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218 Tuskegee St - 08-001632 (2008) INSTALL OUTSIDE SHEDCITY OF SANFORD PERMIT APPLICATION Application #: G p U / / Val/' e a Submittal Date:y — 1 3 Job AddressI}: j 67 V fJ[Y6' 6'G ff aKlue of'Work: $ Parcel ID: L,o L •J e Zoning: Historic District: -- 7 Description ofWork: Yf'ITAw 6u 1 %n(G ,%F ix ry / Square Footage: / +: Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole 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 Occupancy Type: Residential Commercial Industrial Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Propeerty,owner: 1 ( ' Contractor: A{ d" dress pV1 6 !+ U 1 LiG 9F C!i f • Address: PH- a LfOl ' 3ti " a q elf E-mail: Bonding Company: Address: Architect/ Engineer: Address: Plan Review Contact Person: Phone: State License Number: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E- mail: Application is herliymade 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 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. 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. 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. A itance of permit isveri atio that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Siy tu : > wner/Agee f Date Signature of Contractor/AgentDate Print O 7/Ag is N e Si t of N -State o Florida Date IA1 1TU" r.MY COMMISSION # DD629096 F Fa EXPIRES: Febrry 25, 2011 ap 0T' NNotT'am . Co. Owner/Agent i_,I?o_naJj T ProducedID APPROVALS: ZONING: UTIL: Special Conditions: Rev 07.07 Print Contractor/Agent' s Name Signature of Notary - State ofFlorida Date Contractor/Agent is Personally Known to Me or Produced ID FD: ENG: BLDG.: S-l3 -© 1%' 6 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. 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. I AM FAMILIAR WITH THE CODE PROVISIONS. I 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. P. roperty Address: performing the regL e ,f c,/) / r ,ry F; `ja , do hereby state that I am qualified and capable of construction inv Ived with the permit application filed. Sign Lure Date Form of Identification Must be Photo ID) "y- All",Ti UU629Z6Aviolationofthisexemptionisamisdemeanorofthefirstdegreepunishablebyatermofimprisonmtit5mll; exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local permittmgM 6 jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy for unlicensed 6 activity against the owner, and any person performing work that requires licensure under the permit issued. Rev. 4/20/07) r r r Pill, r "?_ T f r.r I- ----- --------- -_ - -1 --- -_ Lot 3, ACADEMY MANOR UNIT TWO, according to the plat thereof, as recorded in Plat Book 16, Page(s) 24, of the Public_ Records of Seminole County, FL. Community number: 120294 Panel: 0070 Suffer: F F./.R.M. Date: 912812007 Flood Zone: X Date offield Nark: 51612008 Completion Date: 51712008 Certified to: Betty R. Clark. PERMIf # 0 K-163a DATE: M.M. SalnH'S SUSOMSOV P"r VOOK 1, PACE 33 N.89'41 23 E. 70.017'(P) SIR 112 • N.89'41.25 E 70.00'(M) 71J2 PLAT BOUN0401Y LOT J 23.4' 20. I' to O a ONE STORY 7 RESIDENCE LOT 7 a 218 O p8 O 2 6, 19.4' 10.3' h 17.8'6 rCONCRETE 4 e I_J'nk FTurP 1015AS£MENT, I A II 4 eV 5. " t n e4,> t 57; TUSKEOEE STREET u 56 6 Yg 7 89 1 10'n o a 153:14 131.12it I ' _54 j I 'CAR VEft,AVENUE n roc LOCATION SKETCH Not to Scale OFFIC SIR 112' 7132 3. I'0N SCALE: 1 Jo' N a N 4 W LOT 4 hO dt/1 70.00'(P) 70.09'(M) N.B9'39'31 E. 34L; WEI.J' 2.2. O0'(M) I sccIN WAL/c PLANS REvirv-ruw aSTREET CITY OF SANFUINL.O# r c can f_FNFRAT NnTRS 0-- Wood Fence W.M. Water Meter N.T.S. Not to Scale 0— Wire Fence TEL Telephone Facilities O.R. Official Records CLF. Chain LinkFence Covered Area O.R.B. Official Records Book F.N. Found Nail B.R. Bearing Reference PCP Permanent Control Point CONC Concrete CH Chord P.R.M. Permanent Reference Monument M Field Measured RAD Radial PG. Page CL Clear A/C Air Conditioner PVMT Pavement ENCR Encroachment B.M. Bench Mark E.O.P Edge of Pavement 4 Centerline C. Calculated P.B. Plat Book O Concrete ZZZZ Block Wall P.O.B. Point of Beginning FL Property Line 61 Central Angle/Delta P.O,C. Pointof Commencement C.M. Concrete Monument D.B. Deed Book P.O.L. Point on Line F.I.R. Found Iron Rod D. Description or Deed P.C. Point of Curvature F I.P Found Iron Pipe D.H. Drill Hole PR.C. Point of Reverse Curvature RNI Right of Way DAN Driveway P.T. Point of Tangency N&D Nail & Disk ESMT Easement R. Radius (Radial) D.E. Drainage Easement EL Elevation R.O.E. Roof Overhang Easement U.E. Utility Easement F.F. Finished Floor I.R.S. Set Iron Rod &Cap FD. Found FC.M. Found Concrete Monument S/W Sidewalk P Rat FPK. Found Parker-Kalon Nail T.O.B. Top of Bank D.H.D. Overhead Utilities L Length TYP. Typical PP. Power Pole L.B. Licensed Business W.C. Witness Corner T% Transformer L.A.E. Limited Access Easement 10,05 Existing Eleabon CAN Cable Riser Line Break Not toScale E.O.W. Edge of Water CB Chord Bearing M.H. Manhole PC.C. Point ofCompound Curve F.C.C. Found Cross Cut O Found PI Point ofintersection F Field OHL Overhead Lines T.B.M. Temporary Bench Mark 62. 00'(P) 61.91'(AI) N.89'59'30'E. rcc(PC) Property Address: 218 Tuskegee Drive Sanford, FL 32771 Survey number: SL 97107 1. Legal description provided by others. 12 FLOOD ZONE DETERMINATIONS ARE 2, The lands shown hereon were not PROVIDED AS A COURTESY ONLY, AND abstracted for Easements or, other record- ARE DERIVED FROM THE BEST SOURCES ed encumbrances not shown onthe plat. AVAILABLE TO THE SURVEYOR. THIS 3. Underground portions of footings, foun- INFORMATION SHOULD NOT 8E dations or other improvements were not RELIED UPON FOR FLOOD INSURANCE located. PURPOSES, AND MAY DIFFER FROM 4. Wall ties are to the face of the wall. INFORMATION PROVIDED BY OTHERS. 5. Only visible encroachments located 13 Sept',: tank and/ dramfieId locations are 6. No identification found on property approxim a d MUST be verified by corners unless noted. appro,r to a ity lcc i n companies. 7. Dimensions shown are plat and measured 14arin bin sho r DI t unless unless otherwise noted. z s oheaow rire 8. Elevations If shown are based upon 1h. isor re c o unless N.G. V.D. 1929unless otherwise noted. qn an sealed y a Ada egis[ered 9. Adjoining lots are with,n the same black,. an Sury or. unless otherwise noted. 16. All 1 es a not di s therwise 10. This is a BOUNDARY SURVEY unless i not otherwise noted. 8 Rec rtifi tion 'd of indicate an 11. Not valid unless sealed with the signing upd t,. surveyors embossed seal. I M1eTby EMiyy that ibis survey . a true a,,z cOnKl rea l a ru } prepared under my dlwrE L B. 7132Ralph Swerdioff Registered faro Surveyor N. 3a 11 Louis R. Ramirez Profesaonal Sun and Fnappn N. 63W