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Home My WebLink About414 W 20 StiF CITY OF SANFORD I WE BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: o) ' J J Documented Construction Value: $ 3.5 SO 0 Job Address: /-/l y AJ c2 0 _1A J rua4 Historic District. Yes ❑ No ❑ Parcel ED: Zoning: Description of Work: ,+2,pl—o GP Pd oG OLt fgl i9in/p4,e Lz, Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name sk&JES Phon.07) 32 7- ' 9 94 Street: wR o2d�� .S1- Resident of property?: AbNzlCol City, State Zip: Contractor Information Name ✓, All GLi2r"1 jtAWG Phone: Street: �07 xi/�c—i2 A�"1 C Fax: -/-1 7 - City, State Zip: J277/ State License No.: �kOs72/D Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑•> Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service — No. of AMPS: Mechanical ❑ (Duct layout required for new systems) 3' 013 No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ 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, beaters, 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. 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. � i3 iy Signature of Owner/Agent Date Si ture o Contractor/Agent Date Print Owner/Agent's Name 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: Print Contractor/Agent's Name Vc / -30 =o� ,6% ; DEBBIE BLANTON Notary Public State of Florida • _ My Comm. Expires Feb 25. 2015 /pr Commission # EE 601e2 SFO �� •''��,` Bonded Through National Notary Assn. Contractor7Agen1_ is Personal l Known to Me or Produced ID Type of ID Lf . -/// WASTE WATER: BUILDING: i N w . ! .Permii No. OTax 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. NARYWE NORSE, CLERK W CIRCUIT COURT SENINMA COUWY 8K 07713 Pg 0177; flpg) CLERK'S 0 Z-012016790 RECORDED Oi°/13/POIE 09a35an AN REt.'ORDIN6 FEES 10.00 RECORDED 8Y T Smith 1. Description of pro erty: (legal description of the property, and street address if available) U.- 1 It - 30 /5L/6 2. General description of improvement: ,oL�9LACCj' />/'c/fii✓ %�//�E 3. Owner information: Name: Aci led Address: '// y A/ --1 0 '74 b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: J a/i I- C / ld iyl s'� �• Phone number: `/07-49' `6/316 c. Address: &�S237 4M/,16C /Ia04vC er • 4- 5277/ _^nv 5. Surety Name CEKTIF __.,tE Address: Ta10H" �Uit b. Amount of bond: $ CLERK OF C Ru" A Kollo 6. Lender: Name: l Address: b. Lender's phone number: 8 vun ct E 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as Va provided by Section 713.13(1)(a)7., Florida Statutes: Name: .CC law Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(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 1, 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 674wi: ^ / Signatory's Title/Office by (name of person) as (type of Lfw m instrument was executed) . imsslun8ttIN26 M Wires SWwnber 13.2011 Signature of Notary Public Personally Known OR Produced Identification _ Type of Identification Produced iz of I"0 -S L I ce, SJ; Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the f, is stated to it are true to the best of my knowledge and belief.. Signature o atural Person Signing Above MAME L W, ((.r /3-rnS Rev. date 3/2008 VOR. _FSc 2 A", ba..r 94d�e P SA -,-J JO•rb J'L- 3 217 y DJW DJ Williams, Inc. General Contractor Plumbing Contractor P.O. Box 471026 Lake Monroe, FL 32747 407-620-6136 407-792-4781 fax djwiitco@be[[south.net TO James Donald 414 W. 20`h Street Sanford, FL 407-322-1996 Quotation QUOTATION # 14568 DATE: FEBRUARY 13, 2012 Replace broken drainage pipe SALESPERSON � JOB PAYMENT TERMS DUE DATE f Jim Long Drainage Solutions 1 Drain Pipe Upon Completion Upon Completion QTY DESCRIPTION Provide Labor and Materials to replace broken Drainage piping. Approximately 90 if I Deposit: Based on 40 hour workweek UNIT PRICE LINE TOTAL — $3,550.00 (1,500.00) SUBTOTAL �I 2,050.00 SALES TAX TOTAL $2,050.00 Quotation prepared by: DWilliams This is a quotation on the goods named, subject to the conditions noted below: (Describe any conditions pertaining to these prices and any additional terms of the agreement. You may want to include coh 'ng ncies that will aff ytt,the quotation.) To accept this quotation, sign here and return.: \ «� 4�� - - - THANK YOU FOR YOUR BUSINESSI