120 Long Leaf Pine Cir 17-1448; FENCE71
K
CITY OF SANFORD
l
MAY 4 BUILDING & FIRE PREVE NTIONENTION
PERMIT APPLICATION
Application No: 0-
Documented Construction Value: $ 1 L_q 2L.0 • G
Job Address: _12U (otiy_ JE, C% —7,71 Historic District: Yes No
Parcel ID: -20- qp - _y _ Residential 9 Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
pry
Plan Review Contact Person: C- k.!s d Cn,,Q44 Title: FX—,,-_
Phone: = 7S51-S>;11 Sc Fax: Email :E t ,q F&L YA QS6h&L Got--1
Property Owner Information
Name CA49i Ern D[ 1 t 1=. )F \,t>Phone:,A CT 1- -7 g L- LOU .
Street: tin 0 C, ( Resident of property?
City, State Zip: r _ r (tn V_ L 321
Contractor Information
Name E l t-'1- _C.-r Qs Phone:.1
Street:` :) ,;.ox, Fax: .'
City, State Zip: OQ r pLyi; 1 State License No.:
Name: v--
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: 114
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCEMENT.
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 constructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: Ste Edition (2014) Florida Building Code
Revised: June 30, 2015
Permit Application
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.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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 regulating coustructi zoning.
Signature of Owner/Agent Date ignature of Contractor/A nt Date
Print Owner/Agent's Name 4nnt Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
i ll.y ¢f Notary -State of Florida Date
to • S k: :D
ry• tor/Agent isPersonally Known to Me or
tr41tlttyt, uced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes No \ # o Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Ok to install approxT!gate(s)
linear feet of 6' high
privacy fence and as shown on
plan. Fence shall be constructed with
finished side facing outward.
Revised: June 30, 2015
Permit Application
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REPFt NUMBER:
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EET ADDRESS
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STREET ADDRESS
STATE 71p<
STATE ZIP
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TELEMiONE
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TELEPHONE
DATE':. te)WS conTaACTott tl>~Errst; NUMBER CASH rtco
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ccC150807
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INSTALLAT STREET SS
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In order, 1q.properiy perform'the instaltatiow6f'Certain Goods, the'Contract Price may include more
asured„agtiare footage of ltte, f?roject Area. As.'a•result ; the parties.agree that the lump -sum Priceeofestimated -Goods required to futfil[the Contract (including waste), which may :exceed the actualmaybeestimatedbasedontheamountofGoodsrequiredtofulfillthe'Contract.(including wasta). 3s receipt of this, notice and:agrees and understands, that the Price includes these costs which mayformed.
Ws to provide you with the.
Customer acknowledges
1k began Informing,customer y
Contract Total
m mnovatlan activity to be *applicable taxes intil de d ( • gc)
1N
11E.N.111 I.L&.a.nvr.. %0u 4lr=r>f rnvm:mni rr-rvown:VIS 4LJMCANT IMA'I pR5 t'tiVVIUM I.0 YOU A`"NOTICE O OWNER." FLORIDA,S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. PHOTO
RELEASE: Customer grants to Lowe's and Lowe's "ptoye" and, independent cop"ctorsffie Tight to take photographs of the Premises where Installation
Services will be,performed,and all work performed at the Premises-reiated to this Contract, and irrevocably grants to Lowe's all right, title and interest
in and to the photographs for use in,an markets and media; worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use'and publish the Photographsinprintand/or electronically, and agrees that Lowe's may use'such photographs far any lawful pu se, ncluding, but not limited to, marketing,. advertising,
publicity, illustration, training, and Web content By initialing here, Customer agrees to the foregoi 4-711eustomer to initial to the)eft), Work
Is.to co Upon easonabfe avaitabtiity of Contractor and/or any -special orlpreusher made Good(s) which is anticipated to be fRI
In, date). estimated: completion .date, is — IN in date]. Said
estimated suiltantial carrtptetion date Is not of e nca. A, tatement of any contin erkiesihat would materially change said aSt'MaWL substantial completiondateIsasfoilows: if
applicable; insert a statement of such contingencies). dSaQ#
al attaftiass by Customer or; Low*' will be resa4ved by 81NDtMFi AR[MUAc'ICKM# ,cttSlorr er and Lowe's. GIVE VP TW F#stir:
In the event of a discovery of artifacts -of potential historical or archaeological significance`' during construction,
the Construction Manager shall immediately suspend all disruptive activity within,a twenty. foot (20') radius of the
site of discovery and report the suspected findiing(s) to the developer who shall,in tum report this to the Florida.
Division of. Historical Resources, Bureau of Historic Preservation, Compliance Review Section for review. The
developer shall comply with the recommended course of action or" mitigation requested by the Division and
notify in writing to the: Building Official of the County Building Department -of the, action or mitigat on.requested.
From the date of ,notification, construction shall be suspended for a period of up ro one -hundred -twenty (120).
days to allow evaluation of the site and mitigation if necessary.
I understand that the :State may require a systematic, professional archaeological and historic survey be
completed, by the,;app4cant to determine the presence of any, potentialiy'significant historical or archaeological
resources, on the. property. Such: a survey may indicate>that further investigation of the site be required, including
excavation.
lunderstand that the State review includes the steps listed below:
I will contact the State Bureau of Historic Preservation and request a cultural resource assessment, I will submit
a map of the site area, indication' planned Aevelopment and construction areas and noting the estimated position
of the discovery site. Please allow at -least thirty:(30)'days fort4e State to Process yotir'reiauest.
1., 1 will be notified by the State if a historical 1 archaeological survey is or is not required::
2 1 must comply with.: and provide the State's determination documentation to the Building Official, County
Building Department poor, to continuing development in the:discovery area;.
Bureau 'Of,Historic Preservation
Compliance: Review Section
500'South`Bronough Street
Tallahassee., F132399-0250
850) 246-6339
Seminole County Building Department
County Services Building
1101 East First Street
Sanford, FI 32771`
407) 665-7460:
bate: - b g- %
Revised 7t27116
1101EAST FIRST 51 REET SANF(?RD FL .3277t- Id6$ PHONE (407) 665-7050 FAX (407) 665-7486
Buil.di.ng Division
0
RE: ESTOPPEL LETTER A5 TO FENCES) CONSTRUCTED IN EASEMENT(S)
JOB ADDRESS: 1 , 3
I/we, the owners} .of the property relating to the above referenced address am/are signing this
letter as an inducement to .cause Seminole County, to issue a building permit for my benefit. I/we
represent to Seminole County that I/we; have the authority and power to execute this letter as
owners} of the subject property and acknowledge hereby the following `conditions that ths:permitis ,issued :upon:
That the fence to be constructed is or may be located within drainage or utility easementdedicatedtothepublic.
That I./we will allow unlimited access to the easements -area by Countyor utility company employeesinorderthat -the purposes of the. easement may be fully effectuated. r
That, I/we will not impede or obstruct Seminole County or utility companies who have rights to the
easement area from fully exercising their easement rights. r
That, if either Seminole County or an authorized utility company removes the fence constructed
under this permit application due'to mylour failure to remove it within a reasonable amount
of time after formal notice is .:givers; any loss or damage to my/our property -shall be my/
our responsibility. It is. my/our responsibility to insure'that the fence is removed in order'to provide
use.of the easement area by Seminole County or utility companies.and; further, all such
removals shaA be at<my/our sole cost and expense:_ That
this document is binding upon my/our assigns, successors in interest, transferees, heirs, and
all sirnilar persons or entities., Owner'
s"9ignatur7 ; Owners Printed
Name F. OwnersSignature
Owner's Printed Name 11o1 EAST
FIRST STREET < SANFORD'FL 32771-1468 PHONE (407):665-7050 FAX .(407) 665 7486
Legal Description
Lot H. HIDDEN LAKE VILLAS, PHASE it', according to the plot thereof,
as'recorded in Plot B&A18, Page(s) 26 through: 28, of the Public Records Of
Seminole County ; FL,
Commu.nity, number. 120,294 Panek, 0070
Suffix. F F. L R. M.
I Date. 912,81200 7 Flood Zone. X
Date offield work: 611.412016Comp 4lionDale:. &14/2016 Darlene
W. Woods-, Charles E. Cox; Single Source Property Solutions,; fowiehridqe
Financial Services, its'successors anWar assigns. Revised
C eryitions: 1013112016 1
flea FIR
I N'
LOCA
7701V SKETCH Nor
m sc" 11*
01*ICE 48.8V (M) 11V'43'
E —04' 10% FIR 1/2- 16'. 6.
U,E. A/C
rL b4 0*
ri 7'
38.4*
0 LiJ LOT 11
0 0i ONE STORY,
D RESIDENCE 40'
M T'
3: LOT tO 00 0,
cli00
Long
APPROVED
PL
SCALE.• 1"--.
30' ER pt
7--pof
Pine
Circle Ok to
install approx linear feet of 6' high privacy fence
and gate(s) as shown on plan. Fence
shall be constructed with finished side
facing outward. I Survey'
number: SL 16793S
x,