HomeMy WebLinkAbout611 Tressle Point - E18-004532 - PANELC;+
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BUILDING DIVISION
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PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: 1 re S S •e PO' Historic District: Yes No
Parcel ID: Residential Commercial
Type ofWork: New Additionition R Alteration Repair Demo Change of Use Move
Description of Work: W i f e ZD O o w P r-a N Et ev 2 r A T U, iz-? Tom' WPT
Plan Review Contact Person:
Phone: Fax:
Name
Street:
City, State Zip:
Email:
Property Owner Information
Phone:
Title:
Resident of property?
Contractor Information -
Name _ ' `d'C.i` Phone:C to
Street:qA--) Fax: .. .
City, State Zip: ff[ `' rl... State License No.:
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 MAYRESULT 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.
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FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 6' Edition (2017) Florida Building Code
NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that maybe 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 ofpermit 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 ofsubmittal. 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 offtheexecuted contract exceed the actual construction value, credit willbe applied toyour 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 ofOwner/Agent
Print Owner/Agent's Name
Date
Signature ofNotary -State ofFlorida Date
Owner/Agent is Personally Known to Me or
Produced ID Type ofID
ature of Contractor/Agent Date
V CAm,e6
Print Contractor/Agent's Name
un3
Signatu-StateoflffE BLAND Date
Notary Pubiic •State of Florida
Ul 4 * P Commission # GG 060623
OF F Op My Comm. Expires Jan 16, 2018
C1 1 wn to Me or
Produced ID Type ofID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: . Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # ofHeads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
Fire Alarm Permit: Yes No
WASTEWATER-
FIRE- BUILDING:
Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FLInst #2018130287 Book:9250 Page:61; (1 PAGES) RCD: 11/16/2018 8:44:32 AM fc pTO Cpy rj r 'f- frit(j{ REC FEE $10.00
m THIS INSTRUMENT PREPARED ..=ic "'=
Name:_--."I!
Address- tr BY .... _. ._ __. ......
a.,... . »•.«
t
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole ! , /
Q y
Permit Number. 1 (1 T , v' Parcel ID Number: f 1 S (E y' 0 ZZ!
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.
DESCRIPTION OF PROPERTY: (Le i. dessri tion ofthe property and street address if available)
fn v5v- rd Fi
GENERAL DESCRIPTION OF IMPROVEMENT:
i_ r3" tiP • 6' it :I - C _
OWNER
Address: LLLL t lej— 5 1 ( t
Fee Simple Title Holder (if other than owner)
CONTRACTOR:
Name, --Fqa 1 C->Sl 1 EGZS xJ Tv+,1G
Address: !o i LDS L ( F L—i'-jF t_ ion lC o, A a-/
Persons within tho State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(t)(b), Florida Statutes.
Name:
In addition to himself, Owner Designates
To receive a copy of the Lienor's Notice as Provided in
Section 713.13(i)(b), Florida Statutes.
Expiration Date of Notice of ommencement 7 expiration date is 1 year from date of recording unless a
different date Is specified)1EEM7
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 1 have read the foregoing and that the facts stated in it are true
to the best of my knowledge and belief.
Comers Signature Ovmefs Printed Name
Florida Statute 713.13(1)(g):' Theownor must sign the notice orcommencement and no one elsemay be permitted to sign Inhis orherstead'
State of V l i County of
The __L. f regoing instrument was acknowledged before me this day of N , t` tu,rt 2118
by t Ld(/,—. Who is personally known to me V---
Name of p'iarson making statement
OR who has produced identification type of identification produced:
Y ••• ANNE CTERWNSK
MY COMMISSION # GG 1543d9
REteryPubkUndenrtlters..