2450 Poinsetta Ave 05-368 FencePermit #
CITY OF SANFORD PERMIT APPLICATION
Date: ` C) Lf
Job Address: _ L
Description of -Work:. W 0 o d 9--uG
e -
Historic District: Zoning: Value of Work: $ atA . 0
Permit Type: Building E(ectrcal 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 #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
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)
Phone:
7
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: I 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 erification that I will n he owner of the property of the requirements of Florida Lien Law, FS 713.
f er/Agent Date Signature of Contractor/Agent
I -
1K.. ft ") 1 A),
P ' t Owner/Agent's Name
r /
Print Contractor/Agent's Name
Si ature of Notary -State of Florida Date Signature of Notary -State of Florida
DEBBIE BLANTON
PAY COMW-i'iSSION # DD t 8!
2 , L/%/U/vh _1` jam`
APPLICATION APPROVED BY: Bldg: f\) O j I 1/ d'Gonrftg:
Initial & Date)
Special Conditions:
Contractor/Agent is
Produced ID
100
Date
Personally Known to Me or
Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
J
CITY OF SANFORD BUILDINGDIVISION 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, -
Y)V'I."i V Dt, , 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 allo)
ve law on the permitted structure. L ) -
Date
C)
C[-/Pj UD Print
Owner/Builder Name Sign
tore of Notary —State of Florida Date DEBBIE
BLANTON OwnerWEXPRES:
c't$4§14bknR® t'e1ror as ProducFebruary
25,2007 Notary
Discount Assoc. Co.
PROPERTY DESCRIPTION: THE SOUTH 12.0 FEET OF LOT 22, AND ALL OF LOTS 23 AND 24, GARDENIA,
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 5, PAGE 77, OF THE PUBLIC RECORDS OF
SEMINOLE COUNTY, FLORIDA.
CONCRETE
rouvn
5/8' LR
S89'54'30"W
LOT 21
LOT 22
25th STREET _
60' R/W)
G = UCL IR/4UV,ttnL
A/C AIR CONDITIONER
APT. = APARTMENT
BLDG. - BUILDING
C = CALCULATED
C.B. = CONCRETE BLOCLEGEND. CH - CHORD
CH.BRG. = CHORD BEARING
UTILITY POLE C.M. = CONCRETE MONU
O SET 1/2" I.R. h CAP CNA = CORNER NOT AC
Q FOUND PROPERTY CORNER GONG. - CONCRETE
El- FOUND CONCRETE MONUMENT COV. COVERED
WELL
CPP = GONG. POWER P
D - DESCRIPTION
GAS METER D/B/A - DOING BUSINESS
GUYVARE D.E. = DRAINAGE EASE
FIRE HYDRANT
D.U.E. - DRAINAGE k UTI
E.O.P. - EDGE OF PAVEM
CENTERLINE E.O.W. - EDGE OF WATER
0' BSL BUILDING SETBACK LINE
F = FIELD
FF ELEV - FINISHED FLOOR
x—x—x—x—x—x— BARBED WIRE FENCE I.R. = IRON ROD
o—o—o—o—o—o— WOOD FENCE I.P. = IRON PIPE
0-0-0-0-0-0— CHAIN LINK FENCE L = ARC LENGTH
OHL 01a OVERHEAD UTILITY LINES
LLAND SURVEYOR LB. . —
LAND SURVEYING CERTIFIED
TO: THE
CLOSING AGENT II COMMONWEALTH
LAND TITLE INSURANCE COMPANY FIRST
HORIZON ACME LOAN CORPORATION CLYDE
COMBS JR. AND GARY D. COMBS BEARINGS
SHOWN H[:REON ARE BASED ON THE
CENTL'RLINE OF POINSETTA AVENUE BEING
ASSUMED 500'0'0"E. PER PLAT. ACCORDING
TO THE FLOOD INSURANCE RATE MAP NO.
12117C 0045 E DATED 04/17/95 THE PROPERTY SHOWN
HEREON APPEARS TO LIE IN ZONE. JOB
NO. BCA6966 (FIELD
DATE:) 04/27 DRAWN
BY: WCS REVISED: FIELD
BY: (30/JP/JP CHECKED
BY: BC OPERATING
U:•;DER L.
B. N 7020 BRADLEY
COX & ASSOCIATES LAND
SVRVEYINC 405
W. 25TH STREET SANFORD,
FLORIDA 32771 407)
323-9202 3U.
00 r0UN0
5/
8' I.R. 0.
24: S.. 1.
32E. z GRAPHIC
SCALE
0 15
30 A Vic
M - MI.ASURED NR - N07
RADIAL O.R. -
OFFICIAL RECORDS P . PLAT
K PC =
POINT
OF CURVATURE PCC Pf)
1NT OF COMPOUND CURVATURE PCP PERMANENT
CONTROL POINT MENT PI '
POINT OF INIERS[CTION CESSIBLE POB -
POINT OF BE GINNI'dG POC - POINT
OF COMMENCEMENT POL - POINT
ON LIIJE OlE PRC -
POINT
OF REVERS[ CURVATURE PRM - PERMANENT
REFERENCE MONUMENT AS PT -
POINT
OF TANGENT R - RADIUS
MENT RAD -
RADIAL LITY EASEMENT
RES. - RESIDENC[ ENT R/
W - RIGHt OF WAY S/W -
SIDEWALK ELEVATION 1.
0.
8, - LOP OF BANK U.R. -
UTILITY ROOIA U.E. -
UTILITY EASEMENT W.F. -
WOOD FRAMF W.M. -
WATER METER BUSINESS WPP -
WOOD POWER POLE NOTES: 1.
THIS
SURVEY IS BASED ON THE 1 EGAL DESCRIPTION AS
PROVIDED BY THE CLIENT, 2. THIS
SURVEYOR HAS NOT ADSTRACTED THE LAND SHOWN
HEREON FOR EASF_MENTS, RIGHIS OF WAY
OR RESTRICTIONS OF RECORD WHICH MAY AFFECT
THE TITLE OR USE OF THE LAND. 3. DO
NOT RECONSTRUCT PROPERTY LINES FROM BUILDING TIES.
4. NO
FOOTING OR OVERHANGS HAKE BEEN LOCATED EXCEPT
AS SHOWN. 5. NO
IMPROVEMENTS OR UTILITIES HAVE BEEN LOCATED EXCEPT
AS SHOWN, 6. THIS
SURVEY IS NOT VALID WITHOUT THE SIGNATURE AND
THE ORIGINAI. RAISI D SEAL OF A FLORIDA LICENSED
SURVEYOR AND MAPPER. I HEREBY
CERTIFY THAT WE HAVE PTRFOPMED A FIELD SURVEY OF
THE HEREON DESCRIDED PROPERTY, TEAS DRAWING IS
A REPRESENTATION OF THAT SURVEY AND MEETS THE
MINIMUM TECHNICAL STANDARDS SET FORTH BY THE:
FLORIDA BOARD OF PROFESSIONAL LAND SURVEYORS AND MAPPERS
IN CHAPTER 61G17-8 FLORIDA ADMINISTRATIVE CODE PURSUANT
70 SECTION 472.027. FLORIDA STATUTES. AZu.0
am 04/28/04 BRADLEY G,
COX, PSM # 5567 DATE