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HomeMy WebLinkAbout614 E 3 StCITY OF SANFORD M." F'BUILDING & FPR E PREVF-NTIONOCT26U10 PERMIT APPLICATION R V, Application NO: fi C S+ Caastmcfwn vnfue,4 S V4 E S4. Pocum A I - LI No chil aarC-0 111): -- AfterationEl R th.allvcti)-f t1se Eli %move Destripticui of Work: plau'Review Contact Perso.u. mu A 11K E mail: Fax: pr-operty Owner Inforr-nation i -r sidexa of pTopji-rty? Rc suwc cify slaw, zlip Conttar-tor Information 7n/ — 13 cw'. C 14125 14 -tate Licciwa No.: "—CC, cily,,7swie zip: st, Z Ip; B.typd-jog AxM Infortnation T11(liw E-mail: m-;jjics?.7ag-, Lender 7 AddM-SN: WARNINGTO DWN111- Y(HUR FAIM)WETO A'.N,0Tfcf 01 C.'()A0X1VNCUMEN-fN1AY PS PROPUPXV- A N BY FAYING'71-NVICE F0,11 JN1VKQVE'%1 -TA F -r liN If VVSITEBEFORFTR , vms rs.nclmN. I IRF,CORMA) AND P4Ds-T0) ON -THE JOU A,-,-ToKN NOTICV, 10VEyI, FINAM"VS-fij CONS111,1' WITH YOUR LENDER OR Ai COM Nq is a, s bzwhy Tnu-dc 4., f"bi--in -1 1-w-1-5-61 lv—do Ow and commmcd vrig ju tj-,: 111w 40 work will 13c mrib", -,1cJ i cjf i permi aW parruh nuat be wrlih, p1muhang. I undt-vst:11141 thit n nq fzjnh_-, anti air vtpndi4iQj1vrs,. vv in-wrilml 1%nh ffic d3tv Nom; In Wditicni to the requircmt of this permit, there may be -additio,),a) restrictions applicable to this property thatmay rte found in the public records of this county, lidd there may beadcl .t',onal,perm-isrequirtdfmmotbcjr,,gvV mCntdCntit1CSsUa-aSN%MtLTiCm Acceptance -ofperrmt isveriftmition that I *M11 notify lhe ev*,= of the PORCAY Of1hC 6tqu z rits f 6c ida I ietl LawFS 713. The City of Sa I es brnittm con requinti n*rdMquir payjp;Tjt,ufn prima rev at the, timc,6f0cnrJt5v I ., A,66py of the" tract is dt[on glue 'the job 0 the time of 5ubTnkg. cl j& the; estiri6ated c0mtru Jin.order to, calculate a plan ri iew chargo and,wikpred , , - - Iitissue.d in11heactualconstructionvalueYAII -beftured based on the -tiarrent ICC ViftatiofiTablo in effect- at the d =, the arm , i- edthe c. akorOtOO vilikwoorJancewithlocal. or kmnce. Shouldd calculated chugs figured off the executed contrmt exceed q tu cred[t'wfll b4-0plidd to your pormdfee,s,when lhtp, ONVNRR'&AJFE!AAM I certify, -that 61.1 of the foregoing Information is accurate --and that all work will, lit: dom. in compliance with at! applica lelawgrquiatingeon-strlu(zfion.anal zoning. s; 77 jD,w,ner/.A&Ottjs,_ penqually, K,.ii,lDwn to Me or Produced ID Type 6f ID Ep 0 Illy 0011, f 1,1 a Produced I Jb I Type il]6Ype0 Pl0 . r-1 Efmtelc MecKanicai[] unibingO Gas 'Root U Permits Requirtd.• BuHJ Construction Type: aft: npanev use: FlubdZlnpe:,- Miu. Ocupsney Load,-. # of Stories-- Total Sq F—t:6f,B1dg:, New Construction: Blectrie -it of Arnp'sPlumbing - of FiSprinkler-Permit, YNo[,]' P; of Heads Vire Marra PermiL, Ycs El NoCl re es AOMOVALS: ZONDNG.LjTIL,r-r]E1&.1 WASTE WATER: ENGINEERING: FIRE - COMMENTS: Nnnit pPlistYttass 9'72{flfi SC a1r #fs4 x: 3a1-3 3 i-32-30QQ3D Pyr% t t a i, arecl, 0.19 3i-i2-fil Demur: AGEEME-4 t"w, J.R & AGEF NES TR br a s:.aarcrxzs jrroP rty Ad4r4*s:, G42 r f rZD,S'r 4R-XZLI. I Parcel Information valueBurr many ftmet ifs A,6r t Csl;3a 2017 W*16'ag tai; t ertlf + . 4?rrcxer.,alt JAAMNvJA A EE3 NitEir t - - iraa:"ac^dcllitr C sltstarf t. Gont'+tattcei dyads -s —.2 3,Ft@ST4ANFO ,rk327ia J fuls iiln9 .?$4 G1 IG, tl'tlt RR Ft.r±it kSt.+fiL13. Gd,.,3 CF3•- t umt r v.' Q%li dirsgs d FTdluatididaa;5'iil Lr Bh65Ck1ufF39% n: WooAtl I-S,AhIl t'R D Land Vafuo (Marko} S1350 '5113,867 BIW IJtt® {:Osis 0805-MULT1 FA ILY 5IJNtTS L ti3kt AQ, NS " jy M1918 C r#ctc; vltzst r {ate Legal Description E ,FT CII' I,S, l 2 A LOTS 3 3 na'I0' T ix'±#.r't41J1$W%Ry. _.._ _ .- ..13b.3ea>sk?:itx? t«atg'$4 i5t4rlr, S iYA R ($pi i4 [r11713 meter, ta arua,m CrttJ iq unV &antis cunt GrnarUl `irt ri s 9 ruiSTEE 0FED dWT-QLArm mo Land Building tnfannaftii. i ',f 'r aGlic" r par.Gti Axij . AmandumnLl Adj so so € P613 : 59 Atuassed VDIuc 568,9 i9 $45;4:54 T tArEa©uerlt t7:9}8'. ,23z2. 8l r'Fc y.lAaro-n>»nt $3 31.Pi6 vt film +^er S tz 9 iit t: 54::QQ dF GttJSII . q viRc cira rl 4-s3ir MLS Ez i,napl i is Bs a 3`liutt p6se Anmunt 0SIMO-d SU . ti 450hF3 S ay i b as€s,416,i. DUMB r SG69t6 0 a 4 yes a s ses,91 a 17ott aok p6se Anmunt 0SIMO-d w1a Iran 51ii 13E 0-8'i'93 4 3463 tw €yq DUMB r 0&32 3 O No- 51,CD ktst lmplrvpl m s' Y$-a,F 4- ' Dimertpttarl A uai pn+:a o: i t3 t3s *tu r1 tt a15 t FvinaJ fiF i x.- +tai! Adt *stvo RCIA Ug ue-s%ppcnd, pgei is 2 eeisi si t:orgrceif} itt+a.rzc'#1p=t3 153112{ f1L11 'ifs` THIS IN' STRUM,PREF RED BY: Address: - .a".` . . Q NOTICE OF,COMMENCEMENIT CLEI;I; OF 'CIRCUIT 01780 4 Ot' MIJLI_E CLERK'ST 2016109L96. R£M0,01G: FEES tJ.00 REIOOkI} 01 hdeutlrp Po fn1t Nuitibflr. o -- p _-- 31 -EIA— OIP -- go - Rartnl 10 Numb= The trndersignett her" gtvad ni6tice tt6W impitwammi4 voig bs tnsft-to-Wftailn remit pmorty. and in Flortdo sw fti ftp tdila dtng 9rrfiaatnatics+t is ravtCi ilt Stiff f 4 ia'-p r pnm n+11yt?rtS. 1. VESCRIP'TiOfn CF p'RibP TY. {Legs drys Sing oft .or 2s .Jnd at add rl ave ialiaj rn CIA6- C ill. 2.. GENERAL DESCRIPTION OF It'IPRaVEMENT 3. 7 1 Inlerksl1h prt>E II Feo Sl npfd Title C*? T APTOR tdamw S. SURETY -Off eppl cabltr,'a'ccp v.af Name' at>rchedl; fd3rrt L r+,nigwntofBbrid - 6. LENDER: Name: _' f Phone M ntt2er: T. Porsorrs wlthu» the Slxtttr:of Florida t?asIgnietod by Qwnor opern"whorm 49otica oroluef axoj:um.m= may he served as piirvioai'! bV SeCtiot 793.19('Ij ai7.,6orida"8taYutes: • i Jx Phone Number. tb St"8 8 C9XyY t lkt9 L'Irk r"S NotiC tare2vctiscl an'S+ecilgl'7^i3:i;:t4i Ta}. F erid S,l`at`L'.5: Fh6ne-riiimrr+f 9; > kr tr CRato uC I`"a cS;Gommsnriernnnt`iTl}e r?xkit l3ot Is i Yepr`fttrFn da,Se re tdr rg rmlss n d'tf`i rerrS Batsis'tspe x7t Cy _ THE OWNER AFTER THE EXPIRATION Or T14E 40TICE OF COMMENCEIAENT ARE TER 741, PfiRT.i. SECTION 713.13, FLORoA STATUTE S, AND r: AN REUCILT IN YOUR, HPEI^sTY. 4 I dTIQE OF C70fIR'SENC:EPAVEN'i'PAUST BE REC{jRC3C-,D Ah"C3-PQ icD GJJ V T}3I redrtPNOTo osTAIN G1tdA.NCfi4Ni CrONh lIt.Tvvffi- YOUR LENDER OR AN AF`MRNcY p l!ndcr Pepalu, of a9u! . 1 dgCwkc 3lymRl have tho foregoing ani that On facw s, tqd In it arc true,ta tho'but of MY`Knowl6d9c arldI betsof. Mra of QMTdC , .pF'CFYYt; 6a3f t.F :r4 [!' M 7VOhF3 Ate' pilIIYit4l SsC°:91ntiR3'P':'tA.. '•ti tuptarz rIl :k, v ' State of —E,6,p j 'f Coufrty O - Tho tq aiTtg ir+s rturyoflt v ars,AC asl iksioco rno 00 -Si ijayof . 20- C+ o Is.po»Iiy known to rm,7, OR fey, aurc ryrakug ,trrvm! , ,. y_.• 3i t'i J' . i%d basuroduced ldan.Ocataon k -j type of Iidritlfi f+ci5t3caft prdu d: L t"trcp aaiwcij t ,`19C8 3Id14ady3i':swAr.G`gt LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: -o A 4 16 y1- h 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): The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 1'0 ZZ 7 `/ 7 License Holder Name: State License Number: GCG 13,; ), So Signature of License Holder: STATE OF FLORIDA COUNTY OF, j e ° o The foregoing instrument was acknowledged before me this-7day of od' 20y, bywhoisXersonallyknown to me or who has produced as identification and who did (did not) ke an oath. Signature Notary Seal) WKNA L SANNEM Notary Public - state 01 Florida Commlaeion #t FF 951485 My Comm. Expires Jan 19, 2020 I0 Bonded through National Nota y Assn. Rev. 08.12) Print or type name Notary Public - State of Oo Commission No. FF 4-C14,9r My Commission Expires: 41TaL OCT -2 6 20iG 5 D c- City of Sanford Roof Permit Application Checklist 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: Building Permit Application completed, signed and notarized. Application must include correct address and complete parcel I.D. number. P Copy of applicable contractor's license issued by the State of Florida (if the contractor is the applicant). i, ---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. 1A 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. CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 6 -- 0000 ;29 9 1, 8ce 100 AA'cf \ hereby acknowledge that I personally inspected Roof deck nailing and/or XSecondary water barrier work at -6, f Bc i`Qa%;iid 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 statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. D Signature of Contractor Date brad t cc e, /.qv,go33 Printed Name of Contractor License # License Type: D General D Building D Residential>(Roofing Contractor D or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF )AN112 /A Sworn to (or affm) and subscribed before me this _1 day of 20, by rd J_Y c I , who is X -Personally Known to me or has D Produced (type of ident' aN ) as identification. SEAL) Si a re of Notary DAlic StMid of Florida W, of Notary Public E 4,, JOHN R. BYRNE C0 #FF992414 Expims wY 15, 2020 3