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HomeMy WebLinkAbout308 E 5 StORD Sk FIRE DEPARTMENT APR 17 20' � \ � I � Building & Fire Prevention Division PERMIT APPLICATION Application No: l S1— Is 3:� Documented Construction Value: $ m n Job Address: �� . �'j IK/ Historic District: Yes No Parcel ID: Residential" Commercial❑ Type of Work: New[:] AdditionaAlterationrn" 1 Repair❑ Demo ❑ Change of Use[] Move Description of Work: W Q_4)J\AA -i- D &C. _ N e-W 4.19hL En t, Plan Review Contact Person: Phone: i-1 (_,�ibbo ►v -3 Title: (_if A ) h% -LA, Fax: Email: Property Owner Information Name q_Rftt`IS02w' trJG1dPQ-z� Sn�tiiS Phone: qC3� 3��-a3 1 Street: 0, U/ i 1(0 3 A (A1 3Resident of property? G C-Vil City, State Zip: .S �CT�► �l 7 Contractor Information ff Name � V �2. �y t,I sZ� i L Phone: �J O �' / � - C? Street: Fax: City, State Zip: State License No.: Architect/Engineer Information Name: Phone: — I Street: Fax: City, St, Zip: E-mail: Bonding Company: IJ / 1 - Mortgage Lender: /V'z Address: 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: 6" Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application 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 construction and zoning. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Contractor/Agent Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Gas ❑ Roof ❑ Flood Zone: # of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January I, 2018 Permit Application IN THIS INSTRUMENT PREPARED BY: Name: Albert Gibbons Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: 1����+ o��»,is,i ►►t►t ��1I1 f ull IIII If�l GRANT NALOY, SENINOLE COUNTY CLERK OF CIRCUIT COURT t. CONPTROLLER SK 911.2 F'�l 266 (1F'ss) CLERK'S T 2018rj4169' RECORDED Li4./17/21)1 08:4.2:18 ,i11 RECI')RDING FEES s-1ii,liC1 RECORDED BY hdevore Parcel ID Number: .25-19-30-5AG-0601-0150 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. D $CIRlPTjQN o S�f��pii%��br%a `oo%+e m iwn of Sanford PB1 %pair b°a lo�%or, a�dinew waR& + dryer outlets, plumbing drain supply, addd OWNER INFORMATION: Name: Transforming Property Solutions, LLC Address: PO Box 1403 Sanford, FL 32772 Fee Simple Title Holder (if other than owner) Name: Address: N/A CONTRACTOR: Name: Dove Builders of Central FI Inc Address: 108 Lake Minnie Dr. Sanford, FL 32773 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: \ A, Address: v k A 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, I declare that I have read the foregoing and that the facts stated in it are true to e m nowled a Ind ell f. / l� i c b G fV Owner's Signature Owner's Printed Name Florida 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 � L; . .( c. County of The foregoing instrument was acknowledged before me this 11 day of i�. i , 20 by _ Vyr Who Is personally known to me Name of person making statement OR who has produced Identification ❑ type of identification produced: APRIL M. KNIGHT 1M = my co IRES: December FF 115201 1 EXPIRES: December 21, 2019 �--� ' '��,• Boded Thru"Public Undeneriten Notary Signature -i- 6 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ;-j ( t -1 \ \ I hereby name and appoint: C\ % �� r r' .4. (�s hb an agent of. - o (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 specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: ti \ License Holder Name7��L "k State License Number:��3 Signature of License Holder; J'� iw� l ' �►�z• STATE OF FLORIDA COUNTY OF jr The foregoing instrument was acknowledged before me this 2001 t , by , Z to me or a who has produced identification and who did (did not) take an oath. (Notary Seal) APRIL M. KNIGHT My COMMISSION N FF 91%39 -'a EXPIRES: December 21, 2019 � ;!S BondW Th. Wary Pubr, U.W.1 . (Rev. 08.12) Signa e Print or type name CL_day of ,,;, �_, who isze-personally known Notary Public - State of r \ L-i Commission No. F r- =11 e, My Commission Expires: �,a.c,, as