1810 W 3 St - BR08-001563 (FENCE) DOCUMENTS (2)CITY OF SANFORD PERMIT APPLICATION
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Application # : V 15iQ3 Submi a:'ba1te:
Job Addr ss: SDI '1 Value ate' ( Wort $ C h a 0 7
Parcel ID: ZoningPyf-0 4r Historic District:
1
on_\Jork: h Square Footage:
Permit "Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
Electrical: Ne\ 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 )
J..................................................................................
ropertY OAS ner: / S / ti Contractor:
addressAddress: tF
AYUP,
11+O !1O, E-mail: Phone: State License Number: r
Bonding
Company: Mortgage Lender: ddress:
Address: rchitect/
Engineer: ddress.
Phone:
Fax:
Plan
Review Contact Person: Phone: Fax: E-mail: pphcation
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 perniit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate oermii
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and lR
CONDITIONERS, etc. 0'
V1 NLR'S :APFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable labs reeuiat rig constuction
and Zonine. AA:
ARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 1 WIC'E FOR MPROVFMENTS
TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE HIF FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOt.R 0l
lCF.OF COMMENCEMENT. O
I1CP.: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public rrecurds o: his .
Ot:niV, anti there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance
of erm.L is verificatiorrthat I will fy t ihepwnerof the property of the requirements of Florida Lien Law, FS 713. 5u,
e . OwtFA-g,erV Date Signature of Contractor/Agent Date snerlAgent's
Name Print Contractor/Agent's Name azure of
Notary -State of Flo da Date Signature of Notary -State of Florida Date U\vner. -
Agent is _ Personally Known to Me or Produced ID
Contractor/Agent
is _ Personally Known to Me or Produced ID
S PPRO\':
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ipreial Contiitions:
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OWNER BUILDER STATEMENT/AMDAVIT
kham ante 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)
rI UNDERSTAND AND AGREE TO THE EXEMPTION PROVISIONS OF FLORIDA STATUTES 489.103
AS LISTED ABOVE.
HAVE ACCESS TO THE ADOPTED CODES.
I;e j I AM FAMILIAR WITH THE CODE PROVISIONS.
I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY
SUPERVISE THE WORK.
J ; 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 ATIME FRAME TO SELL, RENT OR LEASE AN
OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED.
I I UNDERSTAND THAT FOR ANY UN _ -LICENSED PERSON 1 HIRE,I MUST DEDUCT F.LC.A.,
WITHHOLDING TAX, AND PROVIDE WORKERS' COMPENSATION PSURANCE.
PikopertyAddr_es—
performing the requested
01 t„ 7 f
I.A,. , do hereby state that I am qualified and capable of
on involved with the permit application filed.
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1112 •' ' Me
THE EAST 65 FEET OF THE SOUTHWEST 1 /4 OF BL-30K 4, TIER 21, FLORIDA LAND AND
COLONIZATION COMPANY LIMITED MAP OF THE ST. GERTRUDE ADDITION TO THE TOWN OF
SANFORD, ACC ORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN PLAT BOOK 1,
PAGE 116, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
LEGEND:
CENTERLINE
EL ELEVATION
IP IRON PIPE
y' ' '
IR IRON ROD
LB LICENSED BUSINESS
REC RECOVERED
FE FLOOR ELEVATION
CONC CONCRETE
NUMBER
NE COR SE 1/4,
BLOCK 4, TIER 21-
NW 1 /4 OF BLOCK 4,
CHAIN UNK TIER 21 CHAIN LINK
FENOFFCPROPERTY ONCPROPERTY WEST 127.50'
62.50' EAST 65.00'
REC. 5/8" REC. 3/8"
CHAIN LINK IR LB 1653IRNO # FENCE IS 0.62'
ON PROPERTY
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CHAIN LINK
FENCE IS 0.69'
ON PROPERTY
62.50'
REC. 'X" Cl[/
IN CONC. .
CONC.
f) APRON
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SURVEY REPORT:
EAST 65' OF SW 1 /4,
OF BLOCK 4, TIER 21
n
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12.50'
12.50'
i UJ N
O PROPOSED HOUSE 12.50'
N LAYOUT
MIN FLOOR EL 12"
ABOVE STREET
CEl RUNE)
40.00' 12.50'
2
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CHAIN LINK
FENCE IS 0.35'
OFF PROPERTY
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5-16-07)
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WEST 6 .00' wM REC. 5'
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l—A ND UTTER `
WEST THIRD
BENCHMARK
EL. 500.00 (PK NAIL)
ASSUMED)
1. This survey represents a survey made on the ground under the
supervision of the signing surveyor, unless otherwise noted.
2. This survey does not reflect or determine ownership
3. No title data has been provided to this surveyor unless otherwise noted.
4. All easements of which the surveyor has knowledge of, or has had
furnished to him, has been noted on the survey map.
5. Underground improvements or underground foundations have not been
located except as noted on survey map.
6. According to the Federal Insurance Rate Map, this property lies
in Zone "X", Map number 12117CO045 E, Dated: April 17, 1995.
7. Elevations shown hereon are based on assumed Datum.
HE/VIFICH-L UKE &
SWA GGERTY, LL C
surveyors & mappers
250 Ronald Reagan Blvd.
Suite 114
D, Longwood, FL J2750
O(. (407) 647-7346
FAX (407) 647-8097
STREET
OFFICE
FIELD DATES:
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BOUNDARY: 5-16-07
HOUSE STAKE: 5-16-07
FOUNDATION:
BOUNDARY SURVEY
Mark I. Luke v rurc
JERRY EPSTEINProfessionalSurveyorandMapper
Florida Registration No. 5006
SECTION 26, TOWNSHIP 19 S., RANGE 30 E.
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Not valid without the signature and
am MaD ,os
E-511J
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the original raised Beal of a Florida 5-16-07 WKP
licensed surveyor and mapper'
JAL MIL