HomeMy WebLinkAbout309 321 N Mangoustine Ave 09-454Plumbing Repair — Residential 0 Commercial 0
Occupancy Use Group(s):
Flood Zone: (FEMA form required)
Date Date Signature of Contracto /Agent Signature of Owner/Agent
bow 1;61,
Print Contractor/Agent s Name Print Owner/Agent's Name
Date Date ignature Signature of Notary-State of Florida
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
7/1cY'
Loc TD-AL D3 5.g
CITY OF SANFORD PERMIT APPLICATION
oct Application #: - U s q
Job Address5. o3612-1
Submittal Date:
Value of Work: $ 36-
Parcel ID: — 677– C-00. —0(050 Zoning: Historic District:
Description of Work:j.:12S4-41( 31q/(94- 43. `---/7dt CIO 1444 -P-eiAce__ Square Footage:
Permit Type: Building pr Electrical 0
Mechanical 0 Plumbing 0 Fire Sprinkler/Alarm 0 Pool 0
Electrical: New Service — # of AMPS Addition/Alteration 0 Change of Service 0 Temporary Pole 0
Mechanical: Residential 0 Non-Residential 0
Replacement 0 New 0 (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 0 Commercial 0 Industrial 0
Construction Type: # of Stories: # of Dwelling Units:
Sign 0
Property Owner: frirfe. COatticc Nedicce I Ce4.4.4e–r—J4qc
Address: /30 64,,A, (t(
34.0 Qvd-Ok- Ft_ 3?-171
Phone: E-mail:
Bonding Company:
Address:
Contractor: 12 i)p.3 /1e
Address: tZoNt. 3%671--
bel-fr,rtel- Ft-- 323c,
Phone:/g1-01-100 State License Number:%02.12/5-
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
Plan Review Contact Person: 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
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.
S IEVEN J. INGRANI 440 MY COMMISSION # DD63515I
'1/400soi EXPIRES: January 31, 2011
I-800.3.NOTARY FL Notary Discount Assoc. Co.
Owner/Agent is Personally Known to Me or
Produced ID
Contractor/Agent is
Produced ID
Personally Known to Me or
APPROVALS: ZON /r 1°IrLITIL: FD: ENG:
BLDG:
Special Conditions:
Rev 07.07
ALUMINUM WOOD
STYLE= STYLE=
HEIGHT= HEIGHT=
COLOR= PICKS=
CAPS= POST=
WALK G GATE Pe. T=
DOU E GATE= WA GATE=
GATE= GATE=
TAKE DOWN- /
HAUL AWAY-
ALL MATERIAL IS GUARANTEED TO BE SPECIFIED. ALL WORK TO BE COMPLETED
IN SUBSTANTIAL WORK MANLIKE MANNER ACCORDING TO SPECIFICATIONS
SUBMITTED PER STANDARD PRACTICES. ANY ALTERATION OR DEVIATION
FROM ABOVE SPECIFICATIONS INVOLVING EXTRA COSTS WILL BE EXECUTED
ONLY UPON WRITTEN ORDERS, AND WILL BECOME AN EXTRA CHARGE OVER
AND ABOVE THE ESTIMATE. ALL MATERALS REMAIN THE PROPERTY OF DAVE'S
FENCE UNTIL CONTRACT IS PAID IN FULL. RIGHT OF ACCESS AND REMOVAL
IS HEREBY GRANTED IN THE EVENT OF NON PAYMENT AS AGREED.
ACCEPTANCE OF PROPOSAL-THE ABOVE PRICES, SPECIFICATIONS AND
CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE
AUTHORIZED TO DO THE WORK SPECIFIED. PAYMENT WILL BE MADE AS
OUTLINED ABOVE.
SIGNATURELMay .74,6(rad DATE //-/7-ar
SIGNATURE DATE
BALANCE DUE UPON COMPLETION 6 9 7š.3
A 3% PROCESSING FEE WILL BE CHARGED ON ALL PAYMENTS BY CREDIT CARD
ONCE PROPOSAL IS ACCEPTED BY DAVE'S FENCE THE
PROPOSAL BECOMES A BINDING CONTRACTAND IS NOT
SUBJECT TO CANCELLATION.
THIS PROPOSAL MAY BE WITHDRAWN BY DAVES
FENCE IF NOT ACCEPTED WITH IN 45 DAYS
COMPANY o REPRESENATIVE: bAVE (3.Eg -7/7-1-14-->-o
‘368.3.±-
75.0.L=
33,
(c,1976.3i
P.O.BOX 390672 1
DELTONA, FL 32739 1 ayes'
• v.rsica •
OFFICE (386)789-1700
(800)590-7616
FAX (386)789-0796
WWW.DAVESFENCEINC.COM
VISA ' Ate E=N
1 a INSTALLATION AND REPAIRS ON ALL TYPES OF FENCING •
PROPOSAL SUBMITTED TO: TR I P LE COUNTY CDA16o /95-s-• JOB NAME: DATE: /HD 't,
STREET: JOB LOCATION: 3/3 M fml Go Us-n/81E AV., 93yrolu
CITY, STATE AND ZIP CODE: CONTACT: MA RV s-ALeAci-i
HOME PHONE: 1 BUSINESS PHONE: 774- 1624 CELL PHONE: FAX: 771i - DIZ-1
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
FORMS/4 iNti) I NSTALL fiPP.X. 379 1 oF g i 1-1 16 C N NK
FEN c 1AT 6- w 17-14 4' 5/ N 6- E 6-ATE fILL /i/) 9. el 4- 1_ 6-41-)/ N I Z
firib /141_ Pos-r- SET - IA/Co/ v ceL E. ALS0 E9 HAci< Llln fg
76 SE CokiE LæILLE IN CONCeETE 16/9-RK 1 A / 6- LOT:
CHAIN LINK
CALD BLACK GREEN
HEIGHT=
RESD. C.GHTCOM)
PVC VINYL
STYLE=
HEIGHT=
COLOR=
POST=
CAPS=
WALK TE=
DO LE GATE=
GATE=
COMM
vvei6-1-17"
wEi60-IT
TERMINALS= 3" X Z 0
Z" X 20
15/3"x 65
11Y2 6->41-16-e
LINE POST=
TOP RAIL=
FABRIC=
BOTTOM T-WIRE= YEs
PLEASE READ: WOOD FENCE HAS A 20 YEAR MANUFACTURE WARRANTY AGAINST ROT,
DECAY, AND TERMITES. WARRANTY DOES NOT COVER WARPING, SPLITTING OR CRACKING
OF ANY PORTION OF THE WOOD FENCE. DAVE'S FENCE RECOMMENDS APPLYING A WATER
PROOFING SEALANT TO HELP REDUCE COSMETIC FLAWS IN WOOD PRODUCTS.
WALK GATE=
DOUBLE GATE=
GATE=
LOCATE #
1- ii-i s/N6LE
/Jo
gmave >qfPX. 179' 5-therig LINE REQUESTED INSTALLATION DATE: g
GENERAL INSTALLATION INFORMATION:
CLEARING- bAVE
DOG- ISIZE-
IRRIGATION SYSTEM- \I
GRADE CHANGES- 7)014e
SEVERITY-
LOCATION OF GRADE CHANGE-
FENCE STRAIGHT ON TOP-
FENCE CONTOUR TO GROUND-
INSTALLATION DATE:
BASE PRICE=
PERMIT +
N.O.C. +
TOTAL PRICE=
RETAINER-
CUST. INITIAL DRAWING-
PERMIT- p ftv
SURVEY- VES
CROSS ST.- HWY I7-12.
H.O.A. APPROVAL- N/A-
N.O.C.- bAVE'S
WHITE: OFFICE COPY / YELLOW: CUSTOMER COPY / PINK: ESTIMATOR COPY
permit at
and no additional encAtathrancvs
the date of the survey.
If the survey is in error and a variancl
understand there is no guarantee that a
granted_
any iinprovementOnotbe
bring the t II17t I • :-11.•fl:
recerving
thigigñaticmš, appropriate
with existing legtiiatiOMS roust ocCar
06/12/2007 09:01 FRO/. PIONEER DENTAL ARTS TO P.01
P.01
e Ct e c.?
LJO-1149//-/`',‹ 4 k 5 31 —
•n •••
STAT F,\FLORIDA
Notary Si STEVEN J. INGRAM
tizw MY COMMISSION # DD63515 I
EXPIRES: January 31, 2011
1.800.3.170TARy FL Notary Discount Assoc Co
-WArvw.n.rWnifvvvvvvvv%
SIGNATURE OF NATURAL PERSON SIGNING ABOVE CERTIFIED COPY
MARYANNE MORSE
CLERK OF CIRCUIT COURT
SEMINOLE C#nITY, FLORIDA
\
61.4
nature
RICW :6 9 2.l45
I 111111111 II III II ill II 111111113 UI II It II III II lit Ii Ill I III
THIS INSTRUMENT PREPARED BY:
Name: 67-i-eoe- 0-- Address: Re.), 'taw,
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
111< 07094 Pq 0634; (lpy)
CLERK' S ff 2008128'337
RECORDED 11/19/2008 11:33:04 AM
RECORDING FEES 10.00
RECORDED BY L McKinley
pe.Heylz
State of Florida'
SEMINOLE COUNTY
IF °MUM'S NATURAL CHOICE
NOTICE OF COMMENCEMENT
Permit Number Parcel ID Number (PID) 2t q- - C2C.00
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)
,4-J,epy te Cc/ e'frt it&A Ca-cd-e-r- 15(di DRATS /44;4. g6C5"
GENERAL DESCRIPTION OF IMPROVEMENT --1--/Af -z-41 3 gt-11 4/-7, d-tai
OWNER INFORMATION
Name and address: 7ij Ceti Neti l're) 1 e0,e-t+er
IJO 5qrt- Ccii‘ 695 4 -5ex vt42 a F ".3'2-q".
CONTRACTOR
Name and address:
\\((l be/11-cp7Act /
z- /cc ii44,c1„ sit
t3"19 3()i
S LL) 1 Z—. S
k3(--4 LCL Cc
z
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates Y1 a, v L-1 Sf) 1130 CH
To receive a copy of the Lienor's Notice as Provided in
of
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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNERS SIGNAT RE o o-Y
OWNERS PRINTED NAME
COUNTY OF SEMINOLE
"(NOTE: Per Florida Statute 713.13(1) (g), owner must sign and no one else may be permitted to sign in his or her stead."
The foregoing instrument was acknowledged before me this / 7 day of Ar0 V e be , 20 0?
by I, ck . Who is personally known to me
Name of person making statement
OR who has produced identification type of identification produced
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PENALTIES OF P RJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT
ARE TRUE TO-THE BE - OF Y KNOWLEDGE AND BELIEF.