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2275 Swinstead Dr 18-4410EftAff [}-o� FOR �C0 • 16 DIVISIONBUILDING Job Address: Parcel ID: Type of Work: New Description of Work: ,-YA-z ��,*1141�A NOV 0 1 2018 PERMIT APPLICATION Application No: -y A tb oO,O c9 Documented Constru n Value: $ /1 .4 11� • ff � Historic District: Yes ❑ No[9"" Residential ❑ Commercial i Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ '00 Amo ll caps m,a ,, lor Rye Gvnkr "\ _ Plan Review Contact Person: Phone: Fax Property Owner Information Name - 02z H Lkiw r- S Phone: Street: City, State Zip: Resident of property?: y3� L7_ 017 Street: i T 7 EJ, k r C t'Y-- City, State Zip: Name Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: &C_ Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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 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. qq, a' Contractor Information (� Name—R ` � ` C_ Phone: 1107— Street: i T 7 EJ, k r C t'Y-- City, State Zip: Name Street: City, St, Zip: Bonding Company: Address: Fax: State License No.: &C_ Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: 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 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. qq, a' FBC 105.3 Shall be inscribed,with the date of application and the code in effect as of that date: 6'h Edition (2017) Florida Building Code NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the) ob at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Contractor/Agent Date RcCCturd C/.la.�eS ��c � Print Contractor/Agent's Name Signature of Notary -State of Florida Date - IQ� SignaturCmUdatiRy Date ANNETTE BLAND of +°• ;t' = Notary Public GG of Florida N• ; Commission # GG 060623 +. o•4 Comm. Tres Jan 16.2018 Owner/Agent is _ Personally Known to Me or ContlaCtfienisP n to Me or Produced ID Type of ID Prodic Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Fire Sprinkler Permit: Yes ❑ No ❑ # q Heads APPROVALS: ZONING: l I'I-';')fLITILITIES: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: ENGINEERING: FIRE: BUILDING: //— RCD ELECTRIC, INC. P.O. BOX 180303 CASSELBERRY, FL 32718 407-435-5209 EC13005643 TO: Douglas Prodoehl with DDC Management JOB LOCATION: KENSINGTON RESERVE PH 2 DESCRIPTION EST/MATE Install 100 AMP Meter, Main Panel and Fountain Control Panel on concrete pole with 30' of service lateral 3 feet Deep Install 1 1/4" conduit service lateral with 100 AMP wire and additional 100' 3 feet deep to Power Company Box Install 2" Conduit from concrete pole (Fountain Panel) to pond Install Bonding Mesh around service Permit • e a s •IZ�i�/_�7�7/_�1_�� TERMS Total Due on Completion DATE 10/29/2018 WIRING STANDARD All workmanship and materials are to comply with the requirements of the National Electrical Code and the applicable local ordinances . ACCEPTANCE OF CONTRACT The above prices, specifications and conditions are satisfactory and are hereby accepted. RCD Electric is authorized to do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signed: Manager Brisson West Project I, LLC THANK -YOU 1,750.00 1,700.00 200.00 150.00 300.00 4,100.00 02X75 �c--,�1NsT-Ff1IJ QiZ. OFFICE PQ ,raP C el ^OX -AY C c nJtf ��- -f 10 OY'�+1� {gym Imo ' �w jto ,., C37�-b I x �4 KL J A"9 PERMIT p'sOV 0 1 2018 �(L? Put c ko Se— ;.■.],l.;.;.;.;,�.;.;.l,l. 1911 j-,.1%ji,1t1 g-.1 1.1q1"I "I "I \91,61 % [;. /£///ZJJ/(/// .............. IP, / Ii. .l.l. ,.e.;.ek.;.1 ;.■.],l.;.;.;.;,�.;.;.l,l. 1911 j-,.1%ji,1t1 g-.1 1.1q1"I "I "I 1 % [;. /£///ZJJ/(/// .............. it 1911 j-,.1%ji,1t1 g-.1 1.1q1"I "I "I 1 % [;. /£///ZJJ/(/// � � ( ` AS . � � � � j-,.1%ji,1t1 g-.1 1.1q1"I "I "I 1 % [;. /£///ZJJ/(/// � � ( ` AS . � � � � IIIIIIIIIInI111IIIIIIfill lllllllllllll GRANT NALOY r SEMIKOLE COUNTY 20 Permit Number.QZq A CLERK OF CIRCUIT COURT & COMPTROLLER � '� - -- �� •- 6�IZ - OOd Q -- BK 9168 P9s 2760-1764 lSPss Folio/Parcel Identification Number. CLERK'$ 4 2418078499 Prepared by and return to: Megan Willbur, DDC Management, LL CORDED 07/49/2018 02:39:50 PM 755 W SR 434 Suite A FECORDING FEES $44.00 Longwood, FL 32750 RECORDED BY tsroith (772)284-2248 NOTICE OF COMMENCEMENT State of Florida, County of Seminole The undersigned hereby gives notice that improvement(s) 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. I . Description of property (legal description of the property, and street address (if available) SEE EXHIBIT "A" LEGAL DESCRIPTION ATTACHED HERETO 2. General description of improvement(s): Subdivision Improvements 3. Owner information Name: Brisson West Project I, LLC Address: 10100 Innovation Dr. Suite 410 Interest in Property: Own Telephone Number: 4. Fee Simple Title Holder (if other than owner shown above) Name: N/A Address Telephone Number S. Contractor Name: JEL Site Development, Inc. Address: 7090 Astro Street, Winter Park, FL 32792 Telephone Number. 407-673-0011 6. Surety Name and Address: Amount of Bond: $ Telephone Number. 7. Lender Name: N/A Address: Telephone Number: N/A 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(i)(a)7, Florida Statutes. Name: Chris Helfrich Address: 755 W. S.R. 434, Suite A, Longwood, FL 32750 Telephone Number. 513-519-5966 j. ORLDOCS 15922705 1 RCD ELECTRIC, INC. P.O. BOX .180303 CASSELBERRY, FL 32718 407-435-5209 EC13005643 TO: Douglas Prodoehl with DDC Management JOB LOCATION: KENSINGTON RESERVE PH 2 DESCRIPTION ESTIMATE Install 100 AMP Meter, Main Panel and Fountain Control Panel on concrete pole with 30' of service lateral 3 feet Deep Install 1 114" conduit service lateral with 100 AMP wire and additional 100' 3 feet deep to Power Company Box Install 2" Conduit from concrete pole (Fountain Panel) to pond Install Bonding Mesh around service Permit TOTAL LABOR & MATERIALS TERMS Total Due on Completion DATE 10/29/2018 WIRING STANDARD All workmanship and materials are to comply with the requirements of the National Electrical Code and the applicable local ordinances . ACCEPTANCE OF CONTRACT The above prices, specifications and conditions are satisfactory and are hereby accepted. RCD Electric is authorized to do the work as specified. Payment will be made as outlined above. APPROVED By Doug Prodoehl at 1:59 pm, Oct 31, 2018 THANK -YOU Manager Brisson West Project I, LLC 1,750.00 1,700.00 200.00 150.00 300.00 4,100.00 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(6), Florida Statutes. Name_ David Oakes of DDC Management. LLC Address_ 3601 Riebv Rd Suite 300, Miamisburg Ohio 45342 Telephone Number 937401-3848 10. Expiration date of notice of commencement (the expiration date is one 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 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 COMMENCEMENT. BRISS91N WEST PROJECT 1, LLC a Floq da I ; el c npany By: DDC Management. LLC Name: David Oakes Title: Manager STATE OF ARIDA OV) 10 COUNTY OF MO mem—( The foregoing instrument was acknowledged before me this A`I day of jiul l 2018 by .1�av�d C. �ulLo t as{yeh4�j_� of Independence Parkway Development, a Florida limited liability company, on behalf of the company. He [)C) is personally known to me or [ ] has produced r as identification. ,�PFtY PUB .� LORI LNcELROXII&SYPA110 �rintName-��-- L• tl-I�L�r�y ,klInand for tMState OfOhlo No Public, State of Florida k ` + My0ommisdon6plrosNac$1021 My Commission Expires: Q2-Ja.t Verification pursuant to Section: 95.525 Florida Statutes. Under penalties of perjury, 1 declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Print Name: ORLDOCS 15922705 1 FBC 1053 Shalf be inscribed with the date of application and the code in effect as of that date. 6'a Edition (2017) Florida Building Code NOT[C : In addition to the requirements of this permit. there may be additional restrictions applicable to this property that maybe 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. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of thejob at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. &C2 LKOr. 1(618 Signature of Owoa/Agent 1 11 Date Print Owna/Agent s Name Nc!i4d2c «U1/l8 Signature of Notary -State ofQerida 01fu Dail I Signature of Connector/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID Type of ID Construction Type Occupancy Use: Gas ❑ Roof ❑ Flood Zone: Total Sq Ft of Bldg. Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: FIRE: _ Fire Alarm Permit Yes ❑ No ❑ WASTE WATER: BUILDING: ':,rMlri� �� luunlMM�a '�