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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: f m A, P. n nk r ut 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 de-1 &4wa- re - roop rVo r v1-107/'2t'P % S7v-cwes tcl-! Gtec S r2i s , kkuf-oval 0-ud 0/1 e C4 sc. c% p(ev, // ®s a' 3,,SB®•DD 5p742i / Dwt ev ., 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: Y