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HomeMy WebLinkAbout2009 Adams Ave (2)CITY OF SANFORD BUILDING & FIRE PREVENTION D DEC 0 5 2016 PERMIT APPLICATION Application No: 1 1p 314' - Documented Construction Value: $ tp bo • O Job Address: a (JOq p+1)R V_A S RV E • Historic District: Yes ❑ No El Parcel ID: 31- 14 - 31- 50\A- M20 - 005-2 Residential ® Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ® Demo ❑ Change of Use ❑ Move ❑ Description of Work: i2EPIAc.E Ir-ITEr2-%02 PAn1E(1126 entIt2 buQN+ W%(LIN Cy Plan Review Contact Person: 12 (C_V-- Q cnv E Title: CO rox--toy- Phone:4i '-�1 3364) Fax: Email: ��\4 r'ye elex_t Ic_e _ Property Owner Information z Name OSePV) T VNz" PSo r-1 Phone: Street: City, State Zip: Resident of property? : Contractor Information Name lZ1C r— 2ovJE Phone: 41 - 4c l- 3361:11 Street: l031 5P21 N Com- bA 1z -S 13ky d . Fax: y O-+ - 865 -1 %- Q. t City, State Zip: EV 'tnG5 fl 3;"l ly State License No.: EC -1500452G 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. 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 I� 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 compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date Signature ofContractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Pnnt Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of 1D 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 ❑ # of Heads APPROVALS: ZON ING: ENGINEERING: COMMENTS: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION C1-6wO r-d'Application No: Ap - 3/. Y y C 61tQt. Documented ottstruction Value: $ 711 Job Address: 2009 Adams Avenue, Sanford, FL 32771 Historic District: Yes ❑ No [9 Parcel ID: 31-19-31-504-1100-0050 Residential ® Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Remove and replace electric water heater Plan Review Contact Person: Pat Espy Title: Phone: 386-775-0909 Fax: 386-774-0048 Email: pespy@fgplumbing.com Property Owner Information Name Joseph A. Thompson Street: 11428 132nd Street City, State Zip: S. Ozone Park, NY 11420-2110 Phone: 407-373-3107 Resident of property? : No Contractor Information Name First Quality Plumbing Street: 746 N. Volusia Avenue City, State Zip: Orange City, FL 32763 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 386-775-0909 Fax: .386-774-0048 State License No.: CFC050566 Architect/Engineer Information Phone: 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. FBC 105.3 Shall be inscribed with (lie date of application and lite code in effect as of that date: 51" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application r NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be (bund 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 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 older 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. -w=f vk-e!5�- I Signature ofOwner/Agent Datc Signature of Contractor/Agent Date Gary W. Evers Print Owner/Agent's Name Print Contractor/Agent's Name 3� Signature of Notery-State of Florida Date Signature of Notary -State of Florid Date 13�17 ' i� • , t)UMAJa a Owner/Agent is Personally Known to Me orConlN'taPF�4g®Jit,as�. ;P,e tonally Known to Me or Produced ID Type of TDProducei-ype2 TD 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 [I No ❑ # of Heads APPROVALS: ZONING: COMMENTS: Revised: June 30, 2015 ENGINEERING: UTILITIES: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: FIRE: BUILDING: Permit Application Mar.15. 2017 9:21AM No. 1377 P. 1 ...+1K: arac�Lo.C.:.iuYt. •u.. •:.u.+1G4a..o.r r; j n.r. r:.•-ar ..:u: •, -'rst Quality UMBING ',}�lt,,...•r.:u:rra..:.h...,.•n.•.yn.•.v,.:�_:•i..r.,�..:.. a-rz��.r March 15, 2017 Re: 2009 Adams Avenue Sanford, FL 32771 7o City of Sanford: Permit #16-3144 First Quality Plumbing has been contracted by Howard Construction to perform plumbing work at the above referenced address. Please add First Quality Plumbing to the existing building permit referenced above. How d Construction First QW4 P umbin 746 N. Volusla Ave. Orange City, FL 32763, 386-775-0909 Phone 386-774-0048 Fax V_ CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION n -.3 Application No: LAL Documented Construction Value: $ 2,235.82 Job Address: 2009 ADAMS AVENUE Historic District: Yes ❑ No ❑ Parcel ID: 31-19-31-504-1100-0050 Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair © Demo ❑ Change of Use ❑ Move ❑ Description of Work: INTERIOR FIRE DAMAGE REPAIRS & RE -ROOF o*r1 or ,QQM & Ce -led, -1 "-) I#-C&y CD 1110 M C 1 Plan Review Contact Person: TRENT BLAIR Title: PROJECT MANAGER Phone: 407-373-3107 Fax: 904-541-1103 Email: TRENT@HOWARDNOW.COM Property Owner Information Name JOSEPH A THOMPSON Phone: 407-341-4314 Street: 2009 ADAMS AVENUE Resident of property? City, State Zip: SANFORD FLORIDA 32771 Contractor Information Name DON TOWERY Phone: 904-541-1112 Street: 580-3 WELLS ROAD Fax: 904-541-1103 City, State Zip: ORANGE PARK FL 32073 State License No.: CGC1512840/ CCC1327900 Arch itecVEngineer Information Name: PAUL S LI, P.E. DESIGN Phone: 904-737-6876 Street: 8160 BAYMEADOWS WAY WEST SUITE 145 Fax: City, St, Zip: JACKSONVILLE FLORIDA 32256 E-mail: PAULLILINGOBELLSOUTH.NET 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 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 516 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 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. X 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. Date l J JENNIFER KOSKI Notary Public - State of Florida • _ My Comm. Expires Oct 27. 2017 .0 Commission # FF 035309 Bonded Through National Notary Assn. signature of L, M-31 Date Print Canb=Ior/Agent's Name " Si ""' • JENNIFER KOSKI c'<. c ; Notary Public - State of Florida • = My Comm. Expires Oct 27. 2017 �4' Commission # FF 035309 • � •' Bonded Throug"alional Notary Assn. MNrrRgenrF§---er onally Known to Me or C n ac o en is r'--geisonally Known to Me or Produced ID Type of ID 1> 1, Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: lune 30, 2015 Permit Application kson, CFA PAPP fJ:IVlY)Ui f.OlPrl V, l Lp WA Parcel Information Proporty Record Cord Parcel: at -10-31.504.1100.0060 Owner: THOMPSON JOSEPH A Property Addross: 2009 ADAMS AVE SANFORD, FL 32771 Value Summary Parcel 31-19.31.504.1100-0050 Owner Property Address Melling THOMPSON JOSEPH A — 2000 ADAMS AVE SANFORD, FL 32771 11428 132ND STS OZONE PARK, NY 11420-2110 Subdivision Name BEL -AIR SANFORD Tax District St-SANFORD 01 -SINGLE FAMILY DOR Use Code Exemptions Seminole Counly Tax Amount without SOH: $851.45 2016 Tax BIII Amount $BS1,4S Tax Estimator Save Our Homes Savings: $0.00. Does NOT INCLUDE Non Ad Valorem Assessments Land Method Frontage Depth Units Units Price Lend Value FRONT FOOT 8 DEPTH I 66.00 I 118.00 I 0 s165.09 $10,989 2017 Working Values 2016 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 I1 Depreciated Bldg Value I $31,248 I $30,651 Depreciated EXFT Value I $936 1$936 Land Value (Markel) 1$10.989 I$10.989 Lend Value Ag i I Just4Narkel Vaklo •' 1$43,173 I $42,476 Portability Ad) I I Save Our Homes AdJ ISO I SO Amendment 1 Ad) ISO I $0 P&G Ad) ISO ISO Assessed Value $43,173 1342,476 Tax Amount without SOH: $851.45 2016 Tax BIII Amount $BS1,4S Tax Estimator Save Our Homes Savings: $0.00. Does NOT INCLUDE Non Ad Valorem Assessments Land Method Frontage Depth Units Units Price Lend Value FRONT FOOT 8 DEPTH I 66.00 I 118.00 I 0 s165.09 $10,989 CONTRACTOR AGREEMENT THIS AGREEMENT made the 18th day of OCTOBER, 2016 by and between Howard Construction, �1�,LC, hereinafter called the Contractor and & JOSEPH A THOMPSON, herein after called the Owner. Witnessed, flint the Contractor and the Owner for die considerations named agree as follows: Article 1. Scope of the Work The Contractor shall furnish all of the materials and perform all of die %work on the Estimate annexed reto as it pertains to ►cork to be perfonned on property at 2009 ADAMS AVENUE SANFORD FLORIDA 327711: pertains, to signing below you acknowledge that you, the owner, have receh'ed and reviewed a copy of the estimate mentioned in article ! of flits contract: Qa, ( wie Signature)X (Dale) Article 2. Time of Completion The ►work to be performed under this Contract shall be conuncnccd on or before seven days after signed contract receipt and shall he substantially completed on or before 120 days after commencement. Tune is of the essence. Articlo 3. The Contract Price The Owner shall pay die Contractor for die material and labor to be performed under die Contract the sum of SEVENTEEN THOUSAND FIVE HUNDRED FIFTY -SEK DOLLARS and FIFTY-TWO CENTS/100 ($17.556.52) subject to additions and deductions pursuant to authorized change orders. Payments are to be made in US funds Article 4. Progress Payments Payments of the Contract Price shall be paid in the manner following: �$ 1.000.00 Binder payment due at contract signing. $ 5.518.77 Duc at Start of Job. $ 5.518.77 Due at significant completion of After Framing. $ 2,759.49 Due at significant completion of After Electric and Plumbing rough. $ 2.759.49 Remainder (+ or - any change orders) due at significant completion of the job. Payments are to be made as follows: 1. Cash 2. Check 3. Visa, Master Card or Discover + 3% service fee IF ANY JOB COMPLETION DELAYS OCCUR DUE TO MATERIAL DELAYS (BACK ORDERED MATERIALS SELECTED BY THE OWNER) THE PROJECT WILL BE CONSIDERED SUBSTANCIALLY OR "SIGNIFICANTLY COMPLETED". PAYMENT WILL BE DUE IN FULL WITH ONLY THE DOLLAR AMOUNT OF THE MATERIAL DELAYED HELD UNTIL SAID ITEM CAN BE INSTALLED. ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAiLS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER REV.3/21/2014 biitiol 9 T Date ft SERVICES THAT YOUR CONTRACTOR OR SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSONS OR COMPANY THAT HAS PROVIDED YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. CHAPTER 558 NOTICE OF CLAIM: CHAPTER 558, FLORIDA STATUTES CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU BRING ANY LEGAL ACTION FOR AN ALLEGED CONSTRUCTION DEFECT IN YOUR HOME. SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE REFERRING TO CHAPTER 558 OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTERESTS. Arliclo 5. General Provisions Any alteration or deviation from the above specifications, including but not limited to any such alternation or deviation involving additional material and/or labor costs, will be executed only upon n written order for same, signed by Owner and Contractor, and if there is any charge for such alteration or deviation, the additional charge will be added to the contract price of this contract. If payment is not made when due, Contractor may suspend wDrk on the job until such time as all payments due have been made. A failure to make payment for a period in excess of ten (10) days from the due date of the payment shall be deemed a material breach of this contract. In addition, die folloxving general provisions apply: 1. All work shall be completed in workman -like manner and in compliance with all building codes and other applicable laws. 2. The contractor shall furnish a description of the work to be done and description of material to be used and die equipment to be used or installed, and the agreed consideration for the work. 3. To Une extent required by law, all work shall be performed by individuals duly licensed and authorized by low to perform said work. 4. Contractor way at its discretion engage subcontractors to perform work hereunder, provided Contractor shall fully pay said subcontractor and in all instances remain responsible for the proper completion of the Contract. 5. Contractor shall furnish Owner appropriate releases or waivers of lien for oil work performed or materials provided at the time the next periodic payment shall be due. 6. All change orders shall be in w6fi mg and signed both by Owner and Contractor, mid shall be incorporated in, and become a part of contract. 7. Contractor warrants it is adequately insured for injury to its employees and others incurring loss or injury as a result of the acts of die Contractor or its employees or subcontractors. 8. Contractor shall at its own expense obtain all permits necessary for the work to be performed. 9. Contractor agrees to remove all debris and leave the premises in broonm-clean condition. 10. In the event Owner shall fail to pay any periodic or installment payment due hereunder, Contractor may cease work without breach pendumg payment or resolution of any dispute. 11. Contractor shall not be liable for any delay due to circumstance beyond its control including strikes, casualty or general unavailability of materials. 12. Contractor warrants all work for a period of twelve months following completion. 13. Owner agrees to maintain standard homeowner's insurance to cover their property while work is in progress. 14. Customer agrees to pay all costs of collecting or securing, or attempting to collect or secure this account, including REV.3/21/2014 L»tial (• Date , 2 reasonable atlonhcy's tees, whether the ssune is to be collected or secured by suit or otherwise. Service charge of i %:% per month (18% per annum) shall be charged on all accounts i%bch have a balance of thirty (30) days. In the event of litigation, the prevailing lam' shall be entitled to reasonable attorney's fees plus Cowl costs, including such fees and costs in any appellate proceedings. IS. Any legal proceedings arising out of this contract, regardless of whether die customer or Howard Construction LLC, is the party bringing such proceeding, shall be instituted only in the State or Federal Court in Duval County, Florida, and no other jurisdiction unless Howard Construction LLC expressly consents in writing or elects otherwise, and customer hereby waives any objection to such venue. IN ADDITION, in the event of litigation, customer hereby waives the right to a jury trial. 16. Homeoxvner agrees Contractor will have access to property for work Monday through Saturday, 7:30am - 7:00pm except on Federal I•Iolidays. Signed this 2--q r_-, day of JOSEPH A THOMPSON Qaner's Namne (PRINT) nW�lConl actor's Name (PRINT) OCLe-( Address: License: , 2016. Ow �'c R'itness ant actor's Witness 11 580-3 Wells Road Orange Park, FL 32073 CBC058529/ CC1326844 CCC1512840/ CCCI327900 REV.3/21/2011 Ildlial Date46 T -'b . THIS INSTRUMM VWWED 6-,(Tp� Name: 6��17 w� Address:, NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: MARYANNE MORSE? SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8804 P9 1271 (1Pss) CLERK'S p 2016117953 RECORDED 11/14/2016 09:12:11 AM RECORD FEES $10.00 RECORDED BY Itdevore Parcel ID Number: 31- Iq- 31 - so - 1160 - 0Or50 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. GENERAL I , EDESCRIPTI VNXFMP O6 �T LZ G (2 IRS V Re- - fr- OWNER Address: .4A.IVWI n Vn 1 V I J At V t, N/, *% ►V I'll IL V N Ir s 1 I ( ► Fee Simple Title Holder (f other than owner) Name: Address: Address: "Jt1J - C2 VU r L-1 -% F V L/ly V IyJ-z t fl -CCN r-1, nit/ / Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date 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. unpfe4 penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true toa best m knowl a nd b lef. I'1 11i� .sti 7 �( 1. S n �\'� (� Owners Signature Ownefs Printed Name for s1tul 713.13(1)(g): 'The owner musts n the notice of canmencement and no one else may be permitted to sign In his or her stead' State of Elbikin Countyof Ll(U The foregoing instrument was acknowledged before me this Lhi day of 20 by J o sea k 31) 011 D d)q Who is personally known to me ❑ -r % Name of person malting statement OR who has produced identification ❑V type of identification produced: JENNIFER KOSKI •;� ;`�'; Notary Public - Slate of Florida ..: My Comm. Expires Oct 27, 2017 t U l� =; y 'P"c Commission # FF 035309 N ry signature ...... Bonded Through National Notary Assn. ca .y, tZ HOWARD Construction Uc HOWARD CONSTRUCTION, LLC 580-3 Wells Road Orange Park, Florida 32073 License# CBC058529/CCC1326844 CGC1512840/CCC1327900 Phone # 904-541-1112 Fax# 904-541-1103 . don@howardnow.com October 25, 2016 Building Division 1.101 East 1 st Street Sanford, FL 32771 Re:. Authorization to Pull Permits Howard Construction, LLC CGC 1512840/CCC 1327900 To Whom It May Concern: Please allow the following to pull permits in Seminole County under Howard Construction: Trent Blair Feel free Ro call for any questions (904) 226-3664. , I — --)l --� Owner Signature Don Towea Owner Print Name 1 ' Sworn cforF me on 111f - CL �✓ r/'� , 20 County, , Statc of Notary Signaturc 1 f JENNIFER KOSKI .`i;: Notary Public • State of Florida - • . . • c My Comm. Expires Oct 27. 2017 ��,"OF Commrssron FF 035309 Bonded Through National Notary Assn 10 ACORV CERTIFICATE OF LIABILITY INSURANCE `� DA7E(MMrooIYYYY) 13/21/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER II Lines Insurance Agency, Inc. 4828 Blanding Blvd Suite 1 Jacksonville FL 32210-7390 CONTACT NAME: Pe Logan PHONE 904-384-0783 F"X 904-384-0550 EMAIL mlogan@all-lines.com INSURER(S) AFFORDING COVERAGE NAIC a 4/1/2016 INSURER A:SOUthern-Owners Insurance CO 10190 EACH OCCURRENCE $1,000,000 INSURED INSURERB:Auto-OwnerS Insurance Company 18988 INSURER C : Howard Construction, LLC 580-3 Wells Road Orange Park FL 32073 INSURER D: GENERAL AGGREGATE $2,000.000 PRODUCTS -COMP/OPAGG $2,000.000 INSURERE: INSURER AUTOMOBILE LIABILITY X ANY AUTO AUT ED H ULED X HIRED AUTOS X AUTOS EEO AUTOS RnVCDABCC CFRTIFIL'ATF NI IMRFR• 490947840 RFVIRInN NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF IDDIYYYY) POLICY EXP I" LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR 78039668 4/1/2016 4/1/2017 EACH OCCURRENCE $1,000,000 DAMAGE TO RERM $300,000 MED EXP one $10,000 PERSONAL b ADV INJURY $7,000,000 GENLAGGREGATE LIMIT APPLIES PER: POLICY ❑ JECT ❑ LOC OTHER GENERAL AGGREGATE $2,000.000 PRODUCTS -COMP/OPAGG $2,000.000 $ B AUTOMOBILE LIABILITY X ANY AUTO AUT ED H ULED X HIRED AUTOS X AUTOS EEO AUTOS 4719742900 4/1/2016 4/1/2017 Eaa000enl $1.000.000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S Per etddent $ HiredMon Owned $1,OOD,000 B X UMBRELLA LIAOOCCUR EXCESSLIAB X CLAIMSMADE 1 4719742901 1 4/1/2016 4/1/2017 EACH OCCURRENCE 57,000,000 AGGREGATE $1,000.000 DED X RETENTIONS10,000 $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY Y I N ANY PROPRIETOP/PARTNERIEXECUTIVE ❑ OFFICERIMEMBER EXCLUDED? (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA I PER A ER EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE S EL DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It mon spats Is required) City of Sanford 300 N Park Ave Sanford FL 32772-1788 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD CRY OF SANFORD BUILDING 300 N PARK AVE •l SANFORD, FL 32771 er: 74858 SALE Isount A+BD: 9520 Store: 4616 Term 2902 REFtt: 00000002 TS Batch it: 205 RPA 704616602474 64.00 02/151117tt2307 ! Trans D. 307046589875599 APPR CODE: 092TlDf 64.00 VISA Manual CNP (64.00 164.00 IOJY / 124:35 AMOUNT $64.00 APPRAVM ;CITY OF SANFORD cation Inquiry - Fees 44 S AVE Trans amt 25.00 25.00 9.00 61.00 35.00 4.00 4.00 ,._,..:it fees due: I AGREE TO PAT ABOVE TOUT AMOUNT Revenue fees due: IN ACCORDANCE NIM CARD ISSUER'S Total due AGRFEUENT 1 (MERCHANT AGREEMENT IF CREDIT VOUCHER) RETAIN THIS COPT FOR STATEUENT Lew F12=Cancel VERIFICATION MERCHANT COPY Al 2/15/17 11:21:29 4 Amt due $truct Permit Insp 25.00 .00 .00 .00 000000 BLCA00 35.00 000000 ELAA00 2.00 2.00 .00 64.00 64.00 F10=Amt billed Bottom Oper: ANTONINIL Type: OC Drawer: 1 Date: 2/15/17 3144 Receipt no: 74858 BP BUILDING PERMIT RECEIPTS 1.08 $64.00 CC CREDIT CORD $64.00 Total tendered $64.09 Total paysent $64.00 Trans date: 2/15/17 Tise: 11:24:35 wo�vERi� f�tlaca. Cw�rrwtsac T**&Co=*l VOIM, F&DO. : WiLqutitse HOME %99*jvx$ co (t �e4 \4, b uf ov't. 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