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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