1101 S Park Ave - BR18-004508 - REMODEL KITCHEN AND UPSTAIRS BATHROOMCITYsOF
NOVPERMIT APPLICATIONRkNFORDN132018BUILDING
DIVISION Ik- r s-O % 4) Application No: // Documented
Construction Value: $ Job
Address: 01 S cl r `- a U
tifo T Gl • Historic District: Yes No Parcel
ID: Z r.
7
f 0060 Residential W Commercial Type
of Work: New Addition Alteration Repair Demo Change of Use Move Description
of Work: /1-- e, r1 c i- b c,-V it va 8kl, Plan
Review Contact Person: Wyk k' — •t V1 Title: o h ct Phone: _"
l,Ql 3 q& 3320 Fax: Email: VV16/y r!/ - a 0 (G V vq Property
Owner Informatio/n Name
Ke-) cA Ct C K -,e . Phone: Street: _ <
Rrk Ill Resident of property? : O QQ A) e City,
State Zip: X57 x
Contractor
Information - Name ', / `
ovr k I m., Street:
Lot &,5 ) City,
State Zip: ti GJ owk— Phone:
q Qt 3 1 33 V-1D Fax:
vk,/ 61 State
License No.: C6C I C 5 3 ri Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
Address: WARNING
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULTIN 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 heieby made to obtain a permit to do the work andinstallations as indicated. I certify that no work or installation has commenced prior to
the issuance of apermit and that all work will be performed to meet standards of alllaws 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: 61 Edition (2017) Florida Building Code
NOTICE- Inaddition to the requirements ofthis permit, there maybe additional restrictions applicable to this property that maybe found in thepublic
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 ofpermit is verification that I will notify the owner ofthe property ofthe requirements ofFlorida 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 ofsubmittal. 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 offthe 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.
r- 604 -P
Signature ofOwner/Agent Date
k-P-j a-V-" Iq
Print Owner/Agent's Name
MAU
Signature of Contractor/A Dad
Aar - v-1 Ate~
Print Contractor/Agent's Name
Signature ofNotary -State of Florida Date Signature of Notary -State ofFlorida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID Type of ID Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building 19 Electrical ,Mechanical Plumbing R Gas Roof
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: Yes No # ofHeads
ll
APPROVALShONING: UTILITIES:
ENGINEERING: 1" FIRE:
COMMENT.r-
Fire Alarm Permit: Yes No
WASTEWATER:
BUILDING:
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Sheathing- Walls -
Sheathing! Roof
Roof Dry hi
Frame
Insulation Rough In
Firewall S'c'rew Pattern
Drywall / Sheetrock
Lath Ins ection
Final Solar
Final Roof
Final Stucco / ;Siding
Insulation Final
Final Utility; Building•
Final Door
Final Window.
Final Screen.Room
Final. Pool Screen Enclosure
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PERMIT # 1 I CITY OF SANFORD
BUILDING &FIRE PREVENTION DIVISION
EARLY START AUTHORIZATION — APPLICATION/PERMIT
Project Name: Date: i f - 9 r / ,V
Project Address: j I o
Contractor Name: I( V AIry V -4 olew— /0 i 4- o1Cz-r (4 V LC
EARLY START AUTHORIZATION CONDITIONS
City of Sanford and the Owner/contractor listed agree to the following:
1. A complete building permit application and plans shall be submitted at the time of the request for Early Start Authorization.
2. This Early Start Authorization is for interior work or other work as determined by the Building Official.
3. Work must comply with any and all other local, state and federal agencies related to the development and construction
proposed and compliance with asbestos NESHAP regulations must occur for all demolition work.
4. Work shall not be concealed and must remain open for all necessary inspections. At the time of inspections, any work
concealed shall be uncovered.
5. The contractor acknowledges that all subcontractors will be properly licensed and have current worker's compensation
coverage.
6. All subcontractors are responsible for pulling their own permits.
7. Inspections of work for any construction trade will not be made until a permit has been issued for the trade.'
8. The Early Start Authorization does not guarantee that construction plans will be approved as submitted. All work done prior
to the issuance of the required permits shall be at the Owner's/Contractors risk.
9. The Owner/Contractor acknowledge that additional fees, including but not limited to impact and zoning fees, may be due at
the time of building permit issuance, and or prior to Certificate of Occupancy.
10. The Owner/Contractor acknowledge that additional site improvements, including but not limited to installation of a grease
trap, accessible parking and landscaping, may be required at the time of building permit issuance.
11. The Owner/Contractor agree to indemnify and hold the City of Sanford/Agents free and harmless from any and all claims,
causes of action, damages, losses penalties or costs, including but not limited to, all attorneys fees (whether from litigation or
administrative proceeding, including cost and fees on appeal), with respect to any person or government authority arising out
of, either directly or indirectly, the construction or operation at the premises covered by the Early Start Authorization,
whether the liability, loss or damage is caused by, or arises out of, the negligence or the City of Sanford/Agents or its
officers, agents, employees, or otherwise.
12. If the City of Sanford/Agents shall be subject to any claim, demand or penalty or become a party to any suit or other judicial
or administrative proceeding by reason of any claimed act or omission by any party, or by reason of any act occurring on the
subject premises, or by reason of any omission with respect to the construction or operation on the subject premises, the
Owner/contractor shall indemnify and hold City of Sanford/Agents harmless against all judgments, settlements, penalties and
expenses, including attorney's fees, court costs and other expense of litigation of defense relating to such claim or litigation
or administrative proceeding, at the election of the City of Sanford/Agents, the Owner/Contractor shall also defend the City
of Sanford.
13. It is understood and hereby acknowledged between the parties hereto that the City of Sanford/Agents shall not be liable for
any act or other obligation to the Owner/Contractor.
14. This Early Start Authorization will terminate upon the issuance of a Building Permit for property covered under this Early
Start Authorization; however, this agreement shall remain in effect for all events occurring prior to the issuance of the
Building Permit.
By signing this Early Start Authorization Application, the undersigned acknowledges and agrees to condition 1 through 14.
M'' — r
Contracto Jnature
ii (-A amL,-)
Owner Signature Date
PE DIGS
Your Cure for Home Renovation 8 Repair! OW
Remodel up stair bathroom by moving
Bath tub, install shower, and move toilet
Any changes on this job must be approve
By owner and contractor and cost adjusted
By both parties.
Owner
Date // Z9 Z /9'
T'
Property Medics of America -- All invoices due Net 10 days. Insured. License #1770568
P.O. Box 471372, Lake Monroe FL 32747 1 (407) 312-7418 1 www.PropertyMedics9ll.com
LEGAL OESCRIPi7m. LOTS 6 R 7,
BLOCK 1J RER A TOW OF SANFORD, ACCORDING TO THE PLAT THEREOF, AS
RECORDED IN PLAT BOOK 1, PACE 60,
OF THE PUBLIC RECORDS OF SEMINOLE
COUNTY, FLORIDA.
1101 SOUTN PARK AVENUE
SANFORD, R.
CORE TITLE
SERVICES, LLC.
Long Surveying, Inc..
SPrirU4vnR nrlA•aidrnliv/SLr.gltinl("
1061 S. Sun DT. Ste. f1 113
Lake Mary. FL32746
Once 407-33()-9717 or407-339W716
Fax 407-330-9775
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FM5T ANERICAN TITLE INSUMRCE COMPANY
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PLANS EXAMINER
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SANFORD BUILDING DIVISION
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
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Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole County, FL
inst#2018134629 Book:9256 Page:333; (1 PAGES) RCD: 11/29/2018 2:41:59 PM REC FEE $10.
00 ft THIS IN
A
ED , d Addrea NOTICE OF
COMMENCEMENT
State of Florida
County of Seminole
Permit Number: ,J
v D ^ Parcel ID Number. The undersigned hereby
gives notice that improvement will be made to certain real property, and In accordance with r'hanfar 71
A Finrirta Sfn4 doe tho fnllnwinn inf—finn is n—Adarl in this NnHra of Ctnntmanramanl OEP():E,t
DESK R t.fJFIMPRi JJ BE c..,+ C ` OWNER
Address: Fee
Simple
Title
Holder (if other than owner) Name: Address: Address: r
C
O too JaC R 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 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. Under penalties of
perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best
of my knowledge and belief. 001A 12 Uaa& (
ee1oh IJ Oct- c-, OWners Signature' Owners
Printed Name Florida Statute 713.
13(1)(g):' The owner must sign the notice of commencement and noone else may be permitted to sign in his or her stead.' Stateof P
L County of C lmtno 2 The foregoing instrument
was acknowledged before me this day of N U , gQLQl by . Who Is
personally known to me Name of person
making statementOR who has
produced identification type of identification produced: fy t"IL
P'••. PATRICIA AELLIOTT Notary Public -State
of Florida Commission # GG 202523
orn.. My6irrn.Expires
Apr 29,2022 Bonded through National
Notary Assn.
FBr05.3 Shall be inscribed with the date ofapplication and the code in effect asof that date: 6' 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 ofpermit isverification that I will notify the owner ofthe property of therequirements ofFlorida 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 aplan review charge and will be considered the estimated construction value of the job at the time ofsubmittal. The actual construction value.,.
will be figured based on the current ICC ValuationTable in effect at the time the permit is issued, inaccordance with local ordinance. Should calculated
charges figured offthe 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.
r Z iL
Signature of Owner/Agent Date
k'0 I'' Iq Cl CA_ v- K
Print Owner/Agents Name
Signature of Contractor/A Dat
L V-1
Print Contractor/Agents Name
Ltiv i i PATRICIA A TT
Signature ofNotary-Stateof FloLVIM'
w_ Notar
lic -Stateof Florida Signature of No = . ^onNotary Public - State Florida Cossion
p GG 202523 Commission N GG 202523 m. Ex Tres Apr 29, 2022 oo-P. r 29 2022 MyCompAssn. of n,.. My Comm, Expires ApBonded throughNationalNotaryAssn. BondedthroughNationalotaropOwner/
Agent is Pown to Me or Contractor/AgLent W. is
erson y own t Produced
ID Type of ID Produced ID 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: Flood
Zone: of
Stories• New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: COMMENTS:
UTILITIES:
Fire
Alarm Permit: Yes NO WASTEWATER -
ENGINEERING:
FIRE: BUILDING: Me
or
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint-l
an agent of- Lltl c—
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 d applicatio for work located at:
Street Address) /
Expiration Date for This Limited Power of Attorney:
License Holder Name: mav- " j X i `' -ne U'
State License Number:
Signature of License H
STATE OF FLORIDA-
COUNTY OF j mina` p
The foregoing instrument was acknowledged before me this 147 day of I-Z"'
204_!j' , by who is o' ersonally known
to me or who has produced
identification and who did (did n take an oath.
tw
PATRICIA A ELLIOTT
e Notary Public State of Florida Signature
Commission # GG 202523
My Comm. Expires Apr 29, 2022 —
t ugh National Notary Assn, L C' A ` \ t o
Print or type name
Notary Public - State of \ (--
Commission No. G G a. o A 5 2 3
My Commission Expires:
Rev. 08.12)
as