1210 Tropic Park Dr 09-81CrrY OF SAidFORD PEdt Orr APPLICATION
Application #: 0 N �� "rv�'� QC� -SI Submittal Date: to
Job Address: /J /O f/SPAL j91A,119 /I/`• 3/J•w 3 77 Value of Work: S <'SCE
Parcel ID: Zoning: Historic District: /19
Description of Work: SA�S� >f r� hltw CVC,I-_, Plriah Square Footage:
• ........................................................................................ ..........................a....
Permit Type: Building ❑ Electrical ❑ Mechanical Qf,- Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non - Residential E4 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 t1' Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
.......................... o ............. o... o...........................................................................
Property Owner: Contractor: 7-i g-1 CA, JA e—
Address: Address: /31P41
- S"r • A,-,/ i Lc .3
�4�
Phone: E -mail: Phone: W7- I'3&' 4� grate License Number: O 9
Bonding Company:
Address:
ArchiteettEngineer:
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 la«s regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORE, 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 COMIv1ENCEMENT 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, 7anere may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
kcceptance of permit is verificatio I will notify the owner of the prope iremen VPF da Lien Law. FS 713.
ignature of Owner /Agent Date S f Contractor gent Date
P rint Owner /Agent's Name
Signature of Notary-State of Florida
Owner /Agent is Personally Known to Me or
eProduced ID �'! t
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
Date
UTIL: FD:
)01 mjL?
Notary` tiblic State of Florida
f. Jennifer Conaway
OF C pCom06/14/2009435018
Contractor /Agent j Personally Known to Me
Produced Ili .1J1. r 1 �7 �� � 1�� •�[ �' -3LA ,_0
ENG: BLDG:
:po,00
CITY OF SANFORD PERMIT APPLICATION
Application #: D Q (Y/ Submittal Date: \ D `---\ `b?'
Job Address: ,l a.t D _Trooc G 24( l 'bf . sr"Fo;al Value of Work: S l 'J' n 00
Pat-eel ID: ;) S- 10, ,30 -51-W -Oitc - 000 Zoning: Historic District:
Description of Work: T('GV-\- k 3N y t.— l r Square Footage: ;V 1 �
............. ............................ ............................................... ...............................
/
Permit Type: Building I� Electrical S /. Mechanical R( Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration d Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non - Residential H 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
Occupancy Type: Residential ❑ Commercial Q( Industrial ❑
Plumbing Repair- Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
.......................................................................................... ...............................
Property Owner: AJ�.��I S �,��� L Contractor: -1 pq,
Address: `d--t Orv,� � C., ed (L Df • Address: 1n F, t..L%4 -e
o(, Ff_ ,L ." Sa. d . F` 3a-) ' 3
Phone: _ E -mail: Phone: gun -3da -a 73tate License Number: - L' 6 C_0!{ 0Ce'1
Bonding Company: \ Mortgage Lender: 11-1
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 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, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
` Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
`f SignatureofOwner /Agent Date S(i�gnattireofContractor/Agent l Date
G
\1Owner /Agent's Name Pnn Contractor /Agent's game
C � CC) ) I
Signature of Notary-State of Florida r'Dafe Si ature of Notary-State of Florida 0 Date
Owner /Agent is ersonally K. . to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
:���COtlq�lr -
oftv Pwft . !!w of FWA
ersonally Known t Me or
ENG: BLDG: ` '!�
$ I 0s: 0�
U)
co
L-
7'05
.0
0
L)
<
(D
Ml
ca
01
Cl)
0
7a-)
E
ca
M
C) <
cu a)
-C
ca CU
3: < -a
W
CL
cu
0
C/)
1� is
i 0.
MI
IMP, 4 Fllpo�.",
V—
E
0
0
C\j
W
x
cn 0
o
-R
w 0
-EKIVIII
DATE:
P 70"V
lm-
0
0
w
0
o E
0 0
-C 0
0 Of
ILU
CL
A
cn
m
m
-0-0
(D
E
=3
0
r
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 1 171 -) I C)<6
I hereby name and appoint:
v
an agent of: L��`� ct� oR Qe-(-,+ (-Ct fit_
(Name of Company)
to be my lawful attorney- in- fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
V. All permits and applications submitted by this contractor.
The specific permit and application for work located at:
(Street Address)
Expiration Date for This Limited Power of Attorney: \ D � -I � t;
License HolderName:6����
State License Number:
Signature of License Holder=,!�� o7 J2 ' ej p---
STATE OF FLORIDA
COUNTY OF ;�1e
The foregoing instrument was acknowledged before the this day of
toa
200, by CaSor\ who is ? na ly known
E5 or ? who has produced as
identification and who did (did not) take an oath.
ignature
(Notary Seal)
r
�►r>�•�MIIII�
(Rev. 3/27/07)
vSti� r1� COucSQ-
Print or type name
Notary Public - State of F
Commission No.
My Commission Expires:
Permi+ No.
Tax-Folio No.
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.
1111111 IN 111111 11111111 II IN 11 IN 111110 IN 11 111111111111
MARYANNE M Oil, CLERK [I- CM31,11'[ COURT
SENIMLE t"TY
BK 07074 tag 16529 Upg)
CLERK'S # 20061 13475
MCURMD IOIOYI2008 01:58:01 PM
RECORDING 1=E1:S 10.00
Rl C01101M NY L kKittley
Description of property: (legal description of the property, and street address if available) .;lq - I d - tii -, LW -0 t 0O —OCC'
1- �. \j-j 1 fu:'•; c Gi �� i )" �C i'1�Gt73
2. General description of improvement: CERT:'FIED COPY
3. Owner information: Name: MARYANNE MORSE
Address: tz, r,. -T, � -, ac �r CLERK OF;CIRCUIT COURT
b. Interest in property: ���,, e -r
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address:
L,,4. Contractor Name: J
Phone number: -L, . -
c. Address: (c)$ t"_k
5. Surety Name
Address: o
b. Amount of bond: $
6. Lender: Name:
Address:
b. Lender's phone number:
7.a. 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: Name: Avp , I', j2) -)1 r
Address: ��\ t� r 17c r \L D - i; i
8.a. In addition to himself or herself, Owner designates 11 of to receive a copy of the
Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified) \-o \ -i \ 0 ,�\
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 I,
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 JOB
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
of Owner`6r Owner's Authorized
Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of (year) , by (name of person) as (type of
authority, ... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
(SEAL)
Signature of Notary Public
Personally Known I % OR Produced Identification Type of Identification Produced
Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
th�fac tated, in it are true, o the best my-knowledge and belief. +ice_ UWU
tiim,1: �T NNEPAftED BY: Maa MStOofFW6
'Signature of Natural Person Signing Above r (Z \x ` ` j� MYCOMMI"M {yba,i�
Rev. date 3/2008 NAME cwam" DD >r6 M
ADUR. SWAN wMIaW i
FLORIDA