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HomeMy WebLinkAbout101 OREGON AVE 12-458; PLUMBINGAN-FJan • 3. 2012_ l 1 :12AM5rws JOSEPH SEXTON 4076153426 T0:407wN0,4909 P. 2P.ir2 ti CITY OF "WORD BUILDWO a ARE N PgRMT. APPUCATION iApp9iati" No: • S ' altaita,ta on iw: ' 110 ,. . f ® 1®ram u.r•r i0b Add ; i.4 o,-, AV(,^ -m-3 ; . ` , 7 ? R 8luta l: v.wQ Ala Fared M! Al • ! 9 -3 0 -•501 0 0. ao 0 a 2.4 zo#iag. VVO + C' a,.. t!-fed r a+.c t • a n • plan Rcview cvwtact p'em Tltk: eye: psi: ma9l: PMVertp r lntormtion ' Name Strut, ( 2 COMM~ lf"Ormstton Atoso 4fl_!nS 1 "r I=— strwt q- .1 K - Cky$ state Zips y • rso i M i r. , i r..re Street: plroo: i Flax, cloy, sto sualog Gumpomr: ,Y,..Za 0, Addrm: Adds , PERMIT INFORIMATION dlog pemit a square p : Cousoccum Type: _ ifm of Starlet: No, of Dw Dolts: Nana Tom: trial a Now SeMcp -No. d A PS% meths l C lw awi Plummus New Coot am- Na of Macao: rm 0 No. of hen" _......".,. J• lUI! if.4UAIdMS JUJtNH 5tXIUN dIM1554cM I weby non an assm or Tv. 4073667N o • 4912 P . 11- Vi S wlAgXf 4 *unrrvAdeark*-grsO cTWA6at to be my I q*wmym ms to act twine 4o iw, ram for, + a and do knit p b V t dunk env on wam, All PWMU Wd qvnwwm owwdnd by aonvac or. h-J Tt o spWft po mlt AW apt coWn W r umt w=igW of m STATE OF CAYJNTV OF gm m m T me Oft R009RT Own e 8 x;1t'R68 pp[Br:ygar to,2019 Conuftsfun No. ar' ^d .+'whx„n.00n mycomwdon 9 i of _Naallal i We propose to furnish all labor, material, suparvision, insurance's, Perini . & equipment to cornptete the above -mentioned project. 4 v,y, v r ' 0 our prke for a above-wadmed work k as follows: ' Plumbin S CD /NCc X 5; ,ti ,fftw S Our price k bwed on thefallowingquelykw vAs: No Electrical No Existing code violations l p Shoutd you have any questions please call 407 247 9029 Sincerely, Y\, Mark E. Massie Project Manager JAN-iJan 3. 2012L11:13AWFs JOSEPH SEXTON 4076155426 TO: e No-4909 P. 3P.2,s w Appii is aWt to abWe a pmit to do the k and $1 b&4jr AW..l CWdfy tlK no WO* or an llaR w ' b" cc a lam' to ilea bwaft of a pc k *vt all will be to Mee of all tvdazing WMWAM In this jurmcdon, # d thet a uptw Pmlt mug be wond for daWcal wOrko FSOMN w beataj% inand air diftow% AIM= - _ _ A1_H' `: k j t an of 60 fiw ishmilfts is se"Ma meat ft+t A win be clew ih emplko ell apipbmide low Ind 3wsbg. WARMG' 0a'YFAILURS T6 RWORD A.N COhOMCM&T MAY RMXT 1W VOM PAVDIG CE FOR VAMVEMM T4) YOUR PROPWY. A HUM OF C w MUST va RZCDRDU AND POSTRU ON -TRZ JOR LMDER OR AN ATTORNZY WOU R94CORVU4G YOUR NQnCZ OF COMMENCSUMT. r In whiltion to the +eqUlmmenft of this wit. t'hem " be sdditiarai' a+oaaa'isdws applicable to this property that way be fewx[ in the Public retards of is ~ty. and d `erc may be additionW iaeenits eegWrod fiun otl<ar govwwmw intuits such u vaw W=Ipmerit dl*iol& s e alttft. w W 210010• Accqftm of pwmlt is verification Oat) will no* the owner of the pr rty of Oho rcquirear of Via"Lion Low, FS 713. `' 714 City of Santh d roquiM PWMM ota plan M-09w ft. Acoo off cmuW contract is mquiecd in ardor to calculaw a No rae itret+ charp. If f cunmw eats= is M stfmi* W rraervc ft fi& tD QdGWM0 the plan review the based an pw pwmi! activity L-vcl csmuctim valve who t k executed cm&m is subad pem it b releaoW. ROBERT tyC1WE i MY ComMI$ ION st 0D$21724 EXPIRES 81-Pt lrrtk-r i3, :?f213 r, nmmr TQu. ce.;_ 1807i39tlfi'IS. ' ..W..,,r.. 4'teemWAgent k ZParmWly KuawnM Me or OwMMWAjON 4®/— Pomodly Known to fie or laced i1D — Typo of ID hWWW ila 1_ TYP* of ID APPMWALS., ZONING: U nLITLES: I: WAh`1'B WATER: ENGiNEEMG, FlRlr: BUILDING-, w Rev 11.09 9 DEC 07 zo11 d.- CITY OF SANFORD BUILDING & FIRE PREVENTION 8 PERMIT APPLICATION i z oApplicationNo: L4 5 Documented Construction Value: Job Address: l0l /11' Historic District: Yes No Parcel ID: o o a o— ve., v o Zoning: Description of `Fork: ",CX e"W-e- o u p Plan Review Contact Person: ! Title: Phone: `{ 07 366 • 6 7 Fax: E-mail: Property Owner Information Name ,E ZJ-v C t' . Phone: #07--'0,0- ¢839 Street: Ste,-1 oPo Resident of property? : /V0 City, State Zip: J>ej2a"'s : gx, 7S Z" Contractor Information Name Phone: 9o7-78/ Street: Fax: 9a7- 3G& -_77 3 City, State Zip: ri yar F 3 7 ( State License No.: 6B6-0f,96_69 Architect/Engineer Information Name: 411 Phone: Street: Fax: City, St, Zip: Bonding Company: n/L Address: E-mail: Mortgage Lender: Ji/%% ' Address: PERMIT INFORMATION Building Permit ,I,L Square Footage: Z- Construction Type: I V No. of Stories: No. of Dwelling Units: Flood Zone: Electrical 4 New Service - No. of AMPS: Mechanical (Duct layout required for new systerns) Plumbing 10 New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: F /* 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 znay 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 your permit fees when the permit is released. Sig a e^ Dateu 11 Print Owner/Agent's Name Signature e. DOROTHY ANN THOMPSON MY COMMISSION # DD938112 EXPIRES December 06, 2013 407) 398-015 Florida NotaryService.coin Owner/Agent is _ hecsonally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 Simaty of Contractor,4leent Date o'ttactor?:1e rt's dame (( JJ V S natureofNotary-Stateoi'Ffori a Date f DOMKE Ytd'r' f# DD921724 i9, 2013 407) 396.0153 Contractor/Agent is Personally Known to Me or Produced ID __ Type of ID UTILITIES: WASTE WATER: FIRE: BUILDING: a FZJF C-7'1WED 9 A 7 Nil CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION w 2. - Application No: 4 5 Documented Construction Value: Job Address: _l01 D C o. A< Sa- i f. Historic District: Yes No Parcel ID: Zoning: Description of Work: "CX Lc J o u Plan Review Contact Person: Phone: C 07 366 . ce 0 Fax: E-mail: Title: Property Owner Information Name Phone: 407- gyp. 4838 Street: Resident of property? City, State Zip: _ q,e) h is : ' 7 S &I Contractor Information Name l o S t'- i° .S4xAn 'r L- Phone: 907 3 6 -G I S i Street: AJPax: far. 3Ob -7 7, 3 City, State Zip: 9"//Jo, f /, 7 ( State License No.: 6BC-US8:5'61 Architect/ Engineer Information Name: 41 Phone: Street: City, St, Zip: Bonding Company: AIL Address: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit lci Square Footage: L 112, Construction Type: I No. of Stories: I No. of Dwelling Units: Flood Zone: Electrical it New Service — No. of AMPS: Mechanical ( Duct layout required for new systerns) Plumbing X New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: t 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. WARMING 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 cot.lnty, 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 your permit fees when the permit is released. Date 11 Print Owner/Agent's Name S "tale of Florida 1 -DateSignature or4.0, d•• DOROTHY ANN THOMPSON MY COMMISSION # DD938112 PIEXPIRES December 06, 2013 9©-01 Florida NotaryService.corn Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: SS i,•naContrdctor?Aeent Date OSP.pk, v, V S natureorltotarv-Stateol'Flori a _Date MY CC,"r S ON 4 DD921724 FwN°¢Re` E. I jer 19, 2013 Contractor/Agent isi Personally Known to Me or Produced ID __ Type of ID WASTE WATER: BU[L.DING: LAPermitNo. ' Tax Folio No. O 1 0 2 3 4 NOTICE OF COMMENCEMENT State of Florida County of Seminole 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. VARYINW WIRE, (UM OF CIRCUIT COURT 81MI DLE UU4TY 89 67680 Gq 05574 ; t It ) CLERK' S #ak .24)1 1 1.34469 RECCE?DED 12/ 131 11 11. Uv: 3f(j RX RECMING FEES 16.(jo REMED 8Y J Ecke>riroth (all) 1. Description of property: (legal description of the property, and street address if available) Lef a AC I oML P pJ / / aGS /a( 3,377/ 2. General description of improvement: Cct rEgg ion 3. Owner information: Name: 1( L T D Address: G60 E. Ca I or.tct ( Dr. fe /oa Oe I a- do , F l . _32 903 b. Interest in property: 0%.3 n er c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: c. Address: // 0/ 5. Surety Name_ Address: C Phone number: -407- 3 L4 -& 781 b. Amount of bond: $ n///v 6. Lender: Name: Address: b. Lender' s phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.130)(a)7., Florida Statutes: Name: J o,S eeh e 5e2(-1 a 1, ., c Address: // o l E', O l e /o , )r- . 3.2 7 G s' 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 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 THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMELCgE1 ENT( v may) 1.. r. 1 f t/T' Signature o wrier op Owner's Authgr6zed Officer/Director/Partner/Manager Signatory's Title/ ffice The fore oing instrumen as acknowledged before me this /a day of .p tc , °Z(year) , by n°asii e of person) as (type of aut rity, ... e. . offic r, ustee, attorney in fact) for (name of party on behalf of whom ins rument was executed) 0 fi C I' J apn e, 0:1- -,0 11 L-0 . c- (SEAL) e of Notary P blic ly Known !' OR Produced Identification Type of Identification Produced Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are a to the best of my knowledge and belief. --- - -- _ - CERTIFIED COPY 4 p .._a._ROBEIRT DOMKE. _ _ 11lfARYANNE MORSE Sig ure of atural P rson Signing Above ' My COMMISSION # DD921724 CLERK OF CIRCUIT COURT orr,.,, EX, IR.F9 September 19, 2013 SEMINOLE COUNTY, FLORIDA Rev. date3/2008 (407)3ae-ores FIc..;dallo;..ryServico.corn DEDMII 2011 r .q CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Co,, J aS: Job Address: f OL aj Historic District: Yes No Parcel ID: 2 9 - / 9- 3 fl , , o o a o _' e7,V Z-° Zoning: Description of Work:. "CX n!a , Sul 6Ie. gyp - Plan Review Contact Person: ! tJ Title: Phone: 07'366. Fax: E-mail: Property Owner Information Name / L c Phone: 40 7- -2-4,V 4838 Street: l 7 6-fl,r t ST, StL-1yOO Resident of property? : /V0 City, State Zip: _>e)2,a s ,'/ 7S Z1 Contractor Information Name s^S e,. l-l", SS )eA>L `,, L- Phone: Street: ,// o r3 o AJW Sir Fax: 9 or- 3 G L -7 y 3 City, State Zip: l ri/ti e 3 7 ( State License No.: GPc-oS .Syq Architect/ Engineer Information Name: Street: City, St, Zip: Bonding Company: IVL Address: Phone: Fax: E- mail: Mortgage lender: Address: PERMIT INFORMATION Building Permit St Square Footage: II Z Construction Type No. of Dwelling Units: Flood Zone: Electrical Af New Service — No. of AMPS: Mechanical ( Duct layout required for new systems) V No. of Stories: Plumbing 0 New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 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 IMPROVEMENT'S 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, CONSL;LT 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 71 ;. 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 your permit fees when the permit is released. u Sig u e natc1 Lt( Z--- — Print Owner/.Agent's Name of Florida DOROTHY ANN THOMPSON MY COMMISSION # DD938112 EXPIRES December 06, 2013 Owner/ Agentis V— Personally Known t.o Me or Produced I D Type of I D APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: 1147"` Sipatur ofContr ctor.,A_ent Date V S nature orNotarr--State of Flori a Date M€ C DOMKE Mt' CCU' .C7,,I i# DD921724 0 er 19, 2013 407) 398-0153 Contractor/ Agent is Personally Known to Me or Produced ID __ Type of ID WASTE WATER: BUILDING: Rev 11.08 DEC 0 ? Oil CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value:- Job Address: 101 D c o . Arc Sa- t f. Historic District: Yes No Parcel ID: J- 9,3V o tn- j G, U Z o Zoning: Description of Work:'., n©u w,,, y .^s-Kf'l Maw - Plan Review Contact Person: 4Phone: 07 366 • d FAX: E-mail: Property Owner Information Title: Name %ZJ v Ln, , Phone: - - 0,O- -4839 Street: ey< 7-. Sty Resident of property? : Al City, State Zip: _>e) h,,S : 7S 21 I Contractor Information Name j 0 Scel, X-//,, C,- Phone: 107. *3-( -6791 Street: j/ a / 1, r3 ,-o aJ k-,j4/ _ x r Fax: 9 07- 3 G G --17 , 3 City, State Zip: _,i r e F , . ( State License No.: 6BC-vSg,5_09 Architect/Engineer Information Name: 141 Phone: Street: City, St, Zip: Bonding Company: AIL Address: Fax: E-mail: Mortgage Lender: tAIIA r— Address: PERMIT INFORMATION Building Permit ,k Square Footage: - Construction Type: I V No. of Stories: I No. of Dwelling Units: Flood Zone: Electrical 4 New Service - No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing Af New Construction - No. of Fixtures: Fire Sprinkler/Alarm 0 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. WARMING 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 .m.ay 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... 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 your permit fees when the permit is released. Date i. Print Owner/Agent's Name of Florida DOROTHY ANN THOMPSON MY COMMISSION # DD938112 oFo; EXPIRES December 06, 2013 407). -0 151 FlondallotaryService.com Owner/Agent ils -V 1 erson.ally Known to Me or Produced ID Type of ID APPROVALS: ZONING: Mx,I Ids— UTILI"DIES: ENGINEERING: FIRE: 9 aA4 7---2 Sigm— a fContr ctorrAeent Date ontractor"Age w Vame V S natweof:Noiarv-StatcoPFlori a _Date C 1Y C' 'tea i7s''d l3 DD921724 19, 2013 407) 398.01 ", Con Contractor/Agent is Personally Known to Me or Produced ID __ Type of ID WASTE WATER: BUILDING: COMMENTS: OK k, ch,04' ckr -_st, .dT ,E e><Itr, ',.t -,"jt reo- do inE Perm+ Rev 11.08 im r DEC 0 ? N11 11 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION o0 Application No: , Zr Documented Construction tialue: $ J 0S. Job Address: l D l D,-c a . /< , %-G i f , Historic District: Yes No Parcel ID: ,3fl Zoning: Description of Work: a/'< o v-r h/ b'y'.wl pie" Plan Review Contact Person: Title: Phone: 6 72 Fax: E-mail: Property Owner Information Name %-16ju-Cv ' t' :Phone: 47- 9,0- 4838 Street: 17 2 - ,ep) ` S'r Ste--1 oyo Resident of property? : /Vo City, State Zip: q'%1wS . ', 7S z- l Contractor Information Name Phone: %o7 78/ Street: // o / AJ tJ Fax: 9 or- 3 -7 3 City, State Zip: l i la, F l 7 ( State License No.: Architect/Engineer Information Naive: 4 i Street: City, St, Zip: Bonding Company: IV Address: Building Permit fL Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Square Footage: L . Z- Construction Type: I V No. of Stories: I No. of Dwelling Units: Flood Zone: Electrical it Plumbing New Service — No. of AMPS: 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 will25 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 rnay 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 your permit fees when the permit is released. Sig u Date 11 Print Owner/Agents Namlame DOROTHY ANN THOMPSON MY COMMISSION # DD938112A_d'e- EXPIRES December 06. 2013 407) 398-015 FlorldallotaryService.com Owner/Agent isPersonally Known to bile or Produced I D Type of l D APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 QaA Signa; t ofContr ctor/Agent Date D SP.oti S natur' e of y-State ol'Flori a v Date f'gU2` f DOMKE Q •- M'r' i# DD921724 E % ' er 19, 2013 407)1398-(?,59 - ' wri _ Contractor/Agent is Personally Known to Me or Produced 1D Type of ID UTILITIES: 'ASTE WATER: I"IRF,: BUILDING: POWER OF ATTORNEY LETTER OF AUTHORIZATION Date: November 21, 2011 w TO WHOM IT MAY CONCERN: Please be advised by this correspondence that Robert J. Domke with Joseph P. Sexton, Inc. ; is authorized to act as Agent on behalf of Joseph P. Sexton, Inc. for the purpose of submitting and pulling permits, obtaining and updating licenses and negotiating conditions for projects. Specifically for 7 —Eleven site at; 101 Oregon Avenue Sanford, Florida Signa!,4: Joseph P. Sexton, Pres. CBC-058509 Joseph P. Sexton, Inc. Company 1101 Broadway Street, East Address Oviedo FL 32766 City State Zip STATE OF FLORIDA COUNTY OF SEMINOLE Sworn to and subscribed before me this 21 st day of November 2011. TASHA R. ARiANY OtAryPublic, State of Florida Cemmiss rr # DD 921337 n;,irr;a" [ai?f.irr?hUr 2?. 2J13 Print, Type of Stamp Nanie of N Personally Known I/or Type of Identification Produced My commission expires: Signature) Joseph A sexton, Inc. y STATE CERTIFIED / CBC 058509 / CUC 045003 RYKO Manufacturing Corp. September 3, 2011 O FY Re: 7 / Eleven # 34874 101 S. Oregon Avenue Attn: Ryan Nink Sanford, Florida Revised * Carwash Upgrade WORK TO BE PERFORMED: A]. Permits & Fees- ( Site Plan to be Furnished by Owner for Permitting) $ 2,175.00 B]. Rod & clean trench drains and lines to storm water system $ 475.00 C]. Provide 20 yard dumpster for all debris (1) pull to dump. $ 1,200.00 D]. Disconnect all existing plumbing and make all new connections to new equipment. $ 4,175.00 E ]. Fabricate & Install Vinyl Aluminum trim in door openings and window columns $1,160.00 9,185.00 ELECTRIC A]. Demo existing conduits as needed and re -use as many as possible. Repair 4 existing wall pac light's, and clean all fixtures lens covers. Make connections and wire to all new equipment, re -use existing conduits & 60 amp CB for Turbo Pump,100 amp CB for Dryer, 60 amp CB for Bay box, RO, prewash control, reclaim, wheel blaster, e-stop, bay plates & chemical pumps. Furnish and install new 2 wire /shielded cable from Code a wash to back room modem. 7,320.00 TOTAL PROPOSAL AMOUNT INCLUDING TAX $ 16,505.00 This Proposal will become our contract for work described above upon signature. RYKOj Carwash Co. ` 10/15/2011 1101 East Broadway Street / Oviedo, Florida 32765 Phone (407) 366-6781 Fax (407) 366-7723