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Home My WebLink About112 Country Club Cir 12-503; ELECTRICPERMIT Al: CONTRACT ADDRESS bb 1• PHONE NUMBER 3 b — 7 71 - 10l..0 PROPERTY OWNER r—t 1LU CX nSQCT Al ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTO PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISION PERMIT # j d —6®--ng) DATE PERMIT DESCRIPTION PERMIT VALUATION SQUARE FOOTAGE a d d n V) n O d m DEC 13 7011 D BY: FORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: q Documented Construction Value: $ 36,000. Job Address: 12_•t)N j Lt : G 2G1 Historic District: Yes No Parcel ID: Zoning: Description of Work: {,4J t,TlZ ftZ VK , 1.1 la 1- n NRa ON loos Plan Review Contact Person: <I m GYl taJ u-fa?'L sig. Title: 4 fcc'f MR0,4 `rCl e -; Phone: ?J$lo =41'7' i— IUZO Fax: ' 6o - i7`{ - 11ZZ3 E-mail: IGyt NG+tu2@ yltNufaK-C Zt tG CAt't Property Owner Information Name Ct" Of- :5 SfCA9 Phone: Street: Resident of property? : City, State Zip: Contractor Information Name C"JA&fug— EL le— , thee— Phone: apol-ref —16210 Street: 47 S6_ (pf- . Fax: 30(o- 707'-4 - 7Z2,! City, State Zip: 00^&,16 G rty , 1= L 32I(m3 State License No.: &-CAX)2s45_?'° Architect/Engineer Information Name: Cl Phone: 00% Street: 5b kJCST FVLfZA) Fax: q6 7 - ;go— 6&o3? City, St, Zip: "_i#1'Nfb0P f (-'( 5117 E-mail: Bonding Company: JVL'o Mortgage Lender: Address: Address: Building Permit Square Footage: PERMIT INFORMATION Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Z4i)0r_) Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: f ptf.30 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. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done incompliance with all applicable laws regulating construction and zoning. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to permit fees when the permit is released. c2 • /3. /1 Signature of Owner/Agent Date I7-4 66, - cI Print Owner/Agent's Name Signature of Notary -State of Florida Date NOTARY PliBLIGSTATE OF FLORIDA Brooke. Bennett Commission #DD942121 Expires: NOV. 22, 2013 BONDED.THRU ATL.4 -- iC SCIMLXG CO., INC. Owner/Agent is -t— vj Personally Known to Me or Produced ID Type of ID Print tractor/Aggitt's Name Signature of Notary-StatYl.,ida Date 4Y COMMISSION # DD927347 E_.XPIRES Ncvember 28, 2013 407) 398-OlLi Forldallota ryService.Com Contractor/Agent is -L- Personally Known to Me or Produced ID Type of ID APPROVALS: ZO UTILITIES: WASTE WATER: ENGINEERIN iL-L-iFIRE: BUILDING: COMMENTS: Rev 11.08 r z j 7DECL32 FORD a fi BUILDING &FIRE PREVENTION; PERMIT APPLICATION Application No: _ Documented Construction Valuer $ 35 , 000. Job Address: '`I ,-;v.,CHistoric District: Yes 'No Parcel ID: Zoning: i Description of Work: a6_611CALLI Cj H fl N4 ` ON 1i lt7G- t Plan Review Contact Person: -T-1 M Title: W43C,6'rM!"0%64 Phone:' ?J$( o=`1-7`i-l0Zo Fax: E-mail: tGNiNGitufL Q Cat t& 2 G.ut' Property Owner Information Name Ci" DF:5qr4f0AV Phone: Street: Resident of property? City, State Zip: Contractor Information Name C H )A&'tcXL- E.t r c G u4c.. Phone: Street: :*+PrpIC( Piz • Fax: 38(o-'7 72Z?j City, State Zip: OBE C 327(,3 ` State License No:: 64-CbOZA-45_?'. Architect/Engineer Information Name: C t Phone: 41e72 Street: Sl b k ST 1G1J[ fA U 5 -f" Fax: q677 - 330 - 6(Ob . City, St, Zip: '! 5ANfbZAj ,32?"% E-mail: R Bonding Company:, N Mortgage Lender: Address: Address: r PERMIT INFORMATION Building Permit Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical Plumbing New Service —No. of.AMPS: 2a) New Construction - No. of Fixtures:, Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads: 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. 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. 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. 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to r, permit fees when the permit is released. / Agc,,bd C2./3. /1 Signature of Owner/Agent Date 17_,t 66r t I Print Owner/Agent's Name Signature of Notary -State of Florida Date NOTARY PUBLIC•STATE OF FLORIDA Brooke Bennett Commission #DD942121 Expires: NOV. 22, 2013 AOA'DED THRI' ATL.k..771C 80\DL1G CO., INC. Owner/Agent is Personally Known to Me or Produced ID Type of ID 2112 / 1i y','& Ao-n.,i.{ 2 . Gha14RoC Print tractor/Ag Ilorida s Name ZSignDate y'° Q< QME3ERL° C+®, AIQAQV COMMISSION # DD927347 orF o XPIRES November 28, 2013 407) 398-075:5 ___ F1oesfdaN1o.,)ryServ+ce.corn Contractor/Agent is -,"— Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: A1 .2 1 1 I UTILITIES: ENGINEERING: COMMENTS: Rev 11. 08 FIRE: WASTE WATER: BUILDING: Permit No. Tax Folio No. NOTICE`OF COMMENCEMENT State of Florida County of Seminole C7( pNOE(i SKr NSt I -ERR OF CIRCWT C Paz,SF T jj ?s ( 8 076W pq il6, (lpg} CLERK$ S 4 11 , v : t3 iNE>t3 OV$ I1#cOf 1 x a RECINO FEES 10.00 k`` ` f 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. REMRM BY T Soi tip 1 DEC 1 4 2011 1. Description of property: (legal description of the property, and street address if available) M— uw4-tl q utk6 c-y—. STREET LIE. 4-r FLMTO-IC P09NP-1- 2. General description.of improvement: 3. Owner information: Name: ,.;., L o L Address, A 121t_, 4V F. r i -77 I 17 RA b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: C N I w cjlof2, FLI: c--rw c Phone number:: . 77 16 2,0 c. Address: 3>U anY q,i 1 -N QPwsF_ .Z 277-at- - 413t1 5. Surety Name_—mnr f9w i d A.rJ 4Lam,ZNSu u1 Address: LjpS'1 ;1,N , i•.. AL jr5 a' b. Amount of bond: $ 2,9 ` t {tp Uv Lender: Name: . v ,' e _ •, Address: b. Lender's phone number:A f . Ta. Persons within the State of Florida designated by Owner upon whom notices or other d ' ` nts ma c served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: i 8.a. In addition' to himself or herself, Owner designates of . to recei e a copy o e Lienor' s Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: p9. 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 THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN.ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOT CE OF COMMENCEM F Signature, o O r or Owner's Autho d 0 ices/Director er/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this authority, :.. e.g. officer, trustee, attorney in fact) for Signature of Notary Public Say of (year) , by (name of person) as (type of Y` ent was executed). t1 KRISTIESTRIKENotary Pubk - SUM of florfda 4 1 my Comm. Expbop 00c 30. 2015 Commiasime 0 EE 127889 Personally Known A OR Produced Identifica roduced _f FRTIFicn CgpV Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury,, I declare that I have readitheYf° gQinganRth"t the facts stated in it are e o the best of my knowledge and belief ERK F. IRCI',, COURT SEMI ' LE WUNtY, FLORI Signature of Natu erson Signing Above BY Rev. date 3/2008 DECLERK