154 Walnut Crest Run - 08-002090 (2008) FENCEc
CITY OF SANFORD PERMIT APPLICATION
kpplication # : dQ 'd Q 9 Z:) Submittal Date:
Job Address: 11,J- Gtre5+ 9,lvi 1 3 -' "Value of Work: S 2-0
Parcel fD: Zoning: Historic District:
Description of Work: r-20c'o- , Square Footage:
0 a
Permit Type: Building )Q Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole CJ
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential Commercial
Dccupancy Type: Residential Commercial Industrial Occupancy Use Group(s):
construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
roperty Owner: M A 6 '
rr.. __(
i11 Y1 Q 5 Contractor: d —
Iddress: k SH Ali til h N+ cY s+ 96U V) Address: Satikofd,
N, 32.?7I _ hone:
C-7 902"6 j `Z E-mail: I + 1564 @A'Y b1,I . Q Phong, f "' _tate License Number: 3onding
Company: Mortgage Lender: kddress
rchitect/
Engineer: ddress:
Ian
Review Contact Person: Address:
Phone:
Fax: Phone:
Fax:
E-
mail: 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 ssuance
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 ermit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and SIR
CONDITIONERS, ctc. WNER'
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 onstruction
and zoning. VARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR MPROVEMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE IRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR JOTICE
OF COMMENCEMENT. IOTICE:
In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that may be found in the public records of its
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 Signature
bfOwner/Agent Date Signature of Contractor/Agent Date x
OeAllc 'Heil -es 1?f0 Print
Owner/Agent's Name Print Contractor/Agent's Name rgnatum
of NotaryFlorida Datc Signature of Notary -State of Florida Date Sttaattc/of BW1`^
DD6p196MyCpMMISSIDN7
ExPlRL•S: Febniary 25, 1 OF
F.o' FI. Notary Discomt Ass aOwner/
Ag tt 4
srsop21} - too or Produced
ID (- I ( l { I L_ 1 _O] LD Contractor/
Agent is _ Personally Known to Me or Produced
ID PPROVALS:
ZONING: UTIL: pe6al
Conditions: w
07.07 FD:
ENG: BLDG-
l
OWNER BUILDER STATE M ENT/AF F1 DAVIT
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
FSS 489.103 Disclosure Statement
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 $75,000. 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 supervision 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.
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
I UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
I HAVE ACCESS TO THE ADOPTED CODES.
71MOTI AM FAMILIAR WITH THE CODE PROVISIONS.
µ
1 HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
SUPERVISE THE WORK.
THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY.
THIS STRUCTURE IS NOT BEING BUILT WITH MY INTENTION TO SELL, RENT, OR LEASE.
I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
I UNDERSTAND THAT FOR ANY UN -LICENSED PERSON I HIRE, I MUST DEDUCT F.I.C.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION INSURANCE.
Property Address: + 'q dq h h Ht Cy-e s R q h
I, MctA 4c j he S , do hereby state that I am qualified and capable of
performing the requested construction involved with the permit application filed.
by ;
Signa re :. atw . DEBRIE15ER QIVc
MY COMMISSION # DD629096
oT EXPIRES: February 25, 2011FormofIdentificationF1. Noi Dscowtnssoc. co. 1-800.3-NOTA-RY ar"YMustbePhotoID) Cr
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 issued44
Caev.4/20/07) .
PLAT OF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 180, PRESERVE AT LAKE MONROE
AS RECORDED IN PLAT BOOK 62, PAGES 12-15 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA
FOR THE BENEFIT AND NOTE: EXCLUSIVE USE OF: THE FINISHED FLOOR ELEVATION OF THIS
COMMERCE TITLE COMPANY STRUCTURE MEETS OR EXCEEDS THECOMMERCETITLEINSURANCECOMPANY
CTx MORTGAGE COMPANY, LLC THE REQUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A),
LOT 194 LOT 193
50.00'
L S54'23'11 "E
M 5 DRAINAGE AND UTILITY EASEMENT. 6
I I
LOT 180
6.000 SO FT. t I
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6.7'
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5.0'
40.0'
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LOT 179 Z
Cn O
TWO STORY
CONCRETE BLOCK
a
o 0
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AND WOOD FRAME
RESIDENCE dt OCDO
N Owl
o FINISHED FLOORnELEVATION=18.74
o
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z o COVERED na
ENTRY
6.3'- 20.7'
15.0' 13.0' 5.D' is:Q; :'1;. I
X '
IV%
I - 30' 0 GRAPHIC SCALE
0 15 30
LOT 181
I A I
3',C/ .CQNCRETE; I
a ...
10' UTILITY a }:v;;• V60 FIND 1/2" IROI•I R00EASEMENT ..':y'•, I / NO NUMBER (II/15/04)
WALK IS WALK 15 - - —
0.5' OFF
N54'23'11 W
50.00' ;n
PT
In
A445.03' I 273.01' /I PC
CFNTERLIIV_E LYFJ N54'2311W 718.04'
RIGH F-OF -WAY
NOTE:
I. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 11-15-04 UNLESS OTHERWISE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
LAND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
1 n1 A=n CVPrnT AC CLI n,n1
WALNUT CREST RUN
50' RIGHT-OF-WAY
LEGEND FFJD 1/2" IRI,WJ ROD
BUILDING SETBACK LINE 0 LB 16393 (1i/15/04)
CENTERL114E Q FNO NAIL AND DISC
RIGHT OF WAY LINE LB #68 (11/15/04)
l4 EXISTING ELEVATION SET 1/2- IRON ROD AND CAPOLBy6393 (11/15/04)
O CONCRETE CNA CORNER NOT ACCESSIBLE
LB LICENSED BUSINESS 6 DEMOTES DELTA ANGLE
LS LICENSED SURVEYOR L DENOTES ARC LENGTH
PRM PERMANENT REFERENCE MONUMENT C.B. DENOTES CHORD BEARING
PCP PERMANENT CONTROL POINT PC DENOTES POINT OF CURVATURE
P) PER PLAT PI DENOTES POINT OF INTERSECTION
M) MEASURED PRC DENOTES POINT OF REVERSE CURVATUPE
FMD FOUND PT DENOTES POINT OF TANGENCY
I'/W CIIMCRFTF WAIK TYP TYPICAL