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Home My WebLink About190 Kelly Cirt , RECEY V ED MAY 1 1 2011 F CITY OF SANFORD BY: _ _ BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I I / CO Documented Construction Value: $ 19 Job Address: 19 D 1y b rda Historic District: Yes No Parcel ID: 12 -26 -Ji 1 -C - O vD Zoning: Description of Work: I nstmk 101 x to 11 wr-S264) Plan Review Contact Person:f rn I { l US Title: (7t+ Phone. 455Z5 V72 31 5q Fax-35Z15(OI 9c5a'7 E-mail. —A.'Ie1(rn ff-V ZIUSLl LO%MO.AL Property Owner Information C0M Name Leo ria.- USA mb Phone: ` (a$ - sol o Street: 19 O Ke I IV C Resident of property? City, State Zip: sn fT+m ,EL 3Z7`3 D Contractor Information Name Lowes r CaRc> ra Street O SOX '9 a1effb City, State Zip: 40(10j,%A Q FU 32Z9 2) Phone: <_' 1)5 Z e>q 2 315 Fax: 2>5Z SLP I ` 5Sq State License NO.LGC 1 c>o s4 n Architect/ Engineer Information Name: r I p Phone: Street: City, St, Zip: Bonding Company: tJ r Address: Building Permit Square Footage: No. of Dwelling Units: Electrical New Service - No. of AMPS: Fax: E- mail: Mortgage Lender: P I, Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Plumbing New Construction - No. of Fixtures: Mechanical 13 (Duct layout required for new systems) Fire Sprinkler/Alarm 13 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 t 7 r permit fees when'the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: 4 M S' ' Il_ UTILITIES: ENGINEERING: COMMENTS: FIRE: Print Contractor/Agent's Name 2,1 5- i 1 Signature of Notary- tate of Florida Date a , P., Lc ANNE S. ROMANO MY COMMISSION # EE 029992 EXPIRES: October f TFOFFIOQ'! 1 Bonded Thru Budget NotarySenricea Contractor/Agent is /Personally Known to Me or Produced ID Type of ID • .- WASTE WATER: BUILDING: // Rev 11.08 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date:I 1 I hereby name and appoint:MotcMt Ck R , IOY'L l V aja& l GWIG -S an agent of UXV-VS Homm Camels VV Name nfrmmnanv1 to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. The s ecific 9; 11 it and a plication for work located at: v G arrfvrdIPL ?7 2 street Address) Expiration Date for This Limited Power of Attorney: Jt: L'51i z License Holder Name: State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OFAam The forego' 'nstrument was acknowledged before me this J day ofnny(A , 200j1 , by Cm o who is ? perswmRAnown to me or ? who has produced identification and who did (did not) take an oat zz Signature Notary Seal) Anm S• "A,n et.C. ANNES.ROMANQ Print or type name MY COMMISSION # EE 029992 0EXPIRES: October21, 2014 OF nd?- Banded Thru Budge) Notary Ser,= Rev. 3/27/ 07) Notary Public - State of Commission No. My Commission Expires: as 204705 - 04 11: 27 H,:: .; • - _ ma c r• .- ate ems. 1-4INS SALE$ SPEGA1," STORE N0. CTRGGT Anf1Rl.l; CITY ,•. '^ STATE TELEPHONE DATE 4U6Y 1657-INSTALLED SAL.E$,• CONTRACT # NWOER: :'' M — ft r ,"'.}'`; ' ... tip. . , CUSTOMER 1 J. OQr; T AnnRG$13 r 1 CITY / STATE ZIP TELEPHONE CASH CHARGEMD REG S j •. •..:'.. «. C C•cf-tit • a ;• ;., ..: . .': : • eq, :7.Y'•• :"y`• • 151! E,9t01V1TJL`."`.•fi- r s +t,,;1:•:.:.i ,..,Y ,:_ _:`+.•C :. '. '';.: STATE MP Contract Total applicable taxes included IqZ&tti NOTICE TO CU8TOMER: Federal law re4uiras Lowe's to provide you with the pamphlet Renovate Right. By signing this Cohtract, Customer alkitpwledglaashavingreceivedacopyofthispamphletbeforeworkbeganInformingCustomerofthepotentialriskoftheleadhazardexposure000fer6atlon'activity to be performed in Customer's dwelling unit. PHOTO RELEASE; Customer grants to Lowe's and Lowe's employees the right to take photographs of all work performed at the Premises relatad to this Contract, and irrevocably grants to Lowe's all right, title and interest in and io the photographs for use in all markets and media, worldwide, In perpetuity. CustomerauthorizesLowe's to copyright, use and publish the photographs in print and/or electronically, and agrees. that Lowe's may use such photographs - for ,any lawful purpose, including, but not limited to, marketing, advertising, . publicity, illustration, training and Web content. By initialing hens, Customer agrees to the foregoing. (Customer to initial to the left]. Wbrk- la.to commence. upon reasonable avallability of Contractor and/or any special order or customer made Good(s) which is anticipated to'be flueindate]. Estimated completion date is [fill in date]. Saidgstigi6tedsubstantialCompletiondateIsnotoftheessence. A statement of any Contingencies that would materially changa said estimated substantial Completion.date is as follows: If applicable, insert a statment of such Contingencies). this Contract• provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TOGO•TO COukT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and-Gustomer's•r~ights will be datesminodby.a'•NEUT.RAL ARBITRATOR and NOT a judge or jury.. Lowe's and Customer are entitled to a FAIR'HEARINQL -8t,t.th6 arbitration proceduresareSOPL'ER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as•enfo ceable as any court order and aresubjecttoVERYLIMITEDREVIEWBYACOURTFORMOREDETAILS: Review the section toted ARIBITRATfON AGREEMENT, WAIVER OF JURY TRIALANDWAIVEROFCLASSACTIONADJUDICATIONfoundIntheTermsandConditionsofthisContract. gratsc+ tylea at F;! r w.pn}rcr;r:VLM:al'tt CltlMPLETei1tWUYC)LF.H Ve.7REAt).! ` E Bft-AIVI6 't;;f FH1S' CONTRACT. BY SIGNING BELOW, YOU ARE -ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AID'Adk,EE46 THE TERMS AND CONDITIONS SET FORTH ON ALL PAGES OF THIS CONTRACT. YOU ARE ENTITLED'TO A 4%MOV•Ae•'trs'i14 rhUTper!T AT TW9: TIauF nr CIRAIATIIRF 3528617587 05/03/2011 23:14 RECEIVED FROM: 1657 #4577-002 All- 5-04 11 - 4069 1657-INSTALLED SALES P 3/6 Contract Total applicable taxes included NOTICE•TO CUSTOMER: Fadaral law requires Lewala to pravida you with the psntph%t 1?,6nevato Rigbf. oy signing thie Contrtsct, Cuetomcr acknowledges having received•a copy of this pamphlet before work began Informing Customer of the potential risk of the lead haiard oxpostirefromrenovatiort'activity to be perforated in Customer's dwelling unit. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees the right to take photographs of all work performed at the Promises related to this Contract; and irrevocably grants to Lowe's all right• title and Interest in and to the photographs for use in all markets and media, worldwide, in perpetuity. Customer authorizes Lowe's to copyright, use and publish the photographs In print and/or electronically, and agrees that Lowe's may use such photographs• for any lawful purpose, including, but not limited.to, marketing, advertising, publicity. Illustration, training and Web content. By initialinghere, Customer agrees to the foregoing. [Customer to initial to the left]. Work' la Lo commence upon reasonable availability of Contractor and/or any special order or customer made Good(s) which is anticipated to:be fill& In datej. Estimated completion date is [fill In -date]. Said estimated substantial completion date is not of the essence, A statement of any contingencies that would materially change said estimated substantialcompletlondateisasfollowa: If applicable, insert a statment of such contingencies). This. Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHTTOGQ•TO..COURT•to enforce this Contract (EXCEPT formatters that maybe taken to SMALL CLAIMS COURT). Lowe's and.. Customer's-rWhts will bedetermined.by a. NEUTRAL ARBITRATOR and NOT a judge or Jury. Lowe' i and Customer are entitled to a. FAIR HEAFEti G.'.But the arbitrationProcedure¢ are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court bider andaro•subject; to VERY•LIMITED REVIEW BY A COURT, FOR MORE DETAILS., Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURYTRIAL•ANDtNAiVEP.OF CLASS ACTION ADJUDICATION found In the•Terihs and Conditions of this Contract, D(% hIOT 51l3r1.7H1S C.t7NTRACT UNTIL COMPI_ TE'ANb YOU H'READ THEIERMS AND CONDITIONS 6 iA14126.0114 ALL PAOES. OFTHIS CONTRACT. BY SIGNING -BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND ANDAGRE.TO"7 HE TERMS AND CONDITIONS SET FORTH ON ALL PAGES OF THIS CONTRACT. YOU ARE ENTITLED TO A OoOFTHIgCONTRACTATTHETIMEOFSIGNATURE. WITNESS OUR HAND(S) AND SEALS) BELOW THIS DAY OF LQWe s Home Centers, Inc. i Owner r7- 7 A ...t . - Cubtol% lis do ganccl thlili idirtn' for ain e 90794 ( Rev.12/10) s reoelpt of a true copy of this contract which was com-plA4 filled in -prior to Customer's execution hereof. You, the buyer, may itanytimepriortomidnightofthethirdbusinessflayafterthedateofthistransaction. see the attached notice ofthisright. of cancellation FILE COPY 0 2004 by Lowe•s p Lowe's and the gable design are reglelamd tradsmarke of LF Corpwafion. 3528617587 05/03/2011 23:15 RECEIVED FROM: 1657 44577-003 5/6 2011 Seminole Countv Propertv Appraiser Ge... 4Y}yii DAVID JOHNSON: CI+A, ASA r 911ik ?S T9 g7 PR OPERTY LLY CIR AFPIAI5EEi SEMINOL' E COUNTYFL. 21 1v 1,, 16 17 1e iF L71413 11 10.L t x nc 1 t01: E: F1R57.ST 9ANF,ORq, FL32771-1468 i 407-6W7506 7 11 12 13 Id' 16 scpafl.org/.../re_web.seminole_county_... 1/2 INSTALLED SALES P 1. THIS'SURVEY WAS PREPARED FROM TITLE INFORMATION FURNISHED TO THIS SURVEYOR, THERE MAYBEOTHERRESTRICTIONSORUNRECORDEDEASEMENTSTHATAFFECTTHISPROPERTY. 2. NO UNDERGFOUND IMPROVEMENTS HAVE BEEN LOCATED UNLESS OTHERWISE SHOWN3. THIS SURVEY IS PREPARED FOR THE SOLE BENEFIT OF THOSE CERTIFIED TO AND SHOULD NOT BE RELIEDUPONBYANYOTHERENTITY. ITY. 4. DIMF,NSIONS SHOWN FOR THE LOCATION OF IMPROVEMENTS HEREON SHOULD NOT BE USED TORECONSTRUCTBOUNDARYLINES. 5. BEARINGS ARE BASED ON RECORD PLAT DATUM AND ON THE LINE SHOWN AS BASE BEARING (88). 0. PROPERTY HEREON LOCATED IN ZONE ' X - PER F.I.R.M, COMMUNITY PANEL NO. 120294 OOrO F DATED 09-26-07. 7. BUILDING LINES SHOWN, REPRESENT BUILDING WALLS. EAVES, IF ANY, NOT LOCATED OR SHOWN. C/L KELLY CIRCLE ro N N 8903741"E (BB) 50.00' RM. I.P. NUu . 10' U.E. LOT 15 REC I.P. — P.C. LS 2005 411,11' o CD oO 2.8' 1.T ENTRY W 16 C' iY) CV N 0 Z RESIDENCE 11 i0 sue, 362 5 SCREENED 60 PATIO SET R9 16.0' 0 LB 4565 OFFSET 6.0' N. 1.4' 5' U.E. 0.6' S 89°37'41 "W 50.00, SANFORD HEIGHTS ADDITION (P.B. 2, PG 118) Boundary SURVEI'ORSAndLB4566 Associptes, Inc 109 WEST ORANGE STREET ALTAMONTEPRINGS, FL. 32714 PH. (407) 6Wj155 UV GALE 1' = 20' i I t 14 I i CITY OF SANFORD BUILDIAIr. PUN REVIEW PLAEEF;tR VIS ESAPPR DATE -- -- REC I.P. L$ 9005 OFFSET 1.0' N i I i t CERTIFIED TO: TOUSSANT LEONARD & JUDY LEONARD' WATSON TITLE SERVICES. INC. REGIONS HANK, O/B/A REGIONS MORTGAGE N f) RFPI IRI If: NATI(INAL TITLE INSURANCF rXWP,6NV k PERMIT # PROJECT ADDRESS / O CONTRACTOR REVISION a DATE Q & - U 9- 11 PHONE # 3 s a S - 3 j S' FAX # CONTACT PERSON QJ DESCRIPTION OF REVISION UTILITY DEPT FIRE PREVENTION PLANNING BUILDING (t 1 N d L" U U. h LU a- f4 fit 7-y*0kk ff"br,r Lac cor_ne rg j7 t=02 0 74X6rr a k $c"s .. A w cS RU CTU IZtl L L—• 4 X4 PT POST Ter IN ottilGR i P-- nEcv-1 r-)G% (i z k"' ) FASTE':• f- u6 x u 5CREWS P EA. CONTACT PT.-, 5 fr-/2 ?N C4PRIA6E 80L T5-- TAR r BOLTED 1) 2x5 P. T. 5 fP.42 ffkl / f .'" 4x CAP - TrP,'CAL Lewes rk rne Ce-#•csl+nc. 2 1rf, Pr moo A rPrl.? BOARDS A' - Y I-PIC FT. f6'yv'C. ; E 25C% p5;1 F 57-EM 2xl ;GrS? - F 10 PPoi Po5r —E E ,, x W col'is-rp'. asp- dx4 PT Pt s r' 25 $11R5 fF WAY