HomeMy WebLinkAbout98 Mission BlvdApplication No: [ [_ 5 -15 JAN
0 6 2011 CITY OF SANFORD BUILDI
G & FIRE PREVENTION PERMIT
APPLICATION Documented
Construction Value: $ 7 oSo Job
Address: qo' MrSSie,. 3`vp 54,vr F - 3 z-)"71 Historic District: Yes No 9' Parcel
ID: 31. ill . 3oo. c9oj?u, 000c, Zoning: Description
of Work: 5mtP AsPHAr-7- 54,MbLisS (2&YcA'r-E nsr OF &bg Plan
Review Contact Person: Title: Ce-n2 Ak-7n z - Phone:
Ya7. 2-2Fax: q07 . & o • "i08 y E-mail: Cc9rjs7nvc-r/ aJ—rft%-^vS.C2 AM11, 026 Property Owner
Information Name /VeU
T2tAM j%5s1IIN Phone: yo7• 373. 3830 Street: / oco `
r sr
Resident
of property? City, State
Zip: SA rfbyLb 3z77/ Contractor Information
Name !-(y-
mcS Cftvsr,2 rx,--7yu LL-c- Phone: `to 7 . Z?j - y9 89 Street: I110
ice-, t//4 U - Fax: `(0 7, 330. 90 6k( City, State
Zip: 5&jF2ju Fc- 3z7-7/ State License No.: CC- o6 3yd Architect/Engineer
Information Name:A
Phone: Street: City,
St,
Zip: Bonding Company:
44 Address: Fax:
E-
mail:
Mortgage Lender:
ti Address: PERMIT
INFORMATION
Building Permit
Cq' Square Footage:
Construction Type: F24t*-E No. of Stories: No. of
Dwelling Units: Z Flood Zone: wo. Electrical Plumbing
New Service -
No. of AMPS: New Construction - No. of Fixtures: Mechanical 0 (
Duct layout required for new systems) Fire Sprinkler/Alarm 11 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.
S e o er/A a Date
0,"A .-kS4 L. 48(- r-k f
Print Owner/Agent Name
3C
C
C (Y
re pf N -State of Florida Date
N TIMOTHY W. MEISEL
0 MY COMMISSION # DD9191.67
dEXPIRES: November 01, 2013
V ''°+ate'` -F, Notary Disoount Assoc. Co. 1 y 1(00 3440TARY
i /
Ownei 'is Personally Known to Me ori • •.
Produced' Type of ID
agiinn tt
PPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
FIRE:
ej' /L-(:: ' 0.M.zo a
Signature of Contractor/Agent Date
2 L Se
6140'o
Prr:,
for/Agent's Name`
Signature of No ry-State of Florida D to •h .' Q F u
TIMOTHY W. MEISEL 1 ~ '
MY COMMISSION # DD919167 QJ
arti EXPIRES: November 01, 2013
IMO-3-NOTARY F'). Notary Aswc. Cq. 01, •'
Contractor/Agent is Personally Known to Iv 6-dr ,.
Produced ID Type of ID
WASTE WATER:
BUILDING:
Rev 11.08
New Tribes Mission
NTM Homes
10.14.2010
There is a verbal agreement between Homes Construction LLC and New Tribes Mission to replace the exist-
ing roof at 98 Mission Blvd. The cost of this project is $7,050.
Owner:
Contractor:
78 Mission Blvd. • Sanford, FL 32771-7637 •407.330.1505 • fax: 407.330.9084 • www.ntm.org/ntmhomes
THIS INSTRUMENT PREPARED BY: MARYANNE MORSEL CLERK OF CIRCUIT COURT
Name: iZtc4f".P Sas SEMINOLE COUNTY
Address: t`i . Cr157AAK07465Fig0258; (Ipg) JC`9lLD1=c. L-7 u State of
Florida CLERK'S # 2010121 E.29 RECORDED 10/
20/2010 09:29r55 AN RECORDING FEES
10.00 NOTICE OF
COMMENCEM DED BY J Eckenrothtall) Permit Number
Parcel ID Number (PID) 31.H.31. 500 002-0 .00t-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) 71VP /Q
S e 31 J Nc' SiV-c31y ,I-- m- %y Coss zY +t Z, a s. 29 GENERAL DESCRIPTION
OF IMPROVEMENT 6er-J
IAA— 01;+IN7t-d4YVLF OWNER INFORMATION
r— Name
and
address: A19W 77YZi djr> 'rn 55 /0"1 / 000 S.9>vF
2r7f'C 3 Z7 7 / Name and address
of Fee Simple Title Holder (if other than owner) : CONTRACTOR jr Name
and
address: i4'r3r 65 Ct-(v,;r a.-VP%T 1 ay L Fe l90 ,gou A
U- :!fwFoa-b ram- 9 z, -? / 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 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 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. STATE OF r
L ` 1 ` COUNTY OF (114 +t ULf— Cam__ S I
GNATU
OWNERS PRINTED NAME er' "(NOTE: PF
oridaStatute713.13(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 r,y. 20 G by A1 t;
l , Who is aersonally known to me Name of person
making (statement OR who has
produced identification type of identification produced VERIFICATION PURSUANT TO
SECTION 92.526, FLORIDA STATUTES. CERHHE.0 t;UN1 MARYANNE MORSE UNDER
PENALTIES OF
PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATFL OF CIRCUIT COURT ARE TR4E 0 E BEST OF MY KNO L SEMINOLE COUNTY, FLORIDA
SIGATU OF NATUR
ON SIGNINGABO' F •••••.. ji i;'
VI DEPUTY ('t.
ERv ` gip®iARy ur"
r 2 pW13 IC :'