HomeMy WebLinkAbout1002 W 18 St; 17-2181; DEMOti
JUL 1 n 7 6_: CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 2-50c),2L-
Job Address: I OO a 11J d F'L 3z-7-7 1- Historic District: Yes No El —
Parcel ID: 25-19 - ?)0- 5A 1- C)q 13 - 011d Residential [_C ommercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work rc o
Plan Review Contact Person: r-r 0 r 35a .3 a
G e-
Phone: Fax: Email: ino' 1
Property
Owner Information Name
6!:g Co""- a c- Phone: tAO-7-Z'ta-S-07-0 Street: `
r a01 Ld c U deac C k Resident of property? City,
State Zip: ( 6nAo" R_ 3293S Contractor
Information Name
L0C br. c{C1e 0009 c LAdnyr Ct e Phone: 90-I- 29 $- -7 0 2 0 Street:
Za(;S 'S. \S\a Aoasst'e Z6 (S\e30NA Fax: L10-1 - 2,9'? ` SC)30 City,
State Zip: 61r k16Kao 32$35 State License No.: CGC 15 a2>t4q 5 Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Address:
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: 5" Edition (2014) Florida Building Code N Revised:
June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be
I 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 coNtryetipn and zoning.
Signature of Owner/Agent DaFe
t
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
Li Date
o
1 LA Bnp Print
Contractor/Agent's Name s-
r-7 ignature
of Notary-S q Flopdath Dates cC0rnMissi0n#
FF08M1 10
k5•
ft V WWW.MMNNOTARY.=n Contractor/
Agent is 1 / Personally Known to Me or Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY 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 # of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
F D City of Sanford
Demolition Permit Application Checklist
All permit application packages must be complete prior to acceptance. You must check each box to the
left or indicate n/a on this submittal. A complete application package shall include the following:
E I Building Permit Application completed, signed and notarized. Application must include correct address
and complete parcel I.D. number.
Copy of a contract, signed by the contractor and the property owner, indicating the documented
construction value
Copy of applicable contractor's license issued by the State of Florida
A site specific notarized power of attorney shall be required from the licensed contractor if
he/she appoints an employee of his/her company to sign the permit application as the contractor.
C Certificate of insurance indicating worker's compensation insurance coverage and naming the City of
Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of
Florida (must be submitted with each application if contractor is the applicant).
A copy of an onsite sewage disposal system abandonment permit that has been issued by the Seminole
County Health Department. ( if applicable)
Please Note: A licensed General, Building or Residential Contractor is required for issuance of a Demolition
Permit, as required by and limited under 489.105 Florida Statutes
Partial Demolitions (Commercial & Residential)
The partial interior or exterior demolition of existing commercial or residential spaces will not be issued as a
Demolition Permit. This type of work will require an Alteration permit including at least an existing and
proposedfloor plan indicating the extent and location of the demolition — in addition to required submittal
documents for any alterations or renovations.
Existing Floor Plan, indicating area of demolition (must specify structural or non-structural)
Proposed Floor Plan
These guidelines were compiled to assist the applicant in preparing a demolition permit application and may not be complete. The
applicant is required to meet all City of Sanford, state, and federal code requirements.
Revised: June 2016
THIS INSTRUMENT PREPARED BY:
a e* Lockridge Cqns uclion o,. Name: tAj UL. L it1TNftC, Add
5 irRK
NOTICE OF COMMENCEMENT j
State of Florida
County of Seminole
Permit Number: Parcel ID Number: 25-19-30-5AI-0913-01 10
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,
rWofA Tpf&jV street address if available) D[b RJP Tg kFqPTWJT'16 Mol odyescpatio Q"..' I A 1002
West 8th Street, bantord, Florida 321 f 1 10
Ill lig,10) I
MPR
36N1RAfESC, OF VERO: nce & Garage ernoIionoingearniRyeOWNER
INFORMATION: Name:
Lockridge Court Holdings, LLC Address:
8001 Lockridge Court, Orlando, Florida 32835 Fee
Simple Title Holder (if other than owner) Name: Address:
CONTRACTOR:
Name:
Lockridge Construction Corporation Address:
2295 S. Hiawassee Road, Suite 304, Orlando, Florida 32835 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:
Address:
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 I 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 1, 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 ro INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY C= BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. C11*4 Under
penalties of perju I declare that I have read the foregoing and that the facts stated in it are true co to
the best<dxay4mew1p and belief. ffCQ' John
Burt is
Sign +—' Owner's Printed Name FloridaCaLLA13(
1 "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." g) J
State
of County of AQAQ If- The
foregoing instrument was acknowledged before me this day of 7:5 Q L"( 120 C' by
M -P> Utz 1 Who is known to me TopersonallyName
of person making statement L
OR
who has produced Identification type of Identification produced: L
N,
V,,,Heather Madsen Strauss CJ—/ fa. "-:C0=isS10n1FFWM1 NotarySignatureVires:
JAN.15,2018 E LZjWWWARONNOTARY=