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Home My WebLink About121 Coachlite Ct 12-2407 (re-roof)2 r- - EUVED 1 SEP 10 2012 Application No: i ��►"yj� Documentteed, Cgnsi Job Address: /v/ (,OLi I !�L (�y CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION fiction Value: Historic District: Yes ❑ No ❑ Parcel ID: , Zoning: Description of Work: le6o / Plan Review Contact Person: Phone: - Fax: E-mail: Property Owner Information Title: Name Phone: S,>2/-- tT,0 3 - .E R 9 Street: / h l Resident of property? : V zf�S City, State Zip:.��7 Contractor Information Name Phone:D% Street: `- Fax: City, State Zip:l/y `'/ C�� 1, State License No.: C,C_G /off to //5- Name: Street: City, St, Zip: Architect/Engineer Information Phone: Fax: E-mail: Bonding Company: Mortgage Leader: Address: n Address: i - PERMIT INFORMATION Building Permit ❑ Square Footage: /0 zi No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Construction Type: Flood Zone: Mechanical ❑ (Duct layout required for new systems) .�� No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: 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 your permit fees when the permit is released. Signature of Owner/Agent Date Sign re ofiContractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: COMMENTS: o9 iJ-ram Signature o tMeofFlorida DEBBIE BLAN]Ai81 Notary Public -State of Florida. • _ My Comm. Expires Feb 25, 2015 Commission # EE 60182 "0 ; ; Bonded Through National Notary Assn. Contractor/Agent is Personally Known to Me or Produced ID Type of ID UTILITIES: WASTE WATER: - - ENGINEERING: FIRE: BUILDING: Rev 11.08 i 'Dry4n &L— Eve Other The quotOd Pri'"4665 not Anclijae-any -bad wood found. this will be 1`908ired at the following prices:. 0" Of �YP -*Ood will,'be: repaired at $5. 50 per foot. ran SPOcliff0d and the work ,to tX ie an extra charge dome in a -workmanlike mannor for tfie sum. of$ Ile (any costs incurred to collect money owed will be paid tr? the`owne, are satisfactory and are herSbY accepted and payment will be as outlined. Date Proposal may bewithdrawn by THIS INSTRUMENT PREPARED BY: -- — ...�_ Address: L Ai State of Florida MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 07851 Pg 0955; (1pg) CLERK'S # 2C1121 n7369 RECORDED 09/10/2012 02.24:48 PM CEE COUNTY RECORDING FEES 10.00 „R,,�t,r>rr:r; RECORDED BY T Sait:h NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID) 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 (Legal description of the property nd str et a�ress if available) 1 ..5�:�rt�1' � �ERTIf1ED COPY f Y ANNE tAORSE GENERAL DESCRIPTION OF IMPROVEMENTOF S '` ^ : BAR CIRCUIT COURT o. ERK �nUNTY, FLORID!► OWNER INFORMATION Name and address: 12, CONTRACTORName and ys 17/5 awe�v l Persona 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 and address: In addition to himself, Owner Designates of Section 713.13(1)(b), Florida Statutes. To receive a copy of the Lienor's Notice as Provided in Expiration Date of Notice of Commencement: The expiration data 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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. STATEQR FLORIDA COUNTY OF SEMINOLE OWNERS SIGNATURE OWNERS PRINTED NAME "(NOTE: Per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be permitted to sign in his or her stood." The foregoing Instrument was acknowledged before me this day of s -4 lr 20 1 -::2— /�-� by d'1C7C. (G� /4l::ft Who. is personally known to me Name of person making statement OR who has produced Identification —EL 10L identfficaf(on produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. t,n 1®2012 S UNDER PENALTIES OF PERJURY, i DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT _ . ARE�TR TO TH B T OF MY KNOWLF��GE AND BELIEF. '� ®�' LL yHz-c� NY pt, CARLOS J. MEDINA `.O P SIGNATURE OF NATURAL PERSON SIGNING ABOVE Notary Public Stale of Florida My Comm. Expires Apr 13, 2015 '.;eoFc °�' Commission # EE 84174