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135 N Summerlin Ave 14-2490 (new add w/plans)Q� YD` �\d'� CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Jq- � �q Documented Construction Value: $ 351000 Job Address: 135 IR Simme.{tin AV2• Historic District: Yes ❑ No ❑ Parcel ID: 30 " 1a ` 3 I - 50q " 1240 - 0010 Zoning: GI-SF� Description of Work: '1�zca-fiqwe Ocnk A0 dej /'!:avarau irn=6eg=jou Plan Review Contact Person: , M- c,cxk Title:csnrfk�na Phone: 256' `{y57- &'St7y Fax: y07- 6ZZ -1600 E-mail: robed IVAcky. core\ Property Owner Information Name Magrnolia to xdeed I , L L C, Phone: Street: $ UJ 49-W T-_NIOAc Ave- - Resident of property? : hp City, State Zip: W 44e,(pa(k ,I 'I� L 3 217 8 c Contractor Information Name Ly4eoocLm ])e,,,eko;? e& L-LC__. Phone: :R50 • qCp • co Sr7H Street: Z 13 W Co m5ko ck Ave - Fax: City, State Zip: W ;"rl1e f i?a (k I r L 3Z r180( State License No.: CGC a5 g 8 3 Architect/Engineer Information Name: -T. 5 • Ck k., I 1 Phone: Street: City, St, Zip: Bonding Company: 11 /0L Address: Fax: E-mail: Mortgage Lender: 11 /a Address: Building Permit PERMIT INFORMATION no �� Square Footage: axis _5,Sal Construction Type: J�xmo4el No. of Stories: One. No. of Dwellin Units: OAC. Flood Zone: nl0. Electrical 7;S tlecA tcckk Plumbing ❑ Il ct New Service -No. of AMPS: op new Mechanical ❑ (Duct layout required for new systems) %\/C)-. New Construction - No. of Fixtures: no We" / Fire Sprinkler/Alarm ❑ No. of heads: n c& Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 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. The City of Sanford requires payment of a plan review fee. A copy of the executed c to calculate a plan review charge. If the executed contract is not submitted, we r en plan review fee based on past permit activity levels. Sho ld calculated arge construction value when the executed contract is submitte redit will p ied to permit is released. Signat of Owner/Agent Date Si re of Contractor/Age Print Owner/Agent's Name LANCE REIBELIAG Notary Public . State of Florida My Comm. Expires Jul 14.2018 Commission p FF 141589 Owner/Agent is ✓ Personally Known to Me or Produced ID Type of ID �ocao•. .� APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: �. 'Kober- - 0, t- Print Contractor/Agent's Name tract is required in order the r' t calculate the -x ed t e documented )j1r,voQt fees when the co c_, ,O a" DEBBIE BLANTO- • Notary Public -State of Florida : U• My Comm. Expires Feb 25, 2015 C „ °,,. ommission # EE 60182 Bonded Through National Notary Assn. Contractor/Agent is Persona Produced ID Type of ID WASTE WATER: town to Me or / BUILDING: J Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 Fl3C) 731.135(5)(6) Florida Statutes. REV 07.14 F THIS INS1"RUMENT PREPAREQ BY: Name: IL 1 Y E �C)C. Address: _T� �l c'yo;�..S 2 _ • .8 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: MARYANNE MORSE, SEMIKLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 08352 Pg 1668i (Ipg) CLERK'S fit 2014115384 RECORDED 10/21/8014 04:E1:29 Phi RECORDING FEES 10.00 RECORDED BY H DeVore Parcel ID Number: 30 . M - 3 (- 5oq. ZOO • Oo (p 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. OWNER INFORMATION: Address: 7ti DG 1 t141iJ Gf1A Long Fee Simple Title Holder (if other than owner) CONTRACTOR: Address: Persons within the State of Florida Designated by, as provided by Section 713.13(1)(b), Florida Statut Name: .In addition to himself, Owner Designates P Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration different date Is specified)yQoi✓ is . vU y0 to Thom notice or other documents may be served e '. 74,� o_ U F- of w � receive 11a copy of the Lienor's Notice as Provided in •,n UJ a .. _ O Z " a e is 1 yearfrom date of recording unless a z }o < . I WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF I1 I COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, t a r t FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A v NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED'ON;`THE JOB SITE BEFORE THE FIRST x J °, INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH .YOUR LENDER OR AN ATTORNEY ,~ o v BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT: y tom - Under pena ies of perjury, I declare that 1 have reatl the forbgomg and that the facts stated in it are true � o W to the best ff my knowledge and belief. 1 sb ^ iF Owners Signature Owner's Printed Name FIA Statute 713.13(1)(g): ` The owner must sign the notice of commencement and no'one else may be permitted to sign in his or her stead." State of AL,/k County of J/"I- The foregoing /insntrume t was acknowledged before me this day of 20 A. by, LUGtf(� Who is personally known to me rR Name of person making statement OlLw"o has Produced identification ❑ type of identification produced: ion 11 °B%s LANCE REIBELING ,NYP • :` c Notary Public - Stale of Florida 's ,• :. My Comm. Expires Jul 14, 2018 "o ��:A�� Commission p FF 141589 1, it Aj�L�M• ppS�� ; Date: SEMINOLE COUNTY MULTI -JURISDICTIONAL i Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs 0/16/14 I hereby name and appoint: Robert M Hancock an agent of: Lundequam Development, LLC (LunDev) (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): ❑✓ All permits and applications submitted by this contractor. Or ❑ The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: 10/16/14 License Holder Name: Brett 1. Lundequam State License Number: CGC058183 I n4 Signature of License Holder: STATE OF FLOPPA COUNTY OFf"�'7-w1(� The foregoing instrument was acknowledged before me this ��day of..- 20 i� by 'Rre � ~"t ItI—, l en ua. G � who is ❑personally known to me or �9 who has produced ��>,, (� �n �y5 L-i �� S� - as identification and who did (did not) take an oath. natu Notary Pri t or type Notary name LdR= c State of Florida Notary Public -State ofr John Espositoion Fr�j 010811 9/2017 Commission No. (Notary SeMy Commission Expires: % 0 I 0 ( 7 Detail by Entity Name Page 2 of 3 LAW, PATRICK E 100 S. Virginia Ave. Unit 408 Winter Park, FL 32789 Title MGR CIRILLO, BRIAN 558 W. New England Ave Suite 250 Winter Park, FL 32789 Title MGR OLIVER, MICHAEL 558 W. New England Ave Suite 250 Winter Park, FL 32789 Title MGR RICHTER, RAINER 558 W. New England Ave Suite 250 Winter Park, FL 32789 Annual Reports Report Year Filed Date 2012 02/28/2012 2013 04/18/2013 2014 04/01 /2014 Document Images 04/01/2014 -- ANNUAL REPORT View image in PDF format 04/18/2013 -- ANNUAL REPORT View image in PDF format 02/28/2012 -- ANNUAL REPORT View image in PDF format 04/08/2011 -- ANNUAL REPORT View image in PDF format 01/05/2010 -- ANNUAL REPORT View image in PDF format 07/24/2009 -- ADDRESS CHANGE View image in PDF format 01/16/2009 -- ANNUAL REPORT View image in PDF format 05/27/2008 -- ANNUAL REPORT F777View image in PDF format 06/19/2007 -- Florida Limited Liability View image in PDF format Cooyriaht © and Privacy Policies State of Florida, Department of State http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail/EntityName/flal-1... 10/20/2014 Detail by Entity Name Page 1 of 3 Detail by Entity Name Florida Limited Liabilitv Compan MAGNOLIA FLORIDA, LLC Filina Information Document Number L07000064364 FEI/EIN Number 260640315 Date Filed 06/19/2007 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 06/13/2013 Event Effective Date NONE Principal Address 558 W. New England Ave Suite 250 Winter Park, FL 32789 Changed: 04/01/2014 Mailing Address 558 W. New England Ave Suite 250 Winter Park, FL 32789 Changed: 04/01/2014 Registered Agent Name & Address AMERICAN REALTY DEVELOPMENT, LLC 558 W. New England Ave Suite 250 Winter Park, FL 32789 Name Changed: 05/27/2008 Address Changed: 04/01/2014 Authorized Person(s) Detail Name & Address Title MGR http://search.sunbiz.org/Inquiry/CorporationSearchISearchResultDetail/EntityName/flal-1... 10/20/2014 Professional Services Proposal Magnolia Advisors —135 N Summerlin Ave Project Name: 135 N Summerlin Ave Project Address: 135 N Summerlin Avenue, Sanford, FL 32771 Date August 29, 2014 ® Demolit,ion and reconstruction of a portion of the home to comply with existing modified utility easement that runs through the home. • Obtain all applicable permits. ® Light site clean-up for salability. Per engineered plans provided by Magnolia Advisors. ® Not to include utility accounts (i. e. Power and Water). Fee Structure ® Cost -Plus 10% ® Estimate Provided Estimated Total Cost - $34,271.00 LunDev Commitment Our goal is to. provide Magnolia Advisors with a one -stop solution for the rehabilitation and presentation of portfolio properties so that they can be resold at the highest value. Our commitment is to prudently assess each project and assemble a team of vendors and subcontractors; that will provide the best value for the desired result. Sincerely, Brett Lundequam, CGC 058183 Josh Beiter Approved WMagnolia Taxdeed, LLC Lundequam Development, LLC • 213 W. Comstock Avenue, Winter Park, Florida 32789 • Lundev.com CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION 300 N. PARK AVENUE SANFORD, FLORIDA 32772 PHONE: 407.688.5150 FAX: 407.688.5152 PLAN REVIEW COMMENTS Application Number: 14-2490 Date: 10/01/2014 Contact Person: Robert M. Hancock Contact Phone Number: 850.445.6574 Contact Fax Number: 407.622.1600 Contact E-mail Address: Robert@lundev.com Project Description: Residential Alteration Level II Job Address: 135 N Summerlin Ave The following is a list of the areas of the submitted plans that contained violations of the codes adopted by the City of Sanford and enforced by the Building Division. The violations noted must be addressed before the plans can be approved. Changes to plans shall be submitted on the same size format as the original submittal. Changes to construction documents that require an Architect or Engineer's seal must be submitted with the appropriate seal. Provide two copies of affected plan sheets and/or supplemental information as requested. COMMENTS: 1. Please provide the required insulation type and R-value that will be installed on the new CMU wall, in accordance with 2010 Florida Energy Conservation Code Section 402.1.1 or provide Energy Calculations. This information can be provided on the wall detail on Sheet 6. FBC 07 2. Please submit two copies of Florida Product Approval for the windows and door to be installed. Product Approval can be found at www.floridabuilding.org. The numbers begin with FL. Product approval must also be approved under the current code edition — 2010. FBC 107, FS 553.842, FAC61G20-3 3. Please provide two (2) copies of completed and signed Statewide Product Approval Specification Form and include the following products: windows and doors. Please see the attached blank form for your use. FBC 107, FS 553.842, FAC61 G20-3 Any error or omission in this plan review shall not be construed to grant approval of any violation of any of the adopted codes or municipal ordinances of this jurisdiction. Please direct any questions you may have to Steve Fiorey at 407-688-5065 or by E-mail at steve.fiorey@sanfordfl.gov . Respectfully, Steve Fiorey Residential Plans Examiner -1- Florida Building Code Online Page 1 of 2 Flo da Depammnt BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search BPusinesk a 11pniAPproval rofessi tlU Regulation IrR' M. Product Approval Menu > Product or Application Search > Application List > Application Detail FL # Application Type Code Version Application Status Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method FL15187 New 2010 Approved 14-2490 Plastpro Inc. / Nanya Plastics Corp. 5200 W CENTURY BLVD. LOS ANGELES, CA 90045 (440)969-9773 Ext 16 rickw@rwbldgconsultants.com Vivian Wright rickw@rwbldgconsultants.com Scott Johnson 5200 W Century Blvd. Los Angeles, CA 90045 (440) 969-9773 Ext18 scottjohnson@plastproinc.com Ron O'Connell 5200 W Century Blvd. Los Angeles, CA 90045 (440)969-9773 Ext 16 ronoconnell@plastpro.com Exterior Doors Swinging Exterior Door Assemblies Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer (' Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Lyndon F. Schmidt, P.E. the Evaluation Report Florida License PE-43409 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2014 Validated By Ryan J. King, P.E. � Validation Checklist - Hardcopy Received Certificate of Independence Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code FL15187 RO COI Certificate of Independence.pdf Standard ASTM E1886 ASTM E1996 ASTM E330 Year 2002 2002 2002 http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDgsidcHd6ieP8C... 10/ 15/2014 Florida Building Code Online Page 1 of 3 Fulda Npamwtq BCIS Home Log In I User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff ( BCIS Site Map Links I Search Business Professtn�al � ;Yd` Product Approval PP USER: Public User Regulation ArMOTSTIMM Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL1435-R14 Application Type Revision Code Version 2010 Application Status Approved *Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived L1 Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Product Approval Method PGT Industries 1070 Technology Drive Nokomis, FL 34275 (941) 486-0100 Ext22318 druark@pgtindustries.com Jens Rosowski jrosowski@pgtindustries.com ]ens Rosowski 1070 Technology Drive Nokomis, FL 34275 (941)486-0100 Ext21140 jrosowski@pgtindustries.com Windows Single Hung Certification Mark or Listing # 1 4 - 2 4 9 0 Keystone Certifications, Inc. Steven M. Urich, PE R Validation Checklist - Hardcopy Received Standard Year AAMA/WDMA/CSA 101/IS2/A440 2005 AAMA/WDMA/CSA 101/IS2/A440 2008 ANSI/AAMA/WDMA 101/I.S.2/NAFS 2002 ASTM E1886 2005 ASTM E1996 2002 ASTM E283 2004 ASTM E330 2002 Method 1 Option A http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEV XQwtDgsbCUITKel2O... 10/ 15/2014 —I 11 RECORD COPY afty of Sanikrd Building and Fire Prevention Product Approval Specification Form. # 14 - 214 9 WILDING SANFORD Permit ILI, 2-LA AO 1YJ PARI Project Location Address At required by Flo I nda Statute 553.842 and Florida Administrative Code 9N-3, please provide the informati6n and product approval number(s) on, the building components listed below if they, are to be that utilized on the construction projectrig permit. We recommend for which you are applying for a building you contact your local product supplier, should you not know the product approval. number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in, accordance with the Florida Building Code, Section 171,4.5., More information about Statewide, Product Approval can be obtained at w�.fio�ridabui�[din.o�r. The following information must be available on the fobsite for inspections: I. This entire product approval form 2. A copy I of tfi6,ma,ilnufacturer's installation details and requirements for each product. June 2014 . Revision Response to Comments ❑ RECEYVED FEB 12 2015 BY: City of Sanford Building & Fire Prevention Division Ph: 407.688.5150 Fax: 407.688.5152 Email: building@sanfordfl.gov Permit # / �% 1 �b Submittal Date a 1 Project Address: / 3S Su MnAQ,v' / 1 1,1 -/IcZ 32771 ' 6Z�A Contact: S6,n Tl Ph: L/'o 7 33q > 13 W 6 Fax: Email: S 6774,e Trades encompassed in revision: ❑ Building ❑ Plumbing ❑ Electrical ❑ Mechanical ❑ Life Safety ❑ Waste Water General description of revision: ROUTING INFORMATION Department Approvals ❑ Utilities ❑ Waste Water ❑ Planning ❑ Engineering ❑ Fire Prevention ❑ Building ,. RECORD COPY #14.2490 135 M. S t n CD 32771 PEB 12 Z015 Ae,0"r i',)rny Licensed Professional Engineer _. No. 40748 531 S. S.R.434 Altamonte Spring,. FL 32714 r 0• w Phone (407) 5?1-»57 Fax (407) 52 1->434 P. E. 0040748 S iV1Ctl1dr_ I I A I l G 5® V -v L I -(I. EXIFING WINDOW RECEIVED FEB 12 2015 BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION 09 Documented Construction Value: $ D Job Address: ,�,� d,�,- f , .� ✓-le Lz. L_-.j j!t 77/ Historic District: Yes ❑ No R Parcel ID: �j 9-3%-�'oy - �Lov - ovio Zoning: Kej' Description of Work: 2 mac .✓ 1 + r�� Oy 4jPz �A,r af- �",a ✓dlG — A/i AilcT G✓v­ Plan Review Contact Person: �i -s ;­Xg Title: Phone: e-Z/_y Fax: E-mail:tJ 7 GTc 4 AZA4-C . c'11,01 Property Owner Information Name _ - c Phone: Street: �'-&' Resident of property? City, State Zip: Contractor Information Name CoAs'7- T Phone: Street: R'. '& K Fax: City, State Zip: :2"l ,,L/. -/ 32 ,Fdv State License No.: f /L1 C D �f lobo Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit ❑ Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ❑ Plumbing ❑ New Service - No. of AMPS: New Construction - No. of Fixtures: Mechanical Ef(Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 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 incompliance 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees, when the pen -nit is released. Signature of Owner/A nt ate Signature of Contractor/Agent Date JPrinter/Agent's Name n A Print Contractor/Agent's Name Signature of NotaryRMN Date Signature of Notary -State of Florida Date HENDRENc, State of Floridan tr EE 19906E6s May 16. 2016 Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID .7— Type of ID F& /)I— Produced ID Type of ID APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Shall be inscribed with the date of application and the code in effect as of that date (Code 2010 FBC) 731.135(5)(6) Florida Statutes. REV 07.14 Coast to Coast piping, Inc. P.O. Box 607722 Orlando, FL 32860-7722 Phone # 407-298-7114 Fax # 407-878-0909 .J ' 2/3/2015 14012 Ship To Magnolia Taxdeed LLC 558 New England Ave. Magnolia Taxdeed LLC Winter Park, Fl 32789 558 New England Ave. USA Winter Park, FL 32789 USA - Z 'Nw1A 41W Install new 2 ton heat condenser and airhandler at 135 1 2,500.00 2,500.00 Summerland Ave. Sanford Fl. 32771. Replacing unit only no duct work. Total $2,500.00 Approving Signature/Date To: 14078147663 From: 1407614589E Date: 01/27/15 Time: 11:42 AM Page: 01 Jan.21. 2015 2:27PM No,0486 P. 1 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING . ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR POLICY NUMBER POOLICY EFFECTNE 04/26/2014 POLICY EXPIRATION LIMITS A GENERALLIABWTY �' COMMERCIAL GENF_RAL.LIABILITY ✓ CLAWS MADE OCCUR GL-44409-0 4/26/2015 EACHOGCURRENCE S 1,000,000 PREMISES Eaxw�ence S 1,00,000 MED EXP (Any um pwwn) $5,000 PERSONALaADVINJURY $ 1,000,000 OENERALAGGREGATE S 1,000,000 KEWL AGGREGATE LIMIT APPOES PER: POLICY Z LOC PRODUCTS-COMP/OPAGG S 1,000,000 Y AUTOMOMLEI_IABILrry ANYAUTO COMBINED SINGLE LIMIT (Ea accident) S 300,000 A ✓ ALL AUTOS SC14MULEDAUTOS CA-35785-0 04/26/2014 04/26/2015 BODILY INJURY (PerpelsOn) $ HIRED AUTOS ✓ NON -OWNED AUTOS UM-20,000 9 or acckwt) (Per IHxItl&Iq $ PROPERTY l wdd $ 10,00015000 Med GARAGE LIABILITY ANY AUTO I AUTO ONLY -EA ACCIDENT S OTHERTHAN EAACC AUTOONLY! qGG S S EXCESSIIMBRELLAL.IABNlTr OCCUR CLAIMS MADE EACH OCCURRENCE $ AGGREGAtE $ S DEDUCTIBLE RETENTION f i i s A WORKERS COMPENSATiONAND EMPLOYERS'LIABILITV ANY PROPRIETOFUPARTNEPJEXECUTIVE OyFFICER/MEMBER EXCLUDE;Dy SP CIAL PROVISIONS WOW OTHER WC-608632 05/09/2014 05/09/2015 ✓ WCSTATU- OTH- T RYLII�IT. E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE -FA EMPLOYEE $500,000 E.L,019EASE-POLICY LIMIT f 100000 DESCRIPTION OF OPERATIONS I LOCATIONS [VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT TSPECIAL PROVISIONS - Heating,Ventilation, Air -Condition install and Repair Jimmy Pollet - CMC041090 CERTIFN'eTr-;TAI nvu Vr+tYVCLV4IIVIY CITY OF SANFORD SHOULD ANY 01 THEABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAtLURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IUND UPON THE INSURER, ITS AGENTS OR o 25 (2007/08) f rya Detail by Entity Name Pagel of 3 Detail by Entity Name Florida Limited Liability Company MAGNOLIA FLORIDA, LLC Filing Information Document Number L07000064364 FEI/EIN Number 260640315 Date Filed 06/19/2007 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 06/13/2013 Event Effective Date NONE Principal Address 558 W. New England Ave Suite 250 Winter Park, FL 32789 Changed: 04/01 /2014 Mailing Address 558 W. ,New England Ave Suite 250 Winter Park, FL 32789 Changed: 04/01 /2014 Registered Agent Name & Address AMERICAN REALTY DEVELOPMENT, LLC 558 W. New England Ave Suite 250 Winter Park, FL 32789 Name Changed: 05/27/2008 Address Changed: 04/01/2014 Authorized Person(s) Detail Name & Address Title MGR http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/3/2015 Detail by Entity Name Page 2 of 3 LAW, PATRICK E 100 S. Virginia Ave. Unit 408 Winter Park, FL 32789 Title MGR CIRILLO, BRIAN 558 W. New England Ave Suite 250 Winter Park, FL 32789 Title MGR OLIVER, MICHAEL 558 W. New England Ave Suite 250 Winter Park, FL 32789 Title MGR RICHTER, RAINER 558 W. New England Ave Suite 250 Winter Park, FL 32789 Annual Reports Report Year Filed Date 2012 02/28/2012 2013 04/18/2013 2014 04/01 /2014 Document Images 04/01/2014 -- ANNUAL REPORT View image in PDF for 04/18/2013 -- ANNUAL REPORT View image in PDF for 02/28/2012 -- ANNUAL REPORT View image in PDF format 04/08/2011 --ANNUAL REPORT View image in PDF format 01/05/2010 -- ANNUAL REPORT View image in PDF for 07/24/2009 -- ADDRESS CHANGE View image in PDF format 01/16/2009 --ANNUAL REPORT View image in PDF format. 05/27/2008 -- ANNUAL REPORT View image in PDF for 06/19/2007 -- Florida Limited Liability View image in PDF format Copyright © and Privacy Policies State of Florida, Department of State http://search. sunbiz. org/Inquiry/CorporationSearchISearchRe sultDetail?inquirytype=Entity... 2/3/2015 Detail by Entity Name Page 1 of 2 Detail by Entity Larne Florida Limited Liability Compan MAGNOLIA ADVISORS, LLC Filina Information Document Number L10000127530 FEI/EIN Number 274333769 Date Filed 12/13/2010 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 08/09/2012 Event Effective Date NONE Principal Address 558 W. New England Ave Ste.250 Winter Park, FL 32789 Changed: 01 /09/2014 Mailing Address 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Changed: 01 /09/2014 Reaistered Aaent Name & Address MAGNOLIA FLORIDA, LLC 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Address Changed: 01/09/2014 Authorized Person(s) Detail Name & Address Title MGRM MAGNOLIA FLORIDA, LLC 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Annual Reports Report Year Filed Date 2012 02/28/2012 2013 04/18/2013 http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/3 /2015 Detail by Entity Name Page 1 of 2 Detail by Entity lame Florida Limited Liability Company MAGNOLIA TAXDEED 1 MM, LLC Filing Information Document Number FEI/EIN Number Date Filed State Status Principal Address 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Changed: 01/09/2014 Mailing Address 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Changed: 01/09/2014 L12000159656 46-1625952 12/21/2012 FL ACTIVE Registered Aaent Name & Address MAGNOLIA ADVISORS, LLC 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Address Changed: 01/09/2014 Authorized Person(s) Detail Name & Address Title MGRM MAGNOLIA ADVISORS, LLC 558 W. New England Ave. Ste.250 Winter Park, FL 32789 http://search. sunbiz.orglInquirylCorporationSearchISearchRe sultDetail?inquirytype=Entity... 2/3 /2015 Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Limited Liabilitv Compan MAGNOLIA TAXDEED 1, LLC Filing Information Document Number L12000160085 FEI/EIN Number 46-1625952 Date Filed 12/21/2012 State FL Status ACTIVE Principal Address 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Changed: 01/09/2014 Mailing Address 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Changed: 01/09/2014 Registered Aaent Name & Address MAGNOLIA TAXDEED 1 MM, LLC 558 W. New England Ave. Ste.250 Winter Park, FL 32789 Address Changed: 01/09/2014 Authorized Person(s) Detail Name & Address Title MGRM MAGNOLIA TAXDEED 1 MM, LLC 558 W. New England Ave. Ste.250 Winter Park, FL 32789 http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/3/2015 CITY OF SANFORD BUILDING & FIRE PREVENTION, PERMIT APPLICATION Application No: ��'T - i Documented Construction Value: $ 7600- c'— Job Address: -5—Iq - 6,t)fiur Historic District: Yes ❑ No I Parcel ID:. -rg 1 y /,?-cc, - Go/ G Zoning: Description of Work: -j" 4 61K F117-. n l,t / t 6y1 M& - I�C7iZlG Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name fq&q06-WMbjEFn IL.-C Phone: Street: 1; % Resident of property? City, State Zip: &) Contractor Information Name /g_, _ Phone: 4/4 Street: Z62 -4q"1 ?00 17- Fax: ;7 a %Z-/ City, State Zip: , `� State License No.: �ryG % _ 5 �%) Name: Street: City, St, Zip: Bonding Company: Address: Building Permit 10 Square Footage: ro _r7-CJG Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: _ Address: PERMIT INFORMATION Construction Type: No. of Stories: No. ofDwellingUnits: Flood Zone: Electrical N New Service - No. of AMPS: Mechanical ❑ Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler/Alarm ❑ No. of heads: 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'SAFFIDAVIT: 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed, the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: V/%1✓ ignature of Contractor/Agent Date i c:zs� (�e� Agent's 'pNY p�e�ti, ANNETTE SCOTT • �� Notary Public - State of Florida '' • i My Comm. folrgsiJan 16, 201a Commitficn 0 FF 071760 Bonded Thr%OpfationalNotary Assn. Contractor/Agent is Personall Kngwm o Me or Produced ID Type of ID r_ UTILITIES: WASTE WATER: FIRE: BUILDING: Rev 11.08 N.J. Electric Co. PO Box 300227 Fern Park, FL 32730-3453 Lie# EC 0002730 Lie# EC 13005463 Name / Address Lundequam Development 213 W Comstock Ave Winter Park, FL 32789 Date Estimate # 2/3/2015 105 P.O. No. Rep Description Qty Rate Total 135 Summerlin Ave Sanford, F132771 Remove and relocate all electric ( sub -panel, Service wires, and all branch wires) for garage/house seperation All labor and materials included in job 7,000.00 7,000.00 All estimates are good for 14 days. Total $7,000.00 Authorized Signature: Phone # Fax # Cell Phone # 407.767.6425 407.767.6425 407.435.0736