511 S Somerset Ct 04-439 FencePermit # QS '" L
Job Address:!
Description of Work:
CITY OF SANFORD PERMIT APPLICATION
l Date:
Historic District: Zoning: Value of Work: $lam`
Permit Type: Building 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 Cale. 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 re.qui rodh for other than X)
Parcel #:
Owners Name &
Contractor Name & Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
Contact Person:
Attach Proof of Ownership & Legal Description)
Phone:
State License Number:
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 permit is v ation ghat I wip'notify the operty of the requirements of Florida Lien Law, FS 713.
Signature of Contractor/Agent Date
Pri t caner/ ent's Dame
J %
Print Contractor/Agent's Name
SignAture of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID // _ Produced ID
APPLICATION APPROVED BY: Bldg: 11 On Utilities:
tial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
FD:
N ,7i.'a'tii7V
f
CITY OF SANFORD BUILDING DIVISION
OWNERBUILDER 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 pccrmr)_
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 c ,x)n
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, prmded your costs
do not exceed $25,000. The building or residence must be for your own use or occupar.icy. It rnay- 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 supervisiii work
to a licensed contractor who is not licensed to perform the work being done. Arty person worl n.g 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 zorping regulations. ct
with do
hereby state that I am qualified and capable of performing the re
ed c n nvolvethepermit application filed. I will
assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by
IpT.on the permitted structure. 11hiaby Sigiiature
of
Notary —State of Florida Date Owner is
Personally Known to Me or has Produced ID
FDN&D
SOMERSET COURT p = 93.46'55" 15
p R = 50.00'
pp, L = 81.84'
L = 28'57'13"
GONG R = 5 0.0 0;
o
FIP 1"
L = 25.27
CH 25.00'(R&M)
o G ' <v
n J O
19.
L
p /
FLOOD INFORMATION:
MAP NUMBER
FLOOD ZONE
COMMUNITY NO.
PANEL NO.
SUFFIX
DATE OF FIRM
DATE OF SURVEY
SURVEY NO.
V, N89'57'02"E 77.86'(R&M)
153'38'52" cS \ FRB 1 /2"
50.00' c = .
134.08'5' U.E.
O
II
9 48.86'
FRB 112 O.
4 yo a0 0
0
gypo
9.89' p
ONE OURI 6'
w00p
CD
I
t w s
DPI 5 o sp I
L
I p'
Gp 26.29'
cc
o. I
Ll
CDI 6 o. o 6o I
W OD
o I
O
z
D
I
37.87'
o
I
I
1 .00'CL
0
FRB 1/2"
5' U.E. i
S89'57'02"W 100.00'(R&M)
CORNWALL ROAD
50.00' R W 24.00' ASPH
FRB 1 /2"
0
0
N
r ut
0-
0
12117(
FRB 1 /2"
N E
L
f)
co
W
cc
Lf)
C\2
O
O
O
U)
NE
0 CONCRETE CH CHORD PR4 PEkN EN1 REFERENCE NOiNUMNi CM CON„CRIM WONLUEW NO'LS,
1) 401 VALID UMLSS Ss>WURE 15 ENBOSSCD WITH TN".
I) FEF
NOWRCFENCEAN
L
IANGENi PCP
POE
PERWN[NI CONTROL Potw
POINT OF EEG-O(WU FDR/W FOUNDFNO-O<-rur REGISTERED LAND SUP4-fon SEAL yGWOODFE
PROPERTY CORNET L DELTAAFCLENGTH POC POPl1 OF CDNNE NCEWENT ORE pFFICP: RECORD EDOR 2) LEGAL DESCRIPTIOW PROVIDCO E" OT NCPS.
TOR p) WL
t PROPERTY LINO R RADIUS POCV POINT ON CLRFVE A Fv`SrC F_,Cq 3 PROPERTIES S.+ NCRco. WERE .01 AESTRA-"TEE
tO) WA
t CENTERLINE N/D NAIL AND DISC PC PORN OF CURVAILIR EL E.- .• EASEMElrS OR OTHER RECORM ENCLR+EPANCCS •!" tt DR
R) RECORD CL CLEAR PI PORIT OF INTERSECTION 4T. T^. SCAJU SHOWN OK THE PROPERTY PLAT Or RECORD.
PR
W) FIELD NEASWCD EWO[ NCROACwEN1 PT PONT or TANGENCY TIN A) BLAR04CS WIfRE SHIDWN ARE PER PLAT VNLISS
t7) R(
FDC CP FDLHD ,CO.COVE PCV FIP
FTO
FOUND IRON PIPE
FOUND RCw
PRC POINT or REVERSE RIR.4 N/ NORTHNswm
OTHERWISE NOTED.
5) LwOERGRIXJND UIILRIES. FoLINDA1tON5. OR OTHER Ew
SRE SO 1/1 %Qd0ER REEAR
YP. NE%H KC #DORP+G PROPERW PCCD.ui. POINT OF CNPOVND CURKDPAK44X & VttRr EASE N(WT
S
EAST POVEWCWTS. If ANY. WERE NOT LOCATED. VA
TYRl-AL
i wJifE OR lCSS OLRt S•; tii[CI T*ROr[Rlr Vi. UTILItt CASLu[Ni
t
W W4S1 F) [LCYA11ONS. R SNONu u:C :..N:. ON HAIIDT41. CCC:h11C
KRYKK 041UN lyq