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Home My WebLink About310 Clydesdale Cir (3)i ^� _ CITY OF SANFORD PERMIT APPLICATION �( RECEIVED Permit # :_ C)C' �-�p� � �T Date: �O Job Address: C�! u �1 COI e SGi % P �r� . 05 Description of Work: \' - Historic District: Zoning: Value of Work: Permit Type: Building Electrical " Mechanical Plumbing ✓ Fire Sprinkler/Alarm Pool 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 Lutes Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential ✓ Commercial Industrial Total Square Footage: Construction Type: 2# of Stories: ^ !, # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: J. , �0 w / — 5_0(— U O0 O - 00q0 O (Attach Proof of Ownership & Legal Description) Owners Name & Address: Contractor Name & Address: V lI- t d g State License Number: U fes('.. I `-(,`7 l0`t'�_ Phone & Fax Off- N OSS Contact Person: t 1111,0— Phone: Bonding Company: Address: Mortgage Lender: Address: 1 Architect/Engineer: -T /1 n /� l <-,'- I Phone: q On - oZ-r- 15 1 Address: / I "1 .__L_IC..I 1 OL , Y'JJM C) - az: 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. 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 p ti verification that I will notify the owner of the property of the requirements of Florida Lien La3y, FS 711 LO Si a of Owner/Agent Date Signature of Contractor/Agent Date �oS� �os�cil ui� POf; I �O Print Owner/Age 's Name Print Contra c or/Agen('s Name (4 � 1 n S'_ I n _g' I / ignature of of tate o da Date ig a of otary-Stat of Florid Dat Owner/Agent is personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Produced ID APPLICATION APPROVED BY: Bldg:Zo ' / �'Uultties: FD: (Initial & Date) (Initial & Date (Initial & Date) (Initial & Date) Special Conditions: /P;Mh/ z9A%" 01IS (Yvo R. e,..;`.'. ••••••••...... MELODY NELSONa•..uuaum.00MELODY °�jnn........... °uB�% ELSON Commission 4 DD0124376 Expires 6/10/2006 ,�o�.P" Commission # DD0124376 �o�ae`c��Qec BOfK18d through Expires 6/10/2006 Bonded :(800432-42s4) Florida Notary through Assn., Inc. i.................. ...........................i (BGG a32 4254) :..........................orida Fln., No!ary A,......................... l Ard p 001 s L� CITY OF SANFOk-o INSPECTION RECORD moi• •3,:w 6 sWlp/4o-7• 33o, 5U c) PLEASE CALL 407-330-5659 TO REQUEST INSPECTIONS DATE -09%0 4 PERMIT NUMBER V y w- 15R(a ADDRESS DESCRIPTION OF WORK Sltli H1fhi BUILDING ELECTRICAL MECHANICAL PLIJMSiNG MONOLITHIC TEMPORARY POLE ROUGH IN R.I. UNDERGROUND FOUNDATION R.I. UNDERGROUND R.I. CEILING R.I.WALLS OR FLOORS SLAB ROUGH IN - WALL HOOD SYSTEM TUB SET ROOF/ WALL SHEATHING ROUGH IN - CEILING SPRINKLER SYSTEM SEWER FRAME POOL GROUND GAS PIPELINE GAS PIPELINE LINTEL/TIE BEAM CHANGE OF SERVICE FINAL FINAL INSULATION ALARM OTHER OTHER FIREWALL PREPOWER FINAL FINAL FIRE -MISCELLANEOUS OTHER DRIVEWAY OTHER YED ON STREET SIDE WORK IS SANITARY FACILITIES REQUIRED ON SITE WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,,-- YOUR INANCINGYOUR LENDER OR AN ATTORNEY BEF(�I E IAC ING . . YOUR NOTICE OF COMMENCEMENT. NOTICE OF COMMENCEMENT REQUIRED: BUILDING OFFICIAL 0®YES NO x 33 l 1AR--1-200 l 01:57P FRQ1,1: TU:eustrs award P:3z4 1� B �'1� JL O�1LS9 + LLC JOTS NO: ~ �� Florida License CP64 .a4546, Ramanaaskes. Vytss A. 710 t & BAY ST, EUSTIS, FL 32726 TEL 352-636-3072, FAX AW -249-005813"G Ing & Building R.�4idenijW & Cwnmereial PoN3 Sineet8gg SWIMMING POOL CONSTRUCTION AGREEMENT THE GENERAL TERMS AND CONDITIONS ON THE REVERSE SIDE ARE PART OF THIS AGREEMEN - T ' 'REEIv NT made,as of the date of written acceptance of AWARD POOLS, LLC herein temted "Contractor' and allb Owner/Prutte C.rmlractor) herein tcnued "Owner, JOB ADDR.kSs alQ C(14 c1Tv 5of3 ?23 MAIL ADDRESS CITY—ZIP— H. ITYZIPH.7EI.. Yf)%` 36L'�$ W. TEL._ ,CELLTEL. 4' ZG2 77ZS'" Contractor agrees to construct for Owner, in Substantial conforrt=ce with the specifications 'set forth hereinafter, the fol- lowing described swimming pool, herein called "the wolf:". �7 POOL SIZE, l DEPTH SURFACE AREA, SFJ?0 PERIMETER, FT GENERAL SERVICES 1. Standard structural eugineerinst plans and specifications. 12. Skitmrler with self adjusting weir. Swimming pool construction pcmtiu as requited. 13. Concrete pad for pool equipment. 3. Contractor to hand form and scrape pool. 14. Vaouwn head & host, telescoping pole, brush, Ieaf skimmer, 4. Excavate and rcnmve soil on day of excavation. And test kit. 5. Install steel reinforcing throughout structure. 15. Start up with chernicals. instructiotLc and manuals. h. Ounite concrete shell to meet or exceed local codes. 16- Clean up construction debris uticr start up. 7. nnc set of shallow end Steps, 17. State salts and federal tuxes. 8. Complete hook up of all water lines from filter to pool. 18. Public liability and workmen's compensation insurance, 9. Pressure test all plumbing. 19. Property damage insurance ro pool during construction. 10. Non corrosive PVC SCH40 plumbing throughout. 20, Up to 5 yards of rock for water problems included - 11. Two main drains with rcn,tc- OWNER RESPONSIBILITIES 1. Obtain. homeowners association approval. 6. Fill pool with water immediately after interior finish and 2. Approve pool elevation R verify property lines. brush interior as insmrcted. 1 Pay for any additional cost incurred due to underground obstacles. 7. Provide fencing to meet local codes. 4. Pay for electrical panel change or addition of sub panel ifrequited S. Provide proper pool muintenance after completion. by code or if existi» g service is inadequate. 9. Reroute sprinkler and landscaping, S. Water cur, gunitc shell for 7 days minimum. 10. lie incl and do anv mint tn,uh un nn I -- GENERAL — - GENERAL CONSTRUCTION SPECIFICATIONS Spa Attu, SFFilrer. Founwin, SF —' Acryl. Deck SF _......... —----..---- ......... . -- Spa jets, 9 _ --- ._........ ... _ ---^.. —_...__ ...._,........ _ Filter Pump ��77 � .. Lam_ _.. _-..._..._.. --- ......----- Fount. Gl, Blk ,Y .... ._............. LwW Top SF Spu F .cd, P t ........... _-.................. Booster Pump ......... - Fl, Fall. W 3c 4 . _..._._ Color Band FT _....._..-..._...._. Spa Spillway ---- .................... ------------ ........ ....... .----- ...... _....... ....... ..... Pool Light . _........... - Spry Jcts it Screen Fig. FT Auto Control ...... ......_^_............................... ...... ..... _..... .. Natter ..... .....,---- _ __ ,.,..-..--._._....__ Grotto Fall —_..... .__...-_+`__.._...__- Paver Deck SF `e_,e:: Spa Remote ...._............ ...................._.._........_ Salt System _- Rock W/Fall 4 B/N Brick FT / ... Spa Light ............. _..._._.._._............-......_.-.._._._._........,........... Inline Chlorinator ..... -.----- ........... .-----.---.- Sunsh,lf r" ........,.. _._...__...--L -- ............ . --- Acryl, Band & Ftg FT ................... Spa Bubbler ............._..._......._....,........._.._m._.._...m................_...__..... Auto Fill/Drain _ } _._._......... Switrtout, DecoDrain FT' Spa Glass Block Ti1c a Bench, FT -- 1 Child Fcuce FT Heater, Gas _. �_. InteriorTypc j�Ut Raised Bm �, f/ Step Rt.,er FT Itcar Pun .....__._,........._...]:.'., .....,......,.._._._...... teripr Color Ju-r _....................._.........._,..........,........____....,............................_........__...._.._ Raised Bin -._......_.. T/Down FT �- ---_...-_............._.. Solar Fence Rcmove Screen Size xqo 123 Fra -c Calor. Stumpsiconcr_ Fcacc Replace - "' - lnsul. Roof SF Roof Style Pm C-.' ADD ONAL SPFCIFICATIONS: �..11.�-� NO'CICE TO OWNER_ Any holder of this consumer credit is subject to all claims and defenses which the debtor could assert against the seller of goods obtained with the proceeds hereof Recovery hereunder by the debtor shall -not exceed.amount paid by the debtor. herctmdcr. Owner acknowledges receipt of "Notice of Consumer Rights.- The Litetimc Warmntee, general senna and conditions oil the . eversc side arcp an ofg this a r f Owner avrocs to pay the stun of5 � —Dollars,.. fkrwn Payment ; the rcccipi of which is hereby acknowledged The Balance S will be paid: 40% on day of Exeavatior, 401/oon day of Ounce Concrete of the shcIL 15% on the day of Tile installation, and 5% duc prior to Interior Finish. /J The above price, specifications and conditions aro satisfactory andarc hereby ted t - 1 -day of 1 ��f 2004 y Any amounts indicated on other contract/addonchuns with this company an ' acid' 'o o ntrnet amount. By7 Contractor's Representative By: ("Owner") BUYER'S RIGHT TO CANCEL This is a home solicitation sale, and if you do not want the goods or scrvicc i, you may cancel this agreement by providing wrinen no- ticc to the setter in person, by telcenn*4 or by mail -This notice must indicate than you do not want the goods or services and must be delivered or posunarkcd before midnight of the third business day after yotl sign this agicen7ent- If you cancel this agreement, the seller ntay not keep all or pan of any cash down payment. sv „ MAR -31-2004 ICED 02:00PP1 ID: PAGE:3 CITY OF SA14ORD PERMIT APPLICATI• Date. 3 Job Address: Description of Work: W1 e4nti /i GI ?C4 Historic District: Zoning: Value of Work: b� 7— Permit Type: Building Electrical ✓ Mechanical Plumb' ✓ Fire Sprinkler/Alarm Pool Electrical: New Service - # of AIS 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 ets Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required fpr other than X) —,? Parcel #: j Owners Name & Address: SOS 0SCL C7 I o Cl d Contractor Name & A dress: k C rs S , sd 41' ( 343 Phone & Fax: X 3 5 Qq S - Q 0 Li (O Contact P s T Bonding Company: Address: Mortgage Lender. - Address: Architect/Engineer: C h i 8 ` (Attach Proof of Ownership & Legal Description) tri,0C2Nhi*r--.r Phone: Address: SO ( C �0.!',�(S 0h A ZO Application is hereby made to obtain a permit to do the work and installations as indicated. I cortify that/.rvOrlor ta;j#hon 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. 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 pe ' " e ' ation that I will notify the owner of the pro try of the �y Si of Owner/Agent Da oC 6 int O�CAgentN e Z lj� gnaturc of Notary -State of Florida Aate -i Owner/Agent is Personally Known to Me or Produced ID n of to da Lien L FS 713. xure of Contractor/Agent Date P �d I c swce4- Contractor/Agent's Name; _ Ica P%o�, 1 v�0�i NSO L. `t O igna * Date EXPIRES: March 23, 2008 54"e ,dT Bonded Thru Budget Notery Servleal 54"eOF Contras for/Agent is Pq �(n �{G Qr C— ( .� /produced IAC 3 r APPLICATION APPROVED BY: Bldg � 1 -� I Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: PAT P(TTS C') C� WyTARY PUBLIC - s rATE of FLORIDA sown THRU i4k%&-++ora:r+ 1- r PLAT OF SURVEY DESCRIPTION: (AS FURNISHED) LOT 4, BAKLIRS CROSSING PHASE 2 AS I\'ECORDED IN I'LAI 000K 62, PAGES 97-99, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA NOTE: THE FINISHED FLOOR ELEVATION OF THIS STRUCTURE MEETS OR EXCEEDS THE THE REQUIREMENTS SET FORTH IN THE CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A). ;� m I 1 1 Z9U I 6, YIl1UL) I FI ICE A 11 PROPOSED ROSE .HILL PHASE II LOT 1 LOT 2 S89'33'46"E i . I ' _ 75.00' 6' WOOD ILNCE/ N89'34'30"W ERTIFIED TO AND FOR THE XCLUSIVE USE OF: lR.11. TITLE COMPANY OF FLORIDA INC. IIJF.LITY NATIONAL TITLE INSURANCE COMPANY OF PENNSYLVANIA OSE E. ROSADO AND JOHANNA L. BAEZ IT MOR (GAGE COMPANY, I , LTD. NTE: NLL DIRECTIONS AND DISTANCES HAVE IN FIELD VERIFIED AND ANY ONSISIENCIES HAVE BEEN NOTED ON THE ?VEY, IF ANY. PROPERTY CORNERS SHOWN HEREON WERE -/FOUND ON 10-22-03, UNLESS OTHERWISE )WN. TIIE SURVEYOR HAS NOT ABSTRACTED THE JO SI TOWN FIERE014 FOR EASEMENTS, RIGHT OF 'r, RESIRICITONS OF RECORD WHICH MAY -LCT THE TITLE OR USE OF THE LAND. NO UNDERGROUND IMPROVEMENTS HAVE BEEN 'HIED EXCEPT AS SHOWN. NOT VALID WITHOUT THE SIGNATURE AND THE WINAL RAISED SEAL OF A FLORIDA LICENSED RVEYOR AND MAPPER. IAVE EXAMINED THE F.LR.M. COMMUNITY PANEL 120289 0045 E DATED 4/17/95 AND FOUND SUBJECT PROPERTY APPEARS TO LIE IN ZONE X. _A OUTSIDE 100 YEAR FLOOD. VAIIUNS SHOWN HEREON ARE BASED ON SEMINOLE COUNTY TICAL CONIR01. AS FURNISHED. ARINGS SHOWN HEREON ARE BASED ON NORTHERLY LINE OF LOT 4 AS 1146 S89'33'4G"E PER PLAT. ELD DATE:) 7-15-03 REVISED: I:ALE: 1 = 30 FEET GG�A39� IPP ROVED DY: SJ Ai1440138 i� NCI' — A WN DY: wAL Io -x7 -o} ae nENSED OESCRIPDON DI/N/03 SOO -IUD COVERED PATIO 6-16-03 .IM PLOT PLAN 5-15-03 500 LAND SURVEYOR PRM a. fiiy lx.xi CITY OF SANir-02,Z) O A=15.27'58" R=75.00' L=20.24' CB=S46'20'49"W C=20.18' Is on` oFF 12 1S v^t"'oo:i oc v�UVI r �p I FGEND PG BUILDING SETBACK LINE - - CENTERLINE - — — RIGHT OF WAY LINE GG�A39� 131.4 EXISTING ELEVATION O CONCRETE LD LAND SURVEYING BUSINESS LS LAND SURVEYOR PRM PERMA14ENT REFERENCE MONUMENT PCP PERMANENT CONTROL- POINT (I') PER PLAT (M) MEASURED FND FOUND C/W CONCREIE WALK S/W SIDEWALK CP CO/ICREIE PAL) CS CONCRETE SLAB C CHORD LENGTH PK PARKER KALON R RADIUS POC P0114T OF CURVE AMERICAN SURVEYING & MAPPING CERTIFICATION OF AUIIIORIZAIION NUMBER LD#6393 320 EAST SOU TIT STREET, SUITE 180 ORLANDO, FLORIDA 32.801- (407) 426-7979 lJ GRAPHIC SCALE 0 15 30 OS 36 Tf+SA A6. V1 3 0 a- l5,lb � �pT GG�A39� `V Q FND NAIL AND DISC LB /6393 (10/22/03) SET 1/2- IRON ROU AND CAP Q LB #6393 (10/22/03) CNA CORNER NOT ACCESS113LE o DENOTES DELIA ANGLE L DENOTES ARC LENGIIT C.8. DENOTES CHORD BEARING PC DENOTES POINT OF CURVAIURF PIDENOTES POINT OF INTERSECTION PRC DENOTES POINT OF REVERSE CURVATURE PT DENOTES POINT OF TANGENC'f TYP TYPICAL A/C AIR CONDITIONER COW CONCRETE BLOCK WALL RP RADIUS POINT 01IU OVERIIEAD UTILITY L114E ID IDENTIFICATION PUL POINT ON LINE r PCC POINT OF COIAPOUNU CURVE I HEREBY CERTIFY, THAT THIS BOUNDARY SURVEY, SUBJECT TO THE SURVEYOR'S NOTES CONTAINED HEREON MEETS THE APPLICABLE "MINIMUM TECHNICAL STANDARDS" SET FORTH BY THE FLORIDA BOARD OF PROFESSIONAL SURVEYORS AND MAPPERS IN CHAPTER 61G17-6, FLORIDA ADMINISTRATIVE CODE PURSUANT TO CHAPTER 472.027, FLORIDA STATUTES. 10-23--03 FOR RIE RflM LLIAM R. MU`CATELLO J4P_�DAIIE DIRECTIONS from orlando to sanfor 417, exit 427 right right e. take mary blvd. rights. sanford ave left bakers crossing 1. clydesdale cir. slope pa' no d.o.d. S ACCESS ELEVATION TYPE OF DIG IREGULAR TREES REMOVED / YY RD ACCESS LETTER REQ yes STUMPS TO BE REMOVED POOLS REMOVE CONCRETE SQ. FT. 10 SAW CUT CONCRETE LIN FT. POOL & SPA SPECIFICATIONS JOB SITE INFORMATION NAME JOSE ROSADO HOME# 407-302-2856 JOB ADDRESS 310 clysdale cir WORK# 407-702-7725 CITY,ZIP Sanford 32723 CELL# MAILING ADDR. s 0 FAX# CITY,ZIP RAISED BOND BEA 6"= 0 OTHER# TYPE OF DIG IREGULAR TREES REMOVED ACCESS LETTER REQ yes STUMPS TO BE REMOVED 0 REMOVE CONCRETE SQ. FT. 10 SAW CUT CONCRETE LIN FT. POOL & SPA SPECIFICATIONS POOL SQ. FOOTAGE 370 POOL PERIMETER 78 POOL LENGTH & WIDTH 15x29 EXTENDED STEP 0 DEPTH 3'6-6 LOVE SEAT TOTAL s DOUBLE STEEL&ENGINERIN yes ROPE & FLOATS NO RAISED BOND BEA 6"= 19 12"= 0 1 18"= 0 SHEER DESCENT SIZE 0 SPRAY HEADS 0 POOL MAIN DRAIN DOUBLE POOL RETURNS 3 POOL SKIMMERS ONE INFLOOR CLEANING SPA SQUARE FOOTAGE 0 SPA RAISED SPA JETS 0 SPA SPILLWAY FT. SPA GLASS BLOCKS SPA BUBBLER FOUNTAIN SIZE 0 FOUNTAIN BUBBLERS FOUNTAIN RAISED FOUNTAIN GLASS BLOCKS POOL LIGHT 1SAM 120V SPA LIGHT FOUNTAIN LIGHT OTHER LIGHT TILE,COPING & DECKING brick pavers 362 EXISTING DECK tiled alread FOOTERS yes _ DECKO-DRAIN none PLANTER FORMING 0 DOOR PADS no ACRYLIC COLOR 0 BORDER COLOR 0 HANDRAIL 0 _ 6"TURNDOWN 0 12" TURNDOWN 0 18" TURND 0 CANTILEVER FT. 10 BRICK COPING 0 ROCK COP. 6" TILED RISER 7 12" TILED RISER 0 SPOT TILE no TILE SELECTION I see bottom ITILE LIN FT 86 TRIM TILE POOL INTERIOR & SCREEN ENCLOSURE SCREEN COLOR bronze SCREEN WALLS 688 ROOF SF 1644 _ ROOF STYLE dome DOORS 3 HIEGHT 18 INSULATED ROOF 132 CARRY BEAM 0 FAN BEAM yes POOL INTERIOR FIN quartz COLOR Iblue CHILD FNC lyes EQUIPTMENT & PLUMBING FILTER DE ISIZE DE 48 SF PUMP WHISPERF SIZE 2hp CLEANER cuda NATURE2 YES BOOSTER SIZE CHLORINT YES SALT no AIR BLOWR SIZE SOLAR GAS HEAT GAS TYPE ELE.HEAT COMPOOL NONE SPA SIDE SPECIAL INSTRUCTIONS: 3 spray heads _ tile==2336610 and evenly place 9 on 45 deg. Across 6" raised area _ pave r=0194/eurokobble random coping=5300 Permit # Job Address: -tu -C Description of Work: P..16 _(. Yen Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION Date: l{-/' /o ,K1 Value of VVork: Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool 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 or Commercial Occupancy Type: Residential ,Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Contractor Name & Proof of Ownership & Legal Description) Phone: State License Number: Phone & Fax: L %�'] S i7 Sys Contact Person: Phone: Bonding Company: /r) Address: /{ Mortgage Lender: Address: Architect/Engineer: % Phone: Address: Fax: 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. 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 pe is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 17 tt��t% r ' ,� �; ba% Signalre of Owner/Agent Date Si t of ContractorlA ent Date Print Owner/Agent's Name Print on6ZI:orl 's Name 16)01 I � ►��GS Signature of otarytate of frida Date Signature of tary- tate of Flo a Date Owner/Agent isr! Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: Contractor/Agent is _V Personally Known to Me or — Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) .....MEM Y sNELSON.... ................................................... ........ a Commission # DD0124376 MELODY NELSON = Expires 611012006 =w a Commission# l)D01 4 2 376 ,' =, ,< ` yR, nded through Q Expires 6/10/2006 9„ ', Bo. i Bonded through (gpn a32a254) Florida NotaryAssn., inc . , (8')(,,1:32-4254) Florida Notary Assn., Inc. �� •,,+•••, :.................................................. LIMITED POWER OF ATTORNEY Date 1 hereby name and appoint B,u ('G, son to be my lawful attorney in fact to act for me and apply to - , j j for all permit for work to be performed at a residence at a location described as: Section Township Range Lot Block Subdivision s Ce-ricssl'rG C A.L "-�-oTCk -I�� fry �o i �� Street Address City or County Zip Code CAe- Owi er of Property Address Telephone And to sign my flame and do all things necessary to this appointment. Ronald R. Howe Printed name of Active Certificate Holder R. Howe Electric Signature of license ho der EC -13002933 State Registration or certificate Number The foregoing instrument was acknowledged before me this 15 day of Au ust, 2005 by Ron Howe who isFp-ersonally known to me who produced as identification and who did not take oath. di Notary Public; State of Florida jai" Ann Martin �. My Commission DD312061 of W Expires AP6120, 2008 NOTICE OF COMMENCEMENT CERTIFIED DOPY THIS INSTRUMENT PREPARED BY: MARYANNE MORSE Permit No. -AME 4- � ; -}- . '-� Tax Folio No. CLE W1 1 COURT State of Florida SEMIRIDA County of Seminole ADDR.� RV— The undersigned hereby givesno >ce a unprovemenl"w>1t'bcTi iade to certain real property; and iri aceordanc�e�w OL IM Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property: (legal description of the 2. General description of 3. Owner information a. Name and address and street address if avail le) r OCT 2 0 2005 b. Interest in property c. Name 4ndaddress of fee simple titleholder (if other than Owner) 4. Contractor i =A Q-X-xt'd KO1 S Commission # DD0124376 nQ% a. Name aXaddress 11 14. Ill) i 4-' �C"` f` oam ' Florida Notary Assn., Inc. 6 ` Irc b. Phone number tib') ,-;1 -OS`� umber GVQPUry 5. Surety'`1�-' , �5 a. Name and address NA 11111 tip! REHMMIN t b. Phone number Fax number c. Amount of bond MARYANNE MUREs CLEI RK OF CIRCUIT� 6. Lender BK 05961 FIG ID730 a Name and address CLER " S # 2005182670 00518260 ~r i a m R b * Phone number Fax numb47. Peons within the State of Florida designated by Owner upon whom notices jq7 i�be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address A ) A 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 fromto of recording ess a different date is specified) Ds Signature of Owner Sworn to (or affirmed) and subscribed before me this day of 0 L 0 b , � ,20 5 � Y �e Personally Known OR Produced Identification Type of Identification Produced JD" Signature f N tary Public, S e of Flori Commission Expires: r..........................n•u........ a ............ MELODY NELSON 'z` Commission # DD0124376 nQ% Expires 6/10/2006 %•', o `1 Bonded through r8':io-432-4264) Florida Notary Assn., Inc.