HomeMy WebLinkAbout2275 Swinstead Dr 18-4410EftAff
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DIVISIONBUILDING
Job Address:
Parcel ID:
Type of Work: New
Description of Work:
,-YA-z ��,*1141�A
NOV 0 1 2018 PERMIT APPLICATION
Application No: -y A tb
oO,O c9
Documented Constru n Value: $
/1 .4 11� • ff � Historic District: Yes ❑ No[9""
Residential ❑ Commercial
i
Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑
'00 Amo ll caps m,a ,, lor Rye Gvnkr "\ _
Plan Review Contact Person:
Phone:
Fax
Property Owner Information
Name - 02z H Lkiw r- S Phone:
Street:
City, State Zip:
Resident of property?:
y3� L7_ 017
Street: i T 7 EJ, k r C t'Y--
City, State Zip:
Name
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: &C_
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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
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.
qq,
a'
Contractor Information
(�
Name—R `
� `
C_ Phone: 1107—
Street: i T 7 EJ, k r C t'Y--
City, State Zip:
Name
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.: &C_
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
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
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.
qq,
a'
FBC 105.3 Shall be inscribed,with the date of application and the code in effect as of that date: 6'h Edition (2017) Florida Building Code
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 at the time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the) ob at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Contractor/Agent
Date
RcCCturd C/.la.�eS ���c �
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date - IQ� SignaturCmUdatiRy Date
ANNETTE BLAND of
+°• ;t' =
Notary
Public GG
of Florida
N• ; Commission # GG 060623
+. o•4 Comm. Tres Jan 16.2018
Owner/Agent is _ Personally Known to Me or ContlaCtfienisP n to Me or
Produced ID Type of ID Prodic Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of
Fire Sprinkler Permit: Yes ❑ No ❑ # q Heads
APPROVALS: ZONING: l I'I-';')fLITILITIES:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
ENGINEERING: FIRE: BUILDING: //—
RCD ELECTRIC, INC.
P.O. BOX 180303
CASSELBERRY, FL 32718
407-435-5209
EC13005643
TO: Douglas Prodoehl
with DDC Management
JOB LOCATION:
KENSINGTON RESERVE PH 2
DESCRIPTION
EST/MATE
Install 100 AMP Meter, Main Panel and Fountain Control Panel
on concrete pole with 30' of service lateral 3 feet Deep
Install 1 1/4" conduit service lateral with 100 AMP wire and additional
100' 3 feet deep to Power Company Box
Install 2" Conduit from concrete pole (Fountain Panel) to pond
Install Bonding Mesh around service
Permit
• e a s •IZ�i�/_�7�7/_�1_��
TERMS
Total Due on Completion
DATE
10/29/2018
WIRING STANDARD
All workmanship and materials are to comply with the requirements of the National Electrical Code
and the applicable local ordinances .
ACCEPTANCE OF CONTRACT
The above prices, specifications and conditions are satisfactory and are hereby accepted. RCD
Electric is authorized to do the work as specified. Payment will be made as outlined above.
Date of Acceptance: Signed: Manager
Brisson West Project I, LLC
THANK -YOU
1,750.00
1,700.00
200.00
150.00
300.00
4,100.00
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IIIIIIIIIInI111IIIIIIfill lllllllllllll
GRANT NALOY r SEMIKOLE COUNTY
20
Permit Number.QZq A CLERK OF CIRCUIT COURT & COMPTROLLER
� '� - -- �� •- 6�IZ - OOd Q -- BK 9168 P9s 2760-1764 lSPss
Folio/Parcel Identification Number. CLERK'$ 4 2418078499
Prepared by and return to: Megan Willbur, DDC Management, LL CORDED 07/49/2018 02:39:50 PM
755 W SR 434 Suite A FECORDING FEES $44.00
Longwood, FL 32750 RECORDED BY tsroith
(772)284-2248
NOTICE OF COMMENCEMENT
State of Florida, County of Seminole
The undersigned hereby gives notice that improvement(s) 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 . Description of property (legal description of the property, and street address (if available)
SEE EXHIBIT "A" LEGAL DESCRIPTION ATTACHED HERETO
2. General description of improvement(s): Subdivision Improvements
3. Owner information
Name: Brisson West Project I, LLC
Address: 10100 Innovation Dr. Suite 410
Interest in Property: Own
Telephone Number:
4. Fee Simple Title Holder (if other than owner shown above)
Name: N/A
Address
Telephone Number
S. Contractor
Name: JEL Site Development, Inc.
Address: 7090 Astro Street, Winter Park, FL 32792
Telephone Number. 407-673-0011
6.
Surety
Name and Address:
Amount of Bond: $
Telephone Number.
7. Lender
Name: N/A
Address:
Telephone Number:
N/A
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by §713.13(i)(a)7, Florida Statutes.
Name: Chris Helfrich
Address: 755 W. S.R. 434, Suite A, Longwood, FL 32750
Telephone Number. 513-519-5966
j.
ORLDOCS 15922705 1
RCD ELECTRIC, INC.
P.O. BOX .180303
CASSELBERRY, FL 32718
407-435-5209
EC13005643
TO: Douglas Prodoehl
with DDC Management
JOB LOCATION:
KENSINGTON RESERVE PH 2
DESCRIPTION
ESTIMATE
Install 100 AMP Meter, Main Panel and Fountain Control Panel
on concrete pole with 30' of service lateral 3 feet Deep
Install 1 114" conduit service lateral with 100 AMP wire and additional
100' 3 feet deep to Power Company Box
Install 2" Conduit from concrete pole (Fountain Panel) to pond
Install Bonding Mesh around service
Permit
TOTAL LABOR & MATERIALS
TERMS
Total Due on Completion
DATE
10/29/2018
WIRING STANDARD
All workmanship and materials are to comply with the requirements of the National Electrical Code
and the applicable local ordinances .
ACCEPTANCE OF CONTRACT
The above prices, specifications and conditions are satisfactory and are hereby accepted. RCD
Electric is authorized to do the work as specified. Payment will be made as outlined above.
APPROVED
By Doug Prodoehl at 1:59 pm, Oct 31, 2018
THANK -YOU
Manager
Brisson West Project I, LLC
1,750.00
1,700.00
200.00
150.00
300.00
4,100.00
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's
Notice as provided in §713.13(1)(6), Florida Statutes.
Name_ David Oakes of DDC Management. LLC
Address_ 3601 Riebv Rd Suite 300, Miamisburg Ohio 45342
Telephone Number 937401-3848
10. Expiration date of notice of commencement (the expiration date is one 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 COMMENCEMENT.
BRISS91N WEST PROJECT 1, LLC
a Floq da I ; el c npany
By: DDC Management. LLC
Name: David Oakes
Title: Manager
STATE OF ARIDA OV) 10
COUNTY OF MO mem—(
The foregoing instrument was acknowledged before me this A`I day of jiul l 2018
by .1�av�d C.
�ulLo t as{yeh4�j_� of Independence Parkway Development, a Florida limited
liability company, on behalf of the company. He [)C) is personally known to me or [ ] has produced
r as identification.
,�PFtY PUB .�
LORI LNcELROXII&SYPA110 �rintName-��--
L• tl-I�L�r�y
,klInand for tMState OfOhlo No Public, State of Florida
k ` + My0ommisdon6plrosNac$1021
My Commission Expires: Q2-Ja.t
Verification pursuant to Section: 95.525 Florida Statutes.
Under penalties of perjury, 1 declare that I have read the foregoing and that the facts stated in it are
true to the best of my knowledge and belief.
Print Name:
ORLDOCS 15922705 1
FBC 1053 Shalf be inscribed with the date of application and the code in effect as of that date. 6'a Edition (2017) Florida Building Code
NOT[C : In addition to the requirements of this permit. there may be additional restrictions applicable to this property that maybe 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 at the time of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of thejob at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
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.
&C2 LKOr. 1(618
Signature of Owoa/Agent 1 11 Date
Print Owna/Agent s Name
Nc!i4d2c «U1/l8
Signature of Notary -State ofQerida 01fu Dail I
Signature of Connector/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID Type of ID
Construction Type Occupancy Use:
Gas ❑ Roof ❑
Flood Zone:
Total Sq Ft of Bldg. Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit Yes ❑ No ❑ # of Heads
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
_ Fire Alarm Permit Yes ❑ No ❑
WASTE WATER:
BUILDING:
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