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Home My WebLink About230 E Lake Mary BlvdCITY OF SANFORD PERMIT APPLICATION Permit No.: O z' 131 / _ _Date: 5•-a g -0 Z- Job Address: e % i--'e A$.v lJ 5hrwjw C t l 3X773 Permit Type: Building ,,, EE++lectrical Description of Work: (Ze;- zC&C- q Fire Alarm/Sprinkler Additional Information for Electrical & Plumbing Permits Electrical: Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS ) Plumbing/ Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/ Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines m Occupancy Type: _Residential X++ Commercial _ Industrial Total Sq Ftg:gLksap Value of Work: S 332 k30 Type of Construction: 9e - 241taT Flood Zone: Number of Stories: l Number of Dwelling Units: Parcel No.: &1- 20- 3M - OaS% - Ot7CC (Attach Proof of Ownership & Legal Description) Owner/ Address/Phone: ( tr 9, AA Es e. 1.l_C Qkm CD &0: SW C-kuA CASRA FI D ; D. Contact Person: Title Holder (If other than Owner): Address: Bonding Company: JV IR' Address: Mortgage Lender; Address: Architect/ Engineer Address: State License Number: CGC 61W-k4O Phone & Fax Number: R Dl- - 2. Z. t'L O'7 - 6 d- 05O7 Phone No.: Fax No.: 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 Lien Law, FS 713. Signature of Owner/ gentf Date Signature of Contractor/Agent Date Print Owner/Agent's Name s- a8_ c7z 17> VIVO Signature of Notary -State of Florida Date OLHRIA. A. BANNICK Notary FUI)k, State of Florida My Comm. exp. May 5, 2006 Cr., nm, No, OD 114748 Owner/ Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: md, - N %Jn-ra yt-c t Contractor/Aname L-- t< Sag-oz Signature of Notary -State of Florida Date DEBRA A: BANNICK Notary PuBlIC, State of Florida My coma. exp. May 5. 2006 Comm. No. DD 114748 Contractor/ Agent is Personally Known to Me or Produced ID Date: Special Conditions: 2 Division of Corporations Page 1 of 2 itla-1tI1iTe-d-Mahir1 MG REAL ESTATE, L.L.C. PRINCIPAL ADDRESS 2100 COUNTRY CLUB ROAD SANFORD FL 32771 Changed 08/03/2001 MAILING ADDRESS 2100 COUNTRY CLUB ROAD SANFORD FL 32771 Changed 08/03/2001 Document Number FEI Number Date Filed L00000013863 286443810 11/13/2000 State Status Effective Date FL ACTIVE NONE Total Contribution 0. 00 Reizistered Aizent I Name & Address GRAY, N. DWAYNE JR, ESQ GREENSFOON, MARDER, HIRSCHFIELD, ET AL 135 W. CENTRAL BLVD., STE. 1100 ORLANDO FL 32901 http:// ccfcorp.dos.state.fl.us/scriptslcordet.exe?al=DETFIL&n 1=L00000013863&n2=NAlv... 5/28/2002 LIMITED POWER OF ATTORNEY May 23, 2002 I, William H. Nelson, authorize Mary Wallace to sign my name or whatever is necessary under my State License #CCC 032490 in order to obtain a permit for a reroof at 2301 LAKE AVIARY BLVD. SANFORD, FL 32773, FROM THE CITY OF SANFORD. William H. Nelson, V.P. STATE OF FLORIDA COUNTY OF ORANGE — Subscribed and Sworn Before Me This 5123102 By William H. Nelson who is Personally Known to Me and did not Take an Oath. SANDRA L. PARSONS Notary Public, State of FI otary y comm. exp. Mar. 27, TA Comm. No. CC811536 Permit # Parcel I.D. #07-20-31-300-023B-0000 Prepared by: Bill Nelson _ P.O. Box 941959 Maitland, Fl 32794 NOTICE OF COMMENCEMENT State of Florida County of Orange The undersigned hereby gives notice that improvements(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. Description of property: 2301 LAKE MARY BLVD. E. SEC 07 TWP 20S RGE 31E E 800 FT OF W 1671.2 FT OF N 685 FT OF S'/: OF SE'/, (LESS RD) I IIN II III I NI IN n 1110 11111111111111111119 IN N III 1111111 SANFORD, FL. 32773 2. General description of improvemens(s): RE -ROOF 3. Owner information: Name: MG REAL ESTATE LLC 2100 COUNTRY CLUB RD. SANFORD, FL 32771 4. Interest in property: 100% 5. Fee Simple Title Holder (if other than above): 6. Contractor: Tip Top Roofing Co., Inc. P.O. Box 941959 Maitland, F132794 7. Surety(if any): 8. Lender (if any): MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COMITY BK 04415 PG 0701 CLERK'S # 2002883093 RECORDED 05/23/eM 1107oal AN RECORDING FEES 6.00 RECORDED BY L McKinley Phone: (407) 660-2212 CERTIFIED COPY MARYANNE MORSE CLERK OF CIRCUIT URT SEMIMOLE CDUNtQ F141110A VLPPL TY CLERK MAY 2 3 2002 9. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by SS713.13(1)(a)7., Florida Statutes. Owner 10. In addition to himself, Owner designates the following to receive a copy of the lienor's notice as provided in SS 713.13(1)(b), Florida Statutes. Owner 11. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless A different date is specified) Date Signed Signature of Owner Sworn to and subscribed before me this 23RD day of MAY, 2002 byQ" d `L Q who is personally known to me. SANDRA L. PARSONS Notary Public. State of Flotlda SealNoa-A' comm. exp. Mar. 27, 2003 Comm. No. CC811536