HomeMy WebLinkAbout3605 Orlando Dr 15-2421 hoodJob Address:
CITY OF SANFORD
JUL-02015 BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S®
rgurfty # 53 s j Wa1* tea. ' P1 q 'Zc1
Gc S . ()Akp_,., kan 1 u--c . aql pn,4 Historic District: Yes No'1)G
Parcel, ID: I '3y S OU . 0666 C) C.)l 6 Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: TU i-f- ' A ( R 44,0y`!)
Plan Rev, iew_Contaet-Perkn: , SALV A-TI)ILE OAL_A t q,K-J
Pho]1e L{ °`) -1 l• C 9 7 2
Name
ff
Title: lZFC-r- JUIC, R
Fad: (- 3 P,1 -Z33-- U 33 v Email: O Ff1C 0 a CCbC.vM P A-AU`i . Cbh
C.
Property Owner Information
Street: 910 _7''Ak
City, State Zip: ke-tJ j v-AkwY o k 9 Phone:
2, t2 - -z.GS- 6 d 0 0 Resident
of property? Contractor
Information Name
WQKW5 Add, I-£a-T-1kA SiK\JLCcS;T-A-c. Phone: L 0 1-toZ - 17rS8 Street:
Z.Z tiy11 7Ti 1,'VAS (3 _V'Q , I (C, Fax: __ Z3C• C6 y ZFs City,
State Zip: 0 U L F- L '3-- 65 State License No.: C AC, ) q / q 1 Q Z Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Architect/
Engineer Information Phone:
Fax:
E-
mail: 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 Revised:
June 30, 2015 Permit Application
6
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 pen -nits 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, ITS 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 Date
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
Signaturea o actor/Agent Date
H S
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[] Gas[] Roof
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
V
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application
rJUL 2 7 2015
BY:_
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ 'S5 (CI ZRY 0rt&^
An Ce-are— Historic District: Yes No. Parcel
ID: 1 1 -Z0 j30 - SQU _Q1QW - G Type
of Work: New Addition Alteration Residential
Commercial D4 Repair
Demo Change of Use Move Description
of Work: T ifOr- culierc4L-aj. oir'- Plan Review
Contact Person: M Ar Rk, PA -=-RI c.k Title: (, .G , Phone: L41)-
1• 9'4 7_•0g05 Fax: _' 321•Z33.0330 Email: Coun-FC Onsf-- C t' _4UJX,0*7 Property Owner
Information Name RIB
Sern'l molt Li. c Phone: 2_I Z- 2 G S- (P6 60 'K3 Z Z Street: i O 7
Ate. Resident of property? : UO City, State Zip: N1
sw n k ,d 1 q Contractor Information Name a
cam" of
0 Cori&+rU4o;,% Phone: yL)7. 9Y7 17 9 )J' Street: b I O pr^g ;
c t . Fax: •
3zl • Z33 • C)33o
l
City, State Zip: - <"F U(Ln
FL "32-1-7Z State License No.: ArchitectlEngineer Information Name: A('%drru) k-
AZ Street:
Z u L9 S .? ar-
V- City, St, Zip: S oC-A,
a Bonding Company: Address: Phone: Lt 0'
7• 32:)-•
3
g ASS Fax: E-mail: AkVT?, r, 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: 51' Edition (2014) Florida Building Code
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 Notaryy-State of Florida s 10ify Public State of Florida
10 9 S _• Commission # FF 200033
My Comm. Expires Feb 18 2019
Bonded WOUO National Notary Assn.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID _
7/27 fis-
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
y_ _L (11V. (I.YYvl3nn•
Signature of Notary -State o Florida Date
NANCYPALMIERI
MY COMMISSION # FF 047086
EXPIRES: December 20, 2017
OrPoe ammiinWiQ iolwsmime
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 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
l
Flood Zone:
of Stories:
Plumbing # of Fixtures
Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: - .WASTE WATER:
s
ENGINEERING: FIRE: BUILDING:
COMMENTS:
S ckw
77
CITY OF SANFORD
772
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BYApplication No: _ p A
d i :tccT Documented
Construction Value: $ ;SS . (e) 1 Z_ RY ftfS1Gua1.r+a.,r PI La Job
Address: K 05 5 .Crt& Historic District: Yes No X Parcel
ID: 1 1 -ZO-30 - SQV -0000 - Oo i0 Residential Commercial X Type
of Work: New Addition Alteration X Repair Demo Change of Use Move Description
of Work: Plan
Review Contact Person: M N Rk, PAI-FLI c lc LL Title: .
G _ Phone:
L4t-)1• 947.Og05 Fax: 0- 321.2.31.0330 Email: Coun+C.or,& -- fa0uJ.CzM Property
Owner Information Name
R 5ern'lr oir, I-L.L Phone: ZiZ- Z, G S— t'iG U 3 LZ Street:
4i l 0 % Avt, Resident of property? :.AJO City,
State Zip: , t4.j ` Or k Contractor
Information Name
C^ 0l-u itl P . L' ory4,, rQ4iPhone: Lbl 9 40. 6 9 Uj- w-i' ,
Street: + k) -
p
S
1 10 ' C rt Fax: ' 3Z Z33 •
b 33 0 City, State Zip: (,-"
F oxi) FL State License No.: C QC/.2.rY733 Architect/Engineer Information
Name: Af%Arru)
ku- z Phone: -7' 32• 3 ASS Street: Z o
t`1 City, St, Zip:
S 5rA1 4 n,A PL 3a"7-7 Bonding Company: Address:
Fax: E-
mail:
A
kuTZ 541. rV c or•, Mortgage Lender: Address:
r' f1,`
AJ
g WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COAT RECORDED AND POSTED
ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING-YOUR—NOTICE-0f., -' 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: 51' Edition (2014) Florida Building Code Revised: June 30,
2015 PermitnAnolication
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.
T- 7-
Date
r,
Intel O*ner/Agent's Nabs
4 '" ` 4AA,"--' WUN ,
U. OD
Signature of Notary -State of Florida ' , Q11Fy Public - State of Florida
COmmisslon # FF 200033
SSA My Comm. Expires Feb 16. 2019r
Banded ttuwP National Notary Assn.
Owner/Agent is 1{ Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
MAA, _k ()lc,_
Print Contractor/Agent's Name
Signature of Notary -State o Florida Date
NANCY PALMIERI
MY COMMISSION # FF 047086
EXPIRES: December 20, 2017
eerM1d 1abMlhru&dgdNohrySavkaa
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical [' Mechanical e 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
IL
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
Flood Zone:
of Stories:
Plumbing - # of Fixtures.
Fire Alarm Permit: Yes No
WM:WlhLVE-I"
BUILDING:_L —1
Revised: June 30. 2015 Permit Anntiratinn
Job Address:
RE C T
BY:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S :5 (°I Z; Ry
3t S 1 (N a1.mo PI La
0r[&y4n Cr,k Historic District: Yes NoN
Parcel ID: 1 i -Z0-30 - SQU -OooO - Oo l0 Residential Commercial D4
Type of Work: New Addition Alteration NI Repair bemo Change of Use Move
Description of Work: r Gt. i„onnin
Plan Review Contact Person: M N Rk PATRi c.IC Title: 6) •GC.
Phone: L40-1• 9 yi • 0c105 Fax: (- 3 21.2.33. 0330 Email Coun+Cona, +-- @• tUoud..CXM Property
Owner Information Name
R Q 5ern'i+nolt 1-i- c Phone: 2-1 Z- 2. G S G 6 00 u 3 i:Z Street:
si I q ur, Resident of property? : ; V O City,
State Zip: !15J ` u e k. (J c.w If o,-k IbO l q Contractor
information Name
C Un5'-1 ; dPhone: 9 Y7 - D 9 W— Street:Ovvp e '
c Fax: 3zl • Z33 • C) 33 O City, State Zip:
5;NSF 0XI) State License No.: Architect/Engineer Information
Name: AoArcm kutz
Phone: 4 6-2' 322 3 F S-5 Street: Z u
L9 S .? ar-k- Fax: City, St, Zip:
S al:. A, . J A--t F L• 3 %-7-7i E-mail: kvTZ, r i CAI"s Bonding Company: Address: IL
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 POSTEp 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,I wells, pools, furnaces,
boilers,
beaters, 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. 51h Edition (2014) Florida Building Code
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.
mly
MI
Signature of Notary -State of Florida r` `
s. OD
fid Fy Public -State of Florida
6- Commission # FF 200033
sy,
l 1,?;•'
My .Comm. Expires Feb 16, 2019
Bonded ttuouO National Notary Assn.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
W V -'IMjC& TyyAA- Signature
of Notary -State ot Florida Daze NANCY
PAIMIERI MY
COMMISSION t FF 0470M EXPIRES:
December 20, 2017 8mdetttwiudyhNohrySarkes
Contractor/
Agent is I/ 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: Occupancy Use: Total
Sq Ft of Bldg: Main. Occupancy Load: Flood
Zone: of
Stories: New
Construction: 'Electric - # of Amps Plumbing # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: 7 Z - j < UTILITIES: ENGINEERING:
COMMENTS:
Fire
Alarm Permit: Yes No WASTE
WATER: FIRE:
BUILDING:
S Lb w
Job Address:
RE C R1"v
J U L 27 2015
BY.
CITY Of SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 'S5 (9 Za RY
51 (N a1.rno, P1i La
0r[A^Jr% firs Historic District: Yes No N
Parcel ID: 1 i -Z0-30 - SQV -Oo00 - 0010 Residential[] Commercial C4
Type of Work: New Addition Alteration >4 Repair Demo Change of Use Move
Description of Work: 1 7 or 0-1-f e/ M6-o". Dor• A IA4C
Plan Review Contact Person: M 1 r Rk, 1PAI R1 CAC. Title:
Phone: 4h1- 94-7.0405 Fax: I- 321.2.33.0330 Email: Coun+eop& -
Property Owner Information
Name RIB Sean-ir%oic L-c-c Phone:
Street: -Si 1 0 4-A \r, Resident of property? : ,4J0
City, State Zip: w ` u r k ti U0 It o,-k I Ib01 qIi
Contractor information
Name t- r Co i`-rUc i,:, Phone: L4 i) )- 9 v7. 1) 9 Qr
Street:
dr pw` e c0 r+c
Fax: 3ZI - Z33.0330
City, State Zip: A: 024 FL- 3 2-1-7 2- State License No.:
Architect/Engineer Information
Name: A rN rrw kutz.
Street: Z u L`i S
City, St, Zip: S o PL
Bonding Company:
Address:
Phone: 4 d-7` 32--L' 3 g 57S
Fax:
E-mail: A. kvrP, '- r J
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, po Is,
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: 511 Edition (2014) Florida Building Code
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.
171I S!y rJ. Khr/'crvb..)
14
01901! lBQTV n .Wnew.,
Signature of Notary -State of Florida r` "" '8
f fy Public State of Florida
Commission ill FF 2000337h / S '
y+ My Comm. Expires Feb 16, 2019
Bonded throuO National Notary Assn.
Owner/Agent is k Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
NANCYPALMIERI
MY COMMISSION t FF 047086
EXPIRES: December 20, 2017
Contractor/Agent isy 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: Flood Zone: Min.
Occupancy Load: # of Stories: New
Construction: Electric - # of Amps Plumbing # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: COMMENTS:
UTILITIES:
Fire
Alarm Permit: Yes No ENGINEERING:
FIRE: WASTE
WATER: BUILDING:
o-..:..
ea._n...-.gin atc ,- -•-•---------.
SUbwa
Job Address:
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: _r
Documented Construction Value: S S5.4(q
S l Gu a1.n+a, Ptaza.
Parcel lD: 1-20•3( - SQV -OooO - Oo Ip c.
Type of Work: New Addition Alteration g Rej
Description of Work: ._^ or odlere4i.,
Historic District: Yes No 4N
Residential Commercial N
El Demo Change of Use Move
Plan Review Contact Person: M NKic., PA-t-S-1C-k Title:
Phone: '4t3-1• 9147.0405 Fax: I- 32.1.2.33.0330 Email: CoUr •C oh&+- C UJA
Property Owner Information
Name RIB 5ern'ir%ok 1-L- c Phone: 2- I Z -- 2 G S -- G 6 6U W 3 L Z
Street: C6 I O 7 4-five, Resident of property? :.U0
City, State Zip: T
u k l3 It c
Contractor Information
Name r t tru ,",iP .ConS-rUc •i,%, Phone: L40T g SIi • a 9 ()J"
Street: OL+b
I,-, e ' C t
Fax: 3ZI.233 • U 33 O
City, State Zip: State License No.:
Architect/Engineer Information
Name: A nd rr w k utz Phone:
Street: 2 u i9 S .? ar-k 4V1- Fax:
City, St, Zip: S n.rt GL. 3 2-7-71 E-mail: 4 kvr z r • Gfl/ti Bonding
Company: Address:
Mortgage
Lender: Address:
WARNING
TO OWNER: YOUR FAILURE TO RECORD AWOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED
AND POSTEp 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'h Edition (2014) Florida Building Code ne.....:. ,
n.....l:..a.:..n ..
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.
71l 5! If Oil. wNO,,'Ar—
Signature of Notary -State of Florida {" 'y — -- Ir1 fy Pubttc -State of Ftorlda
Commission # FF 200033S `+ +
My Comm. Expires Feb 16. 2019yat;oa a, r'r 8rntded ttroto National Notary Assn.
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Signature of Contractor/Agent Date
NI. k R k P J. ck
Print Contractor/Agent's Name
Signature of Notary -State ot Florida Date
NANCYPALMIERI
MY COMMISSION t FF 0470H
EXPIRES: December 20, 2017
00ae k*dit1lU gdNftY5 rkeb
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 Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No
4
Plumbing # of Fixtures,
of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
r
n--:.-A_-I:.....:...._®
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanforc
Seminole County, Winter Springs
Date: I /30//f
I hereby name and appoint: _NArntGrl
an agent of: IUk4r4 wtd, %ns+t'U'J- otii--OeA. ' Jo&'C' C-1 X41c
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):
09 The specific permit and application for work located at:
3c0s S,09L tJR>0 D12%UF, SANF
Street
Expiration Date for This Limited Power of Attorney:
License Holder Name: 6rMl'; nl iu-T
State License Number:
Signature of License Holder:
o
STATE OF FLORIDA
COUNTY OF `jamn(t—
The foregoing instrument was acknowledged before me this ,day of ,
20_5 __, by Nrllrmg^ Bcuw.4— who ism sonally known
to me or who has produced as
identification and who did (did not) take a ath.
C'
Signature-,--' -
Notary Seal) 0_ a.,i-(r c .j - Erb cn)a,rJ S
Print or type name
CHARLfS J. EDWARDS Notary Public -State of FL Ccp/}
Commission # FF 193713 Commission No. 4F-F `7/l 9
My Commission Expires My Commission Expires: 1 Z-9 1 % Tsa;!o•°,.`' January 28. 2019
Rev. 08.12)
DATE: -7
BUSINESS/PROJECT NAME: c
ADDRESS: .z Gd
CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION
FIRE PLAN REVIEW SERVICE FEES
PHONE: 407-688-5052
FAX: 407-688-5051
PERMIT #: )6-. '-;; `< 6/
cc
f
CONTACT NAME: PHONE:L-lo-7,SAS
PLAN REVIEW INFORMATION
construction ElC/O Fire Alarm Fire Sprinkler Hood Tank Paint Booth
UCTION IWIRE I
7TOTALFEES:
m
A _
ID .
y Countrywide6tr' Construction
Development Company, Inc..
401 E. V Street, #1726
Sanford, FL 32772
407-947-0905 Phone License #CBC1254733
1-321-233-0330 Fax Office@CCDCompany.com
Contractor: Norm's A/C Heating Services, Inc.
2200 Winter Springs Blvd., Ste. 106
Oviedo, FL 32765
Job: Subway Store #851
3605 S. Orlando Dr.
Sanford, FL 32773
Scope of Work: Install hot air hood and curb. Roofer furnished by owner. Includes
permit, labor and material.
Total: $3,500.00
Norm Barrett, Norm's A/C
IL
Mark Patrick, CCDC
401 E. V Street, #1726
Sanford, FL 32772
407-947-0905 Phone License #CBC1254733
1-321-233-0330 Fax Office@CCDCompany.com
Customer: Bryan Horgan
Job: Subway Store #851
3605 S. Orlando Dr.
Sanford, FL 32773
Scope of Work: Interior alterations per plans.
Total: $55,692.84
l
Bryan Win, Subway #851 Inc.
y,.,, MISTY D. UNDERWOOD
Notary Public • State of Florida
Commission N FF 200033
My Comma Expires Feb 16, 2019f .
s Bonded through NOW Notary Assn.
71a 7 / 1s'
Mark Patrick, CCDC
THIS INSTRUMENT PREPARED BY:
Name:
Address- COUNTRYWIDE CONSTRUCTION & DEV. CO., INC
401 E. 1ST STREET, #1726, SANFORD, FL 32772
NOTICE OF COMMENCEMENT
Permit Number: }
Parcel ID Number: 11-20-30-5QU-0000-0010
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.
1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available)
LOT 1 SEMINOLE CENTRE PB62 PGS 39 & 40
3605 S. ORLANDO DRIVE, SANFORD, FL 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT:
INTERIOR ALTERATIONS PER PLANS.
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: RB SEMINOLE LLC, 810 7TH AVENUE, 10TH FLOOR NY NY 10019
Interest in property:
Fee Simple Title Holder (if other than owner listed above) Name:
4. CONTRACTOR: Name: COUNTRYWIDE CONST. & DEV. CO, INC. Phone Number: 407-947-0905
Address: 401 E. 1ST STREET, #1726. SANFORD. FL 32772
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
7. 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)(a)7., Florida Statutes.
Name: RB SEMINOLE LLC Phone Number: 212-265-6600 X362
Address: 810 7TH AVENUE, 10THFLOOR, NY, NY 10019
8. In addition, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number:
9. Expiration Date of Notice of. Commencement (The expiration 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. „Kt
ignature ner or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of I lorr•dx County of seM;ru e
The foregoing instrument was
by
of person making
nr DI ITV rI rPi(
JUL 2 7 2015
before me this a day of 20
rn Who is personally known to me OR
ment
who has produced identification type of identification produced:
MISTY D. UNOERWIXID
Notary Public State of Florida
Commission FF 200033
My Comm. Expires Feb 16, 2019
E,° ;( .••` BMW through National Notary Assn.
dY Av D. aluAe"W"d
Notary Signature