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HomeMy WebLinkAbout3706 Sanford Ave 08-1810CITY OF SANFORD PERMIT APPLICATION Application #: 0 & ) a ) ///��� Submittal Date: Job Address: 3 70(a 5 , a 4i . Q yd �" �r - Value of Work: $111 57J Parcel ID: �^ "30' 3 bb ' 1 1 " OC]U (3 Zoning: Hisoris .Diptrict: Description of Work: 3Q 4 6 t^ � V quare FKotage: ' 1• 3 00 ................ ............................... 4sA ......................................... ............................... Permit Type: Building bf 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: I # of Dwelling Units: Flood Zone: (FEMA form required) ................. ......................................................... ............................... ............. Property Owner: 71Z-VI 0,ha 1 e o E Fl-)q j:1LC. - Contractor: -S+eVP— /Il e �60��/Ip�C, Address: . Address: 733 ty -)/;N %`T'lx r, r C_ 3 027 7 3 iC a s L-3 Ml Ph ?'33,0- ?600'E-mail:. P W.1 — 70VStatee License Number: 0005r,766 WA V Bonding Company: A Mortgage Lender: /11A Address: Address: Architect/Engineer: N /h Phone: Address: Plan Review Contact Person: Phone: Fax: 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 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 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. Acceptance of permit is verification that I will n ify the owner of the property of the requirements of Florida Lien Law, FS 713. (O Signature of Owner /Agent Date Signature of Contractor /Agent Date Own /Agen is_ Pro d ID APPROVALS: ZONING: Special Conditions: Rev 07.07 \\,\OX "-gi... Gyy9A��% �MMISS /ON ; �F �•���� ember is Ff� ;lam knjwn to Ivies 8t� A , _ #DD71ioe. FD: Print Contractor /Agent's Name Signature of Notary-State of Florida Date Contractor /Agent is _ Personally Known to Me or Produced ID ENG: BLDG: JUN -02 -2008 11:22 AN STEVETURBEVILLE 4078917086 F'.04 ,ron Address. 0 Zoning: His 1. {j7or/i�c�I) trict: Descri l «pion of W a a .. «... Ot'lr.r« ........ *... r • . a .. «... ` a . ..� .�« � ..jl.Ti�r_:.�'e���uere H�VLbta(�e: Permit T ypc: Building Illf Electrical CI Meehpnicul CI ~Ictfricai: Now Service — # oYAMPS plumbing d fire Sprinkler /Alerty O Pool q Sign 4 Addition/Alteration © Change of $mice Q Temporary Pole ❑ Mechanical: Residential 13 Non - Residential Q Replacement M New 0 (Duct Layout & Energy C;alc, Required) PluMbIng/ New C'ornmerxial: # of Fixtures __ # Of Water & Sewer Lines # of Gas Lines _ PlunlbingtNew Residential; # of Water Closots _ Plumbing Repair -- Residential 0 Commercial 0 Oeedpancy Tvpc: Residential 13 Commercial Iq Industrial p Occupancy Ilse Group(s): Cons'truetion Type: # of Stories: J_ # of Dwelling Units. Flood Zone: (PEMA form regatred ) ProOrty Chmr: C Contractor: ` ✓' Address: Address;• 7 3 i o u. (.. Erl.l P '32W, 0 Frtnail: 0 State License N I�antl(ing C'ornpaey; Mortgage tender: /� f Address Address: .,. ArchheeMngineer: N _ ]Phone Addrkw• Plan Fax: fgeview Contact Person. _ Phone• - -- FaX: _ &mail: Applieittion I$ hereby made to obtain a permit to do tits work and installations as indicated. I certify that no work or insW lation has commenced prior to the imRmnde of a permit and that all work will be performed to meet abmxh ds ofall laws regulating constrw lon in this jurisdiction. I undcretand that a separate permit must be secured fbr ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACM, BOILERS, HEATERS, TANKS, and AIR CbNDITIONERS, ate. QM% '' AFFIDAVIT: 1 ctr* that all of the foregoing intbrmation is accurate and that all work will be done in compliance with all constalaion d lining, epplieabie laws regulating en WARArNG TO OWNL3R: YOUR FAILURE To RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPR(�VEMEN-M TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECO"ED AND POSTED ON THE JOB SITE BEFORE THE FIRSVINSPECITON. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT)C18 OF COMMENCEMENT, NOTIf�: tit addition ;mny equi ants ' there may be additional FwVictinm applicable to this property tlmt may be found in the ublic records of this codmty, and lhtrtb e permits r equ' t3rpnt other y p go vemmentd entities snob as water management districts, Atato agencies, or federal agencies. +�P�►h Is r on that I will no.N y the owner of the property of the requiremom of Florida Lien Law, FS 713. Owner /Agent is zr Produced 10 [aL `�ISMIE C. YOMES NOTARY PUBLIC Muscogee County State of Georgia yyQ Moises Jan. 13, 2012 Sit mture of conhactor /Agent Date Prim Contractor /Agent's Name Qn3tWe of Notary -State of Plorida Date Contn:otor /Agent is _ Personalty Known to Me or — Prodwed !la —- APPROVALS; ZONING: _... UTIL: _... _ FD: ENG: BLbG; special i-"emditions: Rey 07.67 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ,,� ka /o s I hereby name and appoint: Latxa; - an agent of: 0 to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: D n 'G-1 License Holder Name: iie beu State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this day of 200_3__, by �eu-e ) L � ,u'� ,I le ho is . personally known to me or ? who has prodiwed identification and who (Notary Seal) ,, \11ti1 i t S f -OAS CHA bZk"'i e ..iV ember 15aA9 = 2 . #DD 711636 , o . o B dad (Rev. 3 as Ch�Ane Ohappc iPrint or type name Notary Public - State of kcgH0&— Commission No. My Commission Expires: Permit No. Tax'Folio No. NOTICE OF COMMENCEMENT State of Florida County of Seminole 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. 111111111111111 If III if 11111111 If III 11 III If 11111111111111 fill MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07004 f }g 07851 { l pg ) CLERK' S # 20080F,4187 RECORDED 06/03/2008 01:35132 PM RECORDIN8 FEES 10.00 RECORDED BY L McKinley Description of property: (legal description of the property, and street address if available) )S. 77 6r W x"310.29 •F+ A) a SE Colt Ru-9 R & `f FT E -Fa "; R(1 1 zo3�-So6-000v -oo�Jl E734dLo+s13.57w9 +E3- I`AofPL 21,'f 2. General description of improvement: Re Rnp ir S H IKI GLE 3. Owner information: Name: T - f A LLA oF F Address:37 06 6. S' on o►• cl Ave ftA! b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner): Name: Address N Pi E7 4 WWt f 4P r1 Q��s �e+vt.�l,nle `i�f+;ca( PAS Contractor Name: i Phone number: qQ1 941- 7 O c. Address:( L, ) 5. Surety Name ULt I r Address: tiAR ;'ANN b. Amount of bond: $ CLERIC OF 6. Lender: Name: SEI,MN01 C YY RID, Address: b. Lender's phone number: . CLERK 7.a. Persons within the State of Florida designated by Owner upon whom notices or other docum,1 r1ts a bed as provided by Section 113.13(1)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the 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 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 AT Y BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMEN Signature of Owner o Owner's Authorized Officer/Director/Partner/Manager Signatory's red /Oj1� The foregoin ume was acknowledged before me this day of—T— 2t �ye°a 4 b (name of per a's (type of authori U. o trustee attorne in fact for (name on behalf of whom instrument was executed t3', • � ( c�f�artyry Y —(e4 c'ha lt2r�'2 Flprida c , �`��af►� lii1rl��,j j \N,0 60, (SEAL) �.��� �0MMISSS..ygo''� S1 a of Notary ublic s �oecember�o'!� Personally Known �� OR Produced Identification Type of Identification Produa& o p ' r VerifiEepd ursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I h4iVvJd % oingi cRthat the fa in it are true to the best of m knowled e and belief. A ', Y g /bBl/ 6 �� ran �. IA\l Signature o atural Person Signing Above � / /1i Aj� O CHIS INSTRUMENT PREPARED BY. Rev. date 3/2008 f. PRE-PARED NAME t1 �:,�� l✓ �;