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HomeMy WebLinkAbout213 16 StCITY OF SANFORD BUILDING & FIRE PREVENTION eael E . PERMIT APPLICATION DEC - d 0 1016 Application No: �"y" 3 S-7 fly. mented Construction Value: $ 9 % O O Job Address: 0213 di­�+5ig— Historic District: Yes ❑ No ❑ Parcel ID: Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration 3 Repair ❑ Demo ❑ Change of Use ❑ Move❑ Description of Work: 1W9—" A (�� h. ROA, It P�� e/ 9265"6' 'r-4 2 l;t S4 a4 /Y� Plan Review Contact Person: /Coq e2 fro Title: 64 , Phone• Z{y%y% fd 6304 Fax: Email: Property Owner Information '16 Name d I �""� �Q`1 Phone: 7462-_5-/_32s Street: S --HI j���- LA�� c -A Q- Resident of property? : A% City, State Zip: Q1p0 �, �C _ 32-0-5 /�'�� Contractor Information Name �t75aArSI7 qe�;iCk1 I1�� Phone:07 .31��0�0 Street: 113/0 &"'z f40 � Fax: City, State Zip: a/LQ 3x151 % 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. 1 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: 51^ Edition (2014) Florida Building Code Revised. June 30, 2015 Permit Application 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 1 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 compli with all applicable laws regulating construction and zoning. 1i -2, j 11f,, /x-S-�� Signature o weer/Agent Datl Signature of C ntrAtor/Agent Date Cc,e IryA !�7 a7 Pri Owner/Agent's Name Signature of Notary -State of Florida Date Ay 00 +0 ..... GRETCHEN LEGENDRE MY COMMISSION I FF 165525 EXPIRES: October 2, 2018 1r'Fov Or Bonded lhru Budget Notary 8awim Owner/Agent is Personally Knoto Me or Produced ID _k Type of ID R(o eit 6cem l� r t Contra tor/A ent' Name Signature of Notary -State of londa Date ?°``Y•P14� GRETCHEN LEGENDRE ** MY COMMISSION I FF 165525 EXPIRES: October 2, 2018 ~r+" R�`O� Bonded Thru Budget Notary Services Contractor/Agent is ersonally Kno a or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas[:] Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: 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: FIRE: BUILDING: Revised: June 30, 2015 Permit Application 0 1111111 H111 111111111111111 111111111 1111 Permit Number: MARYANNE NORSE, SEMINOLE COUNTY Folio/Pastel ID #: 9A. o'bv-zr.) 0,S7Z5 CLERK OF CIRCUIT COURT & COMPTROLLER Prepared by: cSs eR- -AC,e-m i &E BK 8818 Ps 1390 (1Pss, ) _ CLERK'S v 2016126215 RECORDED 12/06/2016 01:4-8-:1,1 Pl,I Return to: RECORDING FEES $10.00 n RECORDED BY NOTICE OF COMMENCEMENT State of Florida, County of Orange 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 pr pe7rt (leg scri n of the property, and street address if available) 2. General description., of improvement n 3. Owner infortion or Lessee information if the Lessee contracted for the improvement Name ��'J!Q C -X Address 73 j57,v Interest in Property Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name RogPlZ r;a--Qm I /,Zt Telephone Number ?/-6706163a Address �f31d Rei?ato AR 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ 6. Lender Name Telephone Number Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 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 PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND T JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE ER AT ORt4EY-BEEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Lessee, or Owner's or Lessee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office /� �/,4 /� The foregoing instrument was acknowledged before me this / day of 6 g.Q by t'oe I NA !!�4t mond name of person as (�LIJ/�+••Pi1 for e.g. Form content revised: 01 Public — OR Produced ID MORSE CLERK AR THE Name of party on behalf of whom instrument was executed aeC - 0-1 Print, type, or stamp commissioned name of Notary Public BY ' ► DEPUTY CLERK GRETCHENLEGENDRE or My COMMISSION I FF 165525 EXPIRES: October 2, 2018 Bonded Thru Budget Notary Senkes 62016 THIS INSTRUMENT PREPARED BY AND RETURN TO: Alan L. Sandler, Esq. Lawyers Advantage Title Oroup, Inc. 225 S. Wettmonte Drive, Suite 1100 Altamonte Spring% FL32714 821 LW Property Appraisers Pared Identification (Folia) Numbers; 36-19-30-506.0000.0050 SPACE ABOVE THIS LINE FOR RECORDING DATA THIS WARRANTY DEED, made the 13th day of November, 2016 by Dusty Boob. LLC, a Florida Limited Liability Company, herein called the grantor, to Robert Ceravolo, a married man and Carlos Gray, a single woman, as tenants in common whose post office address 112285 Osprey Ave., Orlando, FL 32814. hereinafter called the Grantees: (Whevever used herein the terms 'gr+annta l and 'graweeI mclude all the parties to Mir Ircttrmn ant and the heirs. legal represemtatlres and anter of indbid mix, and the smece cors and assigm of ewpowlan) W I T N E S S E T H: That the grantor, ibr and in consideration of the sum ofTEN AND 00V100'S ($10.00) Dollars and other valuable considerations, receipt whereof is hereby acknowledged. hereby grants, bargains, sells, alien% remises, relearn, conveys and confirms unto the grantee all that certain land situate in Seminole County, State of Florida, viz: Lot S. Samford Heights. according to the map or plat tbawf as recorded in Plat Book 2, Page 62, Public Records of Seminole County, Florida. TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same In fee simple forever. AND, the grantor hereby covenants with sold grantees dot the grontoris lawiblly sdicd of sold land in fee simple; that the grantor has good right and lawtbl autbority to sell and convey said land. and haeby warrants the tide to said land and will defend the some against the lawfbl calms of all persons whomsoever, and that said land is flee of all encumbrances, except taxes accruing subsequent to December 31, 2016. IN WMI3SS WHEREOF, the said grantor bas signed and sealed time presents the day and year first above written. Signed, sealed and delivered in the presence of: STATE OF FLORIDA DAY Boothi'LCLCO ldo LimilOd Liability Company ry i BY. DovothyW DfiWd'%Mn1gcW 300 E 2 S , Sanford, FL 32771 COUNTY OF Seminole The foregoing instrument was acknowledged before me this 15th day of November, 2016 by Dorothy A. David. Manager of Dusty Boots. LLC, it Florida Limited Liability Company wbo is personally known tome or bas produced drivers licenses) as identification. SEAL tory Public `i Y1r00it1g55tONIFFtDBD1A DARES N*Nnb r 24, 2Dt9 aeedd 16a rtotrr pdfc tld� MARYANNE MORSE, CLERK OF CIRCUff COURT SEMINOLE COUNTY FL CLERK'S it 2016124967 BK 8616 Pg 0683;11p9) E- RECORDED 12/02/2016 01:51:20 PM 10.00 DEED DOC 1,456.00 ,?1fil"11, Roger Facemire 4310 Piermont Ct. Orlando, FL 32817 407-657-9524 407-416-0306 Proposal Name: Phone: Date: Street: Job Name: X13 City, State, Zip: Address: p� n %A/- L.... 1... ....L --a -.ter .0--. Residential Contractor CRC 026344 Roofing Contractor CCC 3.326094 We hereby propose to furnish labor and material to complete in accordance with the above specifications for the sum of _ J�; dollars ($ g-:z� ) with payment to be made as follows: L -,a,,, Date: Authorize at Acceptance Of Proposal Signature 1 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: /6 322 hereby acknowledge that I personally inspected Roof deck nailing and/orJ;rSecondary water barrier work at ��� ��� .*Q r ---,o and have determined that the work (Job Site Address) ill 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. Signature of ontractor Date 51rA At -s ��a�ii� �orrcre/�I�Pa�i� CSC l.3�6G rSl Printed Name of Contractor License # License Type: 0 General 0 Building 0 Residential woofing Contractor 0 or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF 41)m tiz Swor o (or of � affirmed) and subscribed before me this day of , 20 &, by , who is'134"ersonally Known to me or has 0 Produced (type of identification) as identification. (SEAL) Signature of Notary Public Stt of a ida *aY in PA,,��;•••.�% GRETCHENLEGENDRE �— _ * * MY COMMISSION f FF 165525 Print/Type/Stamp Name �� EXPIRES: October 2,2018 of Notary Public "A"o�Ov Wed Tlr-)ButetNMaryServkd