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