HomeMy WebLinkAbout809 Locust Ave (2)CITY OF
„ S.,�FORDE'
—a a h— i v " 4
4.
FIRE DEPA zTM , APR - 2 20t8 tt
Building & Fire Prevention Division
PERMIT APPLICA TION
Application No: d
Documented Construction Value: $ .�`� 01,
Job Address: an L ) r u Historic District: Yes❑NoF_1
Parcel ID: A � 101 3 0 - 5 A J I00e Qb 90 Residential[RCommercial
Type of Work: New Addition❑ Alteration❑ Repair Demo❑ Change of Use❑ Move
Description of Work:
Plan Review Contact Person:
6 n A re a on es
Title:
Phone:3% 451-ol 13
Fax:
Email: � ok- �pne.5ai
&o o7C'D�
Property Owner Information
Name Br c k ara
Street: P L50u q
City, State Zip: L&
Phone: :3 � ``y — 7 7 3 — 70(o 9
Resident of property?: A.16
Information
City, State Zip: ��j) n n i I I` 3 (�_
—r
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: �3 A6 - 9 3 � -0008
Fax:
State License No.:,CG C. I -::; 'D, I & (pL
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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 61 Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application
6'
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 charge and 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 con ction and zpnirg.
Signature of Owner/Agent Date o ontractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Print Contractor/Agent's Name
,D/
,J �)a - l�
Signature of Notary -State of Florida Date
DEBBIE BLNJT
MY COMMISSION
EXPIRES: February 25, 2;
Bonded Thru Notary Pub!ir, ur,, Cc 1ra..
Contractor/Agent is PersonalhT4
Produced ID Type of ID .
eki)
BELOW IS FOR OFFICE USE ONLY
to Me or
101Ik W
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:
# of Heads
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 4-1 — J `b
I hereby name and appoint: A�,�.�� �pne S
an agent of:
(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):
The specifiV permit and application for work located at:
IV ^ — In
(Street Address)
Expiration Date for This Limited Power of Attorney: I ( — I 1 18
License f
State Lict
Signature
STATE (
COUNT`
The
200
to n
ides
(Notary c
Print or type name
Notary Public - c
Commission No.
My Commission
(Rev. 08.12)
REAL JONES
- State OfTlorlda
. M.
Expires May 4. 2011
�� Commission # FF 117146
as
ESTIMATE
Agua Construction Co
CGC1521660
1335 N State St Suite 14
Burnell, FI 32110
386-547-2416
BILL TO
Barbara Martin
PO BOX 93
MINDEN, LA 71058
318-773-7068
ESTIMATE # 100
ESTIMATE DATE 03/30/2018
DESCRIPTION AMOUNT
demo house located at 809 Locust Ave. Sanford, FI
haul away all debris
clear lot(s) of any trash and debris
seed area
6,500.00
TOTAL $6,500.00
TERMS & CONDITIONS
$500.00 down on acceptance of proposal
*****RECEIVED $500.00 ON 03/30/2018****
$2,000.00 down on start of demolition
$4,000.00 balance due on completion
l M111 Hill 1111111111111110111111 IN
1..%t '•.. 11•\\: 1_/.. ( _ V+11'•...1 ... _ ijji..' 1 `. �_SLL+�. S'�.
NOTICE OF COMMENCEMEKT- ;-
State of Florida CLEMi% S g 2018044125
i r1:.=5
County of VoWWe i=A. +:;r
Permit No I -.J I
Tax Parcel Number 86
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 1. Description of Property:
(Legal description of the property, a d street address if available.)
cbO� S ' LaG�S'- &ve Sar'%or&
P8 I PGt 5 CQ��a�e�
11��
2. General description of improvement: pAmp 110 0 gL
3. Owner information: ',�`. <, (" t iP
1:
a. Name and address Po 150X 9,
b. Interest in property M iv, dJzrl A- 1 1 o 5 a
c. Name and address of fee simple titleholder (if other than owner)
4. Contractor.
Name and address T"\ v a
A5t - o n5 �r v C�sc.t�f%•
�b N tom.-�-� 6 sue; ► �t
a. Phone number �'n I 3 a' \ \ O
Fax number
5. Surety: Name and address
tli /a"
a. Phone number O
Fax number (
b. Amount of bond $ .00
6. Lender: Name and address 1J JA
a. Phone number ( )
Fax number ()
FOR CLERK
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13(1)(a)7., Flo 'da Statutes:
a. Name and address k I ✓L
b. Phone number
Fax number ()
8. In addition to himself, Owner designates of �� ��
to receive a copy of the Lienor's Notice as provided in ection 713.13(1)(b), Florida Statutes
a. Phone number ( )
b. Fax number ( )
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 T FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN A; ORNEY BEFORE ING WDS&OR REC05RG YOUR NOTICE OF COMMENCEMENT.
Sig nature of er - Print Name of Owner
at of Florida Cot of V.
Affi ed and subsc ' e fore me this O day of 20 by�D0.�C�
who 1 pe ally o to a o(,Vvho has produced •j�C \ 001 ��j 4Y1, (type of ID) as identification.
ANDREA L. `JONES
§rgnitiureoPWary P blic S at f Florida y�eWlt�j�oplblaiSpt9foNF r a
Notary Seal �� My Comm. Expires May 4. 2018
" N a F Commission I FF 117146
�'nnna��
2
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: r" D 1
I hereby name and appoint: 00'y 1 F) b tW 0-) C),- n
an agent of: -/� o U a CO n 64-ro L±j fir::) (f y
(Name of Company)
to be my lawful attomey-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):
54 The specific permit and application for work located at:
(street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License h
STATE OF FLORIDA
COUNTY OF V b l vs
The foregoing instrument was acknowledged before me this
200115 , by 1 .�2 tey
,) Pr_ o-ii rr
to me or ❑ who has produce
identification and who did (
(Notary Seal)
(Rev. 08.12)
Z? day of ,#far-(' I ,
who is )Qersonally known
Print or type name
Notary h teNPfAry Public stare of Fbnds
Commiss' Andrea "es
Com SO 4%IOn 9
My Co s �x�i�
as