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HomeMy WebLinkAbout1800 Cedar AveLSEP 26 2016CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION t I&LorApplicationNo: tA Documented Construction Value: S (A3(m GO Job Address: jg00 Cf'aiPKVe. jo Historic District: Yes No Parcel ID: _3(..D- (q - SO-52 -0C)Qd - 00 Residential % Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: -,Ke ,(Go* Plan Review Contact Person: Q•kChNQS mnn ICI Title: tn± Phone: 40-1 ' 2.4-1- gUD2 Fax: JM •,&Q1 - 1?(R I Email: yU r nryxckt) Cn 11 , Qryni 1 Property Owner Information ccn Name EY i C C-1 \-bn Y P Phone: S U -45 -3(D44 Street:,!) 0g0o LQrQtry s " -),enr)6 Resident of property? : 1Kc City, State Zip: EL (_ c&C`) Contractor Information Name sio'( +iomcs,Luz Phone: "im • 5 @q Street: 14,E-0 4QS n1. t: 04- Fax: .4m • 3@ 1 1 g8 1 City, State Zip: 3 YlirOYd Fl_ 3QJ--1 I State License No.: CCC 183M R3 Arch itecUEngineer 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 W.3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application t ) q .O-__) 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 therequirementsof Florida Lien Law, IFS 713. The City of Sanford requires payment of a plan review fee at the time of pen -nit 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 pen -nit fees when the permit is issued. OWNER' S AFFIDAVIT: I certify that all of the foregoing information ' accurate and that all work will be done in compliance with all applicable laws regulating conAructiod zoning. Signature of OwncrtAgent Date Print OaiteriAgent's,Name Signature of Notary -State of Florida bate Owner/ Agent is Personally Known to Me or Produced ID Type of ID Print Contractor/Agent's RESECCASMtTM W COMMISSION 8 FF 98M EXPIRES: March 10, 2020 Wed Ttau NOM Public UrslenW Contractor/ Agent isy Personally Known to Me or Produced ID Type of ID Permits Required: Building Electrical Mechanical Plumbing Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Gas Roof Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: - la Ito I hereby name and appoint: I V 1 cbo J s mo i i I an agent of 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): 1 The specific permit and application for work located at: Expiration Date for This Limited Power of Attorney: License Holder Name; State License Number:_`= Signature of License Holder: STATE OF FLORIDA COUNTY OF 1 no tc The foregoing instrument was acknowledged before me this a 13'daY of f 2491_U by MpdAj :&& who is personally known to me or o who has produced identification and who did (did noMake an oath. Notary Seal) vo CARA ALOPECHT My CQV 9SS10K1 # FF 114950 r ?' EXPIAEt:Ap'.12i 2018 Z, Bonded firuwagrjbihndev6ters Rev. 08.12) Si` gn`ature ' Print or type name Notary Public - State of Y i do Commission No. - My Commission Expires- +I 2k d Permit No Tax Parcel Number 36-19-30-521-0000-0040 NOTICE OF COMMENCEMENT State of Florida County of Volusia 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 1. Description of Property: (Legal description or the property, and street address if available.) LOT 4 + LOT 5 (LESS S 28.64 FT) 1ST ADD TO PiNEHURST 1800 S Cedar Ave. Sanford, FL 32771 2, General description of improvement: Re -Roof 3. Owner information or Lessee information if the Lessee contracted for the improvement: a. Name and address ERICGVAN ANTWERP 30900 Loraine St. Deland, FL 32720 b. Interest in property c. Name and address of fee simple titleholder (f other than owner) 4. a. Contractor: Name and address All -Star Homes, LLC 1450 Kastner Place Ste. 124 Sanford, FL 32771 b. Contractor's phone number 407-829-2299 5. Surety(if applicable, a copy of the payment bond is attached): a. Name and address b. Phone number c. Amount of bond 6. a. Lender: Name and address b. Lender's phone number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address All -Star Homes, LLC 1450 KastnerPlace Ste. 124 Sanford, FL 32771 b. Phone numbers of designated persons: 407-829-2299 8. a. In addition to himself, Owner designates of _ of the Lienor's Notice as provided in Section 713.13O(b), Florida Statutes b. Phone number receive a copy 9. Expiration date of Notice of Commencement (the expiration date is 1 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 PROPE . A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO BTAIN "NCiNG, C0N*U1.LWITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING Signature of Owner or essee, or Owner's or L19'W'1XCthorized OfficerlDirectorlPannedManager (Section 713.13111 tdD CARA ALBRECHT 1f'IG l/f 17- W MY COMMISSION 9 FF 114950 Signatory's TitlelOfflce , d EMPIRES; Aptii 21, 2018 t Bonded Thru Nolary Poblic Underwriters State of " S©r 1 County of r ( j ; r)O f / ! i / , ; r ' The forgoing instrument was acknowledged before me this 1 t day of 5 _ 2e by& t Q l ""j V ,n 0 O t h.}{'?( P Type,pVority ...e.. officer. trustee, attorney i_n_f_a c_q_ 0 Q` SigriAuzg,of Notary Public - State of Florida Personally Known V/ OR Produced ID Type of 10 4,8 f-lA.. ech Print Type or Stamp Name of Notary Public 04.04.14 Volusia County Permit Center Fax if 386-822.5734 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 110 — 2Lj o h i chol6(5 n0a n U ,l hereby acknowledge that I personally inspected 1 - T 4 Roof deck nailing and/or VSecondary water barrier work at JWO Q f& f A\tQ, and 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 my st ents herein are true and accurate to the best of my belief and that I fully understand that g any false statements in writing with the intent to mislead a public servant in the performance her official duty shall constitute a misdemeanor of the second degree pursuant to Section 8,V Si Printed Name of Contractor 9 21-16 Date License # License Type: General Building Residential M Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF _Vt,1 CL_ Sworn to (or affirmed) and subscribed before me this _ day of 5 e.PY2m r , 20 (p by j l choi 06 M Gar W 'A, who is 6 ersonally Known to me or has Produced (type of i l.ent,ication) as identification. r J (SEAL) Signature of -iota Public State of Flor' a geQ, 0, L ,n Print/ Type/Stamp Name of Notary Public REBECCASMITH MY COMMISSION # FF 969994 EXPIRES: March 10, 2020 Bonded Thru Notary PubNc Underwriters