HomeMy WebLinkAbout712 - 714 Panama PlCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
0
cApplicationNo: ented Construction Value: $ 9. BY 9
Job Address: 712 `?'Y PAvmnh Pc4t6 Historic District: Yes No 9"'
Parcel ID: 31 PI, 300• nozo, 00oo Zoning:
Description of Work: ern iP A 'tAI-E 1' 1h ,1) 6
Plan Review Contact Person: Rl(AAiz-b 5za5- Title: (e rnALr z
Phone: qo7. ul. 448l) Fax: Lm->- 33v.9o8y E-mail: onis,-n an_ Hv,S GMri9.Vz,(,
Property Owner Information
Name Alt-:-nj ;V0geS ehissioe\)
Street: / o0o E
City, State Zip: 54wFo p FL_ 3 77
Phone: YO ) . 323. 3Y 3n
Resident of property?:
Contractor Information
Name Ab.,+e,, (*v6ryL)rnaj Phone: 9,77. Zzi . Lill 89
Street:', ? n 601_1 l Fax: fo 330qo¢3 y City,
State Zip: A,o Fl- 327-7 t State License No.: CgC / 75o 7 36 Architect/
Engineer Information Name:
AJI/- Phone: Street:
City,
St, Zip: Bonding
Company: Address:
Fax:
E-
mail: Mortgage
Lender: AJ Address:
PERMIT
INFORMATION Building
Permit C3' Square
Footage: Construction Type: FLh-mC No.
of Dwelling Units: z_ Flood Zone: No Electrical
Plumbing New
Service — No. of AMPS: Mechanical (
Duct layout required for new systems) No.
of Stories: I New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm No. of heads: p0J
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 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.
of
1_, 1C f n
Print er/Agent's Name
10 ILS I t
Date
Si ,t State of Florida Date
TIMOTHY W. MEISELoy0
G •'
Q3 M`"""' MY COMMISSION # DD919167
EXPIRES: November Ol, 2013
S
A „ .2
dof
1. . . .NOTARY Fl. Notary Diuount Astor. Co.
S ••'••D vpe
ct •.•
1 11 Personally Known to Me or
Produce Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Signature of Contractor/Agent Date
f
Con for/Agent's Name
ttrat.
Signature of No State of Florida Date
l
TIMOTHY W. MEISEL = 2P P V
MY COMMISSION # DD919167 Q
EXPIRES: November 01, 20,13 'y ; s A
v
4
14M3-NOTARY Fl. Notary Discount Astor. Co,
10
Contractor/Agent is Personally Known 04e or oo
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
New Tribes Mission
Y NTM Homes
10.14.2010
There is a verbal agreement between Homes Construction LLC and New Tribes Mission to do general repairs
at 712-714 Panama Place. The cost of this project is $4,848.
Owner;
Contractor: 1A
78 Mission Blvd. • Sanford, FL 32771-7637 •407.330.1505 • fax: 407.330.9084 • www.ntm.org/ntmhomes
THIS INSTRUMENT PREPARED BY: MARYANNE MORE, CLERK OF CIRCUIT COURT
Name: rc.glIf P Senn SEMINOLE COUNTY
Address: Il L_Lr BK 07465 Rg 0,058; (1pg)
aw Icy Za i
State of Florida CLERK I # 2010121 E,2 g
RECORDED 101a)12010 09:,09:55 AN
RECORDING FEES 10.00
NOTICE OF COMMENCEM DED BY J Eckenroth(all)
Permit Number Parcel ID Number (PID) 31. 1,9• 31. 3 00 . o0zo . OOC-0
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 and street address if available)
1
Src 31 rwp Iq 31 k /VtF y lr; y L_eX a-Y •t r A S' '
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
r
Name and address: /VGW Mi &5 rn 155 /y"j / 000 E S 5TY18 i
C 3Z7-2 l
Name and address of Fee Simple Title Holder (if other than owner) :/ A
CONTRACTOR /
Name and address: At ,V c5 1J.
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 and 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 1 vear 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 IMPROVMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUSTBE 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. CC
STATE
OF `) 't1)1k COUNTY OF 041 `)ULf S
IGNATU OWNERS PRINTED NAME NOTE:
a Fforida Statute 713.13(1) (g), owner must sign...... and no one else may be permitted too sign
in his or her stead," The
foregoing instrument was acknowledged before me this day of , 20 G by
A A i .L, lii% [ •( 0. (! - Who is personally known to me Name
of person making(statement OR
who has produced identification type of identification produced c
RlIfI D GOP, VERIFICATION
PURSUANT TO SECTION 92.626, FLORIDA STATUTES. MARYANNE HORSE UNDER
PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATEt tft OF CIRCUIT COURT ARE
TRIJE7 E BEST OF MY KNO LE GE A BFL,', gEMINOLE COUNTY. FLORIDA TU
OF NATUR ON SIGNING ABC' •.••••. i iSOT ` : `• /
4: lJV
T 2 0 20 n.l_ A .•
P, f8 IC : Z Notary tignature V