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HomeMy WebLinkAbout476 Hanson Pkwy� o RF�.,FIVE , (� DEC 2 8 2011 CITY OF SANFORD ow" BUILDING & FIRE PREVENTION BY: PERMIT APPLICATION Application No: / / Documented Construction Value: $ y a Cri► Job Address: ""t -a �+ yr , mak. Historic District: Yes ❑ Ne$- acKcE. GQL ► 0k.P�A R Parcel ID: IZ-Zcu - 3G - 3aa - 013u - ouuv Zoning: Description of Work: '.u+ wa+e Plan Review Contact Person: def .ae_ \-aco - Title: 0�4 V. Phone: t -A• -A- mss- U) Fax:'3Zt- E-mail: r�ahcir� C a.�.co►. -� Property Owner Information Name J��� ,`c1:za +►. Ya►o,c���Q Phone: 4o -Ztod- `lkl Street: ` ,o �iC►h,tl M ��..y Resident of property? : aW �- City, State Zip: z_+� Contractor Information Name Phone: tic, ��5 1u►� y�/Z Street: Fax: 32-t- ZWD- ^132 City, State Zip: Sarin z Fk State License No.: c K hIZF,►�t 3' Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: Bonding Company: Address: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ❑ New Service - No. of AMPS: Mechanical ❑ (Duct layout required for new systems) Plumbingxl_� New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 00 �� � '� .� M ate.. � yv�-��� -i��� �i� �$�w2r��, c ��� < -.a A.W. 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 «< Tax Year l 12rZQ:3D:30D.W r Coin ieie Del'ikci re Del Edit Virtel) S�irtb ��CC Lit 1 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 A.■■ ■■■O