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HomeMy WebLinkAbout608 Lake Minnie DrCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION D �0 3/A S D D Application No: 11 ocumented Construction Value: S Job Address: /„ 08 Lu Xe " e Parcel ID• Type of Work: New ❑ Description of Work: _ on ❑ Alteration ❑ Repair ❑ /11 / _ . Plan Review C ntact Person: de Phone: �!U — Fax: Name K - Street: / n O G n /I City, State Zip: OCc� Name Ller Street: U City, State Zip: 4 Name: Street: D d City, St, Zip: a Bonding Company: Address: Historic Distri ❑ No ❑� Residenti Commercial�� ❑ C nge of Use LJ✓ Move ❑ 4.4 ra^ c e -A Title: (/ha mail: Aa rrtt / y!y o i-Ae : Go ^ Property O er I rmation 4 G Phone: rIL10 % 7 / —/ 00 O i t u v2gy Resident of property? : / V o Corrv, or Information 96/9) � �IS 71 .�� %a �J Phone: i v,✓ Fax: )) r State License No.:c,--- l� J 72rchitect/Engineer Information p / SPhone: g 3 Ab_ r cit Fax: / E-mail: 611-ri "ci 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 Applicatio 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. 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. 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: Flood Zone: # 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: STE WATER: FIRE: UILDING: Revised: June 30, 2015 Permit Application �f 1117 i 74Lc-, Si o:f cr/Agcn Dat Si turcofCo Tactor/Agent D tc e,t Pr t Owncr ent's Nam Pn Contract gent's e p TAYLOR CRIST Date Signature otary-State of Florida Date NOT COMMISSION # FF195457 ����� TAYLOR CRIST wB�IC EXPIRES Feb 3, 2019 NO_ TART COMMISSION # FF195457 STATE OF ORIDA. �� BONDED THROUGH RU INSURANCE COMPANY % PUBUC EXPIRES Feb 3, 2019 ' TAr O I BONDED THROUGH I Owner/Agent is Personally Known to Me or Con RL l INs Nee co PAN Dwh to Me or Produced ID Type of ID Produced ID Type of IDLY 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: Flood Zone: # 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: STE WATER: FIRE: UILDING: Revised: June 30, 2015 Permit Application raw.%Yv,) 1.7t-I16J invoice&psrcf@gmaii.com Bill To CHOCOLATE COMPASS 608 LAKE MINNIE DR. SANFORD, FL 32771 USA L y/I3r2U16 I 6915A I Page 2 P.O. No. Due Date Service Address 9/15/2016 Item Qty Description Rate Amount WTC-CONDENSER M#PC99MOP-2E S#410122248 WIC -EVAPORATOR M#AM26-67B-AP S#E16D00752153002003 WIF-CONDENSER M#PC I 99LOP-2E S#410108555 WIF-EVAPORATOR M#EL26-92B-DP SNE16AO0738587010001 INSTALLED CONDENSERS ON AN ALUMINUM RAIL PER CODE, RAN COPPER DOWN TO BOTH EVAPORATOR COILS. WE VACUUMED THE UNITS TO 500 MICRONS AND CHARGED WITH R404A TO SUPER HEAT METHODS. THE INSTALL IS COMPLETED AS PER APPROVAL. THE UNIT IS COOLING PROPERLY AT THIS TIME. Subtotal $8,160.54 Sales Tax (7.0%) $466.24 HVAC INSTALLS DO NOT INCLUDE NEW DRAIN LINES AND THEREFORE IS NOT PART OF ANY WARRANTY. Total $8,626.78 In the event payment is not made as agreed, an interest rate in the amount of 1.5% will be charged for every 30 days the account remains deliquant. There will be a $35.00 charge for all returned checks. Payments/Credits $0.00 Balance Due $8,626.78 Page 2 Address: saeet.J c#ri 1 I state Zip Phone: �►b-1 `j 3 a -'I Ta Alt. Phone: Email Address: General Requirements for All Contractors: j 1. Copy of your current State Ucense (DBPR, State Fire Marshall, DACS-Bureau of LP, DHSMV, etc.) or Seminole County Competency Card. 2. Proof of worker's compensation coverage or an exemption certificate and proof of general liability. Additional Requirements for Registered Contractors: 1. For initial application or over 90 days expired only: Attach a letter from Florida Jurisdiction or testing agency to verify you have taken and passed the appropriate written exam(s) in the Jurisdiction within the State of Florida where your license was issued (to include classification of license type and date passed). . 2. Submit this form and accompanying documents in person to the Building Division. 3. And fill out the following: Have you had disciplinary action in any Florida jurisdiction with -in the past twelve (12) monthsT Yes O No(V If yes, please list the jurisdiction and actions taken: -a 9-1(' Ewe License administration Is typically on a two year cycle. Revised 7/6/16 1101 EAST FIRST STREET SANFORD Fl. 32771-1466 PHONE (407) 665-7050 FAX (407) 665-7486 25-110 CITY OF SANFORD BUILDING & FIRE PREVENTION DPERMIT APPLICATION / /.lpplication No: Documented Construction Value: S Job Address: �, �� Lc, Xe— Ar ylo. r. Historic District --Ws ❑ No Parcel ID: Residents 1 ❑ Commercial Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Chang of Use a Move ❑ Description of Work: r^ r!l ►/ � rt:. Plan Review C ntact Person: Irr,/ /7 % eAX--,'it Title: Gr. Phone: �2 7 — o S Fax: Email: A01'61 -/711/ 2 Ao me- :1 , co ^ i Property Owner Information Name -1�- 141S zG n Phone: ILI D% % y �_'/ f �� O Street: / �� C7 CG �5 GI/ . Co •1 u /_) rS�x,2gVg Resident of property? : / o City, State Zip: Dc,, ee Pl 3 ? [o / e � 'el Contractor Information Name Ji )„ r-.eT Street:'-/ 3 0 City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Phone: O 47 Fax: )) State License No.: �l� � J.r ' iformation p Phone: g 3 c 8o Ll Fax: ` E-mail:C,•G1'.rj 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 Applicatio ,YID Y� 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. 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. 17 Dat Si tur'of Co ractor/Agent D tc e,1 12',1 A('P C`Z� Al I I /11 A TAYLOR CRIST COMMISSION # FF195457 EXPIRES Feb 3, 2019 BONDED THROUGH RU INSURANCE COMPANY Owner/Agent is Personally Known to Me or Produced ID Type of ID 1 � r 4110 t Signature o otary•State of Florida TAYLOR CRIST COMMISSION # FF195457 EXPIRES Feb 3, 2019 I BONDEDTHROUGH RU 1N5 NCE CO ANY to Me 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: Flood Zone: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: _:_:�SI WATER: ENGINEERING: FIRE: UILDING: COMMENTS: GE to I/1/ Ckc lYl off' _// ko I) cA+,,,oms Revised: June 30, 2015 Permit Application Job Address: CITY OF SANFORD �UILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1("e2 3JA Documented Construction Value: $ d - e r. Historic District: ❑ No C�-� Parcel ID: Residential ❑ commercial�� Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use a Move ❑ Description of Work: el Plan Review C ntact Person: Phone: yC) —7 o S Fax: 1'e-. I Z Title: �i A r %Mk/t Email: `l a fT / 471►� fAe. / Property Owner Information "__5"__5_X_d . Name "-1 S n Phone: G U% 711S f—I f oO O Street: /6) 0 G 6 Gt% . Co � � � a � /.-) �_ S�o?gpb' Resident of property?: lV o City, State Zip: &-2c,, e-eFl 3 3 clo / e "? In Contractor Information Name LlerO 71-1615�t S41' Street: 413 0 S-�, j n !i Yom✓ City, State Zip: rep Name: Street: City, S1 Bonding Company: Address: Phone: 3 D O �� 7� *1-71 Fax: JJ State License No.: C/ iformation Phone: g 3 0 2 �2 8o /f Fax: /+ /� E-mail: (__ i-G1-ri X "'L l h eek 5 Ale, 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: 5'" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Applicatio .IhY� 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. 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. K _1 11117 / - rt ►7 Dat Si lure ofCo rector/6tAw( Agcnt c t Ami- 1b $'Dau Signature o�Notary-State of Florida Dau TAYLOR CRIST ';-ITAR COMMISSION q FF195457 TAYLOR CRIST roo PUBLIC EXPIRES Feb 3, 2019 =Nom qY� COMMISSION It FF195457 �SrATEOi� % pUBUC ito�r� a INSURANCE COMP . EXPIRES Feb 3, 2019 RU INSUpANCE COMPANY STATE Oi 'FLORIDA RUBNS OE NCE CO UG ANY Owner/Agent is Personally Known to Me or Con etiaiyIfn Produced ID Type of ID Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY to Me or Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: # 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: '2? 'e4 STE WATER: Revised: Junc 30, 2015 Pcrmit Application Job Address: 0d CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: S d e Ar. Historic District: ❑ No D ---- Parcel ID: v Residential ❑ Commercial�� Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use a Move ❑ Description of Work: Plan Review Cntact Person: Phone: f& 71 12 - Fax: a ,tom ►/ � .` rte rte. r>;qa✓; � Title• � � ; j�/'.Mk� ! Email: A 0 r%/ 47+� � A0 co Property Owner Information !� Name ���- l S Z -L G Phone: �/U % % / — f 0 0 Street: IC) 0 0 0 A J . Ca •� i u �54-e.2g'y Resident of property?: lUo r• City, State Zip: 41-2c,, eT�l . 3 7 6 / e � , Contractor Information 3 � / `r 7 c Name e!' %0 115 :t v�f10�1 Phone: (� Street: Y 3 U S -t- ._) A n t Y,✓ Fax: /r City, State Zip: 511 1 �!'J C4 3)-- State License No.: c/-' C12 Name: ��.`tiGl✓.! Street: % '?-O C City, St, Zip: Bonding Company: Address: ineer Information Phone: 67 3 O 2 �2 _d, So Fax: / E-mail:( , al X��5(y ,ek 5Ile, d F%R ."f o,� 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 Applicatio 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. 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. I 111147 l - i t 17 Si of O er/Agent Da Si turc of Co rector/Agent D to P t wncr cot's Nam Pri Contract gent's N c K I n 11�1� Date Signature o otary-State Tf Florida Datc TAYLOR CRIST NorvAR!EE COMMISSION It FF195457 /�� TAYLOR CRIST PUBLIC EXPIRES Feb 3, 2019 -1 NOTARY COMMISSION # FF195457 ISTATEOF % PUBLIC I FLO�I�DA INSURANCE THROUGH EXPIRES Feb 3, 2019 RU INSURANCE COMPANY t STATE 0 FLORIDA BONDED THROUGH Owner/Agent is Personally Known to Me or Con RUINS Nee co PAN to Me or Produced ID Type of ID 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 Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: COMMENTS: UTILITIES: STE WATER: ENGINEERING: FIRE:UILDING: r, Revised: June 30, 2015 Permit Application llv CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION r Application No: �`�' Documented Construction Value: $ Wd %e Ar _ Historic District: ❑ No C),� Parcel ID: Residential ❑ Commercial��� Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use a Move ❑ Description of Work: Plan Review C ntact Person: Phone: yU -111,1,50,x: r- el a ,IC I/ / , r`'� re-. It Title: G �I//�k�( Email: % C, /I/ 771 61�s Property Owner Information Name Lj,1 S LPhone: rl-107)71IS— ,/ / 00 O Street: /(: 0 C' C) GI/ . Co � � � a � � �_ Sia-'Apy Resident of property?: / V O r• City, State Zip: �c,, e�l . 3 7 tG / Contractor Information 3 - / /( % Name Eel' /moo �`l�lS < .� :I S� >�v�f ro,� Phone: Street: 7 S U City, State Zip: Name: Street: City, S1 Bonding Company: Address: A Fax: )) r State License No.: iformation ') o / Phone: g 3 Fax: / E-mail: 6,6/1 Xj X6%&r e. 5NO d.lo' 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, 2013 Permit Applicatio 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. 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. j �- �� t l 7/ - i t I 17 Si "ofQr/Agent �� Dat v/ Si -L --re of Co for /Agent tc zll1�-,'� P t cr cot's Na�A:j Pri Contract gent's N c rim Date Signature o otary-State of Florida Date TAYLOR CRIST �NOTJAn i COMMISSION # FF195457 ��� TAYLOR CRIST PUBLIC F EXPIRES Feb 3, 2019=�NGo-TAARYY� COMMISSION # FF195457 'srArE oc ; PUnLIC I cto�l BONDED Tlt COMP EXPIRES Feb 3, 2019 Ff RU INSURANCE COMPANY ISrATEO flOA DA BONDED THROUGH Owner/Agent is Personally Known to Me or Conr2dMent is RLI INS NCE CO PAN to Me or Produced ID Type of ID 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 ❑ APPROVALS: ZONING: ENGINEERING: COMMENTS: # of Heads Fire Alarm Permit: Yes ❑ No ❑ UTILITIES: STE WATER: ! I I FIRE: UILDING: t/ Revised: lune 30, 2015 Permit Application NTHIS ameNSTRUI#ENT i;fB PREPABX:— n n S�7irZl�►�SiT7�© r� IIIIIII• NOTICE OF COMMENCEMENT State of Florida County of Seminole 11 ((''''' Permit Number: � l0 - 3 low i Parcel ID Number: S 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. DESCRIPTION OA PROPERTY: (Legal description of the property and street address if available) DESCRIPTION OF IMPROVEMENT: /'� 0,7 y f , .- i) _SG /GVI✓,k,,7i v . 115 �l r -)u /4-11 OWNER INFORMATION: Name: G �"� a 5 - Address: 1L o r 2- Fee Simple Tltie Holder (if other than owner) Name: Address: CONTRACTOR: Name: Ar6 re, it �J Address: �i O S �— 7-'" (f J : f7FZ / / Persons within the State of Florida Designated by Owner upon whosin 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 Lienors 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. Under penalties of perjury, l declare that I have read the foregoing and that the facts stated in it are e7-;;> to the best f y knowl a d, �/!l �. %is l 10, Onws Sid Ownet's Printed Name Florida Statute 713.1 1)(g): ' The owner must sign the notice of commenoemerd and no else may be permitted to sign in his or her steed.' State ofbY;dQ County of 1 C r The foreSfoing instrument was acknowledge this U --day of 1 y OV 20 y� by Piet �l n � .Who is personally known to me Narhe of person making statement - OR who has produced identification ❑ type of identification produced: +- TAYLOR CRIST NOTARY COMMISSION # FF195457 11 PUBLIC EXPIRES Feb 3, 2019 Notary SignatureFLORIDABONDEDTHROUGH STATE OF I -";W. RU INSURANCE COMPANY