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