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HomeMy WebLinkAbout200 Park Ave 08-2294CITY OF SANFORD PERMIT APPLICATION Application #: / - Submittal Date: Job Address: 7aY> P1 / -� n/ �t� �C Value of Work: S Parcel ID: Zoning: Historic District: Description of Work: 5RF _s-�E rk-- wD w Square Footage: 30.0 1 ........................................................................................ ............................... 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 Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Plumbing Repair - Residential ❑ Commercial ❑ Occupancy Use Group(s): construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEhfA form required ) ?roperty Owner... ... ... �`. ..............Contractor: • A✓l-0 Gf l po2S • �• /Ne- ............ . kddress: Address: ¢-57,? -/76C,,. -9 'hone: �J .� -Mail: / Phone4- "78:34SZ-¢ State License Number: CG(_43i`-93S loading Company: Mortgage Lender: kddress: Address: trchitect/Engineer: kddress: Ilan Review Contact Person: Phone: Fax: Phone: Fax: E -mail: 1pplication 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 ssuance 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 ,emtit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and JR CONDITIONERS, etc. )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 onsuuction 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 IOTICE OF COMMENCEMENT. IOTICE: In addition to the requirements of this permit, there may bS,agditional restrictions applicable to this property that may be found in the public records of its county, and there may be additional permits required from ot�r governmental entities such as water management districts, state agencies, or federal agencies. of pe ,s verification that I ill notify the owner of the roperty of the requirements of Florida Lien Law, FS 713. keen Date Signature of Contractor /Agent e Pant r/r /AAgent's Name v $ignaturc of tkfary-Stat o Owner /Agent is Pe nab Produced ID f PPROVALS: ZONING: pecial Conditions: ev 07.07 MAi THO V. TRIJONG Notary Public - State of Florida My Commission Expires Oct 30, 2011 Commission #t DD 727333 Bbdda*ThrwM National Notary Assn. UTIL: FD: A pt -J Pri ontractorlAg n--t' Signazu tary- Tate of tor• Daz� P(jl�. RACHAEL E. ARMSTRONG io`'r` .rca Notary Public - State of Florida x Jan 3, 2010 Contractor/ A tt_M � �b _ Produ t3�;+ �;° ommisston # DDo603824- on y a i tary Assn. ENG: BLDG: L1 Permit Number 200 South Park Avenue Sanford, FL 32771 Scope of Work WATER DAMAGE REPAIRS 1. Remove and replace drywall at rear storage rooms. (2 each) 2. Remove and replace acoustical ceiling at rear storage rooms. 3. Texture and Paint new drywall. 4. Remove existing wall outlets and replace with new. 5. Replace carpet in storage rooms. 11111101111111111111111111111111111111111111111 a1111111111111 THIS INSTRUMENT PREPARED BY: MARYANNE FORGE, CLERK OF CIRCUIT COURT Name: Dean Lea SENINOLE COUNTY Address: 3036 Kananwood Ct. Ste. 1024 Oviedo FL 32765 SEMINOLE COUNTY BK 07037 Pg 1873; (1 pg ) State of Florida Permit Number FwiuoasNnruw+catoice CLERK'S # 2008086228 RECORDED 07/28/2008 10:13:26 Ate RECORDING FEES 10.00 RECORDED BY T Sraith NOTICE OF COMMENCEMENT {p� /J ,/ Parcel ID Number (PID) IS / T - 30, �.l ice! (.x - 040 , D o f The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal description of the property and street address if available) 200 S. Park Avenue, ERTIFIED G®PY Sanford, FL 32771 MARY ANNE MORi '1= CLERK OF CIRCUIT COURT GENERAL DESCRIPTION OF IMPROVEMENT General maintenance and repairs. _ nrertntnl F COUNTY, FLORIDA OWNER INFORMATION Name and address: CONTRACTOR Name and address: Avid Builders, Inc. 4578 Tigua Island Ct., Winter Park, FL 32792 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713A3(1)(b), Florida Statutes. Name and address: In addition to himself, Owner Designates Avid Builders, Inc. 4578 Tigua Island Ct., Winter Park, FL 32792 of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement: The expiration date is 1 year from date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART i, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBT IM FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STA F RI COUNTY OF SEMINOLE " i 11`7 ? •4-w "l � �. OWNOR9 S NATU E OWNERS PRINTED NAME "(NO 'k* Per Florida Stat a 713.13(1) (9), owner must sign...... and no one else may be permitted to sign in his or her stead." The foregoing instrdmlent was acinowledged before me this G v6— day of 20 by sgy C, • l LC— Who is personally known to me Name of perso6 making statement OR who has produced identification XA t:�'tS� iC Q 1 S� —type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORID T UTES. UNDER PENA OF TERJURY, I DECLARE THAT I AVEZAD THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE tT gEST OF Mfr kNQVQLEDGE AND, ELIfiF. DEANNA I NEWELL Notary Pubgq, ,§tate of Florida _ My CorranWon Ibpkes Sep 30, 2008 !iO Commission # DD 359042 1�F O1,11 Bonded By National NotaryAssn. N SIGNING ABOVE Notary Signature L -2 8 2008 Oct 08 2008 2:20PM CITY #OF #SANFORD 4076885152 P.3 G CrrY OF SANFORD PERMTr APPLICATION \- 1 # Submittal Date: Application :-y� Ave, f1�'l job Address: y� .._� .... 11JJ% — value or Work: S_ I r✓ w Parcel ID: __ Zoning:p. �, r Historic District: Description of Work. 4j T Square Footage. ..................... 000 ......................... Permit Type: Building 0 Electrical 314- Mechanical ❑ Plumbing ❑ Fire SprinkleriNtarrrt ❑ Pool ❑ iLm ❑ Electrical: New Service - x of AMPS _ AdditiotvAlteralion j'� Change of Service 0 Temporary Pole ❑ Mechanical: Residential ❑ Non-Residential ❑ Rcpiacemcnt ❑ New ❑ (Duct Layout & Ewzrgy Cale. Required) Plumbing/ New Commercial- 8 of Fixutres _ -- if of Water & Sewer Lines (1 of Gas Lines -_ Plumbiag/NeW Residential: # of Wansr Closers Plumbing Repair - Residential ❑ Conmtercial ❑ Occupancy Type: Residential ❑ Commercial Industrial ❑ Occupancy Use Group(s): Construction Type' 9 of slories: --./ _,•• of Dwelling Ilnim J -_- Flood "Zone: _f�__. (F'EmA%� form ,{required) •Property0irner:'f�� •••_ ................................................ -••••••••••• ••••••Coutractorli•C`(rt' L�iLJ'• �C /S✓�lC Address U,��_ �iiQL AEG %i c� �= �/ _ 210 _� ink 06CL�����f� %�l���houe�7!� %G_t�5 -�U�te License Number: _ °) + Yf •� Bonding Company: ---- A'Iortgage Lender: - - - -• -- - -•_ --• Address: ArchitecUEugincer: _ Address: Address: Phone: Fax: Plan Review Contact Person: __ -... _ ,,.. _ _ ____ Phone: Fax: E -mail: Application is hereby tasade to abtain a permit to du the work and installations as indicated_ I certify that no work or instal larion has commenced prior In the issuance of a permit and that all work will be pr hr mail to meetstandards of all laws regulating; construction in ibis jurisdiction l understand that a separate permit must be secured for L• LECTRICA1. WORK. PLUMBING. SIGNS, WELLS, POOLS, FURNACES. BOILERS. HEATERS. TANKS. and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I c =ertify that all ol'rhr, fcueentng, information is accurate and that all walk will be done in compliance with all applicable laws construction and zoning. WARNING TO OWNER: YOUR FAILURE Ti-) RECORD A NOTICE OF COhiMLNCEN•iEN 'I' MAY RESI11.T IN YOUR PAYING TkV [bIPROVEMENTS TO YOUR PROPERTY. A NOTCCr. OF COMNIENCEMLNT MUST BE RECORDED AND POSTED ON THE JOB SITE BEF FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE. RECORUU NOTICE Of COWIENC.ENtENT. NOTIC„ In addition to the requirements of thus petutit, there maybe additional risttictions applicahlc to this property that maybe found in the public record; this county, and ra rruy he addui pc. tut, rcyuired from other govemmcntal cntitie5 such as water managercn[ districts, state agencies, or federal agen i Ac.:e r c . oC pe ii is verification that i will notify the owner of the pro pc�ny�f-t a rcyuirerrtentti a� Florida Lien Lai , FS ' 13 _ -- 0? a c> f viler /Agent Date Si taturc ai .c�ntC' .� cfor!kgenr Date Print OwtteriAg VsNang P' ConttactoriAKe i A io idu Daze StgnsrureofNot' ,•;Slate torida Datc ANGELAVERMILUON --- It MY COMMISSION tk p0 660881 APPROVALS: ZONING. Special Conditions: _...- Rev 07.07 Me or F D: GontrxtorlAgenr is _t! Pet Produced TD r : FOR E THE YOUR ANGELA VERMILLi N MY COMMISSION k DD 360881 EXPIRES: APdI 9, 2 11 sb��0 *,u Notary Public Un envrit- CsNt]: BLDG: POWER OF ATTORNEY Date: I hereby name and appoint of _�'�� /��� —� C`� to be my lawful attorney in fact to act forme and apply to thge, Building Department fora U -i� 1� �� permit for work to be performed at a location described as: Section Township Range Lot Block Subdivision JC�C� PASS l o A-u-Q - UVIM (Address of Job) o u C, - La i r n3ajig I (Owner of Property and Address) and to sign my name and do all things necessary to this appointment. Duk-'e- Type or Print Name of Certified Contract nd Contractor's License Number Signature of Certified Contractor < �` U .0 The foregoing instrument was acknowledged before me this J day of 20 US Y -k-ka' yt Ooov'k who is personally kn_ own to me /who produced as identification and who did not take oath. State of Flo ' a County oL )'A a -K Notary Public, Orange bounty, Florida Seal (AtAUUi7'A RAMOS %ly COMMISSION # DD 461113 EXPIRES: september.23,20IN3 Bonded Thru Budget Nola ry Szrvicez FOF Ft� CITY OF SANFORD PERMIT APPLICATION Q Z v Permit # : O V � 2 � �j Date: 3 Job Address: -OD S , W--0< , *V e Description of Work: JI-71j7kg1l4eG✓ Total Square Footage •-L900 �— C-10 Historic District: Zoning: Value of Work: $ jw Permit Type:*Building Electrical Mechanical Plumbing Fire Sprinkler /Alarm Pool 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 or Commercial Occupancy Type: Residential Commerc+iIndustrial Construction Type: # of Stories: 1 # of Dwelling Units: Flood Zone: (FEMA form required ) 'Owners Name &Address: ROV 46? 1J01 b207ayl ©y/ !-, /�,' 32762. Contractor Name & Address: -5yL, keA 5 , 5-lee- /Z,r[- / 1-2. -6e4-5(?- 2 12 Gix22y (-of � ad. OfUl FL 32806 State License Number: Phone &Fax: ��� C���7O7J $yS=70S� Contact Person: �'� V`iZf� /r %�ip� Phone: x/07 %�'�� -7 prl'•22S Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: 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. 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 AFFIDAVrr: 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITTI 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 frogr other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance '5 will r; tify the 0 6r of the properly of the require men on �Lien a w, FS 713. ✓/ Date Signature of Contractor /Agent Date CAI not ContraetoVAgent's- Nae ,- `Signature of Noty -Sate of Florida Date igilftire of No fate o orida Date . 2e {�- Owner /Agent is vPersonally Known to Me or ntractor /Agent is ✓ ` Perso Known to Me or Produced ID Produced ID APPROVALS: ZONING: Special Conditions: Rev 03/2006 UTIL: FD: ENG: BLDG: