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HomeMy WebLinkAbout805 Locust AveWARNING 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. O ` l� 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 Application L \ CITY OF SANFORD ' BUILDING & FIRE PREVENTION PERMIT APPLICATION D Application No: /4 - 3 J a3 Documented Construction Value: S. 4,500.00 Job Address: 805 Locust Ave, Sanford FI 32771 Historic District: Yes ❑ Nog Parcel ID: 25-19-30-5AG-100E-0070 Residential ❑ Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: Demolition Plan Review Contact Person: n/a Title: Phone: Fax: Email: Property Owner Information Name Brown, Margie & Broxton Eula Phone: Street: 1619 Monroe Sheffield Rd Resident of property? City, State Zip: Chipley FI 32428 Contractor Information Name Diversified Design Construction, Inc. Phone: 407-383-1775 Street: 1316 Shallcross Ave, Orlando FL 32828 Fax: City, State Zip: Orlando, FL 32828 State License No.: CBC046667 Architect/Engineer Information Name: n/a Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: n/a 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. O ` l� 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 Application L \ 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 oft' 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. Owner/Agent isMPersonally Produced ID.� Type of ID Signature of Contractor/Agent Date 0 A r L 77-v 11 rn" Priya Contractor/Agent's Name LLV�— lii-/ (. SignatJ4 of Notary -State of Florida ate IVdtkyIIF.010 WOOt4MgSSIOMSMVA451 1( ai BwOO OFebwn .17PAOAm.2017 Contractor/Agent is _L/LPt Produced ID Type BELOW IS FOR OFFICE USE ONLY Me or 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: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2013 Permit Application I� THIS INSTitUMENT PREPARED BY: Nome: S Green Address: PO Box 865. Windenneue. FI34786-0868 NOTICE OF COMMENCEMENT State of Florida County of Seminole 11111111111111111111111111111111 MARYANNE MORSE► SEMINOLE COUNTY CLERK OF CIRCUIT COURT 6 COMPTROLLER BY, 8807 Ps 469 (1P9s) CLERK'S : 2016119468 RECORDED 11/16/2016 03:56:21 PM RECORDING FEES $10.00 RECORDED BY hdevore Permit Number. Applied Parcel ID Number. 25-19-30-5AG-100E-0070 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 OF PROPERTY. (legal description of the property and stWet addres If a ablOT 7 BLK 10 TR E 80.06 !_ne; a0-ST,r �L I 39771 'r•ntart<I nC CAKICnon PB I PG 56 GENERAL DESCRIPTION OF IMPROVEMENT: ' JR' AIX) Demolition rc, .. ; ., r. 17 OWNER INFORMATION: W DEPUTY CLERK Name: BROWN MARGIE & BROXTON EULA Address: 1619 MONROE SHEFFIELD RD CHIPLEY, FL 32428 Fee Simple Title Holder (if other than owner) Name: n/a CONTRACTOR: %Red Address: 1316 Shallcross Ave, Orlando FL 32828 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 Llenor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Comncement (The expiration date Is 1 year from date of recording unless a different date is specified) A— ctel 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 1. 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 peva perjury, l declare that I have read the foregoing and that the facts stated In It are true to th of knowledge an elior ef. Osrt 8 Signature ownere PAMed Nome de Staft 713.13(1)(g):' The owner sign the notice of commencement and no one else may be pomdCod to sign N hb or her stead' State ofzQ)(I j CA_ County ofy Vk L Xn The foregoing instrument was acknowledged before me this S day of Ny\ �VY\'Y�1tiV . 20 by L �I 0-\ �)7� V r( n Who Is personally known to me ❑ f� Name of person making staternept.t _ OR who has produced Identification IJ type of Identification produced.( Notary Public State of FbWa Tiffanl L Baxley ~ +dC My CommbWn FF 995470 C/—*ne, „ Expires 06121%2020 Notary Signature To: Page 2 of 2 Utilities: 2016-11-15 20:19:17 (GMT) 14079823365 From: Shelley Green City of Sanford Disconnect & Sign -Off Sheet 8051eeustpAve �Sanferd,,Fl*32771 Cable Company: Brighthouse 407-578-9451 Date Signature of completion Electric Company: Florida Power & Light Fax -407328-1910 Delete Meter & Service Drop Date Signature of completion Telephone Company AT & T fax 407-843-5903 Date Signature of Completion Gas Company-Teco 407-839-0768 )or Lake Apopka 407-877-3893 /✓i _7�T(fo 41Le,,a ate Signa ur C pl tiol� Water/Sewer/Reclaim Services: City of Sanford Please pull meter and disconnect lines. Date Signature of Completion Fax Back to: 407-909-0400 Any questions call Shelley 407-832-4451 -94078773896 LAKE APOPKA NATURAL GAS Utilities: 08:32:08 a.m. 11-16-2016 1 /1;reen City of Sanford Disconnect & Sign -Off Sheet 0/ 805 Locust Ave, Sanford FI 32771 Cable Company: 8righthouse 407-578-9451 Date Signature of completion Electric Company: Florida Power & Light Fax -407328-1910 Delete Meter & Service Drop Date Signature of completion Telephone Company AT & T fax 407-843-5903 Date Signature of Completion 407-839-0768 o(Lake Apopka Date ///�' Of Water/Sewer/Reclalm Services: City of Sanford Please pull meter and disconnect lines. Date Signature of Completion Fax Back to: 407-909-0400 Any questions call Shelley 447-832-4451 lo: V"Nov. 16. 2016 4:10PM :1U1e-11-1b1U:19:U1 (Simi) No. 3323'ay P. 1:s110110yGreen City of Sanford Disconnect & Sign -Off sheet 805 Locust Ave, Sanford F132771 Witles: Cable Company: Brighthouse 407-578-9451 Date Signature of completion Electric Company: Florida Power & Light Fax -407328-1910 Delete Me r & Service Drop k4kVbA�- Date (� Signature -of completion Telephone Company AT & T fax 407-843-5903 Date Signature of Completion Gas Company -Tern 407-839-0768 or Lake Apopka 407-877-3893 Date Signature of Completion Water/Sewer/Reclaim Services: City of Sanford Please pull meter and disconnect lines. Date Signature of completion Fax Back to: 407-909-0400 Any questions call Shelley 407-832-4451 Date: // $ .2c; Q I hereby name and appoint Of CL Green,lnc. POWER OF ATTORNEY Shelley M Green 011dtti /�to be my lawful attorney In fact to act for me and apply to thebT SfC1�it� i1[+� Building Department for a Demolition For work to be performed at a location described as: permit Section Q-5- Township 1'9� Range Lot ,5 A-6 Block / 0 0 L " 00-7 �j �- , � art.. ;U 1 Subdivision �C ,t��__i.fS% 1 �fG� , �7 Sfcgeri? 6roxInn — Icon mons 5h&4zin(d tea. o✓A;ezey-PL (Owner of Property and Address) 3 yl %)L and to sign my name and do all things necessary to this appointment. David Tollman cbc046667 Type or Print Name of Register or Certified Contractor and Contractor's License Number C c oor Register or Certified Contractor The foregoing instrument was acknowledged before me this __L day of X)Od • of 20_Q By As personally kn wn to me/who produced tification and who did not take oath. State of Florida County ofdr-4t!3A 4ZL , Notary Public, Orange County, Florida 2/12/2008 64 ISO WIYAwmiENEDEES st eo�n�w�aa�n'�tyta Seal Date: 1 hereby name and appoint Of CL Green,lnc. POWER OF ATTORNEY Shelley M Green /� to be my lawful attorney In fact to act for me and apply to the a64-, b7 SfCtyt► t:1C Building Department for a Demolition For work to be performed at a location described as: permit Section -Q -5- Township Range36 Lot ,5A-6 Block / Q Q t✓ (90-7 % b IS 16 Subdivision dC� t,c�Lr;.@.S/ ,.�1C tfr,fG9 SfCg em(Owner of of Property and Address) and to sign my name and do all things necessary to this appointment. David Toliman cbc046667 Type or Print Name of Register or Certified Contractor and Contractor's License Number of Register or Certified Contractor The foregoing instrument was acknowledged before me this 7�* day of 4N Lin i O jD rlmai 0't " G It personally knfiwn to me/who produced As identification and who did not take oath. State of Florida County of 0t!2SA. k4a, 41 Notary Public, Orange County, Florida 2/12/2008 C O+ror of 20-Q a"W F. DESS My ►asbt+e EEVM1 p(PIRES: Fg"ri 17, 2017 WdW-M,, HMYPlf*UWWWMn Seal