HomeMy WebLinkAbout2401 Cherry Laurel Dr/ \ DL u\�
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Application No: a -
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 00 000 • v"
Job Address: 21101 Che, -,-y L a tAr-e�I T>,-Ve.. Historic District: Yes ❑ No Er
Parcel ID: 3,2 - 19 - 30 - 301 UD 8Er UO 8L Zoning: P D
Description of Work: rl_�>6In0 L 17-10 1
Plan Review Contact Person: josh 'Barge 44 Title: Prv,eA A(014Su
Phone: 005- 79U- 763q Fax: 005% cj51 - e?61 a E-mail: —barnc# Aolos�crconsirK�i;o,t.co
Property Owner Information
Name Mees+off &o&.2 Onc Sane PAr4rncrs ., c.i-C Phone: &15- &Q7 - 9374
Street: 325 Seaboard Lrwef .Su. %� 190 Resident of property? : RPTS
City, State Zip: Fran kl; . TAI 37010 7
Contractor Information
Name lDos•1er Co�skry_ ion
Co.
Phone: ?QS- Nr13-
3800
Street: x100
Fax: SOS- 451
- a41 a
City, State Zip: 3;rr►;,,,a�►arr, ,
A L
35A 3
State License No.:
C GG 0111 % 1
Architect/Engineer
Information
I
Name: Aidden, Xvorheao( q,
6&,7f
. /r7c..
Phone: q07- &ag
- 0330
Street: 43) C. i4ye _
Sa;
k 21#0
Fax: q07- U
a 9 - S 33L
City, St, Zip: % 441knd ., FL
3a
751
E-mail: js4oVes
E mrdde•► - en . Go.►1
Bonding Company: U%6rW MwA kc` Ins. Co.
Address: 175 '%txV eAev Stich
11-7
Building Permit D
Square Footage:
No. of Dwelling Units:
Electrical ❑
New Service - No. of AMPS:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type
Flood Zone:
No. of Stories:
Plumbing O
New Construction - No. of Fixtures:
Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 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: 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. 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
Print Owner/Agent's Name
Date
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:
Signal a ontractor/Agent DraM
,)Os* —t-sp" t�—
iContracqqr,/Agent' Nmp
\\y [•t•• � �� � iiAH LOf
mm# DD0759146
Signature of Notary -State of Florida
Expires 2114/2012
Flpe4g Noiaty aeon., Inc
Contractor/Agent is Personal! Known to Me or
Produced ID �Ah_ Type of ID IN
WASTE WATER:
BUILDING:
Permit No.
Tax Folio No.
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement
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 propeity, and street address if available) ' ire I l D 3,a- l 4 - 30-301
DOS .Tf - 0000 Qg01 1-:A"rrk"t4r l Tr;ye--
2. General description of improvement:'Demo
3. Owner information: Name: 'Rr',r4oI CYroUA QAIP San rd
-PAr+,Nets r LLL
Address: 3 aS SpoloArJ L A ne S&4e l r7' D 17,4 n k 1, n
r -rw/ 3 70 (v 7
.,
b. Interest in property: AA., 7s, e.*,�
c. Name and address of fee simple titleholder (if other then Owner): Name:
Address:
4. Contractor Name: r o u nv,
Phone number: dos- N y.3 - 38.00
e. Address: d100 4eleln i f-ce k I> N -.„ -
s.y, 141- 3Saql
5. SuretyName Lib - „-,
Address: 175 7;/-kete,e A4,-ee* 73 os *ori &A
Oa //7
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(1)(a)7., Florida Statutes: Name: 'D ay ► d
S+o ke 5
Address: L131 E. Her,01e Are_ S.4e. -2
k(o0
FL 3-77s/
8.a. In addition to himself or herself, Owner designates
of to receive a copy of the
Lienor's Notice as provided in Section17 3.13(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
COMMENCEMENT.
Signature of Owner or Owners Authorized Officer/Director/Partner/Manager Signator/s Title/Office
The foregoing inshument was acknowledged before me this day of , (year) , by (name of person) as (type of
authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
(SEAL)
Signature of Notary Public
Personally Known 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 stated in it are true to the best of my knowledge and belief.
Signature of Natural Person Signing Above
Rev. date 3/2008