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HomeMy WebLinkAbout2519 Georgia Ave14 OS CITY OF SANFORD PERMIT APPLICATION Permit #: gDate: Job Address: 2!i � C/�Yomr G 'I G� VC �G� � r-�Q PL a�7 Description of Work:-- C12r7-Ti—,J Historic District: Zoning: Value of Work: S off, �p Permit Type: Building t/ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole _ Mechanical: -Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial _ Occupancy Type: Residential --,,Z Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA corm required for other than X) 'SCJ Parcel #: 0 1 " 6) 3 O ^ `/ c3 s00 - n ao ( (Attach Proof of Ownership & Legal Description) Owners Name & Address: /' j-4©vw,! S t -m[— Y'O en, Z.LC a :T® (9 _nsc, C1 d �/n� 1.0 O s— A_ 7�:! 1 I Phone: "'07 •— 'Ei ContrractorName& Address: 4- t�, />�� -i, -e <Z_ State License Number: (2 P 0 — 0 S7ga 6- ) Phone & Fax:: ' Qrn ems: " / 5F O / Contact Person: ,F�o v_e 1 � Phone: Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer: Address: Phone: Fax: 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. 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 l3. Signature of Owner/Agent Date Signature A Contractor/Agent Date Print Owner/Agent's Name Printractor/Agent's Name Signature of Notary -State of Florida Date Signa -State of Eloai to DEBBIE BLANTON MY COMMISSION # DD 188491 Owner/Agent is _ Personally Known to Me or Con for is EXPiV196allj4'ilrYi ?_Me Produced ID HWodd& ARY Notvy Ms nt Co. f,�J Imo% APPLICATION APPROVED BY: Bl� — Zoning: (Initial 8 ate) Special Conditions: Utilities: (Initial & Date) FD: (Initial & Date) (Initial & Date) Division of Corporations Florida Drpartment orStAte, Division of Corporations ea7r1c1a.sYirthrZ.nY Pubic luqty Florida Limited Liability HOMES FOR YOU,LLC PRINCIPAL ADDRESS 120 INTERNATIONAL PARKWAY 220 HEATHROW FL 32746 Changed 02/04/2005 Document Number L03000008279 State FL Last Event CANCEL ADM DISS/REV Total Contribution 0.00 MAILING ADDRESS 300 SADDLEWORTH PL. LAKE MARY FL 32746 Changed 02/04/2005 FEI Number 680544104 Status ACTIVE Event Date Filed 10/13/2004 Registered Agent Name & Address LORIE, PELAYO R 300 SADDLEWORTH PL. LAKE MARY FL 32746 Address Chaneed: 02/04/2005 Date Filed 03/06/2003 Effective Date NONE Event Effective Date NONE Page 1 of 2 ./cordet. exe?a1=DETFIL&n 1=L03000008279&n2=NAMFWD&n3=0000&n4=N&rl =&r2=&:6/6/2005 i Division of Corporations Manager/Member Detail Name & Address Title LORIE, PELAYO R 300 SADDLEWORTH PL. MGRM LAKE MARY FL 32746 US LORIE, ANA I 300 SADDLEWORTH PL. MGRM LAKE MARY FL 32746 Annual Reports Report Year 11 Filed Date 2004 10/13/2004 2005 11 02/04/2005 ist ......., =: ':Pf:e:ufa s:: i�irjg::::::: ::# :e:tu:€ri:fia:L:s<. 7 .77777777.7.:.771-! .:.:.; View Events No Name History Information Document Images Listed below are the images available for this filing. 02/04/2005 -- ANNUAL REPORT 10/13/2004 -- REINSTATEMENT 03/07/2003 -- Florida Limited Liability Page 2 of 2 THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT ..Icordet.exe?a1=DETFIL&nl=L03000008279&n2=NAMF'VWD&n3=0000&n4=N&rl =&r2=&5/6/2005 Zerntlt- number Parcel Identification Number-�Dz--off©^-30 Prepared by: fi�� S Calc e c� Return to: �� 1� �,. � --19�( 0 �.: u 5/,IV) rn Y zf ? NOTICE OF COMMENCEMENT State of I J C- - County of M ARYANNE MORSE, CLERK OF CIRCUIT CitEIRT SENINOLE COUWY BK 05752 FSG 1829 CL E RK I S ## 2005092952 REMRDFD *10612M W a 2g i Q PH RECORDING FEES 10.60 RECORDED BY L McKinley gyry n CERTiF9ED COPY MARYANNE MORSE CLERK OF CIRCUIT COURT SEM IN LE OUNTY, FLORIDA ®Y DEPUTY CLERK The undersigned hereby gives notice that improvement(s) 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. 1. Description of property (legal description of the property, and street'address if available) z� GAJ i Y� 3 c ->'S /q Cep ' �; V .-�`Y m itis `i 7 2. General description of improvement(s) 3. Owner information Name 14 a w•z 'F 'YO U L L(' Telephone Number �yU7 -�3� -.�! CIF Address i�0 �„L� e Fax Number 'YO 7 0 `� l °"'- 3 z--14 6 Interest in Property: Hcc4 0LV 4. Fee Simple Title Holder if other than owner shown above) Name '-1 a f ^e-- Vd Yd d Telephone Number Ij [ t 9 �p Address 11-0 Irn . PKLVJ 1 ;,2.20 Fax Number -YO 7 _ � < 5. Contractor Name �. a,� I- ' &G` o� Telephone Numbers Addressi �, >j � L► Fax Number ya7_ 6. Surety (if any) 6 7 - -2 3 3 - g 19 Name f\,0 Telephone Number Address jL6 P k"vq- '5 AW Fax Number `07" ?53-3 - y Re Q t hy. 0 u -t i o, 3 Z 7-/j� Amount of bond $ n 7. Lender (if any) Name fLC Telephone Number A16'j - 9 33 - Address j)-0 1 rJ PKuj , � ',2-21J Fax Number j0j- -%z: _ -1 r-0 *� H CA t k _(0 w �i= L _ --3-L-7 `L -(Z, 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as proviO4 by 713,13(1)(a)7, Florida Statutes. Name �Lm 1..c Telephone Number ' ,5-j Address I Z-� L �w� �p Fax Number -Y07— 8-=z - 0 7 c k O -W ( - -7 Z- 71-C 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. Name Telephone Number Address Fax Number 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless different date is specified): Date Signed Signature.;of Own Note: per 3.13(1)(g), "owner must sign... an,• no one else ay be permitted to sign in his or her stead." Sworn to and subscribed before me this 02 day of -7y>?-e– , 20 OC by IQ `1 C2 L� y �` who is personally known to me OR �oduced ✓TJ) 6 3q, as identification. !.al..ns�mmn.N. RICARDO CAICEDOm....„u.. r �o YP C- m D00241788 c 9 = BrVin3s 8/17/2007 =4�a «sued mti (800)432-4254: SEAL Sign re of Nota / .......,.o....nb,;;;iAssn., Inc ............E Revised 5/24/04 AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS License #: Project Information Owner: pd r 6 SLC Permit #: name '300 :5A d d l7' address phone Subdivision: Lot #: 1,+r✓ �e- t S C' , affiant, hereby affirm that I am the duly licensed contractor of record for -the above referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: signature printed name - STATE OF FL O COUNTY OF This instrument was acknowledged before me this day of by the above referenced individual, _ (�� , who acknowledged that he/she is a duly licensed contractor with 'and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced as valid identification. WITNESS my hand and seal this �_ day of Z DEBBIE BLANTON MY Cr`i�1@NSSION # DD 188491 % Pli,c.: February 25, 2007 1 -800 -3 -NOTA Y Fl- No'-^ry Discount Assoc. Co.