HomeMy WebLinkAbout140 W 13 StDECEIVED
APR 2
BY: CITY OF SANFORD
BUILDING $ FIRE PREVENTION
PERMIT APPLICATION
Application No: t 13 Z Documented Construction Value: $ ..4sod6 Job
Address: ! "7l k Historic District: Yes No Parcel
ID: 3S — 8 -30'. 09'00 Q0 Zoning: Description
of Work: D® 01 t Plan
Review Contact Person: Phone:
Fax: E-mail: Title:
Property
Owner Information ,,`` z//
Name ,{
Phone: S 7ss "7V 72 Street:
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Resident of property? : /V City,
State Zip: !Yl T. AA-- . F e397.57 Contractor
Information Name
Street:
City,
S Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Phone:
rzeS rMO Fax:
60 State
License No.: Information
Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Building
Permit Square
Footage: la5o Construction Type: No.
of Dwelling Units: Flood Zone: Electrical
New
Service — No. of AMPS: Mechanical
13 (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.
Z/5
signature of Owner/Agent Date MEW= of Fontr&ctorMgcnt Date
W
r4Gt rG Gcr' /U PG itit ti N
c o
Print Owner/Agent's Name Print Contractor/Agent's Name Q 0 0
e mil
JEFFREY T ROCHE
MY COMMISSION # DD930M
t EXPIRES October01, 2013
407) 398-0163 FloddeNotaryServtce.com
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
os
U
Sign o otary-State of Florida Date W O
LL
tL OV X
w
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Permit Number _ C
Parcel Identification Numbe4e^%Q'l
Prepared by: Mark Orman
Return t0: 700 woodling Place
Altamonte Springs, FL 32701
NOTICE OF COMMENCEMENT
State of Florida
County o£StloeS`e„y 1e
The undersigned hereby gives notice that improvement(s) 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.
Iloll 11RINK I "C"Ota RYANNE
NORM, CLERK OF CIRCUIT COURT INCLE
COUNTY 0756?
pg 0447; iipgl LERKI-
S # 2011044069 ECMDED
04/,7/,oQll 1,o:03a57 pfg Qf
EMRDING FEES 10.00 RDED
BY J Ecltentloth(all) rN
h
m
1.
Description of property (le al descripti o the property, and street address if available l /
0 0% . 136 'f S w r F(- -3a77 / der t- C 0e &fes7 s AJd /OU4 t 2. %
neral des-tpt; o l vemen t( 3.
Owner information // 5p" Name &
Address r- . Telephone &
Fax Number Interest
in Property: 166To 4.
Fee Simple Title Holder (if other than owner shown above) Name &
Address Telephone &
Fax Number 5.
Contractor A Name &
Address ,,'( o Telephone &
Fax Number 6.
Surety (if any) Name &
Address J1926
Telephone &
Fax Number ' J Amount
of bond $ GILKl ll'Itu UUIrI. .. Y
NN _ MORSE 7.
Lender (if any) C ER CI CUIT COURT Name &
Address Telephone &
Fax Number 8.
Persons within the State of Florida designated by Owner upon whom notices or other document Z97 NVMllas
provided
by 713.13(1)(a)7, Florida Statutes. ' I,, Name &
Address Telephone &
Fax Number 9.
In addition to himself or herself, Owner designates the following to receive a copy of fhe Lienor's Notice as provided in 713.
13(1)(b), Florida Statutes. Name &
Address Telephone &
Fax Number 10.
Expiration date of notice of commencement (the expiration date is one year from the 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO
VG YOLIX NOTICE QF CO E CEMENT. Gj.`'<
S
gnature of Owner or Owner's Author ed Officer/Dir'ecto#Partner anager Print Name Sworn
o (or ffirmed) and "bScribed before me this day of r) , 20 1 f by
P as (type of authority, e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom instrument was executed.
personally known to me OR produced nfification. Ar
f ` Notary Public State of Florida Alexander
M Scalea c
My CommistLion D0979459 Signature
of Not SEAL 'co,M1.-' Expires 05/12/201 ame (
pri t) Verification
pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I declare .hat I have read the foregoing and
that the facts stated in it are true to the best of my knowledge anti - . 23-
20 (7/07) Sign ture of Natural Person Signing (in line # 11) Above
f
Mark Orman Construction, Inc.
Mark Orman, Owner
700 Woodling Place, Altamonte Springs FL 32701
Licensed General Contractor CGC 1506674
Licensed Roofing Contractor CCC 1327051
Email: markiormannu,yahoo.com
Phone: 321-945-2500 Fax: 407-209-3560
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T. S. CHEHAL
Licensed Professional Engineer
531 S. S.R. 434
Altamonte Spring, FL 32714
Phone (407) 521-5557 `
Fax (407) 521-5434 7
P. E. 0040748
May 10, 2011
Ref: Metal Roof
1410 W. 13th Street
Sanford, FL 32771
I have inspected the above referenced property. The metal roof is installed
properly and meets the 2007 Florida Building Code.
Sincerely,
T.S. ,Chehal",P.E:
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