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209 Melissa Ct - E18-002575 - ELECTRICAL BREAKERCITY OF ANFORD`. JUN o 6 zoo Building & Fire Prevention Division PERMIT APPLICATION FIRE DEPARTMENTBY• Application No: iD a' 51f Documented Construction Value: $ -230 . O O Job Address: 20 0% '0e1 I stc% c Historic District: Yes No Parcel ID: 10-26- 30- So\- nnnn- %orn Residential ® Commercial Type of Work: New Addition Alteration Repair® Demo Change of Use Move Description of Work: Jmly,, S xem cent C=. / % -_ le c7L i L :?(,a; k pr Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name Snnv% Vkcxcywj Phone: AGO- Iy0 C 3gY Street: ROq NAo ,.tCo. Resident of property? : Yes City, State Zip: Contractor Information J 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. Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61° Edition (2017) Florida Building Code Revised: August I, 2017 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 1 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 ]CC 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 construction and zoning. e., OG 10K 1 M12 Sign re of er/Ag nt Date 71\,-Nov NAoYev-O Print 9wmer/Agent's Name Signature of Contractor/Agent Date Print Contractor/Agent's Name gnature ofNota Estate of Florida ate Signature of Notary -State of Florida Date PAY P 4., ANNETTE BLAND Notary Public - State of Florida i9 Commission a GG 060 223 o,r d};'* My Comm. Expires Jan 16, 2018 Ow o n. o Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID Produced ID Type of 1D BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[-] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: August I, 2017 Permit Application OWNER BUILDER STATEMENT/AFFIDAVIT 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 exemptions for homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities. OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement) I understand that state law requires construction to be done by a licensed contractor and have applied for an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of y the property listed, may act as my own contractor with certain restrictions even though 1 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 not 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 4 v\ licensed in Florida and to list his or her 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. 1 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 improved it Sh for sale or lease, which violates this exemption. I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction. zH 1 understand that 1 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 1 SH 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. I, 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 her employees while working on my property. My Z!1 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. 1 understand that 1 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 my building who Is not licensed must work under my direct supervision and must be employed by me, which means that I must Sh 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 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 zoning regulations. I am of aware of construction practices and I have access to the Florida Building Codes. h 1 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.myflorida.com/dbpr/pro/cilb/ for h 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 Zy\ 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 ZH 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 will be responsible for verifying whether the contractor is property licensed and the status of the contractor's workers' compensation coverage. Property Address: ZOa d1e\ z iok Ceuyk ., SokY(%O A, V\, '3Z'4,43 I, Zenv. `NOw. VV-) , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed and agree to the conditions specified above. _,, Signatu Form of Identification Must be Photo ID) Date OG 1061701g A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment not exceeding 1 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 DESCRIPTION AS FURNISHED: Lot 86, THORNBROOKE PHASE 4, os recorded in Plot Book 81, Pages 70 thru 71, Public Records of Seminole County, Florida. BOUNDARY FOR/CERTIFIED TO: Andrew and Angela McCombs; First American Title Insurance Company; Inspired Titld Services, LLC; TMHF LOT 18 THORNBROOKE PHASE 1 P.B.79,PGS.3-7) le S 00°1455" E JUN 6 REC. 1/2" I.R. No I.D. 48.91 ' REC I.R. NO I.Of I/ H1y0yU 0. 1 Existing Fenc neighbor 5. 00, 19, 80' 48RICKo; 5.00, 8" RECESS FOR POCKET SLIDER LOT 85 GATE RDDI w1 n 10hbo, Doto LOT 86 TWO STORY RESIDENCE 66 . 01. H F.F.= 24.00' o C Oi 5. 00' 1 I 21. 3' 16, BRICK 25. 20 DR' 25.21 xm'. I-(0 r1 ESMTTIL. 0.91 ri 19. 80' . ' 1 5. 7' 113.9 9ATE 1 1 I o U 1 vN I 5. 0' 113. 91' CO " 0. BRICK I BRICK 1 WALK I 0.3, ON ry• pb i REC. 1/2- I.R. 5' CONC. WALK REC. 1/2- I.R. NO I.D. NO I.D. N 00°1455" W 23. 91 ' ROCKY GROVE LANE TRACT I (5o' R/w) UTIL. HIEACCESS R/W eqPROPOSED - FINISHED SPOT CRADE ELEVATION PER DRAINAGE PLANS v -%-- PROPOSED DRAINAGE FLOW BUILDING SETBACKS: FRONT - 25' LOT GRADING TYPE B PROPOSED F.F. PER PLANS - 24.00' A} REAR - 15' SIDE - 5.0' SIDE CORNER - 10' PROPOSED GRADE PER CONSTRUCTION PLAN 0 Ok to install approx. t: linear feet of G foot high Iv' fence and gate( s) as shown on plan. Fence shall be constructed with finished side facing outward. N& D I D= 90°00'00" R= 25.00' L= 39.27' C= 35.36' CB= S 45D14'55" E LOT 5,735 SOFT. LMNG 1.467 SOFT. GARAGE 455 SO.FT. ENTRY 71 SO. FT. LANAI 139 SO. FT. BREEZEWAY- N/A SO.FT. DRIVEWAY 403 SOFT. A/ C PAD 18 SO. FT. WALKWAY 67 SO. FT. IMPERVIOUS = 45.7 X 2. 620 SO.FT. son A IIS SO. FT R/ W = 2.000 SOFT. APRON - 110 SO.FT. SIDEWALK - 867 SO.FT. SOD - 1.091 So.FT. PROPOSED INFORMATION SHOWN AREA - 7,735 S'O.FT. BASED ON SUPPLIED PLAN DRIVEWAY - 513 SOFT. AND/ OR INSTRUCTIONS PER SIDEWALK - 934 SO.FT. CLIENT( NOT FIELD VERIFIED) SOD - 4,136 SO.FT. CRUASENME' YER-SCOTT LPL ASSOC, INC. - LAArD SURVEYORS. LEGEND - LEGEND - 5400 E. COLONIAL DR. ORLANDO, FL. 32807 (407)-277-3232 FAX (407)-658-1436 P • PLAT r • HELD PDL TT. POINT ON LINE TYPICALNOTES: V. . IRON PIPE JtL POINT GE REVERSE CURVATURE 1. THE UNDERSIGNED DOES HEREBY CER11rr THAT THIS SURVEY MEEIS THE STANDARDS Of PRACTICE SET FORRI BY Off FLOMM HOARD Of IRIRONRODCAA • CONCRCTC MONUMENT CC. RARPOINT Or COMPOUND CURVATURE RADIAL PROFESSION4 SURVEM" AND NAPPRS IN CHAPTER W-17 FLORHDA ADMIUSTAATVE CODE PURSUANT TO SECTION 472.027. FLORNIA SYATUES 3CTMR. • IR' IR. t/RLD ASlD III. NON -RADIAL • I UNESS EMBOSSED HTIN SURVEYOR'S SIGNATURE AND O)WUft RAGED SCAL IM SURVEY YAP OR COP10 ARE NOT VAUO NEC. REC- IICC W. YTTINESS POD? x INS SURW WAS PROWED FROM TITLE DI ORMATpN ANNRNED TO THE SUAVEVOR. THERE MAY BE OTNEWREFIRICIIONS SR • IO1NT W DCGIMNING TOFCALL. CALCULATED OR EASEUENIS ITNT AFFLCI TINS PROPERTY: PLC. POINT Or CEMENT Fri ERNMCNT REFERENCE MORWENT 4. NO UNMOROUND MAAOMQM HAVE BIN LOCATED UNLESS 0"MMSE SHOWN. CCHTCRLIIC ff. nNISTED FLOOR ELEVATION A INS SWWVCr 15 PREPARED FOR THE SOiE BQRPIT W TROSE CETVED TO AMP SHOULD NOT BE RCUM UPON Or ANY OTHER WITTY. ' ND • NAIL L DISK DST. DILDUR.OM SETBACK LINE 6 0194E4N7NS DOWN MR THE LOCAITON Of WPROVEYENTS HEREON SIHOWRD NOT BE USED TO RECONSTRUCT BWNOARY UNES. R/V RIONT-NT VAT D.D. LNCIOUAR DASESCARING7. 094R NM ARE BISED ASSIMTO DATUM AND ON THE LINE SHOWN AS BATE BEMIRE JIM) DCSmTRAL DRAINAGE DRAIN, •DRAINAGE B. [LEVA1pNS, V SHOWN, ARE BlSZO ON 94110941. OEOOETIC MTVM OF 1079, UNLESS O7NEAtYSE NOTED. VTR. UTILITY D. CERWIGRTE Of AUTHORIZATION NR 4M$. CL FC. • CHAIN LINK FENCE VDFC. • VOOD FENCE C/ D CONCRETE BLOCK P. C. POINT or CURVATURE P. T. POINT Of TANGENCY DESC. DESCRIPTION R LRADIUS ARCLENGTHD DELTA C CHORD CA CHORD CARING CERTinE` D.9Y.• NORTH , I SCALE H- I- - 20'--4 1 DRAWN Dr ••• I PLOT PLAN 03-29-2017 REVISED PLOT PLAN 05-31-2017 FORMBOARD FOUNDATION/aM. 08-01-17 F1NAL/ ELEM 12-07-17 ADDED CERTIFICATION 12-13-17 1297- 17 3085- 17 5415- 17 THIS BUILDING/PROPERTY DOES. NOT LIE WITHIN THE ESTABLISHED 100 YEAR ROOD PLANE AS PER .1R1- TO RISEN EVER R.L j 4714 ZONE 7C' MAP j 12117C 0055 F. MUES W. SCOTr R.LS 1 4801 SCITY Of UN 0 6 20 a' A j4O Building & Fire Prevention Division 1`i RESIDENTL9L FENCE PERMIT APPLICATION FIRE DEPARTMENT BY: Application No: 12 —CC?- S-1`T Documented Construction Value: $ 1500.00 Job Address: 451 Rocky Grove Ln Historic District: Yes No KI Parcel ID: Plan Review Contact Person: Andrew McCombs Title: Owner Phone: 352-250.4387 Fax: Email: masterdrue@gmail.com Residential Fence Information Type of Fence: Wood Metal PVC/Vinyl IN Iron Other Fence Height: 6' Feet # Gates: 2 Total Linear Feet: 65 Additional Information: Fences with a height of over 6 feet will require signed & sealed structural engineering" Property Owner Information Name Andrew & Angela McCombs Phone: 352.250.4387 / 407.493.1676 Street: 451 Rocky Grove Ln Resident of property? : Yes City, State Zip: Sanford, FI. 32771 Fence Contractor Information Name Self Phone: Street: Fax: City, State Zip: Please Note: The Building Department does not perform site inspections on Residential Fence permits. A signed and notarized Fence Affidavit is required to be submitted along with this permit application. Please see the attached Fence Permit Submittal Guidelines. 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. Effective: August I, 2017 CITY OF A FORD FIRE DEPARTMENT Building & Fire Prevention Division RESIDENTIAL FENCE AFFIDAVIT G FEET OR LESS IN HEIGHT PERMIT #: j (J 915-7 q ADDRESS: 451 Rocky Grove Lm Sanford, FI.32771 JUN 0 6 1018 BY. I Angela McCombs , HEREBY AFFIRM THATALL OF THE FOREGOING INFORMATION IS TRUE AND ACCURATE. THE FENCE WILL BE INSTALLED IN THE APPROVED LOCATION AS SHOWN ON THE APPROVED SITE PLAN. THE FENCE WILL BE NO HIGHER THAN 6 FEET, MEASURED FROM GRADE. THE FINISHED SIDE OF THE FENCE IS REQUIRED TO FACE OUT. IT IS THE HOMEOWNER'S RESPONSIBILITY TO VERIFY THE FENCE IS PLACED WITHIN THE PROPERTY LINES AND ANY DISPUTES BETWEEN ADJACENT HOMEOWNERS WILL BE A CIVIL MATTER. I UNDERSTAND THAT FAILURE TO PROPERLY FOLLOW THESE GUIDELINES AND ADHERE TO ALL CITY CODES (SANFORD LAND DEVELOPMENT REGULATIONS, SCHEDULE F) COULD RESULT IN THE FENCE HAVING TO BE REPLACED, RELOCATED OR REMOVED AT THE OWNER'S EXPENSE. FENCE CONTRACTOR BY SIGNING THIS AFFIDAVIT, YOU ARE ACKNOWLEDGING YOU HAVE MADE THE HOMEOWNER AWARE OF THE FENCE AFFIDAVIT STIPULATIONS AS STATED ON THIS DOCUMENT. COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: aX HOMEOWNER (OWNER/BUILDER) OWNER/BUILDER NAME: Angela McCombs OWNER / BUILDER SIGNATURE: DATE: DATE: PLEASE NOTE" THE BUILDING DEPARTMENT WILL NOT CONDUCT ANY INSPECTIONS ON RESIDENTIAL FENCES. THIS AFFIDAVIT MUST BE PROVIDED, SIGNED AND NOTARIZED, AT THE TIME OF PERMIT SUBMITTAL AND WILL SUFFICE AS THE FINAL INSPECTION APPROVAL FOR THE FENCE. STATE OF FLORIDA COUNTY OF Sworn to and Subscribed before me this day of identification) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public 20 by: Who is 0 Personally Known to me or has 0 Produced (type of as identification. SE" Effective- August I, 2017 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. 1 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: 5" Edition (2014) Florida Building Code 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. 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. 1, dln, Ulobe Signatur o er/Agent Date Anizela McCombs Print Owner/Agent's Name Jit Signature ofNota -State ofFlorida w _ Date ra+Po,, ANNETTE BLAND Notary Public - State of Florida r Commission rr GG 060623 My Comm. Expires Jan 16.2016 Own ye or Produced ID Type of ID Signature ofContractor/Agent Date Angela McCombs Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY PLAN REVIEWAPPROVAL: PLANNING: G • 6. 2-018 HISTORIC: COMMENTS: _ Ok to install approx. (f linear feet of G foot high 16',ngl fence and 3 gate(s) as shown on plan. Fence shall be constructed with finished side facing outward. Effective: August I, 2017