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HomeMy WebLinkAbout1809 Madera Ave (2),. CITY OF SANFORD t BUILDING & FIRE PREVENTION D ;�;',� ti `Lv►u PERMIT APPLICATION Application No: 30 y� Documented Construction Value: S g 1 z --z5,—,/ Job Address: A det'q Atext,,t_ Historic District: Yes ❑ No L� Parcel ID: 31- 19 - 31 - 50.6 - 1600 - (!7060 Residential [Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration Repair ❑ Demo ❑ Change of Use El Move Description of Work: j ear (34 2,?c,5'1'n e C,n Z J e)S7'-• 1 J 0• llec„J S��n Cit C't�'v{'• . Plan Review Contact Person: 1;:)-ra7 c`' Seel S Title: 1!tCS: chi+ Phone: q07-31,/0-2310 Fax: Email: Dr,�rd�3e�srbo�::,. �ir►a:l • co.�r Property Owner Information Name 64" GAt5k, 40)4' lny S /-/-C- Street: `GStreet: Zg3Z V Gt'nat✓�, City, State Zip: /4P.. 1=L_ 3-171 Z Phone: Resident of property? : 116 Contractor Information Name D&rre l% Phone: y07 - 3Y -Z3)o Street: 5q4' * S12 '! 5H Fax: City, State Zip: State License No.: � 13 Z6 36o Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: 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. FISC 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 Rmsed: 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 ageticies. 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. Signature ol'Owncr/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID 5� _/k�' � t-, /I. / C/. /C, Si D.T. Driggers Roofing, Inc. Licensed - Bonded • 16sured 540 N. SR 434 PROPO SAL & Altamonte Springs, FL 32714 AC C E PIAN C E 407-682-4009 Fax: 352-315-1973 Nob: This WvpoW may be Owners: Darrell T. Driggers - Dwayne Driggers W 1000awrr by us K not aeeepbd wltldn days i,a.n» a cccrns�eo uanee. ccc+ueoee SUBMITTED TO Ido g � �t.r ✓Q/1N PHONE CIT". STATE AND ZIP CODE DATE vw haebr a rbnw.p.ohe�oon aiw s.un.b. roc Tc4. < U0. 2 Tot I RCc 1 e c s #Ss °=of I 4 ae Pee" • wi.wne f yf !Cn tt-36G X14 t01- --gAtrk ent A rgaf k - S II neta c d m e f-. 2')-t " tri 1 �' Mcg e � a Se IF tI w I. T s cd XT Z5 r-. P, : Qr as1 lk-'n4fis 'K r 0 e-Lt774)roc --lns ;.„ , We PrOP088 hereby to fumish material and labor - complete In accordance with above speciflaadon . for the sum of: 1• -AR israt Peymenr ro be nnpe os ro0ows: L Al ndano to piowftO b to n spocOM I AN eon b be oanpebe n e.A.Wwdlu mwMr eoaaerq b —dwo oraaou. Any 0" -, or dWA~ ban Oban AWIOrlssd epa�e�eau ewa.eq edn posh er be 0saftod ser coon ween WOW. and er Sipabas . at ewe tape ow wtl ebon ow eam" AO epiwrwm GWOW l tom ovum w deme brMd w owes Oe.w Nob: This WvpoW may be Asn •venae oa eo�ae em rur oe.ae0 by wabwen • Comperoetlon btiaenoe W 1000awrr by us K not aeeepbd wltldn days oa. AwOyObOePtIsOyr""%M eOaieMa-ftbwOLew�baea�.wo0:0100e ••ow••7OWM oere� w d � � ogee bow a.7b..e100e d�fel el w adaul b e bye P".MW d t - I -*^ Im "o0 wae+."v'00Wdt:oo1-b..'We" "moo mono Pro"rtyOwmer(B) Ma rr w. udw ftw arem b "Y e mob em.e q O T OWN An ft nc ewe" om~$%""=Vamue•■r%*~Muse.ea.a..d..eee. Property Owner(s) ae Pee" • wi.wne THIS INSTRUMENT PREPARED BY: Name. DT Driggers Address: 540 North State Road 434 Altamonte Springs, FL. 32714 NOTICE OF COMMENCEMENT 11ARYAI';NE PIORSEr SENIHOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 3804 Ps; 1397 t 1Ps•a ) CLERK'S v 2016118195 RECORDED 11/14/2016 1214•:40 PH RECORDING FEES $10.00 RECORDED BY hdevore Permit Number: Parcel ID Number: 31-19-31-508-1600-0060 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 of the property and street address if available) 1809 Madera Avenue Sanford FL 32771 2. GENERAL DESCRIPTION OF IMPROVEMENT: Tear off existing shingle roof and install a new shingle roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: Chichester Holdings LLC 2432 Via Genova Apopka FL 32712 Interest in property: Owner Fee Simple Title Holder (if other than owner listed above) Name: Address: 4. CONTRACTOR: Name: DT Dliggers Roofing, Inc. Phone Number. 407-682-4009 Address: 540 North State Road 434 Altamonte Springs FL 32714 S. SURETY (If applicable, a copy of the payment bond Is attached): 6. LENDER: Address: Phone Number. Amount of Bond: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.130)(07., Florida Statutes. Name: Phone Number. Address: 8. In addition, Owner designates Of to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration 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 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. i II C s ftwq. in (Signature of Owner or Lessee, or er s or Lessee's (Print Name and Provide Signa s TiUe/Ofrce) ! /,, e p,� Authorized OKcer1Director/P Manger) '� State of IL t,_ 4 %L County of-�— The foregoing Instrument was acknowledged before me this day of z�6/y by s Name of person making statement who has produced Identification Cdpe of identification produced: as --en v n , -NOCH LEE {q^QQ ih '*Aary Public, State of Florida Ccrnrnission 1 FF 220569 1.4 coram, nvirco April 14, 2019 Who Is personally known to me O OR Detail by Entity Name Detail by Entity Name Florida Limited Liability Company CHICHESTER HOLDINGS LLC Filinq Information Document Number FEI/EIN Number Date Filed Effective Date State Status Last Event Event Date Filed Principal Address 4651 S. ATLANTIC AVE PONCE INLET, FL 32127 Mailinq Address 2432 VIA GENOVA APOPKA, FL 32712 L15000179784 47-5393936 10/22/2015 10/22/2015 FL ACTIVE REINSTATEMENT 09/30/2016 Registered Agent Name & Address CROSS, SUSAN 2432 VIA GENOVA APOPKA, FL 32712 Name Changed: 09/30/2016 Authorized Person(s) Detail Name & Address Title MGR CROSS, MICHELLE 2432 VIA GENOVA APOPKA, FL 32712 Title Authorized Member CROSS, JAMES 2432 VIA GENOVA APOPKA, FL 32712 Page 1 of 2 http://search.sunbiz.orglInquiry/CorporationSearchISearchResultDetaii?inquirytype=Entit... 11/14/2016 Detail by Entity Name Title Authorized Member CROSS, SUSAN 2432 VIA GENOVA APOPKA, FL 32712 Annual Resorts Report Year Filed Date 2016 09/30/2016 Document Images Page 2 of 2 09/30/2016 — REINSTATEMENT View image in PDF format 10/22/2015 — Florida Limited Liability View image in PDF form -71 at Coovrioht m and Privacy Policies State of Florida, Department of State http://search.sunbiz.orglInquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 11/14/2016 or CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit b . Permit #: I, "b6f hereby acknowledge that I personally inspected deck nailing and/or '/Secondary water barrier work at 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. 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 he uty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 S. nature f trac Date Printed Name of Contractor License # License Type: P General '_1 Building Residential ' ; Roofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF ,(� O Sworn to (or d) and subscribed before me this day of 20 ( , by Q , who is :=Personally Known to me or has i Produced ( pe of fication) S Q52Das identification.njn - (SEAL) n ture of NotaryP blic SWMf Florida . , 1 � —I Print/Type/Stamp Name of Notary Public ALEXANDRA HOWDER �, =o� ;Z�; Notary Public •State of Florida Commission #FF 182214 c s;• 'off: My Comm. Expires Dec 9, 2018 Bonded through National Notary Assn. 3