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421 Towne Center Blvd 08-1809CITY OF SANFORD PERMIT APPLICATION Application #: (/ —' ly 05 Submittal Date: Job Address: 421 Towne Center Blvd., Sanford., FL 32771 Value of Work: $ 425P510.00 Parcel ID: 29- 19 -30- 503 -0000 -0060 Zoning: Historic District: Description of Work: Reroofing Square Footage: 136,856 sf Permit Type: Building Ckg Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non- Residential W% Replacement ❑ New ❑ (Duct Layout & Energy Cale. 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 Q% Industrial ❑ Occupancy Use Group(s): Construction Type: _ I # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ........................................................................................... ............................... Property Owner: MSKP Gateway, LLC Contractor: Advanced Roofing of Central Florida, Address: 9055 .Ibis Blvd Address: 410 Central Park Drive JLC West Palm Beach, FL 33412 Sanford, FL 32771 Phone: E -mail: Phone: 322- 1555;tate License Number: CCC057943 Bonding Company: Mortgage Lender: Address: Address: Architect /Engineer: Address: Plan Review Contact Person: 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 ot'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 TWICF. FOR IMPROVEMENTS '1'O 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 regt 'cements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and th fel may be a c itional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. t►�,,,+,0 F, i d S ignVu of permit is verification that I will notify the owner of th pr p rty!`�� }1f1��i11te're'y,�u_ireme s 1g`f FlorifdtanL�i�enp Law, FS 713. t. C Fo (�atoP, t,J y \1 WP O_ VJ' Agent Date Signature of Contractt Date x0a' —r- i I I. I V., GwX 7. -, ►Dn nne I - / Owner /Agent is /Personally Known to Me or _ Produced 16 APPROVALS: ZONING: Special Conditions. Rev 07.07 UTIL: FD: OF 1 - vim.•,. b0 _0 Signature of otary-State 'F.forida- Date Contractor /Agent is _ Personally Known to Me or Produced ID (j0R_QJA A. BORING Notary Public - State of Florlda Commission # DD 367026 Bonded By National NofaryAssn. d Permit No. Tax Folio No. 29- 19 -30- 503 - 0000 -0060 NOTICE OF COMMENCEMENT 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. 1111111111111 IN 1111111 III II 11111111111111111111 of 1111111111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY 89 07041 Pq 0313; Qpg) CLERK'S # 20060&2039 RECORDED 05/29/2008 10:32:10 AM RECORDINI3 FEES 10.00 RECORDED BY L McKinley 421 Tow 1. Description of property: (legal description of the property, and street address if available) ne Center Blvd . Sanford, Fl 32771 (Lot 6 Gateway Plaza Shopping Center PB 49 Pgs 24 thru 26) 2 General description of improvement: Owner information: Name: MSKP ( Reroofing teway P..l?a ware Limited Liability Compan Address: 9055 Ibis Blvd., West Palm Beach, FL 33412 b. Interest in property: c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: Advanced Roofing of -*Central Florida `` c. Address: 410 Central Park Drive, Sanford, FL 32771 5. Surety Name Address: LLC Phone number: 407- 322 -1555 [ED COPY b. Amount of bond: $ MARYANNE MORSE 6. Lender: Name: Cl FgK Of CIRCUIT EOURT Address: FLORIDA b. Lender's phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other docume NK provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: 3.a. In addition to himself or herself, Owner designates of to reo7v at2agy � r Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. ((�C 77 b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is I 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 NOTICE 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. ANOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE 10B 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. Signature of Owner or Owner's Authorized Officer/Director /Pa�/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this 23L clay of I,'�,i��'ellitI14y (name of person) as (type of authority, ... e.g. officer, trustee, attorney in fact) for (name of party on giQf`�y}1yn�Lrment was executed) . .YY Co .E �0 SEAL = • � iwmaxx,xoto ' ' ( ) No. 00 W752 w S ignature of Notary Public PUBLLIIC Personally Known %Z OR Produced Identification y�e of Identifieatiororoduced '� • �� Verification pursuant to Section 92.525, Florida Statutes: Under penalties ofiy Qts that I have read the foregoing and that the facts s� e iryiia�e r}}e to the best of my knowledge and belief. ��f�f111��� mis 11151VOM'ENT PREPARED BY: Signat— ur 6fNatural�Person Signing Above �p�,iE �l � O _ Rev. date ' 2b�s'° � f Ya )1 ADDR. ' C —