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128 Magnolia Prk Trl 17-113; HEATPUMPTLVED2011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: ' ' I I Documented Construction Value: $ /J{ V Od Job Address: 148 / Igolv011A X-A L./C /!L Historic District: Yes No EP Parcel ID: ! V - OGbo • /L030 Residential WCommercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: C'i2A.uG o C4-y' y o v h e -10u VS p / Plan Review Contact Persons, &LI)AM J O 11 DJ lf -a- yLU' Title: a/2 M &b'2d - Phone: 7 1 Fax: 'y0 %,559 9lS6Y Email:.( X-> r LPA1neP2_/e19AiAJftAlJb4ra.l, Property Owner Information Name 6 1v Abwe_l/ Phone: 'y0 7 4a0'% 8 9(00' Street: czuobq e & % Resident of property? City, State Zip:,&0A_//04O/ IC9777 Contractor Information 1 1: C.A c1 9Qi 9 Names cJT 1L t/ Phone: VO7 S,3 9 / Street" 6 - C eoxi C_ / 2 Fax: % 3,_59 9(/ City, State Zip: Ov/e ,o 0 ',-// tr3a 7& s- State License No.: lne- Name: Street: City, St, Zip: Bonding Company: Address: 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. FBC 105. 3 Shall be inscribed with the date of application and the code in effect as of that date: 56 Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application o31 9 1111111111111111 fill# 11111 I111I Jill 111i GRANT MALOYr SEMINOLE GQUFiTYGLEff; QF GIRGUIT COURT h COMPTROLLEREK8836Pg1486 (1Pss) CLERI,'S g 7017000675PermitNumber. RE OR 01l04l2017 i i :35 a 18 !MFolio/Parcel Identification Number Q, • tZ= QC RI FEES 2017 $ 10.0aPreparedby: RECORDED BY hdevors AmedMn Air & Heat 2 S. Econ Circle Amedcan Air & Heat Retum to: Oviedo. FL 32765 502 S. t"con Circle Oviedo, FE 32765 CERTIf lj; ! - ORANT MALOY CL E ©f I QUIT COMA! A . D COMP R 5L FLU , A State of Florida, BY E U CLM The undersigned hereby glues notice that improvement will be made to certain `real property, and in accor a 20 with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of pr9perty (legal descrin of the prowrty, and street address if available) VA 9 4. 5. 6. 7. 8. 9. Of or NOTICE OF COMMENCEMENT for the improvement Interest in Property 8- Name and address of fee simple titleholder (if different from Owner listed above) Name Address Name American Air & Heat, Inc. Address 502 S Econ Cir, Oviedo, FL 32765 Telephone Number407-359-9501 Surety ( if applicable, a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ Lender Name Telephone Number Address Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 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)(b), Florida Statutes. Name Telephone Number Address Expiration date of notice of commencement (the expiration date may not be before the completion of construction. and final payment to the contractor, but will be 1 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. 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. Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the,?° fa stated in it are true to the best of my knowledge and belief. Je Signal re of Owner or Lessee, or Owners or Lessee's Authorized,Officer/Director/Partner/Manager-Signatory's Title/Office 9"" M The foregoing Instrument was acknowledged before me thin day ofqA by 0, /d JJF, loot Q '"" for ` on h/f ar name of person as . Type of authority e. ce trustee attome . fact N e of party on behalf of whom instrument was executed r A210—//\ Q Jc lo Q l 4 y n; Signature of Notary Public — State of Florida .::'riyr1, Pri p n m Ion ed name f Notary Public h1YCt) MSala 9FF 9 09 y ' December 19, 2019 A EXPIRES: Personally KnownOFFProducedIDp; -• WndedTin NotmyPubkUndetrs 1,, Type of IDProducedFormRevised: September 26, 2011 POWER OF ATTORNEY Date 1-9-1-1 I hereby name and appoint. J",Vx/ /% w, Y& An agent of: American Air and Heat To be my lawful attorney —in-fact to act for me to apply for, receipt for, and sign for and do all things necessary to this appointment for: Address of Job) Expiration date for this limited power of attorney: /131117 Printed Name of Contractor and License Number) State of Fio ' . Countyo ;Lld/F m to and bscribed before me this 19 o16 of A Al a0/ 7 by Who is personally tmown to me or who has produced (identification) x MA& (Notary Seai) Notary Public Commission expires: /,2 . / 9 _ / 7 Print or Type Name) BARBARA L M0,3 , Ml' COMMISSION : F"r 939109 EXPIRES: December 19, 2019 RF 1 Bonded Tnru Notary Publt ttndeiwrders W .. :a t7l'ICE: in adrittion to the requirewcM of this permit; there may be additional restrictions applicable to this Foperj' that may befouatdinthepublic. records of dk coumy, and there may be additional permits required from oiber goVermnerraal eWNes such as wstetvmageemerrtdisbiwNstateagencies, or federal agames. Acceptance ofpermit is vaffication that I wl7l notify the owner 0f1k property Of the requirements of Florida Lien Law, FS 713 The City of Sanford zegnires payment Of" phtta review fee at the time of permit submiWL A copy of the exectuted c oniract is required inordertocalcul2waplanreview, cbsrV and vrill be considered the esdmated construction value of the job at the time of submittal. Thezcmalconductionvaluewillbe based on the current ICC Valuation Table in effect at the time the permit is issued, in accordaucewith %cal ottlmance. Should calculated charges figured off the executed contract exceed the ackttal consUmfion value, creditwillbeappliedtoyourpermitfeeswhenCitepermitisissued. OWNER' S A certify that all of the foregoing (information is accurate and that all work will bedoneinealinapshoe "tth all apphcalble laws regulating, construction and zoning. 44- X ® arc o: o vrtatAgent pate — PfiMO met/Agmr's Name sici roof . A=, e COMMISSION @ FF 939109 EXPIRES: December 19, 2019 bonded TAru Notary Public Undowfers Owner/ Agent is Personally Known to Me or Produced IDD Type of ID 7 A - 7 Sigrratxae of note Print CQvUacWdATpWs Name 17 Sigrratum No t dy., BARBARA L MCGILI. MY COMMISSION : FF 939109 EXPIRES: December 19, 2019 i1 od a Bonded Trru Notary Public Undervrtiters Coutmetor/ Agent is Produced W BELOW LS FOR O + +SCE US ONLY Permuits Required: Building Eleetrieai [] Mechanioai [] Plurnbino iConstraciiora ` Tylpe: Occupancy Use: TOW Sq Jt+t of Bldg; Phan. Occupancy Load. to Me or Gas[] Roof[] Flood Zone. - of Stories - New Consbrras60n: Rledxie - # of Amps _ Plumbing - # of Fixtures Fire SpriaMer Perms Yes No # of Heads Fire Alarm Peradt: Yes No APPROVALS: ZONING: UTELI TIES• WASTE WATER: ENGINEERING: FIRE: M&DING: Revise& June 30, 291S PamitAWitathm City of Sanford Building & Fire Prevention Division Residential Permit Card PERMIT NO. 171- 1 ' ISSUE DATE:_ A . _ A. CONTRACTOR: JOB ADDRESS: I Moomoliq ?ar'k TYPE OF WORK: CJ0 440PWk, V4' Post this permit in a conspicuous location outside Approved plans must be posted with permit for inspection Leave all work uncovered until inspected and approved Permit expires 6 months from date of issue or last approved inspection PROTECT FROM WEATHER BUILDING INSPECTION TYPE APPROVED RFIECTED INSPECTOR ELECTRICAL INSPECTION TYPE APPROVED REJECTED INSPECTOR FOOTER INSPECTION ELECTRIC UNDERGROUND STEMWALL FOOTER/SLAB STEEL BOND FORMBOARD SURVEY T.U.G. / PRE POWER SLAB / MONO -SLAB ELECTRIC ROUGH LINTEL / TIE BEAM ELECTRIC FINAL SHEATHING - ROOF MECHANICAL INSPECTION 7YPE APPROVED RFJFC'TFD INSPECTORSHEATHING - WALLS FRAME MECHANICAL ROUGH INSULATION ROUGH IN MECHANICAL FINAL DRYWALL/SHEETROCK PLUMBING INSPFC'77ON TYPE. APPROVED RbJFC7ED INSPECTORLATHINSPECTION FINAL STUCCO/SIDING UNDERGROUND ROUGH FIREWALL SCREW TUB SET FIREWALL FINAL SEWER INSULATION FINAL PLUMBING FINAL FINAL SFR GAS INSPECTIONS INSPECTION 7YPE APPROVED RFJF_CT'FD INSPECTORROOF INS'PFC77ON TYPE APPROVED REJECTED INSPECTOR GAS UNDERGROUND PIPE ROOF DRY -IN GAS ROUGH -IN FINAL ROOF GAS FINAL MISCELLANEOUS / FINAL INSPECTIONS INSPECTION TYPE APPROVED RFJFCTED INSPECTOR INSPECTION TYPE APPROVED REJECTED INSPECTOR PRE -DEMO FINAL DOOR FINAL DEMO FINAL WINDOW FINAL SOLAR PANELS IRRIGATION FINAL FINAL POOL SCREEN FINAL SCREEN ROOM FINAL UTILITY BUILDING FINAL BUILDING (OTHER) MOBILE HOME TIE -DOWN MOBILE HOME FINAL 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 FBC105.3.3 REVISED: OCTOBER 2014 Inspection Line: 855.541.2112