HomeMy WebLinkAbout121 London Fog WayCITY OF SANFORD PERMIT APPLICATION
Permit #: �st D -140o-7 Date: 07/07/06
Job Address: 121 London Fog Way Sanford'FL 32771
Description of Work: Replace existing HVAC System with Trane 3 Ton Heat Pump System with
Historic District: Zoning: Value of Work: S 5929 . 00 5KW Auxiliary Heat
Permit Type: Building Electrical Mechanical X Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/AIteration Change of Service Temporary Pole
Mechanical: Residential X Non -Residential Replacement X 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 X Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel N: 33-19-30-513-0000-0490 (Attach Proof of Ownership & Legal Descri tion
Owners Name&Address: Richard Hopkins 121 London Fog Way Sanford FL 327)71
Phone: 407-688-7273
Contractor Name& Address: Robert C Rinaldi/Rinaldi's Air Conditioning Service
15264 E Colonial Dr Orlando FL 32826 State License Number: CAC055565
Phone&Fax: 4072750705/4072739654 Contact Person: Denise Rinaldi Phone: 4072750705
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: 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 unddrstand 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: 1 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 erltla"Gie Law, FS 713.
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Signature of Owner/Agent Date Signa on racor gent Date
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Robert Rina di
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Print Owner/Agent's Name Print Contractor/Agent' am •
amp.
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Signature of Notary -State of Florida Dale Signatur of Notary -State of Florida Date
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Owner/Agent is_ Personally Known to Mc or Contractor/Agent is is Personally Known to Me or
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_ Produced ID Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
(initial & D
Special Conditions:
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)
Holl 1144 14 Q W 0 ki 61 ti ETi u"0 L, 4�i"Wil wij W 0 i Will
NARVANW gaiF.J ! W:W iF CIRi31IT LUM
THIS INSTRUMENT PREPARED BY: SRNIMILE Dom,
NAME Denise Rinaldi - Bt �R!1 131 ilpgi
CLERK S ## z-006113143
PDDR. 15264 E Colonial Dr RMUM 07111/M 122202sa P"
Orlando FL 32826 RECMIN6 FI --•S IkOO
RECiIIWD BY t holden
NOTICE OF COMMENCEMIENY
TAX FOLIO NO. 33-19-30-513-0000-0490
PETIT NO.
STATE OF FI.®R�A COUNW OF SEMINOLE
The UNDF.IZSIGNED hereby gives notice Haat improvement will be made to certain and real
property, and in accordance with Chapter 713, Florida Statutes, the following informstioaa is
provided in this Notice of Commencement.
DESCHtI<P710'N OF PROPERTY (Legal description and street address) Lot 79 Mayfair Oaks
I
Pb 50 Pgs 38 thru 41 121 London Fog Way Sanford FL 32771
GeneralDescriptionofImprovement Replace existing HVAC System with Trane I To„ _
Heat Pump.System with 5KW Auxiliary Heat
OWNER INFORMATION
Name and Address Richard Hopkins 121 London Foe Way
I
Sanford FL 32771
L Ihl D COPi"";� "•
hiterest in Property (Fee Simple, Partnership, etc.) `
CLERK OF FrU' G RT .,
F RIDA
NAM AND ADDRESS OF FEE SIMPLE TITL1,ZHOI.DER. (if other than owner .,
. • i \y.
CONTRACTOR Rinaldi's Air Conditioning Service 15264 E Colonially Dr
(Name and Address) O r l a n d o FL 32826
SURETY (Bonding Company) � � 20�
►
Name and Address JUL{
Amount of Bond �
LIENDER
wane and Address ...
Persons within the; State of Florida designated by owner upon whom notice_ or othw. documents may.
besaved-as .
.� .... , .... .. .. provided by Stelios 713.13(1),• (a) 7:, Florida Statutes.:... ...: � ....... . - ..
(Name and Address)
in addition to himself, Owner designates
or _ to receive a copy of Lienors Notice as provided in Section
7i3.13(2),.(b), Florida Statutes.
Expiration Date of Notice. of Commencement 07/11/07
(The expiration date is' 1 year from date of recording unless a different date is �peIp ed.)
.. ��� Sig�tu�ofOwner - -
Swore to and subscri ore me t1& 11 day of J u 1 y 4006
• :oiP�YPU�; a �elunalch
:Comr ission #0359592
OCE 03, 2008
Bonded Thru
Notary P lis MY Co®amamfsion Eatpires Atlantic Beading Co., Inc.
The foregoing instrument was acknowledged before me this 11 day of I July
,
2 0 0 6, by Richard Hopkins (name of person acknowledged), who is personally
known tome or who has produced Florid, Drivers License I (type of identification) as
identification and who did (did not) take an oath.