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HomeMy WebLinkAbout121 Golfside Cir 09-607CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: — 0_1 Documented Construction Value: Job Address: �rC 1V& Parcel ID: Q4—Z0— 50—St3- 0ACXD-000Q Description of Work: Plan Review Contact Person: Phone: Fax: Historic District: Yes ❑ No ❑ Zoning: deK r Ax Uyldlct�s Title: E -mail: ((�� Property Owner Information Name "LI''�Lil r- r 1l 2 Atisn . Phone: Street: 5026 b • LAS H09 1-7 Z Resident of property? City, State Zip: Ca5fd rrr� , F- • 52-3 -7 Contractor Information I Name JAk5fLL►inC IK- yil�,,. C �a/OI� '00 Phone: / /4o— b41- — 53 10 Street: l41 I U• aan�je �l�xv, (Yal ( Fax: 4W 7- `h2S` -7i34 City, State Zip: (Dr(ar do FL_. -5230 State License No.: Glee 501 Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical ❑ (Duct layout required for new systems) No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm ❑ No. of heads: ©0 *5-0 v 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 notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is requited in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. of Owner /Agent Print Owner /Agent's Name Date Signature of Contractor /Agent Date iW ZZ V late of Florida I Date CYNTHIA D. MARTIN MY COMMISSION 4 DD 623914 EXPIRES: February 16, 2011 Bonded Thru Notary Public Underwriters Owner /Agent is Personally Known to Me or Produced ID V Type of ID P_e, &CP!'15� APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: Ch(fteher GubbelS Print Contractor /A ent's Nam Sig ' ure of Notary-State of Florida Date `.ti......... CYNTHIA D. MARTIN 2•'' _ ` *- MY COMMISSION 4 DD 623914 *: - a•. EXPIRES: February 16 2011 Bonded Thru Notary Public Underwriters Contractor /Agent is ), Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: COMMENTS: &106C 1C011 120 /01. 0' 14 feeder AL 414 <p inklf� Rev 11.08 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. I Illl 1111111 If 1111111111 III 11 11111 III 11 III 11111 II 111 II III 11111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07107 Gg 03401 Npq) CLE RR I S # 2008 f 38877 RECORDED 12/17/2008 03:30:31 PM RECORDING FEES 10.00 RECORDED BY T Saith 1. Description of pr'oper'ty: (legal description of the property, and street address if available) I _ �,�, _ 7, "L � t ;A, _ nArn _ r ,r n -rrn1 1- Ar KI A r r ao 0 2. General description of improvement: U(C 10()A jW j'Zg0v I (X -►Ceder tb r -OX grii�k1e1' 545" 3. Owner information: Name: Mau-6v— riub Y S A;s-6n . Address: �7 S 'O AJ l 115 4 W q 1-1192— b. Interest in property: QW'124' c. Narne and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: VVCS�'by- iL Corp Phone number: L40 145-11 "3510 Address: l y I I S .1�ra►�K 6106= V 1 nailhyo, 41 _ 32£05 5. Surety Name Address: CERTIFin COPY b. Amount of bond: $ �,R'YAN E MORSE 6. Lender: Name: ;,r. - If? `ritIIT COURT Address: t b. Lender's phone number: I7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents n* provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: (lFr i % 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.130)(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 ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF Signature of Owner or Owner's Auth ' e Officer /Director/Partner /Manager Signatory's Title /Office r�T The foregoing instrument was ac ledged before me this day of , (year) , by (name of person) as (type of authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) . 6 tf� ,1 0 Cza�L, (SEAL) Signal' re of Notary Public t Personally Known OR Produced Identification Type of I4;LNilrcjyon Produced / -,4' Verification pursuant to Section 92.525, Florida Statutes: Under penalties of peljury,al dglare' that I have read the foregoing and that the f t stated in it a l true to tl best of my knowledge and belief. Signature of Natural ers rgnrn ove �,pY PCB` �� CYNTHIkD..MAATIN ka. ` *_, MY COMMISSION #DD 623914 Rev. date 3/2008 w• `s '' EXPIRES- rFebivary 16, 2011 Bonded Thru Notary Public Underwriters A 2008