HomeMy WebLinkAbout2706 Orlando DrEIVED
APR 0 7 2011
SANFORD
x
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $
a
Job Address: a -)L>to 0gA'4a 'D'TL v -r' Historic District: Yes No
ParcelID: "a _ S a' DDva b1,1 h1(7 Zoning:
Description of Work:
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name _ , p >ac Phone: dLl D 45 DSU
Street: 3b t- Resident of property? : D
City, State Zip: Ij _ ) - I 1 i(/Y
Contractor Information
Name ( &s')1V11fi Phone: 316
Street: , 3 , - j Fax: 3
City, State Zip: ' ,,u rc c ", 3 )W State License No.:
Architect/Engineer Information
Name:
Street:, 3 051 / \ '' V' 1--,) T o VC,
City,St,zip: \tic•QD `)- 3a 6ahj
Bonding Company:
Address:
Phone: -(D.
Fax: aJ-7ex3Y3
E-mail:,t
Mortgage Lender:
Address:
zr
PERMIT INFORMATION
Building Permit
Square Footage:
No. of Dwelling Units:
Electrical -b(
Construction Type: No. of Stories:
Flood Zone:
New Service - No. of AMPS:
Mechanical 1] (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures
Fire Sprinkler/Alarm 11 No. of heads:.
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.
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.
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.
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. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Rev 11.08
UTILITIES:
FIRE:
clia f14111
Signature of Contractor/Agent Date
Print Contractor/Agent' Name
Signature of Notary -State of Flor da Date_
GERT VANIPEREN
r.:. .-
MY COMMISSION q DD 949052
tai. EXPIRES: April 27,.2014
Bonded Thru Notary Public Underxrtiters
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
111111 Igloos immoloopumn Emil Mimi loll
O/ Zp - 30 -S 12 - D vggci MARYMW MORSEL CLEW OF CIRCUIT COURT
Permit Ift. 01-2.a -30 - S 1 - C7 _ oS`g,C7
BK
INME TY (1 ) Tax Folio No. 9 3 P9
CLERKS # 2011002391
NOTICE OF COMMENCEMENT REMRDED 01/05/8011 00:18:20 PN
State of Florida REGARDING FEES 10.00
County of Seminole RECORDED BY J Eckenroth(all)
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(l)(a)7., Florida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the 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
CO CE
Signature of Ow or Owner's Authori d Of icer Director/P er/Manager Signatory's Tit /Office
The foregoing instrument was acknowledged before me this day of , (year) , by (name of person) as (type of
autho ity, ... e.g. officer, trustee, attorn pWgc?-ffAW%1f 4t behalf of whom instrument was executed) .
Krishe Strtne
Commission # DD735979
Signature of Notary Public BONDEDTFIRUATLANrICBONDINGCo,INC.
Personally Known X— OR Produced Identification Type of Identification Produced
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the facts state it are true to the best of my knowledge and belief.
THIS -Mii 6, EAN6' l REPAR'cD 8,y.
Signature o > atural Person Signing Above NAME
Rev. date 3/' 008 "- ADDR. G/ I P°.
The undersigned hereby gives notice that improvement
will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following
1 information is provided in this Notice of Commencement.
1. Description ofproperty: (legal description of the property, and street address if available)
r ' I — c4e
G -,x
ti 2. General description of improvement: 4-,t C X)}
3. Owner information: Name:
Address: 3 D D 'N, Q. vc. S s . a-a-17
b. Interest in property:
c. Name and address of fee simple titleholder (if other than Owner): Name:
C'; Address:
r 4. Contractor Name: Phone number: 5 1
c. Address: c.<' rrr c aY7 'n hv 3 1
5. Surety Name
Address:
b. Amount of bond: $
6. Lender: Name:
Address:
b. Lender's phone number:
7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(l)(a)7., Florida Statutes: Name:
Address:
8.a. In addition to himself or herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the 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
CO CE
Signature of Ow or Owner's Authori d Of icer Director/P er/Manager Signatory's Tit /Office
The foregoing instrument was acknowledged before me this day of , (year) , by (name of person) as (type of
autho ity, ... e.g. officer, trustee, attorn pWgc?-ffAW%1f 4t behalf of whom instrument was executed) .
Krishe Strtne
Commission # DD735979
Signature of Notary Public BONDEDTFIRUATLANrICBONDINGCo,INC.
Personally Known X— OR Produced Identification Type of Identification Produced
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the facts state it are true to the best of my knowledge and belief.
THIS -Mii 6, EAN6' l REPAR'cD 8,y.
Signature o > atural Person Signing Above NAME
Rev. date 3/' 008 "- ADDR. G/ I P°.