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DEC 2 8 2011 CITY OF SANFORD
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BUILDING & FIRE PREVENTION
BY: PERMIT APPLICATION
Application No: / / Documented Construction Value: $ y a Cri►
Job Address: ""t -a �+ yr , mak. Historic District: Yes ❑ Ne$-
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Parcel ID: IZ-Zcu - 3G - 3aa - 013u - ouuv Zoning:
Description of Work: '.u+ wa+e
Plan Review Contact Person: def .ae_ \-aco - Title: 0�4 V.
Phone: t -A• -A- mss- U) Fax:'3Zt- E-mail: r�ahcir� C a.�.co►.
-� Property Owner Information
Name J��� ,`c1:za +►. Ya►o,c���Q Phone: 4o -Ztod- `lkl
Street: ` ,o �iC►h,tl M ��..y Resident of property? : aW �-
City, State Zip: z_+�
Contractor Information
Name Phone: tic, ��5 1u►� y�/Z
Street: Fax: 32-t- ZWD- ^132
City, State Zip: Sarin z Fk State License No.: c K hIZF,►�t 3'
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Building Permit ❑
Square Footage: Construction Type: No. of Stories:
No. of Dwelling Units: Flood Zone:
Electrical ❑
New Service - No. of AMPS:
Mechanical ❑ (Duct layout required for new systems)
Plumbingxl_�
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm ❑ No. of heads:
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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. 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 Date
Print Owner/Agent's Name
Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: *d 1.'5- I^UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
Signatur o Contractor/Agent Date
Print Contractor/Agent's Name
\'Z-ZZ—It
Signature of Notary -State of Florida Date
Denise R. Mau
Commission # DD 935151
a` Expires October 22, 2013
•'fly„''r4�°• e�oca nw iro, F.M uswe�e eowesro,a
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
FIRE: BUILDING: C/ / Z
THIS INSTRUMENT PREPARED BY:
Name: --op,"c. 14-;jarw
Address: 3q -AA *—, .
3aVn;o .a . F \ :3 Z -v 1
State of Florida
MARYANNE IORSe, CLERK OF CIRCUIT COURT
MINGLE COUNTY
BK 076N Ry 1647; (lpg)
CLERK'S 0 20111140699
RECORDED 12/29/2011 01124:37 PH
RECORDING FEES 10.00
RECOItDFD BY L Woodley
NOTICE OF COMMENCEMENT
o-ccowv% - la Oto ► a('�4 ri
Permit Number Parcel ID Number (PID) 1Z -ZO -33 - 300 _ 0 13, - 0 0 Uc
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.
DESCRIPTION OF PROPERTY (Legal description of the property and street address if available)
lc8'� Z- ftj6Ac \�o.,,e 'A-Ac<<L 0.5 Sah�o.Z
�\�•l (lo +�rtu� 1c t-�-wehol �'
GENERAL DESCRIPTION OF IMPROVEMENT Sc\o, Vo* V�sn la�
OWNER INFORMATION
Name and address: ���� _ �_-\ ; z t=b a+`� (xA e►\ cam., c► e
Name and address of Fee Simple Title Holder (if other than owner)
CONTRACTOR
Name and address:
3�i'�'� �.A . .�C�.hD � \.l v.� c�aa�ie V Z F•l 3z�-� 1
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Dbsignates of
To receive a copy of the Lienoes Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement:
The expiration date is 1 year from 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 IMPROVMENTS 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.
STATE OF yr, � \\ \\ COUNTY`` OF
�tlhh �C0Ch OL%A
OWNEWSIGNATUR15 OWNERS PRINTED NAME
N E: Per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be permitted to sign In his or her stead."
The foregoing instrument was acknowledged before me this ZZ- day of C a ti,\re- , 2011-
by Ju�►.�7 �ac.,G . �� _. Who is personally known to me ❑
Name of person making statement
OR who has produced identification U �-✓
type of identification produced Gr. vcr +�cevx,�
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. CERTIFIEO Copy
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACT HP TEa/tN[rrMORSE
ARE T$UE j0 THE CFM NOWLEDGE AND BELIEF. SEMINA ^CIRCUIT COURT
TORE OF"NATURAL PERSON
(/ -j`r 'r�CLEReK
`'_
FDefte arr �`w Z7`on # On 935151rd
���'tober 27, 2013Notary Signature
Fain Inawante E04JpS1019
POWER OF ATTORNEY
I hereby authorize of IQ Power LLC to apply for a
plumbing permit under my Florida Contractors License Number CFC1428148 at the job
site described below:
ADDRESS `lam V\ C', ti ac r r taw
BY
Joe Strada
Certified Plumbing Contractor
CFC1428148
Who is personally known to me.
Denise R. LaBaR
:.. Commission D 5151
Expires
u�rnrw October
an M=oRe M3W7o,s
This instrument was acknowledged before me
This Day Of ec Zu II
Signature of notary public
3977 St Johns Pkwy
Sanford, FL 32771
Phone: 407-585-1018
Fax 321-283-5432
CFC1428148
smart, color. energy.
ina r nreTinu
NAME �^h �' E�-�zo.�er4� Q��titivd•
ADDRESS
CITY, zip 5c,_,J4 , a
EMAIL rcZ (nZVSS \. C u1^+
POOL HEATING
PRODUCTNAME
PANEL SIZE
p PANELS
AUTO CONTROL
SALT SYSTEM
POOUSPA AUTOMATION
REMOTE
POOL COVER SIZ
ROLLER
PUMP. E -
H PUMP
OTHER
PHOTOVOLTAIC
N KW SYSTEM
PRODUCTNAME
PANEL TYPE
N PANELS
INVERTER
M0 NTIN YSTEM
BATT Y BACKUP
V BATTERIES
DOMESTIC HOT WATER
PRODUCTNAME AUU..�
PANEL SIZE
# PANELS
SOLAR TANK SIZE
GLYCOL
DRAIN -BACK
DIGITAL CONTROLLER
SOLAR STATION
PV/PUMP BACKUP
- -2 STORY -INSTALL --
ELECTRICAL OUTLET
OTHER
OTHER ITEMS
SOLAR ATTIC FAN
KVAR
POWER MONITOR
R19
F,W AREA
RADIANT BARRIER AREA
SPRAY/FOIL
OTHER
5401 N Haverhill Rd, Suite 103
West Palm Beach, FL 33407
Phone: 561-271-1924
Toll Free: 888-igsun36
CFC1428148
HOME PHONE y04 ' Z1.04 ' "iQ.kI
CELL PHONE
WORK PHONE
UTILITY COMPANY
O
SUBTOTAL
�Q C1U U
PERMIT PROCESSING
PERMIT FEE
TOTAL INVESTMENT
0
DEPOSIT I
BALANCE DUE
UPON COMPLETION I
" (('�] 1. w V
PAYMENT TYPE C Gr+ % t .Ck
FINANCE CO
TERMS
APX MO PMT
rWocbV b mi eioerteed W bqM on tlr carunsh cnOM1
Buyers Right To Cancel: If this transaction is a home solicitation sale and you do not want to purchase these Goods and Services, you must cancel
this agreement by providing written notice by United States Certified Mail to 10 POWER. This cancellation must be clear of Intent, written in English
and Postmarked before midnight of the third business day after you sign the agreement. For the purposes of this Agreement and notice, a 'Business
Day' shall include the days Monday through Saturday, but shall not Include Sundays or any legal holiday on which the U.S. Postal Service does not deliver.
I HEREBY ACKNOW DGE THAT I HAVE READ THE FOREGOING AND AGREE TO THE TERMS THEREOF.
L9
11 vl
oyer Date Energy Consultant
Buyer
Date
Date
10 Power Representative Date
This contract represents the entire agreement between buyer and seller and is binding when accepted by 10 Power.
SCPA Personal Property
_ Gavid Johneon. CF,4
PERTV
PRAI5ER
SEMINOLE COUNTY, FLORIDA
Page 1 of 1
Personal Property Search
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Tax Year l
12rZQ:3D:30D.W r Coin ieie Del'ikci re Del
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Main Detail Notes
dtt
Business Address
Name: PATENAUDE JOHN a t t ABETH
Att:... ' —
Address: 476 HANSON PKWY
Suite:
City/State:SANFORD FL
Zip: 32773 -
Id
Ei Nr:
Dor: 6832 MOBILE HOME ATTACH
TD: 95 SANFORD
NAILS: 814110 Private Households
Fid:
Exemption OVR:
Reference Only: D
Penally %: o
Mailing Address
Name: PATENAUDE JOHN & ELIZABETH
Aft:
Address: 476 HANSON PKWY
Suite:
City/State:SANFORD FL
Zip:, 32773-
(GNnerlTarRep.Proble E -Mail IPrint TaxRatum)
Values
Just: $1.560
Exemption: $1,560
Taxable: $0
TaxWarrant
Number:
Date:
Status:
Status Dates Exempt
�_ _ __Date User Cods _ DescripUon Delete _
OM $TPP 25K
Main Detail Notes
itete '
Account: 0610649
http://scpaiaslx64/PersonalPropertyPub/faces/Search jspx 12/22/2011
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