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Home My WebLink About2001 Summerlin AveCITY OF SANFORD PERMIT APPLICATION Application #: b Submittal Date: O ^% Job Address: a O O S tn,nn M g r t r\ A V -C Value of Work: S S s 6 Parcel ID: o3 1 - \9 ' ,, - S 0 4 •?00 - 00(0 Zoning: Historic District: �p Description of Work: R#_ C) 1� Square Footage: U o ......................................................................................................................... Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair -Residential ❑ Commercial ❑ Occupancy Type: Residential Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: I # of Dwelling Units: Flood Zone: (FEMA form required ) •Property Owner • -1 1 . �� I ... Lin o.,n J � tt ti .. i�.�...........Contractor:.... - - O .1 N .... ..0 ..... ...... ► C . Address: of re-) �k- C.Q re 5 Low�o�+rQ ►� Address: O r + e- O0 L r_k o 40 ►n ez to 00d 3a 1 3 a-7 Phone: �I07 I(-]�I -�I E-mail: Phone: 1„9g=77od State License Number: CCC CSS-) (-_0'9 Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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. Acc ptance of permi tic that I will notify th owne of the property of the requirements of Florida Lien Law, FS 713. � 0 �3 Signature of Owner/Agent Date Slgnatu of Contractor/Agent Date Coll loe— a r�GC� S ``v.�nsaGll Print Owner/Agent's Name Print Contractor/Agent's Name Sig a or Date �)rgnL-4, ryrare z`P°, Karen H. Walthers Karen H. Walthers. Commission # DD311329* * Commission # DD311329�` Expires April 20, 2008Expires April 20, 2008 BondedTroyFain-Inwrance,lnc. 800.385.7019 OF F' -a Bonded Troy Fain ,Inc. 800.385-7019 Owner/Agent is _ Person Contractor/Agent is ✓Personally Known to e or Produced ID Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: ENG: BLDG: IVS4 Authorization Letter/ United Power of Attorney I, Douglas E. McCormack, contractor license #CCC 057608, hereby authorize the following to act, as my agent, in obtaining permits at Bldg. Dept. for: Agents Name Drivers License Number Wr.43 G --415 --�( --0 9b - 0 This authorization is to remain in effect from the registration and permitting application process through the final inspection; unless otherwise canceled by myself in writing. Contractor's Signature Sworn to and subscribed to before me this ;P/ day of 200, by ��s f' 177 i� H- C'�wh is ersonall known to me or who has produced as identification and who did not take an oath, Notary Public o ` a�aren H. W:00hers • .Commission # 311329 T,, CoQ Expires April 28MyCommission OF F� Bonded Troy Fain • Insura800.3857019 NOTICE OF COMMENCEMENT Permit No. Parcel ID: z 1- 19 - At - S o �(- 13 a - o o C 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 property and street address if available) Le5— Lo+ A; 3 'P f —7 11 6- T A. -- IINIII III H1111111i11111illlll11li111111111111dillllIII 11111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY LK @67}j334 Pg 0618;2:1007091378 A yf(Ipg�)CLE1 �(yy RECORDED 08/21/2007 11:51:38 AM RECORDINGS FEES 10.00 RECORDED BY H Detdor etERTIFIED COPY MARYANNF MORSE CIERK OF CIRCL70 SEMIN LJCI BYJUN lilt, 20 7-1 2. General description of improvement: 7R,,P- r n 3. Owner Information 11 a. Name and address: ;, - ; V' t Lw.r J ) e r- J ✓ ' b. Interest in property: 0 IQ — f c. Name and address of fee simple titleholder (if other than owner) THIS INSTRUNFENl PREPARED BY: 4. ontractor �/ V a. Name and address: , \ , C V o, rj ter r ai o 0 1 fi��^^ e r rl a.,CJ� b. Phone Number: �-i 0'� �(� L/ — .5 (ci -S �r�-�'1�r> c �� 5. Surety a. Name and address: b. Amount of bond $ c. Phone Number: 5. Lender a. Name and address: b. Phone 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: 8. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a. Name and address: b. Phone Number: 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 NOTINCE 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 J SITE B THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH Y LE D OR AN NEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF C ME E Signat e of Owner or Owner's Aix o ' ed Officer/ D i re c to r/P artne r/Ma nage r Signatory's Title/Office The foregoing instrument was acknowledged before me this ;&" day of -`� , 200—> by ��z= � ��'r`�� (name�pf person) as (type of authority ...e.g. officer, trustee, attorney in fact) for �+u �Y ''�/ (name of party on behalf of whom instrument was executed). Si Mori a or`r�mission 311329 C r mis o� RCiFh* April 20, 2008 rF Of FLO Bonded Troy Fain, Insurance, Inc. 800.385-7019 �. CITY OF SANFORD PERMIT APPLICATION Application # : ��" ' � Submittal Date: ®6.2 1c)� GO Job Address: OG 7� ► Value of Work: $ 700 Parcel ID: �1 — 9 ' 3 �� '��Ud ' 0Q � o Zoning: r Historic District: /� .Description of Work: 1.0.01 V\ C� .. e Cj() V" �..................................................C�`5 SuareFootage:�al. f ................ Permit Type: Building � Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential ❑ Commercial ❑ Occupancy Type: Resident 1 Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: 'ds �# of Stories: i # of Dwelling Units: Flood Z/121 one: (FEMA form required ) •• L�i.l.................,[^(�,r....................r,1............ Property Owner e -C C] )e / Contractor: u.J 5 Pim .......... Address: 001 — SG ,,rn WM e r 17 n IN Address: I '�v { /t�rwi i 1 %l �✓o �/ %Z i' Sca,...C'> roi °� aG/ CfrG—l��-C13 Phone: °% I'7—�% :��$ E-mail: Phone:��t%�� 3 Jtate License Number: Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E-mail: 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, anliheTe-Nay be addition` r om of overnmental entities such as water management districts, state agencies, or federal agencies. ature pf Owner/Agent hAe- -r/Aaent's Name ilythe owy�er of the property of the requirements of Florida Lien Law, FS 713. to o atone of Contractor/Agent Date Per . (I it C.1.�- -/&� =�P ,re a Kare�n�H, Walthers * * Commission # DD311329 N�l4ora` Expires April 20, 2008 OF F1Bonded Troy Fain -Insurance, Inc. 800-385-7019 ,Owner/Agent is _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 LA_b _ el C� C Date UTIL: FD: f? /,#Vyw,-- ,,✓ fq- L Print Contractor/Agent's Name =11P-. "U1, Karen H. Walthers * *Commission # DD311329 �9,� opo` Expires April 20, 2008 OF F Bonded Tr2)�Fain - Insurance, Inc. 800-365.7019 Contractor/Agent is Produced ID _ E:!S 5( ZIt- S « Jw1 ENG: BLDG: 4zl r) la-) QUALITY ROOF SYSTEMS, INC. 1978 Corporate Square — Suite 100 Longwood, Florida 32750 Telephone (407) 699-7700 • Fax (407) 699-7702 License #CCC057608 Authorization Letter/ Limited Power of Attorney I, Douglas E. McCormack, contractor license #CGC 1509358, hereby authorize the following to act, as my agent, in obtaining permits at Sanford Bldg. Dept. for: 2001 Summerlin Ave 3-00"VW •;V .4L moi¢=5% ;4'S//j v&0 X-clC.d"0 Agents Name Drivers License Number This authorization is to remain in effect from the registration and permitting application process through the final inspection; unless otherwise canceled by myself in writing. Contractor's Signature Sworn to and subscribed to before me this day of 20071 by sWie 1, r who has produced not take an oath. who is 4 ersona v knowyto me or as identification and who did Notary Publi, AL riio6h 'PaY Pie, Karen H. Walthers Commission # DD311329 Expires April 20, 2008 My Commis (+W Troy Fain - Insurance, Inc. 800-385.7019