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2663 Poinsetta Ave
��- 4 _AB NP130317- B1t1'laf1'n9 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Zq,a5- _2 Job Address: (&3 iP 61 n Sett a A yr o u-p _ Historic District: Yes ❑ No E Parcel ID: �� - p�G' ,%�'LQ7� ���Q' �Q��> Residential BCommercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Md Ch 56 coo K Title: Perml i GXbP01/1t01- Phone: 561 7 3,1 56 1 / Fax: SO 771 d 0 t(q Email: Property Owner Information Name lose- U E) 6 A Medina Phone: 38 (p - y 73 - aQ 73 T Street: J6 6 3 Po I n setEa. Avenu-z- Resident of property?: ycs. City, State Zip: Sanford- FL 3 a ?73 U (� Contractor Information ��-- / Name A C g fS&UYa � an Phone: S Q / 7oZ I `j 11 Street: "l60 91*" AvenLL2 .SOwth Fax: �61 771 - 610y7 City, State Zip: Aye_+V ffm ay �L 3Y(a `�5 State License No.: CCsC �3 �i�% T V Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the.,code in effect as of that date: 51h Edition (2014) Florida Building Code �t 6- Revised: June 30, 2015 5 / (� `� g Permit Application ti l 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review chargeand will be considered the estimated construction value of the job 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 constru tion and zoning. � -- - - -- Si ature of Owner/Agent Da Si ature_of Contractor/Kent_te- 6,�5-,A L - %465-01%A SCOte IaCt ✓ Print Owner/Agent's me Print Contrac r/Agent' Name Signature of Not RFpd S NotaryFlorida S. na re of t State on a ;•"' P'"• MICHAELS;i'RyjVe PHANIE A. PHILBECK of"R `'�":" ;i� State of Florida -Notary Public a.�.o, - Commission - '_ Commission # GG 014973 `- 9 �p:= My Comm. Expires May 1,2021 %��o<«,��; My Commission Expires Bonded through National Notary Assn. July 24, 2020 Owner/Agent is Personally Known to Me or Contractor/Agent isy Personally Known to Me or Produced ID Type of IDEt. CO [)V.0Y Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application fIP ig o8l 7 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: EY / Ck D-c Dios an agent of: '�.� � koea- TI Q111 (Name of Company) 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): t I The specific permit and application for work located at: a2.&6 N773 (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Scot STATE OF FLORIDA COUNTY OF Seh71fi /2 The foregoing instrument was acknowledged before me this day of aiGh, 20A,j, by who is personally known to me or ❑ who has produced identification and who did (did not) take aw6ath. (Notary Seal) nyPti' STEPHANIE A. PHILBECK =o�" State of Florida -Notary Public •= Commission # GG 014973 My Commission Expires July 24, 2020 (Rev. 08.12) cL Print dr type name Notary Public - State of id%/p%C- Commission No. Ql N9 My Commission Expires: o2C� as - - HERITAGE' Insurance Heritage Claims Response Team Pillars o/ Strength and Character. Claims Response Team 1360 N. Glodenrod Rd. Unit #2 Orlando,F1.32807 CGC034014 / MRSR0297 Insured: Jose Medina Property: 2663 Poinsetta Ave. Sanford, FL 32773 Claim Rep.: Jure Radovic Estimator: Todd Ray Company: HCRT-Construction Services Claim Number: HP180817 Policy Number: Type of Loss: <NONE> Date of Loss: Date Inspected: Price List: FLOR8X MAR18 Restoration/Service/Remodel Estimate: HP180817-ORBB Date Received: Date Entered: 3/8/2018 10:31 AM The following scope is for repairs needed at the address above. The scope of work was based on a visual inspection. This estimate does not include any unforeseen, hidden or inaccessible damages that may exist at the time of the inspection. The scope of this estimate is subject to change depending on the extent of damages discovered which are not included in the scope of this estimate. Pursuant to s.817.234, Florida Statutes, any person who, with the intent to injure, defraud or deceive any insurer or insured, prepares, presents, or causes to be presented a proof of loss or estimate of cost or repair of damaged property in support of a claim under an insurance policy knowing that the proof of loss or estimate of claim or repairs contains any false, incomplete, or misleading information concerning any fact or thing material to the claim commits a felony of the third degree, punishable as provided in s.775.082, s.775.083, or s.775.084, Florida Statutes. Respectfully submitted, Todd Ray Project Manager - Orlando HCRT - Construction Services 1360 N. Goldenrod Rd #2 Orlando F132807 407-493-0607 Tray@heritagepci.com HERITAGE' W Insurance Heritage Claims Response Team Pillars a(Snrng.h and C........- Claims Response Team 1360 N. Glodenrod Rd. Unit #2 Orlando,F1.32807 CGC034014 / MRSR0297 HP180817-ORBB General Provisions DESCRIPTION QTY 1. Content Manipulation (Bid Item) 1.00 EA Will update as cost is incurred 2. Haul debris - per pickup truck load - including dump fees 1.00 EA 3. Taxes, insurance, permits & fees (Bid Item) 1.00 EA This will be added as incurred Main Level Master Bedroom Height: 8' DESCRIPTION QTY 4. Remove Carpet 136.00 SF 5. Carpet 156.40 SF 15 % waste added for Carpet. 6. R&R Carpet pad 136.00 SF 7. R&R Baseboard - 5 1/4" 46.67 LF 8. Paint baseboard - two coats 46.67 LF 9. Paint the walls - one coat 373.33 SF 10. Interior door - Reset - slab only 1.00 EA Dining Room Height: 8' DESCRIPTION QTY 11. R&R Laminate - simulated wood flooring 74.00 SF 12. R&R T- molding - for wood flooring 11.00 LF 13. R&R Baseboard - 5 1/4" w/shoe 16.67 LF 14. Paint baseboard - two coats 16.67 LF 15. Paint the walls - one coat 143.56 SF Living Room Height: 8' DESCRIPTION QTY 16. R&R Laminate - simulated wood flooring 182.00 SF 17. R&R T- molding - for wood flooring 10.00 LF 18. R&R Baseboard - 5 1/4" w/shoe 39.42 LF HP180817-ORBB 3/22/2018 Page:2 - - HERITAGE' Insurance Heritage Claims Response Team Pillars -'Strength and Churuc.... Claims Response Team 1360 N. Glodenrod Rd. Unit #2 Orlando,F1.32807 CGC034014 / MRSR0297 CONTINUED - Living Room DESCRIPTION 19. Paint baseboard - two coats 20. Paint the walls - one coat 21. Interior door - Reset - slab only QTY 39.42 LF 319.22 SF 3.00 EA Kitchen Height: 8' DESCRIPTION QTY 22. Backsplash - flat laid plastic laminate - Detach & reset 25.00 LF 23. Countertop - flat laid plastic laminate - Detach & reset 25.00 LF 24. Sink - double - Detach & reset 1.00 EA 25. Range - electric - Remove & reset 1.00 EA 26. Dishwasher - Detach & reset 1.00 EA 27. Refrigerator - Remove & reset 1.00 EA 28. Range hood - Detach & reset 1.00 EA 29. R&R Angle stop valve 3.00 EA 30. Garbage disposer - Detach & reset 1.00 EA 31. R&R Cabinetry - lower (base) units 22.00 LF 32. R&R Cabinetry - upper (wall) units 21.00 LF 33. Paint the walls - one coat 334.22 SF 34. P-trap assembly - Detach & reset 1.00 EA Master Closet Height: 8' DESCRIPTION QTY 35. Remove Carpet 26.05 SF 36. Carpet 29.95 SF 15 % waste added for Carpet. 37. R&R Carpet pad 26.05 SF 38. R&R Baseboard - 5 1/4" 27.26 LF 39. Paint baseboard - two coats 27.26 LF 40. Paint the walls - one coat 218.11 SF 41. Interior door - Reset - slab only 1.00 EA Master Bath Height: 8' Subroom: Water Closet (1) Height: 8' DESCRIPTION QTY 42. Mirror - plate glass - Detach & reset 48.00 SF HP180817-ORBB 3/22/2018 Page:3 HERITAGE' - insurance Pillars of Sl-gth and Chamcter. Claims Response Team Heritage Claims Response Team 1360 N. Glodenrod Rd. Unit #2 Orlando,F1.32807 CGC034014 / MRSR0297 CONTINUED - Master Bath DESCRIPTION QTY 43. Countertop - flat laid plastic laminate - Detach & reset 12.00 LF 44. Sink - single - Detach & reset 1.00 EA 45. R&R Angle stop valve 2.00 EA 46. R&R Vanity 12.00 LF 47. R&R Baseboard - 5 1/4" 63.02 LF 48. Paint baseboard - two coats 63.02 LF 49. Paint the walls - one coat 504.12 SF 50. P-trap assembly - Detach & reset 1.00 EA Bedroom 1 Height: 8' Subroom: Closet (1) Height: 8' DESCRIPTION QTY 51. Remove Carpet 175.44 SF 52. Carpet 201.75 SF 15 % waste added for Carpet. 53. R&R Carpet pad 175.44 SF 54. R&R Baseboard - 5 1/4" 70.83 LF 55. Paint baseboard - two coats 70.83 LF 56. Paint the walls - one coat 566.67 SF 57. Interior door - Reset - slab only 1.00 EA Hall Bath Height: 8' DESCRIPTION QTY 58. Countertop - flat laid plastic laminate - Detach & reset 3.00 LF 59. Sink - single - Detach & reset 1.00 EA 60. R&R Angle stop valve 2.00 EA 61. R&R Vanity 3.00 LF 62. R&R Baseboard - 5 1/4" 26.00 LF 63. Paint baseboard - two coats 26.00 LF 64. Paint the walls - one coat 208.00 SF 65. Interior door - Reset - slab only 1.00 EA Hallway Height: 8' DESCRIPTION QTY 66. R&R Laminate - simulated wood flooring 26.81 SF HP180817-ORBB 3/22/2018 Page:4 HERITAGE Insurance Heritage Claims Response Team -= Pillars n/ &-ph and Ch-t,, Claims Response Team 1360 N. Glodenrod Rd. Unit #2 Orlando,F1.32807 CGC034014 / MRSR0297 CONTINUED - Hallway DESCRIPTION QTY 67. R&R T- molding - for wood flooring 10.00 LF 68. R&R Baseboard - 5 1/4" w/shoe 20.08 LF 69. Paint baseboard - two coats 20.08 LF 70. Paint the walls - one coat 164.56 SF 71. Interior door - Reset - slab only 3.00 EA Bedroom2 Height: 8' Subroom: Closet (1) Height: 8' DESCRIPTION QTY 72. Remove Carpet 107.31 SF 73. Carpet 123.41 SF 15 % waste added for Carpet. 74. R&R Carpet pad 107.31 SF 75. R&R Baseboard - 5 1/4" 58.00 LF 76. Paint baseboard - two coats 58.00 LF 77. Paint the walls - one coat 464.00 SF 78. Interior door - Reset - slab only 1.00 EA Grand Total Grand Total Areas: 3,505.12 SF Walls 1,081.84 SF Floor 0.00 SF Long Wall 1,081.84 Floor Area 1,362.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length HP180817-ORBB Todd Ray 1,081.84 SF Ceiling 120.20 SY Flooring 0.00 SF Short Wall 1,184.36 Total Area 151.33 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length $24,050.79 4,586.96 SF Walls and Ceiling 434.61 LF Floor Perimeter 455.78 LF Ceil. Perimeter 3,505.12 Interior Wall Area 0.00 Total Perimeter Length 3/22/2018 Page:5 THIS INSTRUMENT PREPARED BY: Name: BRC RESTORATION bl%l \C" --Ak)CY.00L Address: 400 9TH AVENUE SOUTH, SAFETY HARBOR FL 34695 tIP1808/7-Sem riole Cf� NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: U �Q —' & 5 -7 Parcel ID Number: GRANT MALOff SEMINOLE COUNTY CLERK, OF CIRCUIT COURT & COMPTROLLER CK 9102 F's 317 (1Fss) CLERK'S T 2018035464 RECORDED 04/03/2018 12:18::30 PN RECORDING FEES $10.00 RECORDED BY tsmith 06 20 31 507 0000 0080 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) LOT 8 PRINCETON PLACE PB 71 PG 46 (2663 POINSETTA AVENUE, SANFORD FL 32773) GENERAL DESCRIPTION OF IMPROVEMENT: OWNER INFORMATION: Name: JOSE & ELSA MEDINA Address: 2663 POINSETTA AVENUE, SANFORD FL 32773 Fee Simple Title Holder (if other than owner) Address: CONTRACTOR: Nam.• BRC RESTORATION Address: 400 9TH AVENUE SOUTH, SAFETY HARBOR FL 34695 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: In addition to himself, Owner Designates 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 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. 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 knowvledgg and belief. Owner's Signature Owner's Printed Name Fonda Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State of / rur r {* County of v-c-'a e- I / The foregoing instrument was acknowledged before me this 2W day of ,th 20 j by J5-,e AN"i A Who Is personally known to me ❑ Name of person making statteemm OR who has produced identification LI type of identification produced: za,[i 7 MICHAEL S. LAWLER 2WF 'R� Notary Public - State of Florida Commission # GG 099872My Comm. Expires May 1, 2021� Bonded throughNatioralNotaryAssa u cl- 9 Lu Q cc +_ U 0 --J f GtrL r- CwT3 r� j uLi) �^'•. its i (i :J < rr is n2,9 „9.£T „£,S W 8d N 8 -7 I N 4.II ,Zl i 4iZ .£.S—i I o n o I " 00 /i N f� QAWE g0AEWED CODE p(AN6 EXAMS �'i- DACE gUiLDrNC SANF©RD ucov coPY a o 00 o i OY OF SXNFORD- FIRE DEPARTMENT ® 01 PERMIT NO. _1 2 CONTRACTOR: R JOB ADDRESS: TYPE OF WORT Building & Fire Prevention Division Residential Permit Card ISSUE DATE: S $A• s • Post this permit in a conspicuous location outside • Approved plans must be posted with permit for inspection Lave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED REJECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPEC77ON TYPE APPROVED REJECTED INSPECTOR SHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPECTON TYPE APPROVED REJECTED INSPECTOR LATH INSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS FINAL INSPECTIONS INSPEC77ON TYPE APPROVED REJECTED INSPECTOR INSPEC77ON TYPE APPROVED REJECTED INSPECTOR FINAL DEMO FINAL DOOR FINAL SOLAR PANELS FINAL WINDOW FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING (OTHER) MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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 AfV 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 FBC 105.3.3 REVISED: J-17 Inspection Line: 407.792.6069 or 855541.2112 FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE ,855,541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 ---------------------------------------------------------------------------- Application Number . . . . . 18-00001657 Date 4/04/18 Application pin number . . . 149054 Property Address . . . . . . 2663 POINSETTA AVE Parcel Number . . . . . . . . 06.20.31.507-0000-0080 Application type description GENERAL REPAIRS RESIDENTIAL • SubdiVision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Application valuation . . . . 24050 ---------------------------------------------------------------------------- Application desc drywall/flooring/cabinets/paint noc on file ---------------------------------------------------------------------------- Owner Contractor Medina, Jose/Elsa BRC RESTORATION 2663 POINSETTA AVE 2730 NE 26TH SANFORD FL 32771 POMPANO BEACH FL 33064 ( 40) 323-0662 (561) 721-5611 ---------------------------------------------------------------------------- Permit . . . . BUILDING PERMIT - NEW/ALTER Additional desc . . Phone Access Code 1042266 Permit pin number 1042266 Permit Fee . . . . 215.00 Issue Date . . . . 4/04/18 Valuation . . . . 24050 Expiration Date . . 10/01/18 Qty Unit Charge Per Extension BASE FEE 40.00 25.00 7.0000 THOU BLDG PERMIT -CC APPRVD 9.27.10 175.00 ---------------------------------------------------------------------------- Special Notes and Comments All projects within the City shall use WastePro for debris removal. Please contact WastePro at 407.774.0800. Normal hours for inspections are from 7:30 through 4:30 Monday through Thursday. Please be aware you must contact the Building Official to schedule a Friday or after hours inspection. This is required since not every inspector is licensed to do every type inspection. Communication is the key, so please contact the Building Official if you have any questions at 407.688.5058 or at dave.aldrich@sanfordfl.gov --------------------------------------------------------------------------- Other Fees . . . . . . . . . 01-APPLCTN FEE -BUILDING 25.00 O1-BLDG PLAN REVIEW 75.00 i O1-BLDG DCA SURCHARGE 3.15 01-BLDG DBPR SURCHARGE 4.73 -------------------------------------------------------------------------- Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 215.00 .00 .00 215.00 Other Fee Total 107.88 .00 .00 107.88 Grand Total 322.88 .00 .00 322.88 ------------------------------------------------------------------------- FAILURE TO COMPLY WITH MECHANIC'S LEIN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. j NOTE: ALL FEES MUST BE PAID PRIOR TO C.O. BEING ISSUED. II NOTE: PLEASE BE ADVISED ALL PERMITS MUST BE INSPECTED. CITY OF SANFORD +�* CUSTOMER RECEIPT *�* Oper: BLANDA Type: OC Drawer: 1 Date: 4/04/18 01 Receipt no: 101308 Year Number Amount 2018 1657 2663 POINSETTA AVE SANFORD, FL 32773 BP BUILDING PERMIT RECEIPTS $322.88 AC 090410 Tender detail CC CREDIT CARD $322.88 Total tendered $322.88 Total payment $322.88 Trans date: 4/04/18 Time: 10:04:38 Main Level 101* 0 6.1' c� IHP180817-ORBB O o �` X �= o M 0 Main Level 3/22/2018 Page:6