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HomeMy WebLinkAbout1317 Melonville Avexllb. D AUG 2.4 2015 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: S Documented Construction Value: $ S S inn , C7 Job Address: ISM M e- I on Ui (I f AN-C • SCI r YCC Historic District: Yes No Parcel ID: 1 (-•- (Q ^S d)r 750 1 " (0 "VoJ Residential commercial Type of Work: New Addition AAlteration aRepair Demo Change of Use Move Description of Work: Plan Review Contact Person: Phone: 977 (093—_157(o(D Fax: n y,\ Title: Email: rY)YEHM!gr7 R11 Property Owner Information Name \ 2_1 S Yr r1 ' Phone: Street: 131-7 t4elnnAlc Resident of property? : s City, State Zip: Contractor Information L NameTool Yi1 1, I nl'grn Phone: g%% f'- 5 CP Street: Jai W\3 Rik- (d -0 apt = Ise% Fax: City, State Zip: i1G®, `I 3 3a` State License No.: Architect/ Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application NOTICE: In addition to tote 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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 zoninA. rz?'2 Lg -2L Si o wner/Agent t . Date Pa-0 e-,( J t-E'J OJ rt ane eent's Name 3-21—QS of Florida Date A 'D JESSIE PEREZ 4 k Notary Public, State of Florida Commission # EE 878827 My comm. expires Feb. 27, 2017 AI%t .zJESSIE PEREZ to • Notary Public, State of Florida Commission # EE 878827 My comm. expires Feb. 27, 2017 Owner/ Agent is Personally Known to Me or Contractor/Agent is Personally Kno to Me or Produced ID Type of ID P 1, `b — Produced ID Type of ID FL D — BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures. Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 'F/2U/261S I hereby name and appoint: an agent of Z/s. )evO-A 7cI SenOc, Z-td. Name of Company) 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): The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: q / L90 /S License Holder Name: 7- State License Number: Signature of License Holder: STATE OF FLORIDA . COUNTY OF Sg YVl nn(1, The foregoing instrument was acknowledged before me thiskda of 2005 , by bYM OAF who is ersonagy known to me or who has produced as identification and who did (did not take an oath. , Notary Seal) CHRISTINA M. GRIFRN M* MY COMMISSION # FF 124905 EXPIRES: June 12, 2018 f' oa nd0' B*ed rrq!d Notaryry Swkn Rev. 08.12) Print or type name e-- dANotaryPublic - Statp of w Commission No. h151 05 My Commission Expires: 4o& A $ City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 13-r s. µLl.(onvi L e As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuilding,org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal) 1. Exterior Doors Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awning Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 v Category / Subcategory Manufacturer Product Description Florida Approval # including decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products 6H' Asphalt Shingles C) DoWay., AfwtCMVrM Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll up Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name Please Print) June 2014 PROPOSAL NO. i Y SHEET NO. PROPOSAL SUBMITTED TO: WORK TO BE PERFORMED AT: E DATE NAME ADDRESS ADDBESS C O LI ! l P TL- l L C 2_9 -III DATE OF PLANS PHONE N0. O"I ` LAI A f _ ARCHITECT 1 ' c i _ U tjN(f A' We hereby propos to fum' h the materials and perform the labor necessary for the completion of VIM Sa,v-c b e. J d Qt 1r C r-1r1 A ge, .S oV AA All material is guaranteed to be as specified, and the above work t ed MY drawin s and cifications submitted for above work and - Trdancecompletedinasubstantialworkanlikemannerforthesumofv ollars ($ - 5 . OC::with payments to be made as follows. Any alteration or deviation from above specifications Involving extra costs will be executed only upon written order, and will become an extra charge Respectfully U S P cn overandabovetheestimate. All agreements contingent upon strikes, Submitted accidents, or delays beyond our control. Per Lv I. Note — this proposal may he withdrawn by us if not accepted within days. ACCEPTANCE OF PROPOSAL The above prices, specifications, and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. Signature Date. Signature adarr> r Da1183-12 s j RLyOYtdkr»agtkaldYf A SddCD321t Stat=Crt taa li.t?t (3Etartlii,t?noH3082 Ua OepatrrertdFhdMa-dUbectDvekpr+rt M=Ua l kimpyProval M 1. DRIA 2 nR FA a DCxm..Lkvs 6R19Nni3er 7.Lan N rbr B k rmCBieNrlber A OVA I. Isoer oa CNIc n+smamm" cor zmwtt Voaa rLy=dv ftm trroama,wwaeswa n.nct+`erf ahoutt T*6v=&Wrent8)3km WTrLY3ekadrmtokntglrttl»IYx lofturadex senwbor fARtlfT00ffOntt fk dcOStrII1 osttofotrn hamarromi Fc totlst 8e arlOtR H82dI5at 17V R NWUECF 3J1@2 PatR! SeTi tla ADS '( m Cleftysbum arcip odmft FLxw ENNNECMUR KAJAH tdrWZLLCyaDdMm el3rritedUd t CmrpaW ADCRM s SC2Mo F. NWVECr-U34 ;t GFFXFOUYACCFEM IWa lUkLwWoA+er m S.1` fct4 FL32M Loi BkxkABXMAftmFsttes RGMT JWAI-aW GeenLedTdf%LLC 191ceam1. :.- if!!! I-:.. --- ted=tm LtSCEVFUWENrCFhUJ9143AWLFeWceALcRm3ir RPM in IrJLTn w v+vu Rry ci- wrasp.tale2 tewuxe ignvramaio}e.alas!rnmsgam:mituantala ygc va aroe{:fsatruomauv,:tnwmmitamma sar7dmnnwesmzbm aem,ebY'mtubstr st+6a 114+Vcrm rYctlhaomoow taagradnHCal3sYrtM o-t. ^Y I =bm llLertvt-dW% JClmftA 6aEwWmO+ww%- vtatlfsammltlaoemdmYlmm°'tfsNrbttarxdht»not•?httfsrarG c PREPARED BY & RETURN TO: Name: Lisa Glibert, an employee of GreenLeafTitle, LLC Address: 760138th Avenue N. St. Petersburg, Florida 33710 File No.15-0873LG Parcel No:31-19 31-501-OA00-0250 Consideration Amount: $10,000.00 This SPECL4L 'NVARRANW DEED, made the day of August, 2015, by KAJA KOLDINGS 2, LLC, A DELAWARB IM TTED LIABILM COMPANY, , hereinafter called the Grantor, to PAVEL SEMENOV, whose post office address is 12856 Gettysburg Circle, Orlando- FL32t137 . hereinafter called the Grantee: VIINESSETH: That the Grantor, for and in consideration of the sum of S10.00 and other valuable consideration, receipt whereofis hereby acknowledged, does hereby grant; bargain, sell, alien, remise, release, convey and confirm unto the Grantee all that certain land situate in City of Sanford, County of Seminole, State of Florida, viz: Lot 25, Block A, Buena Vista Estates, according to the Plat thereof, recorded in Plat Book 3, Pages 1 and 2, of the Public Records of Seminole County, Florida. TOGETHER WITH all the tenements, hereditamtnts and appurtenances thereto belonging or in anywise appertaining. THE ABOVE -DESCRIBED PROPERTY IS NOT THE CONSTITUTIONAL HOMESTEAD OF THE GRANTOR, NOR IS IT CONTIGUOUS TO SUCH. SUBJECT TO TAXES FOR THE YEAR 2015 AND SUBSEQUENT YEARS, RESTRICTIONS, RESBRVATIONS, COVENANTS AND BASEMENTS OF RECORD, IF ANY. TO HAVE AND TO HOLD the same in fee simple forever. And the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons claiming by, through or under the said Grantor, but not otherwise. N IN WITNESS WHEREOF. the said Grantor has caused these presents to be executed In Its name and its corporate seal to be hereunto affixed by its proper officers theeeunto duty authorized, the day and year first above written. Signed scaled red delkered m the pr lice o KAJA H DINGS 2, LLC, A DELAWARE LDWED LiAB CO,IWANY Wi rgn lure . SZ A, Printed Name:?RY fe L ar By: J L.S. y Name: Jon than Buerkert Title: Au orized Signer for M Holdings, LLC as Manager Witness Signatur, Printed Name: Address (Principal Place of Business): 16 Benyhtil Road, Suite200, Columbia, SC292I0 STATE OF SC - COUNTY OF Lest in±. a M The foregoing instrument was acknowledged before me this &day of August 2015, by Jonathan Buerkert Authorized Sinner of VPM Holdings, LLC as Manager ofKMA Holdings 2, LLC, a Delaware Limited Liability Company, on behalf of the corporation. He (she) Is personally known to me or has produced as Identification. S1gaMreof No Primed Name: Rr \oi lido._ L . avv G3 My commission expires: AMANDA JONES NYSteMBoutfiCarolkia .. My Coln111bil on EX0108 4/ W02b City of Sanford Roof Permit Application Checklist f All permit application packages must be complete prior to acceptance. You must check each box to the left or indicate n/a on this submittal. A complete application package shall include the following: g,-- Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. Q% Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). p- A site specific notarized power of attorney shall be required from the licensed contractor if he/she appoints an employee of his/her company to sign the permit application as the contractor. U,,-`-Certificate of insurance indicating worker's compensation insurance coverage and naming the City of Sanford as certificate holder, or a copy of a worker's compensation exemption issued by the State of Florida (must be submitted with each application if contractor is the applicant). Completed and signed Owner Builder Statement / Affidavit (if the owner is the applicant). These guidelines were compiled to assist the applicant in preparing a roof permit application and may not be complete. The applicant is required to meet all City of Sanford, state, and federal code requirements. r rgurti geiis Igloo 1111I 111111 aloof 1fi11i i1#1 THIS INSTRUMENT PREPARED BY: Name' U.S. Roofing Services, LLC Address: 150 OTi % - NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: MARYANNE MORSE, SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLERBK8533Ps28QP9s) CLERK'S A 21/5093045 RECORDED 08/24/2015 r_iq--r_li a55 AN RECORDING FEES $10.00 RECORDED BY hdevore 31-19-31-501-OA00-0250 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowing Information is provided in this Notice of Commencement. D, EOCQIPT,LQNf AP Uena \YlsiaatsIaies,n I' ti S,rppsttyland street address if available) L L Lb CSLtt f'Cd _ —..,. CLERK OF TH r COMPTR R`T.rt' o E p i '• QZr DOT ESCRIPTION OF IMPROVEMENT: SEMINOLE C`.s' . s DFOUTY CIFay OWNER INFORMATION: Hump- Pavel Semenov Address: 1317 S Melonville Avenue, Sanford, FL 32771 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: Ted Bryant/U.S. Roofing Services, LLC. Address: 10524 MOSS Park Rd. #204-150, Orlando, FL 32832 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: In addition to himself, Owner Designates Section 713. 13(1)(b), Florida Statutes. of To receive a copy of the Lienor's Notice as Provided in 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 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjuyj_de.Q1are that I have read the foregoing and that the facts stated in it are true to the best of myA e ge a belief. A U SZA( e 0 ers signature Owner's Printed Name Florida Statute 713.13(1)(9): *The owner must sign the notice of commencement and no one else maybe permitted to sign in his or her stead ' State of Flo"tck"' County of A The foregoing instrument was acknowledged before me this 2 day of . 2O I r by l E . • . Who is personally known to me Name of person making statemen _ OR who has produced identification type of Identification produced: FL ' JESSIEPERE2 Notary Public, Slate of F C Commission # EE 878827 My Comm. expires Feb. 27, 2017 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 15-- ca©a10,95 I, -Tep 15Q ANT hereby acknowledge that I personally inspected A Roof deck nailing and/or aecondary water barrier work at ! Y7 MCI lonyl ( (l, 4\--(. • _' i&' yf boland have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that myistateme ein re true and accurate to the best of my belief and that I fully understand that se s tements in writing with the intent to mislead a public servant in the performance ofr ffici uty shall constitute a misdemeanor of the second degree pursuant to Section 837. Signa re of ontractor Date Printed Name of Co tractor License # License Type: General Building Residential Cocfing Contractor or any individual certified in accordance with F. . 468 to make such an inspection. STATE OF FLORIDA COUNTY OF 6g jn lO Sworn to (or affirmed) and subscribed befo a this day of , 20 « , by who is ersonally Known to me or has Produced (type of i olificatien) J, , I i I as identification. Signature of Notary PubliA-t'la ta e of, Flori n_ rV 1 ^ '4CHRISIINA M. GRRN II f) * * MY COMMISSION i FF 124M rint/Type/ Stamp Name ^ EXPIRES; June 12, 2018 of Notary Public "^ °k 1oWt0TNy69*N0rySM1M