HomeMy WebLinkAbout174 Cedar Ridge Lnq \ CITY OF SANFORD PERMIT APPLICATION
Permit #: LA`bS Date: January 19, 2004
Job Address: 174 CEDAR RIDGE LANE LOT 19 CEDAR HILL
Description of Work: ('CONSTRUCTION TRAILERI
Historic District: Zoning: Value of Work:
Permit Type: Building _X_ 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 X Commercial Industrial Total Square Footage:
Construction Type: _ # of Stories: I # of Dwelling Units: 1 Flood Zone: X (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
Owners Name & Address: Maronda Homes, Inc. of Florida 1101 N. Keller Road. Suite F Orlando. FL 32810 Phone: 407475-9112
Contractor Name & Address: Russell Keith Summers 1101 N. Keller Road.Suite F Orlando. FL 32810 State License Number: CRC058496
Phone & Fax: (407) 475-9112 Contact Person: Laurie Pellegrino Phone: (407) 659-3719
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Tomas Ponce
Mir •
Phone: (407) 321-0064
Address: 4005 Maronda Way Sanford FL 32771 Fax: (407) 321-3913
JAN 2 3 ZUR
Application is hereby made to obtain a permit to do the work and in-talltstions 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: I understand that a separate permit must be
secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS TERS, TANKS, and AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is ac t an allWk ill b done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO 1 MMENCEMENT 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 enities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirementsof Florida Lien Law, FS 713.
1/19/04_
Signature of er/ nt Date
Russell Keith Summers
Print Owner/Agent's Name
Aou" 1-0 /19/04
Signature of Notary -State of FUida Date
N•«•N•N•N••N•• •N•«N«••
U1UWE PELLEGRINO
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Cara* MbaToattaxeotFE7M0/lOBP Bonded
9" (000)'1 42bt Florida
Note% Ann., In Owner
Agent rs .X_ Ri ona y Known to a or Produced
ID 1<
1-::_ 1 /
19/04 Signature
o . ctor/Agent Date Russell
Keith Summers Print
Contractor/Agent's Name 19/
04 Signature
of Notary -State of 1 'da Date rN•«
nw•••NNN•n••m••«Nnuu«Nq LAURIE
PELLEGRINO s
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Bonded Oaut "1142,0b4 ary
ANWL. We Contractor/
Agent is _X— Personally Known to Me or Produced
ID APPLICATION
APPROVED BY: Bldg 0%oning: V Utilities: FD: initial &
Date) (Initial & Date) (Initial & Date) (Initial & Date) Special
Conditions: 00 .
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CITY OF SANFORD PERMIT APPLICATION
Permit # : Date:
Job Address: 17V CWtqr kA9e 1-4#,e f e r •,/I
Description of Work: T ••fora- o.-er A e r Condr..-:oM 7nn,'er
Historic District: Zoning: Value of Work:
Permit Type: Building Electrical _) Mechanical _ Plumbing _ Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS %L Addition/Alteration Change of Service emporary Pol _ =40,f S
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 OK_ Commercial Industrial Total Square Footage:
Construction Type: VI # of Stories: # of Dwelling Units: I Flood Zone: X (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
Owners Name & Address: Maronda Homes, Inc. of Florida I101 N. Keller Road Suite F Orlando FL 32810 Phone: 407-475-9112
Contractor Name & Address: "s %7t, _State License Number.EC42`0e/643
Phone & Fax: (407) 475-9112 Contact Person: Laurie Pellegrino Phone; (407) 659-3719
Bonding Company:
Address:
Mortgage Lender: _
Address:
Architect/Engineer: Tomas Ponce Phone: (407) 321-0064
Address: 4005 Maronda Way Sanford. FL 32771 Fa:: (407) 321-3913
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 informaion 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 ofthis
county, and there may be additional permits required from other governmental enities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirementsof Florida Lien Law, FS 713.
be,aaloq
Signature of O er t Date
Russell Keith Summers
Print Owner/Agent's Name
alo
Signature of Notary-Stat Florida Date
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R1E PELLEGRINO
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EXPW" 711W.4w7
Yandad Bau (000)e32-4250.
Florida Am M11
OwnedAgent is _X_ Personally Known to Me or
Produced ID
Si storeof Contractor/Agent Date
S
Print Contractor/AgenCL e
AA& q), I I, __ , ailoil Signature
of Notary -State cuorida Date LAt1R1E
PELLEGRINO r
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ONN nl'tOfNNft" ipiia.m. f Contractor/
Agent is _ Personaiiynown to Me or Produced
ID APPLICATION
APPROVED BY: BldglAff + c Zoning:
Vr<r7 ( 72Utilities: FD: Initial & Date) (
Initial & Date) (Initial & Date) (Initial & Date) Special Conditions:
PLAT OF BOUNDARY SURVEY
for
MARPNDA HOMES
Legal Description
LOT 19, CEDAR HILL REPLAT, according to the Plat thereof as recorded in Plat Book 63, Pages 96
through 98, of the Public Records of Seminole County, Florida.
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SCALE: 1 "= 20'
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PLANS REVIEWED
CITY OF SANFORD
SURVEY NOTES:
1) The street address of the above -described property is 174 CEDAR RIDGE LANE.
2) The above -described property lies in a Flood Zone X per FIRM 121127C 0065E dated April 1995.
SURVEYOR'S CERTIFICATE
This is to certify that I have made a Survey of the above described property and that the plat hereon delineated
is an accurate representation of the same. I further certify that this Survey meets the Rinimum Technical
Standards set forth by the Florida Board of Land Surveyors pursuant to Section 427.027 of the Florida Statutes.
KIIULM;b1JFVtT.1NG, ING.
R. BLAIR• KITsii Rl'-;P.L.S: NO. 3382
Post Office-Bcx 823,. San-Fl. 3277243823
l . (Qfl71 '322-2I'.Oli`
PROJECT NO: 04 - s9 SURVEY DATE: