HomeMy WebLinkAbout220 Lochlow DrLFEB
-v 2 2 2012
__ Cl Y OF SANFORD
BUICDING8,-:F RE PREVENTION
PERMIT APPLICATION
Application No: I �— Documented Construction Value: $ 2.441. 0.0
Job Address: 210 Loc Lova ae%,jE SiwFocap 3z1-t3 Historic District: Yes ❑ Nog
Parcel ID: to -Zo •moo •Scu -oKoo —cotoo Zoning:
Description of Work: '> grit iz�ks%r, wce
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name •Ee.wez S�.P zTQ? Phone: 401-- 430- —\&S-X
Street: 210 Lcy_-H L.%,a aeta a Resident of property? : -(Es
City, State Zip: Sa�aGeeG 30.1 "��
Contractor Information
Name M�c.�p.�.,�: P'�-. sC ak%u. Phone: �A.o1 2d►,-Z-2oa
• Street: pc Bow[ S1a591 Fax: d60_%
City, State Zip: oew• avo 31%9d51 State License No.: ��-1d•21e3� o
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
N A
Bonding Company: Mortgage Lender:
Address: Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑ Plumbing ❑
New Service — No. of AMPS: New Construction - No. of Fixtures:
Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads:
B3•�
Page No. of pages
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ICT�I4'S PLUMBIN 01
O'F CENTRAL FLORIDA, INC. it
P.O. Box 574597 • Orlando, Florida 32857-4597 • (407) 249-2200 • FAX (407) 249-2285 45e lop
State Certified Plumbing Contractor # CFC 1426370
PROPOSAL SUBMITTED TO
PHONE
G
DATE
STREET
7D r
JOB NAME
CI SC�Y'ND ZIP CODE ' _l
1+ ��
JOB LOCATION
S EMAN
DATE OF PLANS
JOB PHONE
/ %
WE HEREBY SUBMIT SPECIFICATIONS AND ESTIMATES FOR:
1"1• ?~i,h�r� 11 WC' 3 �' C �Jc:: rG�,�.� t 1.�.•.•.�..
y
C �\t..iG : �A e J C
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c. ir�L� Cs �C*'� 1A r-3
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Ct VC1�e �[i A1C. !`�Gc�CG 1 wC' C `'���� Dr -^c
C"�S ��•.�\ Am, ,
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1wt�•�-�/ _ r�vG C��3
hereby to furnish material and labor - complete in accordance wi hthe above specificaf fly the sum of:
G` L C
�� dollars ($ 1 .
P Went to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike manner Authorized
according to standard practices. Any alteration or deviation from above specifications involving
extra costs will be executed only upon written orders, and will become an extra charge over and Signature
above the estimate. All agreements contingent upon strikes, accidents or delays beyond our
control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully Note: This proposal may be /
3 /�
covered by Workmen's Compensation Insurance. withdrawn by us if not acceoted within days.
44epla 11Ei1( 4 P4"-4421 — THE ABOVE PRICES, SPECIFICATIONS AND
CONDITIONS ARE SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AU-
THORIZED TO DO THE WORK AS SPECIFIED. PAYMENT WILL BE MADE AS
OUTLINED ABOVE. n
DATE OF ACCEPTANCE
SIGNATURE I- ARM
SIGNATURE
NARYAIK MORSE, CLERK OF-CIRWIT COURT•
SMINME CGUM
BK 07716 Rg 0667; Upg)
CLERK'S # 2032(e:11270
Permit Number:' Hct-C�Ao a RECORDED Win/2016 03t 1W1 PN
Folio/Parcel Identification Number:
M• c�►q�=�-S `ZE`�`',e"�� R�pDIt� FEES 10.00
Prepared by:
RMDED BY T Stith
Return to: M%u+AEl- S.
?v Psox 5145 9�
NOTICE OF COMMENCEMENT
State of Florida,'County of &wAt.ao%-£
The undersigned hereby givas iouave it.at 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 tpe property, and street address if available)
LEC. k.,!,'r %o t6u4 b k{ion t wcE �txr u��c -p QO►'t-Qt~5� (�.io laxsl lnw
ae sa.tacroea 3ai 3
2. General description of improvement(s)
r�-
1�C 2- Bttl �►�l4uE �raM�t_y �c�StC t'sNc�
3. Owner information
Name FEST STtagTi/Q Telephone Number Aro`t -4r%o • -1A-SL
Address'2-k LecAk Lmtj Dewe Interest in Property oww+t
4. Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address `
5. Contractor
Name Mtau a.�{ ����34 6-k, cwajyr.-� Telephone Number A.6-1 -"5
7 Address Qo
R�
\ 6. Surety (if any)
Telephone Number
CE ANNA p]►OCO
Name
.oV pj
CO�NV
Address Amount of bond $E
fLrJ%DIk
7. Lender (if any)
VName
Telephone Number
gEM%N
Address
_..rf CUERK
8. Persons within the State of Florida designated by Owner upon whom notices or other document e S ed as
provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number f�(
Address2 2GNB
9. In addition to himself or herself., Owner designates the following to receive a copy of the Lienor's Notic
provided in §713.13(1)(b), Florida Statutes.
Name My name Telephone Number
Address
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different
date is specified)
WARNING TO 0NVNER: ANY PAIN ENTS INIADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COWJENCEMENT ARE
PAYMENTS IMPROPER PAYENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING
TWICE FOR I\1PR VEIIFa`7TS TO YOUR PROPERTY. A NOTICE OF CONINIENCEMEN'T MUST BE RECORDED AND POSTED ON THE JOB SITE
BEFORE THE FIW INSPE N. IF YOU INTEND TO OBTAIN FINANCING., CONSULZZu't
YOUR LENDER OR AN ATTORNEY BEFORE
CON1N-MNCIN O OR RDTNG YOUR NOTICE OF COMNIENCENIENT.
11. x J�i�.�
SignatOe'ol Own#r Signatory's Printed Nam fritle/Office
(or Owner's Authorized Officer/Director/Partner/Manager §713.13[1][d])
The foregoing instrument was acknowledged before me this 112 -day of'��$ 70:il by i✓-c-�:� �-�*>+r_; �a
(year) (name of person)
as (51`% 1WeHt_ for -Z, GMr
(Type of authority, e.g., officer, trustee, a ome in fact) (Name of party on behalf of whom s� va� REYNOLDS
•; :.`_" Commission EE 139370
Signature of Notary Public -State of FI—or�Ji a (Print, type, or stamp commissio Nr t8, LUIb
tnsnnoe 8W V&?019
Personally Known OR Produced'ID
Type of ID ProducedY ,I -2oL(i 9 -22 y'
Verification pursupl-to Section 92.525, Florida Statutes: Undir penalties of perjury, I declare that I have read the foregoing and that the facts stated
in it are true to to )fest of my *Vowledge and belief.
nature of Natural Person SignincjJon Line 11 -Above
Form Revised: 11/20/07