RESERVATIONS
OR GUARANTEES AS TO THE INFORMATION REFLECTED
HEREON PERTAINING TO EASEMENMRIGHTS OF WAY,
SETBACK LINES, AGREEMENTS AND OTHER MATTERS,
AND FURTHER THIS INSTRUMENT IS NOT INTENDED
TO REFLECT OR SET FORTH ALL SUCH MATTERS',
SUCH INFORMATION SHOULD BE OBTAINED AND
CONFIRMED BY OTHERS THROUGH APPROPRIATE
77TLE VERIFICATION.
A VONE9 INC,
LAND SURVEYMS AND AfAPMS
/ 300 COUNTY ROAD 427 SOUTH
LONG00FLORIDA 32780-5499
TELEPHONE (407) $30-9080
{�j� FAX Na, (407) 379-3636
Cl#3222 LOT by CHIP "
GADO FILE: PLAODLKL64.OW1:
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LOT 66
ILOT 65
LOT 64
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LOT 63
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407 282 1563 P. 02 a
SEMINOLE COUNTY, FLORIDA
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to
L LJ
N
O
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m
C4WmIC SCALE
s CONCRETE WALK 580'30'152E: 94.67'
LOT 64 DETAIL
WILTON CIRCLE SCALE: 1' a 10'
T R A C T' A'- ACCE55 4 UTILITY TRACT 580030'1 50E
15.33'
FLOOD CER71FICA RON
BASED ON THE FEDERAL EMERGENCY
MANAGEMENT AGENCY FLOOD INSURANCE
RATE MAP. THE STRUCTURE
SHOWN HEREON DOES NOT LIE WITHIN
THE 100 YEAR FLOOD HAZARD AREA.
THIS STRUCTURE LIES IN ZONE " X '.
COMMUNITY PANEL NO. 120294 0045 E
EFFECTIVE DATE. APRIL 17, 1995
MAP REVISION DATE:
(SUB.,cT TO CMANGE)
NOTES
1. BEARINGS ARE BASED ON THE NORTHERLY
LINE OF LOT 64 BEING S8030.15'E,
2, ELEVATIONS AND LOT DRAINAGE TYPE SHOWN
HEREON ARE BASAD ON SITE ENGINEERING
PLANS FOR THE PROJECT
J. BUILDING TIES ARE TO FOUNDATION,
4. LOT HAS NOT BEEN STAKED IN THE FIELD,
IMPROVEMENTS SHOWN HEREON ARE PROPOSED -
THIS IS NOT A SURVEY.
THE UNDERSIGNED AND CAWNE. INC LAND
SURVEYORS and MAPPERS MAKE NO RESERVATIONS
OR GUARANTEES AS TO THE INFORMATION REFLECTED
HEREON PERTAINING TO EASEMENMRIGHTS OF WAY,
SETBACK LINES, AGREEMENTS AND OTHER MATTERS,
AND FURTHER THIS INSTRUMENT IS NOT INTENDED
TO REFLECT OR SET FORTH ALL SUCH MATTERS',
SUCH INFORMATION SHOULD BE OBTAINED AND
CONFIRMED BY OTHERS THROUGH APPROPRIATE
77TLE VERIFICATION.
A VONE9 INC,
LAND SURVEYMS AND AfAPMS
/ 300 COUNTY ROAD 427 SOUTH
LONG00FLORIDA 32780-5499
TELEPHONE (407) $30-9080
{�j� FAX Na, (407) 379-3636
Cl#3222 LOT by CHIP "
GADO FILE: PLAODLKL64.OW1:
A
Q AC PAD E
r; . LANAI
O15.33
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MODEL. CEDAR
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CENTER OF WALL
- ON LINE
LOT 65
CENTER OF WALL
ON LINE
LOT 63
v
LOT 64
15.33' '
WILTON CIRCLE 580°30' 152E
TRACT A' - AC^F,5.5 4 UTILITY TRACT
10MINICX F. CAVONE - PRESIDENT
7A SURVEYOR & MAPPER NUMBER 2005
LICENSED BUSINESS NUMBER. -5073
WU RECORD INFO 72-20-2002 1 Ce
PLOT PLAN 10-24-2002 CB
W-0-2002-11912