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Home My WebLink About429 S Summerlin AveCITY OF SANFORD C:EJV BUILDING & FIRE PREVENTION AlJ 2 016 PERMIT APPLICATION f 3y: _ Application No: Documented Construction Value: $ Job Address:. S - O" wle z(k-n A o e_ Historic District: Yes No Parcel ID: 36 - I 1 -3 ` - 6 6 U b "6a'110 Residential F Commercial Type of Work: New Addition Alteration g Repair Demo Change of Use Move nn Description of Work: t-u.2.A-(t'K + i U e P fCj - 1 qg, oo oo[ ne 2c nlx.Xl2 Plan Review Contact Person: /17 SrL2 !y j/' 1 TitrlJe: .rn 4- 4eGk Phone: Fax:Email: - Name D Street: City, State Zip: Name 1 r I Property Owner Information Phone: * 2 Pr66 -2 Resident of property? 42-3 rmation C_ r C- Phone: 40-7" 3a--7 - P 0 b Street: : L (A t l' Fax: 9-67 City, State Zip:Wty,)4-e2 (S S , a--7ff State License No.: CDC?— Arch itect/Eng i neer DC?— Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: 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: 5" Edition (2014) Florida Building Code PermitRevised: June 30 2015 Application '4q 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 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 zoning. Jik /-ivC Z6 vl6 Si ature of Contractor/Agent Date Im Owner/Agent is Personally Known to Me or Produced ID Type of ID _7400 5 L(g S j 5 o S-0 CAAe -j3 ?.A W-0 Print Contractor/Agent's Name Si ture of Notary -State of orida Date JklMEM.JOHNSON ommission # GG 001909 Expires July 4, 2020 dii;;:+' BondeCTluu Fain 106=00B00-385.7019 Co ersonally Known to Me or Produced ID Type of ID 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: Flood Zone: of Stories: Plumbing - # of Fixtures, of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 7-1 Modern Plumbing Industries, Inc. Project 6r g r f 00 le THIS INSTRUMENT PREPARED BY: Name: L. Tincher Modern Plumbing Industries, Inc Address: 255 Old Sanford Oviedo Road Winter Springs, Florida 32708 12! lei I DMOGasielME h,,F44kJ State of Florida County of Seminole Permit Number: i., i f! .. Parcel ID Number: 30-19-31-525-0000-0840 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) LOTS 84 + 85 + S 1/2 OF LOT 83 FORT MELLON PB 3 PG 69 429 S SUMMERLIN AVE SANFORD FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT: Remove tank water heater and install propane tankless hooking up to propane tank installed by others OWNER INFORMATION: Name: Brian & Melinda Tooley Address: 429 S SUMMERLIN AVE SANFORD, FL 32771 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: Modern Plumbing Industries, Inc Address: 255 Old Sanford Oviedo Road Winter Springs, Florida 32708 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 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 IMPROVEMENTS TO YOUR PROPERTY. A CN 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 0*0 BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. CQ Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true CD to the best of my knowledge and belief.rd t% s ';;i yC.r%• `,;. ` ' C--,( r C-.: ((J U - C•.\'+. . ,FC. • .® iso E r'a' ", Owner's Signatr.re f Owner's Printed Name r Florida Statute 713.13(1)(g): " The owner must sign th-1 notice of commencement and no one else may be pennilted to sign in his or her stead." ; •. E G U w kAStateoftCCountyofry --.'r_ / l W -: 2 zC! \ ti The foregoing instrument was acknowledged before me this I) day of 7 G t'1,1. `'J- 20 r z Z _ y, `l'l (, . I./1 ( , / -i- ' Who is personally known to me u ` Y Name of person making state ent 4 J type of identification produced: Lt C L.. ) ' r"") " ' _ OR who has produced identification yp p tlo: G LJ KItdNrR+1 iiIILOGIC,RrFNi R" 1 r ! 'Jk i o o YI o$Y (Ct rTll VC 1 $ f f 93! i r 1 Aires June 20JO1 / Notary Signature p } l -%F i }': A?f ! t } ':1 U a ..,3s7'il9 ^`.