610 Osceola Dr - BR17-000240 - FenceCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
0. Application N
Documented Construction Value: $
Job Address:L Historic District: Yes 0 NoEl
Parcel ID: ResidentialEl CommercialEl
9LIVREMENLMN
Description of Work:
Plan Review Contact Person:
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Name Phone:
Street: Resident of property?
City, State Zip Y-
Contractor Information
Name Phone:
Street:' Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E'-mail:
Bonding Company: Mortgage Lender:
Address: 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 OF
COMMENCEMENT,
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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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5111 Edition (2014) Florida Building Code
Revise& June 30, 2015 Permit Application
NNOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as water* management districts, state agencies, or federal agencies.
Acceptance ofpermit 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 ofpermit submittal. A copy ofthe 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, inaccordancewithlocalordinance. 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.
accurate and that all work will
be one in compliance with all applicable laws regulating construction and zoning.
4Sign
W=
DEBBE BLANTON
MY ,OMMISSION # F 1781`5q'3
WIRES: February 25,2019
801kd Thro N:;Nn, Pubfic Und&wfitem
Owner/Agent is — Personally Known to Me or
Produced ID — Type of ID - t
91
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature ofNotary -State of Florida Date
Contractor/Agent is _, Personally Known to Me or
Produced ID _ Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building El Electrical [] MechanicaIE] Plumbing E] Gas E] goofE]
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: "Yes El No # of Heads Fire Alarm Permit: Yes [] NoEl
2"11
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMME NTS: (,k l
41(
A
Revised: June 30,2015 Pcnnit Application
414
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exeruptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under all exemption from the law. The exemption specifies that 1, as the owner of'
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license,
I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is net hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to Jisi his or tier license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm Outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in I year after the construction is complete, the law will presume that I built or Substantially unproved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
employ have the licenses required by law and by city ordinance.
I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. 1, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or tier employees while working oil my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform tile work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
Rev, 9.14.2009
P.
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I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
I am of aware of construction practices and I have access to the Florida Building Codes,
I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue, I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850-487-1395 or at www,inyfloi-ida.coili/dbpt-/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public, If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you vviH be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers` compensation
coverage,
f.
do hereby state that I any qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
ate
Form of Identification
Must be Photo ID)
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding I year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
rr
BOUNDARY SUR',—
LOT 5 AND EAST ONE HALF OF LOT 6, BLOCK 13, DREAMWOLD, ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK 3, PAGE 90, OF THE PUBLIC RECORDS OF SE IDLE COUNTY, FLORIDA,
1_01 30
BLOCK 13
DREAMWOLD
P.B. 3, PG, 90
REC. 1/2" IP
NSI
c' la LOT 6
BLOCK 13
DREAMWOLD
P.B. 3, PG. 90
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6''WOOD FENCE
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REC. 1/2" IP
NSI
LOT 31
BLOCK 13
DREAMWOLD
P.B. 3, P. 90
REC. 1/2" IP
NSI
LOT 4
BLOCK 13
DREAMWOLD
P,B. 3, PG, 90
6' WOOD FENCE
0, 53' E.
RFC, 1/2" IP
NSI- 1.20 EAST
C/L OSCEOLADRIVE
PAVED ROAD)
P R M. PERMANENT REFERENCE MONUMENT C.M. CONCRETE MONUMENT EL, ELEVATION CONC. CONCRETE
P.O.C. POINT OF COMMENCEMENT P.fL PLAT BOOK A/C AIR CONDITIONER C,L,F, CHAIN LINK FENCE
P.C. POINT OF CURVATURE PIF PAGE TYR, TYPICAL W.F. WOOD FENCE
P ' R.0 POINT OF REVERSE CURVATURE N.R.NON-RADIAL U.E.UTRJTY EASEMENT C & G CURB & GUTTER
Rc'c, POINT OF COMPOUND CURVATURE RAIL RADIAL DLE, DRAINAGE EASEMENT CAN CABLE TELEvIS4ON RISER
P.T. PONT OF TANGENCY R. RADIUS F.F. FINISHED FLOOR TELE TELEPHONE RISER
PI. POINT OF INTERSECTION L. ARC LENGTH B.S. BUILDING SETBACK TRANS TRANSFORMER PAD
P.C.P. PERMANENT CONTROL POINT DELTA C.fLS- CONCRETE BLOCK STRUCTURE L. P. LIGHT POLE
P Ol. POINT ON LINE R,P, RADIUS POINT PLAT Pp POWER POLE
C:B. COOKE BEARING R/W RIGHT-OF-WAYN.G.MEASUREDcpm N:G NATURAL GROUND
T.B. TANGENT BEARING j CENTER LINE CALCULATED SQ,F`L SQUARE FEET
RV Y T:
1. NOT VALID WITHOUT THE SIGNATURE AND ORIGINAL RAISED
SEAL OF A FLORIDA LICENSED SURVEYOR AND MAPPER.
2, THE "REAL PROPERTY DESCRIPTION" SHOWN HEREON iS IN ACCORDANCE
WITH THE DESCRIPTION PROVIDED BY THE CLIENT,
1 NO UNDERGROUND IMPROVEMENTS OR VISIBLE INSTALLATIONS HAVE BEEN
LOCATED OTHER THAN SHOWN.
4. BEARINGS ARE BASED ON THE CENTERLINE OF OSCEOLA DRIVE ASSUMED AS
BEING N. 89'37'19" E. PER PLAT,
CLIENT, CHARLIE JONES
J08 NUMBER: 17-06
CARD DWG, FILE: 17-06
COMMENTS FIELD DATE I OMCE DATE_
BOUNDARY SUi?VE Y B. Wlll 911 7 =RIB l12 3/1 7
BETTY KING
I
ALM. WATER METER
F,H, FIRE HYDRANT
N & D NAIL ANU DTSr
8,1k FJF14CH MARK
PVMT. PAVEMENT
F'HL FIELD BOOK
VIA, MANHOLE
A) ACTUAL
NSI NO SURVEYOR
IDENTIFICATION
TOO FOUND
REC RECOVERED
R )R ETIFIrA TF- THIS
IS TO CERTIFY THAT THIS SURVEY MEETS THE STANDARDS OF PRACTICE AS
SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND
MAPPERS iN CHAPTER 5J-17, FLORIDA ADMINISTRATIVE CODE, PURSUANT
TO SECTION 472.027, FLORIDA STATUTES., SCOT
BECHIR, P.S.M. PROFESSIONAL
SURVEYOR & MAPPER FLORIDA
REGISTRATION NUMBER 5807 SC
OTT'S SURVEYING SERVICES, INC. LB #
7442 8
S. HWY. 17-92, SUITE B—A ADEBARY, FLORIDA PH, (
386) 668-7332 FAX 668--7337