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