Loading...
129 Country Club Dr - BR17-003298 - INTERIOR IMPROVEMENTS3vu fo rzkAV6 CITY OF SANFORD BUILDING & FIRE PREVENTION i s ,y7t''r PERMIT APPLICATION F. D NOV 21 2017 " f i) Application No: v > Documented Construction Value: $ (O Job Address: 29 Cb U,4_TR)J CLur_S fJRi SA.,Q P0IeD Historic District: Yes No Parcel ID: 3 Ste' I 1 ' 3y ' 5 ZO - 0,060 - 010 D Residential M Commercial Type of Work: New Addition Alteration Repair O Demo Change of Use Move Description of Work: R6PLA Cis Ex1 Z -D 0 AC C/N 1?, UPCroA 01 E,W CTA4 CA L- Plan Review Contact Person: Fax: 866 -'Q1-6u-TrProperty Owner Information PV63 v 9V4TtON' WC AIC t Name H 05SA1/J M0WAMr-% Phone: 3 t (- - 6-Z '93 Street: 4 12 Resident of property? City, State Zip: S QrJYU/1I r1- Contractor Information Name t-sgkt KA (2-pl" SIP Coos Phone: 4- 0-7 ' `7 ZZ' Street: 3 Lo l C", C 6, JT,2A L AV6 Fax: 9 b 6 • q31 ' &Q3 Z. City, State Zip: 0V )6 Av , FZ • 3 Z? (D Sr State License No.: C Cr Cy 5d 5 7 0 Architect/ Engineer Information Name: M Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: )V 4 Mortgage Lender: Address: 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: 5t° Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 1 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. 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 job 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 1AVSSAIJ Mov A4'MG Print Owner/Agent's Name Date Ir 7 nalz++a ',B19tary-5lWR1@VEN HUTTON Datefl Notary Public - State of Florida Commission # GG 011384 A My Comm. Expires Jul 13, 2020FOFF,o , Bonded through National Notary Assn. Signature of ntractor/Agent Date Print Contractor/Agent's Na e ignap0.va,gf NotarY8*VWN HUTTON ate c': Notary Public - State of Florida Commission # GG 011384 r P; My Comm. Expires Jul 13, 2020 Bonded through National Notary Assn. Owner/ Agent is Personally Known to Me or Contractor/Agen is Personally Known to Me or Produced ID Type of ID Produced ID V Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: U' 1 1 lrr'Gll1f Revised. June 30, 2015 C, oo Permit Application 4 Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: L,154 HA ( PW,5ILi an agent of a/A-nU.tj U J ST2C CiT1 7N 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): The specific permit and application for work located at: 2ci Cv v,l?J' nw6 oa , SASFog-0 Street Address) Expiration Date for This Limited Power of Attorney: 11 1171 ZCV O l3 License Holder Name: 66p-r)A) K fZ-P 103te-4 State License Number: C,6rC0SD f-775Signature of License Holder: STATE OF FLORIDA COUNTY OF S6M,V Lb The foregoing instrument was acknowled ed before me this 7 day of Zo 17 , 200 1 - , by N ` A R N who is personally known to me orXwho has produced fUU6X5 Ljt6A)S13 as identification and who did (did not) take an oath. BRADLEY STEVEN HUTTON Notary Public State of Florida Signature . ; ; • p Commission # GG 011384 My Comm. Expires Jul 13, 2020 P. ;;° o-•` Bonded through National Notary A ssnNotary Seal) Rev. 08.12) Print or type name Notary Public - State of ),rL. Commission No. My Commission Expires: i THIS INS ME BY: Nams: Address: NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: I ittitf iitti ffttt lilt}tilt} }}t!} tl}i Itt} GRANT MflLi:Tfr SEMINOLE COUNTYCLERKOFCIRC:IJTT C:OLIRT tCOMPTROLLER CLERK' S ; ?ni7113ain RECORDED 11/08/21317 1-13,1)3-'46 PM RECORDINGFEESs1.Ci,(ir_IRECORDED SY hdevore Parcel ID Number: 3 S 11 1 J U J w- c Y iob Q) m 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. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 12 ° I 0) VAJtfUi LLyls QJZ . .A FU2,o GENERAL DESCRIPTION OF IMPROVEMENT: , Uto6r940rr i't8 GfPI G/Z6PC.A05 AA, UAIrT%P)9)ti!`w4I ruynQ)N4 OWNER INFORMA Address: - 41,L Alumo LAP, Fee Simple Title Hold, ' mp ,(If o , ' , owner) Address: . S Q I J C.&—,/V'TA168 ;A&H f2 0 4 FL ? Zi Persons within the State of Florida Designa . $b ner upon whom notice or other documents may be served as provided by Section 713.13(1xb), Florida Stites Name: In addition to himself, Owner Designates copy of the Lienor's Notice as Provided in Section 713.13(1xb), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date Is 1 r m date of recording unless a different data Is specified) WARNING TO OWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE P RATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER a&, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMEI7TS0 YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JO`{ BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR L DE: R AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under pen it s of perjury, 1 decia hat 1 have read the foregoing and that the facts stated in it are true to the my and Cf. Owrwfs ' n ownefs Prtnted Nome F Statute 713 1)(g • The owner must sign the notice of com wtoement and no one else may be pormhod to sign in Ns or her stood.' by State of Wn412A County of 56M 1AZOL& The foregoing Instrument was acknowledged before me this day of N 1/ by--- !' f b S S A),-) Q A M 1 ,() . Who Is personally known to me Name of person m*Jng ataearnarrt OR who has produced IdentMeadong type of identification produced: BRADLEY STEVEN HUTTON t' Notary Public - State of Florida sion * GG 011384 a+ n '; .d_ lMy Comm. Expires Jul 13, 2020 wr., ` Bonded IMough National Notary Ass11. WmW Book9021/ Page393 CFN#2017113510 Page 1 of 1 CITY OF SANFORD BUILDING & FIRE PREVENTION p> PERMIT APPLICATION Application No: + .7 - Z, a0i a Documented Construction Value: $ 4,500 Job Address: 1;7 q C0 U /U A, eCLt> A P_) 32-71( Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair © Demo Change of Use Move Descriptionof Work: f .Mt7tJ GPt_/>GC J`1) 2 Tr rn/ 47/0_ Zy i7[-f 9 1 cJ 1AGi - R—Ewo'S) P F tT A-i'Q F c G,v /1t)') 6ZC CV 4r e:11— oanti S Plan Review Contact Person: Title: jzC3 Phone: ¢ JAI LFZ O Fax: Email: b b bAS2A 7 (9 Apt~ • Cof-t Property Owner Information Name r4ol-l`Amt) 9 y 1cSSfrrr Phone: 832 276 B/ES Street: . 4 I2 F1AVS L ll AN0i10 iZ Resident of property? : r7 City, State Zip: 90i1,)F0R-ri 12.7 -7 1 Contractor Information Name OR r2 fi -r- 1,As Q/1 'f Phone: :f GStreet: (' fi D( /3KC i tc C f Ja Fax: City, State Zip: 4//N i C- 2 C/z 0 C N 3 7 87 State License No.: /! L / %'/ r9 5 Architect/ Engineer Information Name: Phone Street: Fax: City, St, Zip: Bonding Company: Address: E- mail: Mortgage Lender: Address: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TMACE 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 WITEI 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 securer) 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 oft h atdate: 5" Edition (2014) Florida Building Code Revised: June 30. 2015 Permit Application NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property that may befoundinthepublicrecordsofthiscounty, 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 ofthe property ol'the requirements of'Florida Lien Law, FS 713 The City ol'Sanford requires payment ofa 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 job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation 'I able it, 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: t certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction aand, ming. 7 Signature Of011nei/Agent Date Signatur FCont,ractur/Agent Date Pfirti Olvner/Agent's Nalile signature of'Notan,-Stale of lorida Date Signptwc Print Conu aci oriAgci it's Nanie et I FF942585 Feblual; 1 - 1010 eiinded tbru Aaron N01M Owner/Agent is _ Personally Known to Me or Contractor/ gent is Pr-i-wrially Known to Me or Produced ID - Type of I'D Prodof ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building[] F,.Iectrical[l Mechanical El PhimbingE] GasF] Roof E] Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: YesF1 NoEl # of Heads Fire Alarm Permit: YesEJ NoD APPROVALS: ZONING: 1111 I_ ITI E S: ENGINEERING: I", I 1Z E: COMMENTS: WASTE WATER: BURDING: Revised: June 30, 2015 Ilei init Application KWLC_ are ` U W"A:e rvJ Ni®y u 8 2017 300 jrj. 1,94fzk- AV CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: I I Documented Construction Value: $ (a, o a ri Job Address: A 2q Cy UA21 d. G LUG QJZ , SAN'r0RD Historic District: Yes No Parcel ID: 3 Ste" l - 30 - S ZO - o-0 00 - 01 O D Residential 9 Commercial Type of Work: New Addition Alteration Repair X Demo Change of Use Move Description of Work: R6 P to e.6 Exl sir Z Tv 0 AC Qv ri, UPer2o or, 6W am coo L- PAJJ€ Z R&PtA% I L,6 FU )V9/)N 6r PA)AJT /A/S 10 'rOZG1-S 1 D9 Plan Review Contact Person: 17j 1.<A & P I rjs1e-3 Title: PEZ S Phone: 4cri --IZZ - W 401Fax: 8 b 6 - i'131- 603 Z Email: /34QZ r (30 UV4TtQ0 IN G , Ak I - Property Owner Information Name H 0 55A)IJ M0WAmC`r_> Phone: 3t G - to24 - 3 Street: 412 1<-Ai S L,14.J 10 )NC_-j01Z . Resident of property? City, State Zip: S Atli150" FZ_ Contractor Information Name r m1Si. Phone: Lf U -7 -7 ZZ - u/& % Street: 3 I C, ,NTXAL AVC Fax: b b 6 • City, State Zip: 006 nv , FL - 3 17 (o S State License No.: C Cr COY0 5 7 0 Architect/ Engineer Information Name: M Phone: Street: City, St, Zip: Bonding Company: ALA Address: Fax: E- mail: Mortgage Lender: N lA 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: 5f° Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 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 ofthe executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job 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. Date 140S' AY4ZMPv A,&M6JD Print Owner/Agent's Name it aptP+ ,kotary-%ftlD1&6*VEN HUTTON Date Notary Public - State of Florida Commission # GG 011384 N91 Pdc My Comm. Expires Jul 13, 2020FFVO, Bonded through National Notary Assn. Signature of ntractor/ gent Date tznln Stu Print Contractor/Agent's Natlie 1 /7 igna44ra,gfNotary8*A1l!Pc N HUTTON ate Pav PUB° c': Notary Public - State of Florida Commission # GG 011384 FOFFVgPq, My Comm. Expires Jul 13, 2020BondedthroughNationalNotaryAssn. Owner/Agent is Personally Known to Me or Contractor/Agen is Personally Known to Me or Produced ID + Type of ID Produced ID V Type of ID Permits Required: Construction Type: Total Sq Ft of Bldg: BELOW IS FOR OFFICE USE ONLY Building Electrical Mechanical Plumbing[] Gas[] Roof Occupancy Use: Flood Zone: _ Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: >-,g- UTILITIES: FIRE: of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes No WASTE WATER: BUILDING: 5F /A /, - 17 Revised: June 30, 2015 Permit Application THIS INSTIIMETll Y: S 10 Name: //,,3 b" FF //(iyy JJ Address: 2 ,tt I S NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: Parcel ID Number: 3 S j ) 11111111111111111111111111# 11111111111111 il; f' CLERK v 2>i1 i 11:: 510 r1:;:i.)R'Ui:::D 1:1.;`ii;;.—?t;1;' ti: i: f1F'UT1aC; F'f_f::'>J.II il_I Li 1• 30 - S'Zo The undersigned hereby gives notice that improvement will be made to certain real property, and Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) 1z GENERAL DESCRIPTION OF IMPROVEMENT: UP& R40r, OWNER INFORMATION: Name: 4 )/V 410 I2JAm6f) Address: 4) 2 KA V 3LAND ).ula- 0A . SAjoFO/to FL. Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: _ 6 V.A -"I C)1J NSTi2uGl1 / Address: 3 b) 3, C.51V 24 Z.- Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a differentdateIsspecified) 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true to the be (my knowledge and tef. I Owners/ alure Owners Printed Name FI • da Statute 713)/ The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." State of County of SCi(yj).0Z,& The foregoing Instrument was acknowledged before me this -'7 day of NA , 20 L % by I- 0 5 S A)-^% f'V 0j4_AM f;,0 . Who Is personally known to me Name of person making statement OR who has produced identification type of identification produced: Notary BRADLEY STEVEN HUTTON Notary Public • State of Florida Commission # GG 011384 My Comm. Expires Jul 13, 2020 Bonded through National Notary Assn. LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 111-111. I hereby name and appoint: L 1 S 4 KA R PjA.1 SlL) an agent of- ()VA-n0/J' (,Vt Xrk0C,7)0Jt% 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): XThe specific permit and application for work located at: C' W 6 01Z , SA Q 1; 09 -0 Street Address) Expiration Date for This Limited Power of Attorney: 11117J ZCV l f3 License Holder Name: 664Zr)AJ KAfLPIAJ S11L-i State License Number: C&COS-O hIS Signature of License Holder: STATE OF FLORIDA COUNTY OF Ltt The foregoing instrument was acknowled ed before me this 7 day of Zo 17 , 200 1- , by N' A tJ who is personally known to me orXwho has produced .(Z,{U,6,95 L1 t&USts as identification and who did (did not) take an oath. BRADLEY STEVEN HUTTONVPr , Notary Public - state of Florida Signature '. ; ; • Commission # GG 011384 My Comm. Expires Jul 13.2020 O;;Bonded through National NotaryAssn. Notary Seal) Print or type name Notary Public - State of %rL . Commission No. My Commission Expires: Rev. 08.12) CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 1 `7 - J Documented Construction Value: $ 45 ©Q _ Job Address: f Z q U U tv 7 Y 2 LL, A R Y 3 7-7.7 t Historic District: Yes No Parcel ID: Residential Commercial Type of Work: New Addition Alteration Repair © Demo Change of Use Move Description of Work: RL- .,-i9xI t i oe(Az-/) a, ( 2 7ir/) tq%- - 0 rr 4y i T H izi'o ( RC2'22043i '-. Pi. y Y f cC;vunt QCTU'2,v raa, .4 Plan Review Contact Person: i Title: 4-C S Phone: 4,)1 4 B13 AL _ 5 0 _ Fax: Email: ")-bj)AseA-f <' Aol, - Co--, Property Owner Information Name p4ow-)MO) S 140.smo-j Phone: 832 276 B7E,, Street: 412 /f9I/& L/1120ilv`6 !] Resident of property? City, State Zip: 3 2-`7 -7 t Shur le (yjj, Contractor Information Name 0Rl2./q`v ) 0_.? Phone: 4o7 7-,183z63____ Street: l '1 Df LAt<C -7-/Ic' Fax: 1 City, State Zip: G%N 1C-2 'fhe 9 C- /v 3 197 State License No.: C-4C '3 " 8 i 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 MAV RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMFNC.'F.MGNT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE '1'1[E 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 regulati ng construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, phrmbing, 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: 51h Edition (2014) Florida Building Code Revised: June 30. 2015 Permit. Application NOTICE.,: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that my befoundinthepublicrecordsofthiscounty, and there may be additional permits required from other governmental entities such as watermanagementdistricts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements offlorida Lien Law. PS 713 The City of Sanford requires payment of a plan review fee at the tine 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 job at the lime of submittal. The actual construction value will be figured based on the current ]CC 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 ant zoning. Signature ofowncr/Agent Date Signature fContmclorlAgent Date Print Owner/Aeent's Name Signature ofNota"-State ofFlorida Date 0,0Pj4-z .hA-,5 - --r Print ConuactoriAuent*sNaName Smnaturo of Notary -State of lSlorida Date Nathan S. F4ashman Commission t FF942585 Expires: February. 2i,29 Bonded dull Aaron Nota7 Owner/Agent is _ Personally Known to Me or Contractor/ f cot is fexumally Known to Me or Produced ID Type of ID Produced IL e----Type of ID 2riyE/ C iGehSFi BELOW IS FOR OFFICE USE ONLY Permits Required: Building E:lectrical Mechanical Plumbing: Gas Roof Construction Ty Occupancy Use: 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 Hof Heads APPROVALS: ZONING: UTILITIES EN61NEEIZING: FIRE: COMMENTS: Fire Alarm Permit: Yes No WASTE WATEIZ: BUILDING: Revised: June 30. 2015 I'crnut Application