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Home My WebLink About1405 S Mangoustine AveCITY OF SANFORD PERMIT APPLICATION 1nPermittl : Date: — tLt c'r r Job Address: < -f t u v7// C Description of Work: New r,00P Total Square Footage 12 f 100 Historic District: "Zoning: Value of Work: S ( c0 Permit Type: Building Ulectrical Mechanical Plumbing Fire Sprinkler/Alarm 13001 Electrical: New Service — H of AMPS Addition/Alteration Change of Service 'Temporary" Pole Mechanical: Residential Non -Residential Replacement New (Duct layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures N of Water & Sewer lines U of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Dccupancy Type: Residential Commercial Industrial Construction Type: q of Stories: _J_ N of Dwelling Units: Flood 'Lone: (FEMA form required) waers Name hone A Fax: 3ooding Company: ddress: Mortgage Leader: ddress: rchilect/Eagineer: kddress: aaarc r.rccnx i.umoc. at Contact Person: Phone: Phone Fax: pplication 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 ssuance of a permit and drat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate rermit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS. FURNACES, BOILERS. HEATERS, TANKS, and UR CONDITIONERS, etc. WNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and dial all work will be done in compliance with all applicable laws regulating onstruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 0 40TICE: 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 his county, and that may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Wof arn' is " fi w' the owner of the property of the requirements of Florida Lien Law, FS 713. 2/(Q S' t Date Signature of Contractor/Agent Date P t Owner/AName Print Contractor/Agent's Name P. Signature of Notary -Slaw o M,s • R % Signature of Notary -Slate of Florida Date G NE. is ` orgy y Owner/Agent P o? O Contractor/ Agent is _ Personally Known to Me or Produced ID 2: 2. ' Produced ID LPPROVALS: ZONING: ' pecial Conditions: cv 03/2006 1103 ENG: BLDG: r THIS INSTRU PREP VV1'EOF COMMENCEMENT NAME i- f;;:5 J Permit No. /PAP a V Tax Folio No. State of Florida - County of Semi ' ` 7 J 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. property: (leboal descriptio of the property and street address if available) l _. !. i _ %1.... AAA — - n it r•_ 2. General description of improvement: I) 3. Owner information a. Name and address ! %(J Jr S _ U(1 y1Gn 75 i 1 r" 5.4k o—, J, b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor CER ANNE .MQCo )R.1a. Name and address ; j4 q v v c OF TOW", b. Phone number 2 05 6: Fax number LE 5. Surety a. Name and address CLERKn b. Phone number Fax number c. Amount of bond OU 6. Lender a. Name and address b. Phone number Fax number 7. 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: a. Name and address b. Phone number Fax number 8. 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. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year fro e d e of recording s ifferent date is specified)/ Wiiia-t-ure of Owner Sworn to (or affirmed) and subscribed before me this gyp Ackr-Ld day of SSr*-?" .ber- , 20 04 , by 161, PO FN J' • ' hsu uc • WOO OR OR Produced Identification Produced . i k A 1.4 5 2- q 3 S-C-2 - 2-6 %0 MARYANNE InRSE, CLERK OF CIRCUIT COURT CLERK OF SEMIM LE COUNTY BK $6417 Pg 9439; (49) FILE NUM 2006152025 RECORDED 09/21/2086 10:80:21 AM REwRDING FEES 1e.09 RECORDED BY D Thous 01%iof?-o'0 tmllnunuainulnlnu unluull uumuuuuluul T THIS INSTRUN, T PREP OF COMMENCEMENT NAME I 1 fr ,; li; S Permit No. Ap f Tax Folio No. 1 "0 ' S5-0o State of Florida rJ / - CountyofSemi' r ' 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 property: of the 2. General description of improvement: ) 3. Owner information a. Name and address b. C. address if available) Interest in property ' f Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address b. Phone number 5. Surety a. Name and address R1 b. Phone number _ c. Amount of bond _ Lender a. Name and address 4ySL v,o fity r a 0 5 6:5 Fax number Fax number b. Phone number Fax number 7. 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: a. Name and address 8. 91 b. Phone number Fax number 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. a. Phone number Fax number Expiration date of notice of commencement (the expiration date is 1 year fro e d of recording s' ifferen date is specified) Sworn to ( or affirmed) and subscribed before me this io P,- L.1 day of ^ S'01te,-Aer- , 20 04 , by OR Produced Identification Produced ')` -I k A/A 5 2- 4 3 — NARYW E NORSE, CLERK OF CIWUlI COURT CLERK OF SENIM LE COUNTY BK 96417 Pg 0439; (49) FILE NUM 2006152025 RECORDED 09/ 21/2M 1"9121 AM RECORDINS FEES 16.99 RECORM BY D Thoaas lic, State of Florida w I % i tL9/20"o aIaa111NIII II11111ND111111111111111111toaUII Division of Corporations Pagel of 2 Florida Orl7artment of State, Pir.:. Corr 71?71?711.;If I1hl-.orq Public Inquiry Florida Non Profit HOLY TRINITY CHURCH OF GOD IN CHRIST, INC. PRINCIPAL ADDRESS 1405 MANGOUSTINE AVE SANFORD FL 32771 Changed 06/02/2003 MAILING ADDRESS 1405 MANGOUSTINE AVE SANFORD FL 32771 Changed 06/02/2003 Document Number FEI Number Date Filed N01000004933 593731530 07/09/2001 State Status Effective Date FL ACTIVE NONE ReLyistered Aizent Name & Address WILLIAMS, JEFFERY P 1405 MANGOUSTINE AVE SANFORD FL 32771 Name Changed: 05/07/2004 Address Changed: 05/07/2004 Officer/Director Detail Name & Address Title WILLIAMS, JEFFERY P 1511 DIXIE WAY D SANFORD FL HALL, ELMIRA F 3640 MAIN STREET D SANFORD FL 32771 WIL2513 HI MS, AW NARD VE2513HIGHLAWNAVE http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&n 1=N01000004933&n2=NAMFW... 9/21 /2006 Division of Corporations Page 2 of 2 II SANFORD FL 32773 I 1) ' Annual Reports Report Year Filed Date 2004 05/07/2004 2005 07/01/2005 2006 07/06/2006 Previous Filing Return to List I Next Filing No Events No Name History Information Document Images Listed below are the images available for this filing. 07/06/2006 -- ANNUAL REPORT 07/01/2005 -- ANNUAL REPORT 05/07/2004 -- ANNUAL REPORT 06/02/2003 -- ANN REP/UNIFORM BUS REP 06/19/2002 -- COR - ANN REP/UNIFORM BUS REP 07/09/2001 -- Domestic Non -Profit THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT Corporations Inquiry i Corporations Help http://www. sunbiz.org/scripts/cordet.exe?a 1=DETFIL&nl=N01000004933 &n2=NAMFW... 9/21 /2006 CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within I year after completion of same creates a presumption that the construction was undertaken for -purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable -laws, ordinances, building codes, and zoning regulations. 1, , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allo, law on the permitted structure. f - V 9!/(/i11 494 S Print Ownef/Bidder Name 2—zc,7-v AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: License #: aT Project Information Owner: A" name Aos S• l VIADUs lhc° address DP 321-205& phone Permit #: Subdivision: Lot #: I, - ffiant, hereby affirm that I am the duly licensed contractor of record for the above referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: ' signature printed name STATE OF FLORIDA COUNTY OF _'SP.A4-i ,vp),e This instrument was acknowledged before me this 154- day of a 20 by the above referenced individual, rreru (< 1 f (%Ar S , who acknowledged that he/she is a duly licensed contractor with , and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced D L. W 4 S 2-4 35- (oz--417 0' as valid identification. WITNESS my hand and seal this 2 I si- day of r Notary Public _ o i G• t i gym a Z C • ;; J729d ; C 11111