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HomeMy WebLinkAboutBLDG1306-0090-ApplicationContact Person: Margaret LaCalle
City of Parkland
Building Permit Application
www.citvofoarkland.ore
Phone #: (954) 905-1350
E mail: mlacalle@tollbrothersinc.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, /ACCORDING TO F.S. 713.135
Company Name Toll Brothers, Inc. 1iMerPet1mr BLDG 1306-0090
Business Address 951 Broken Sound Parkway, Suite 180 IlDate -
City, State Zip Phone # . Construction Value
Boca Raton FL 33487 (561) 999-1877 €ngineers Name Toll Architecture
Property Owner's NameToll FL V, LLC, a Florida limited liability company 'Engineer's License # 72328
Owner's Street Address 250 Gibraltar Road Phone # (407) 248-5800
State Zip Phone # Architect's Name Toll Architecture
AR94562
(407) 248-5800
C'rty
Horsham
Job Site Address
PA 19055 (215) 938-8000 Architect's. License#
10320 Cameilla Street Lot 30 Btock E Phone #
Work Description: COP - Structural changes to the foundation
A4 :-loan 0 4' bee( Al 4 4 // %4.1e,
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no woi k or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Iarkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR COP'DITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAVING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail:
Print Name of Qualifier/Builder:
Donald Robert
License number:
CGC15
Signature o
On this ,? of •, 1 ( , before me, the undersigned
Notary Public of the State of Florida, personally appeared
and whose name is subscribed to and within
the instrume//She acknowledges that he/she executed it.
A
NOTARY P STATI`OF FtOR A
PRINTED NAME OF NOTARY PUBLIC
>�Personally known to me 0 Produced identification
(0 Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
0 Oath not taken
SARA KHAJA
MY COMMISSION if FF 024224
EXPIRES: June 5, 2017
d ` Bondea "MN Notary Public Undeiwriters
Notification E-mail:
Print Name of Prope
William Schi
Owner's Address:
250 Gibralta
S)gnature of Prope
Property Owner
y Owner:
idt, VP
r Road, Horsham, PA 19055
Owner:
On this day of # Js.20 j 3 , before me, the undersigned
Notary Public f the State o Florida, personally appeared
and whose name is subscribed to and within the
Id he/she acknowledges that he/she executed it.
/,-)
NOTARf PUB IC A-E OF FLORIDA
PRINTED NAME OF NVTARY PUBLIC
)f, Personally known to me
0 Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
0 Produced identification
0 Oath not taken
t;�v. SAIRA KH JA
MY COMMISSION 1 FF 024224
4: EXPIRES: June 5, 2017
"•? p ny Bonded Thru Notary Public Undenrthere
Electrical Contractor: TRAYLOR ELECTRIC CO . INC .
Business Address: 424(1 W HTT.T.SRORO BLVD. COCONUT C'RFFK _ Ft— 3307
License #: EC 00011t1 i Estimated Construction Value:
Phone #: 954-421-3,00 Notification E-mail:
Qualifier Signature: I —� )
The foregoing instrufnent was a knowledged before me thus
who is personally known•to me or who produced
Notary Public:
PlumtiingCpntracfor�
Business Address:
License #:
'Phone #: Notification E-mail:
1Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
day of
My Commission Expires:
GARY R. EVANS
20 ,by the above named person
•.r a$, identificatiojvvho did/did'not't4ke an oath
i•ry Comm
--
BOn?r-d Th,n ,..•, • -- .
Estimated Construction Value:
Mechanical Contractor? -i
Business Address:
License #:
Phone it:
Qualifier Signature:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Notification E-mail:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
day of
Landscaping Contractor:
Business Address:
License #:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Otti`er;Contraetorz
Business Address:
'License #:
(Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
,20 ,by the above named person
as identification who did/did not take an oath
Electrical Contractor:
Business Address:
License #:
Estimated Construction \slue:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
Plumbing Contractor: Ridgeway Plumbing
Business Address: 640 E. Industrial Ave. Boynton Beach, FL 33426
License #: CFC019077
Phone #: 561-732-3176 Notification E-mail:
Qualifier Signature:
The foregoing instrument waswledged before me thus 23 day of Septem
rho is personally known to me or who produced
Notary Public: My Commission Expires:
cr
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction ‘1alue:
Print Name:
Mechanical Contractor:
Business Address:
License #:
Gary Kozan
r ,20 13 ,by the above named person
as identification who did/did not take an oath
KATHI EEN M. HALL a
Notary Public - State of Florida
My Comm. Expires Juu 11, 2014
I umuussron # UU 981724
Estimated Construction \alue:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
day of
Landscaping Contractor:
Business Address:
License #:
n
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction \slue:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Other Contractor:
Business Address:
License #:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
r
tie*Cal. Contractor: '
Business Address:
License #: Estimated Construction Vlue:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Pitimilingtontractdr.V
Business Address:
License #: Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification whojdid not take an oath
Notary Public: My Commission Expires:
ligeehairicak Gantraor:: ` I-c.f 2 Cid ri1 1 Cr'pc I? J C C.
Business Address: i*N.1.?-) AM r ii.ie - ( r-1 tI, '�• }." 1U� c �` 1
License #k .(. 4 (,t ?�3'S"-- Estimated Construction Val :
Phone #:, 01- (0 t CI I oc/3 Notification E-mail=Q r6-' or? - Yid' d etc /73 .l' /\. (cm
Qualifier Signature: WA j VaI✓— Print 'Name: O 1 t"")11(
The for -' _ ",•����` was acknowledged before me thus day of 20 �"
- above named person
wh as identification
Nota ! My Commission Expires:
rte149'11/4.614,,,,,
Notary ?JbiiC State of Florida
0. Tricia Rada
/r� •`' • My Commission EE113546
i8' • l• 1: Oji r expuesurr!Dips ,,,
Business Address: w�
License #: Estimated Construction Vane:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
me or who produced
d not take an oath
,20 ,by the above named person
as identification who did/did not take an oath
othet•Cofibractor
Business Address:
License #: Estimated Construction Valine:
Phone #: Notification E-mail;
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personalty known to me or who produced as identification who did/did not take an oath
Notary Public My Commission Expires:
Contact Person: Margaret LaCalle
Company Name
Business Address
City
Boca Raton
"1-1NSP
City of Parkland
Building Permit Application
www. c itv of p a r kl a n d. o re
Phone #: (954) 905-1350
J,xN
(1,,,0e.„ •,24,4,v
E-mail: mlacalle@tollbrothersinc.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
.Toll Bros Inc. tipster -Permit Number )�j occio
951 Broken Sound Parkway, Suite #180 ate
State Zip Phone# tlonstructionValue
FL 33487 (561) 999-1877 lngineer's Name
Property Owner's NameToll FL V LLC, A Florida Limited Liability Company Engineer's License #i
[thane #
City State Zip Phone # /architect's Name
Owner's Street Address 250 Gibraltar Road
Horsham PA 190555
Job Site Address 10320 Cameilla
(215) 938-8000 Irchitect'sLicense#
Lot 30 Block E IF#hone#f
Work Description: New Construction - Single Family
41 336S- 18 So
Toll Architecture
72328
(561) 752-5440
Toll Architecture
AR 94562
(407) 248-5800
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC
Contractor
Notification E-mail:
Print Name of Qualifier/Builder:
Donald Robert Barn
License number:
CGC152108Z
Signature of Qualifi
.i
On this Al day of ay , 20 iS bef re , e undersigned
otary Public Rf t tate of Florida, personally appeared
AA and whe name is subscribed to and within
the ins . • - t, an., a/sore ackno ed: s that he/s e exe uted i
/
'NOTARY P :LIC, STArF, OF FLORIDA
u.1.;t Riocdr•*—
PRINTED NAME OF NOTARY PUBLIC
%Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
❑ Produced identification
❑ Oath not taken
JULIE BECHTEL
MY COMMISSION # EE 120097
EXPIRES: August 8, 2015
Bonde+ Tito; Notary Public Under writers
RDING YOUR NOTICE OF COMMENCEMENT
Property Owner
Notification E-mail:
Print Name of Property Owner:
William Schm dt
Owner's Address:
250 Gibraltar Road, Horsham, PA 19055
Signature of//Property ywner:
t1
On this $1 d of May . 20 13 , before me, the undersigned
Noka Pp _ ublic of he State of Florida, personally appeared
ki t and whose name is subscribed to and within the
,Ind a/sh a nowledge that he/s ecuted it.
/ lh
'"OTAPUBLIC, STATEF FLORIDA
Lt.
—Palt.PE75 NAME OF NOT, RY PUBLIC
4ersonally known to me
❑ Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
❑ Produced identification
❑ Oath not taken
JULIE BECHTEL
MY COMMISSION # EE 120097
EXPIRES: August 8, 2015
Fan,fel Thru Natary Pubu Underw ir. is
Electrical .Contractor:
Business Address:
License #:
Estimated Construction Value:
Print Name:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Pturnbing Contractor:
Business Address:
License #:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Print Name: j
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Mechanical Contractor:
Business Address:
License #:
Phone #:
Qualifier Signature:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Notification E-mail:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Landscaping. Contractor: Toll Lan
Business Address:
License #: CG C 1521087,
Phone #:
Qth1llSignature:
Print Name: j
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
„ No
The foregoing instrument was ackn wledged bef
who is personally known to me or who produced
Notary P
Ot ' er COn : ctor:
Business A e dress:
License #:
Phone #:
Qualifier Signature:
My Commission Expires:
Print Name: Dpyo.%A. e
,20 13 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Va
Notification E-mail:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
ue:
JULIE BECHTEL
MY COMMISSION ;1 EE 120097
EXPIRES: August 5, 2015
one.; Th cU"taw Pi ihli;; Underwriters
,20 ,by the above named person
as identification who did/did not take an oath
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #:
Notary Public:
License #: CFC019077
Applicant Signature:
The foregoing instrument was acknovyl$dged before
who is personally known to me or who produced
Ridgeway Plumbing
Phone #: 561-732-3176
Notary Public:
Print or Type Name:
day of
me thus 6TH
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
_Am.._An
My commissio
Estimated Value:
, 20 , by the above named person,
as identification who did/did not take an oath.
Expires:
Estimated Value:
Print or Type Name: 4-y Kozan
day of Mardi
.0"s n't i
s.
' '•; �f.o' gid`:•
Phone #:
Notary Public:
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #:
Notary Public:
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #:
Notary Public:
lb 41 41
ANNA-LESAJA8n
Notary Public • State of Florida
Commission #r EE 854154
Bonded Throgph National Notary Assn
Print or Type Name:
day of
My commissior
Print or Type Name:
day of
My commission
Print or Type Name:
day of
2013 , by the above named person,
as identification who did/did not take an oath.
xpires: NOVEMBER 26 2016
Estimated Value:
, 20 by the above named person,
as identification who did/did not take an oath.
Expires:
Estimated Value:
, 20 by the above named person,
as identification who did/did not take an oath.
Expires:
Estimated Value:
, 20 , by the above named person,
as identification who did/did not take an oath.
My commission Expires:
i
J
ELECTRICAL CONTRACTOR
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #: Estimated Value:
Notary Public:
i
f
LANDSCAPING CONTRACTOR
PLUMBING CONTRACTOR
Print or Type Name:
day of
, 20 , by the above named person,
as identification who did/did not take an oath.
My commission Expires:
License #: Phone #:
Applicant Signature: Print or Type Name:
The foregoing instrument was acknowledged before me thug day of
who is personally known to me or who produced
Notary Public: My commissio
MECHANICAL CONTRACTOR
Preferred Air Conditioning & Mechanical
Estimated Value:
, 20 , by the above named person,
as identification who did/did not take an oath.
Expires:
License #: CAC032382 Phone #: 561-689-1093 Estimated Value:
Applicant Signature: ,�Y _ Printr Type Name: Join L. Childers
The = -'•. instr e was acknowledged before me thug day of , 20 13 , b the abo
w o is personally k .wn to me or who p o. ced f' (} �f '
Notary Public: �, = (`��
My commissio
License #: Phone #:
Applicant Signature: Print or Type Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who producers
Notary Public:
Exp
s id i do idStateagEF04th.
.F Tricia Rodd
My Commieelon EE113546
i'oi nd� Cxpire s a7/14/7416
Estimated Value:
, 20 , by the above named person,
as identification who did/did not take an oath.
My commission Expires:
OTHER CONTRACTOR
License #: Phone #: Estimated Value:
Applicant Signature: Print or Type Name:
The foregoing instrument was acknowledged before me thus day of . 20 , by the above named person,
who is personally known to me or who produced as identification who did/did not take an oath.
Notary Public:
My commission Expires:
l
•
f
•
ELECTRICAL CONTRACTOR
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #: Estimated Value:
Print or Type Name:
day of
Notary Public: My commissi
PLUMBING CONTRACTOR
License #:
, 20 , by the above named person,
as identification who did/did not take an oath.
n Expires:
Phone #: Estimated Value:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Print or Type Name:
day of
Notary Public: My commissi
MECHANICAL CONTRACTOR
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
, 20 , by the above named person,
as identification who did/did not take an oath.
n Expires:
Phone #: Estimated Value:
Notary Public:
LANDSCAPING CONTRACTOR
Print or Type Name:
day of
My commissi
, 20 , by the above named person,
as identification who did/did not take an oath.
n Expires:
License #: Phone #: Estimated Value:
Applicant Signature: Print or Type Name:
The foregoing instrument was acknowledged before me thus day of , 20 , by the above named person,
who is personally known to me or who produced as identification who did/did not take an oath.
Notary Public: My commission Expires:
OTHER CONTRACTOR Cinema Sound Unlimited (CSU)
License #: 05-CLVC-11977-X Phone #: 954-580-8786
Applicant Signature:
The foregoing instrument was acknowledged before me thus 12
who is personally known to mor who produced
Notary Public:
Estimated Value:
Print or Type Name: Philip Henann
day of Apri 2013 by the above named person,
as identification who did/did not take an oath.
My commission Expires:
JULIE BECHTEL
MY COMMISSION # EE 1
EXPIRES: August 8, 2015
Bonded Thru Notary Public Underwriters
1
ELECTRICAL CONTRACTOR
License #: EC0001185
Traylor Electric Co Inc
hone #: 954-421-3300
Estimated Value:
Applicant Signature: ✓� i/ / Print or Type Name: Gry R Evans
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: i
PLUMBING CONTRACTOR
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #:
Notary Public:
MECHANICAL CONTRACTOR
License #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Phone #:
Notary Public:
LANDSCAPING CONTRACTOR
My commis
Print or Type Name:
day of
0
1 A1, ••
u'! •„rs'
K!.1 '/ CFY
•rentif' tion
did/ id not teke.an
N!oar lic - ta'e of Florian
My Comm Expires Jun 23, 2016
• 11i1
h.
My commissio
Print or Type Name:
day of
My commissio
License #: Phone #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public:
OTHERCONTRACTOR
License #: Phone #:
Applicant Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public:
Estimated Value:
20 by the above named person,
as identification who did/did not take an oath.
Expires:
Estimated Value:
, 20 , by the above named person,
as identification who did/did not take an oath.
Expires:
Estimated Value:
Print or Type Name:
day of Mar4h , 20 12 by the above named person,
as identification who did/did not take an oath.
My commissi
Print or Type Name:
day of
My commissi
n Expires:
Estimated Value:
20 , by the above named person,
as identification who did/did not take an oath.
n Expires:
Contact Person: Margaret LaCalle
Company Name
Business Address
City
Boca Raton
City of Parkland
Building Permit Applicata
www.citvofoarkland.org
Phone #: (954) 905-1350
on
E-mail: mlacalle@tollbrothersinc.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACORDING TO F.S. 713.135
Toll Bros Inc. master Permit Number
951 Broken Sound Parkway, Suite #180 Elate
State
Zip Phone #
FL 33487 (561) 999-1877
(Property Owner's Name Toll FL V LLC, A Florida Limited Liability Company
(Owner's Street Address 250 Gibraltar Road
City State Zip Phone #
Horsham PA 19044 (215) 938-8000
(Job Site Address 10320 Cameilla Street Lot 30 Block E
(Work Description: COP - Electric / Low Voltage as Built
(construction Value
Engineer's Name
Engineer's License #
Phone #
/ rchitect's Name
PIIrchitect's License #
Phone #
1306-0090
Toll Architecture
72328
(561) 752-5440
Toll Architecture
AR 94562
(407) 248-5800
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work Dr installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR COND TIONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYII
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE REC
Contractor
Notification E-mail:
Print Name of Qualifier/Builder:
Donald Robert Barnes
License number:
CGC1521
Signature of Q
On this 11 day ofJuna 20 14 , before me, the undersigned
Notary Public of the State of Florida, personally appeared
Don d Barnes and whose name is subscribed to and within
the instrumen , and 1-le/she acknowledges that he/she executed it.
NOTARY PIA, STATE OF FLORIDA
Saira Khaja
PRINTED NAME OF NOTARY PUBLIC
24 Personally known to me
❑ Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
Produced identification
U Oath not taken
CARRA KHAJA
MY COMM: SIGN 4 FE 024224
EXFIR::June 5.2017
Gori.,: ;, ,Liv i'uslic Underwriters
•-'7;,� des • e✓ --
G TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
RDING YOUR NOTICE OF COMMENCEMENT
Property Owner
Notification E-mail: ml3calle@tollbrothersinc.com
Print Name of Property Owner:
Margaret LaCalle
Owner's Address:
250 Gibraltoad, Horsh�inji, PA j 9055
Signature
On this Vy day ofJune , 20 14 , before me, the undersigned
Notary Public of the State of Florida, personally appeared
Margaret LaCalle and whose name is subscribed to and within the
trumept, and he/she acknowledges that he/she executed it.
NOTr1Y PUBLIC, STATE OF FLORIDA
Saira Khaja
PRINTED NAME OF NOT! RY PUBLIC
5d Personally known to me
D Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
U Produced identification
U Oath not taken
SARA KHAJA
MY COMMISSION 4 FF 024224
EXPRES• June 5, 2017
Bonded fh,,; Nntary Public Underwriters
Electrical Contractor: TRAYLOR ELECTRIC CO. INC.
Business Address: 4240 W. HILLSBORO BLVD. COCONUT CREEK, FL. 33073
License #: EC 0001185 Estimated Construction Vale:
Phone #: 9 54-471— (1 Notification E-mail:
Qualifier Signature: L Print Name:
The foregoing instrurtnt was a knowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
.0113 n# Contras E;
Business Address:
License #:
GARY R. EVANS
'2t"� i �Ki L ebttve,narned person
jtif i9r� o_c �li4 pot talo an oath
n
1 `'•}`= My Cornet. Expires Jun ?3 ,
Comrnission # EE 19F
Bonded Through Natronal Nr t .
Estimated Construction Vale:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public:
Mec 001,Contra
Business Address:
License #:
Phone #:
Qualifier Signature:
My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Valije:
Notification E-mail:
Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Landsca ,mg Contractor:;
Business Address:
License #:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Vallee:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Other,Co tra
Business Address:
License #:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced
Notary Public: My Commission Expires:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Print Name:
day of
,20 ,by the above named person
as identification who did/did not take an oath
Electrical Contractor: HW Automation Inc.
Business Address: 2415 Stirling Rd, Ste B. Ft. Lauderdale, FL 33312
License #: EF20000457 Estimated Construction Value:
Phone #: (954) 322-0136 Notification E-mail: angela@hwautomaion.com
Qualifier Signature -i— } ` r- ' --� Print Name: David Botknecht
The foregoing instrument was acknowledged before me thus day of ,20 ,by the above named person
who is personally known to me or who produced as identification who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor:
Business Address:
License #:
Estimated Construction Vale:
Phone #: Notification E-mail:
Qualifier Signature: Print Name:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Mechanical Contractor:
Business Address:
License #:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Landscaping Contractor:
Business Address:
License #:
Print Name:
,20 ,by the above named person
as identification who did/did not take an oath
Estimated Construction Value:
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Other Contractor:
Business Address:
License #:
Print Name:
Estimated Construction Valu
Phone #: Notification E-mail:
Qualifier Signature:
The foregoing instrument was acknowledged before me thus day of
who is personally known to me or who produced
Notary Public: My Commission Expires:
Print Name:
,20 ,by the above named person
as identification who did/did not take an oath
e:
,20 ,by the above named person
as identification who did/did not take an oath
City of Parkland
Building Permit Application
bVil' w.Cityoftsarkt a r, a.org
Contact Person: CHARLES DIFALCO Phone #: (954) 776-0590
E-mail: charlie@actionroofingservices,com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACORDING TO F.S. 713.135
Company Name ACTION ROOFING SERVICES INC. M4ster Permit Number )3 o —Oo' O
Business Address 1910 NW 18TH ST. BAY 1 Dite 22g) ill
City State Zip Phone #
POMPANO BEACH FL 33069
Property Owner's Name TOLL FL
Owner's Street Address
C nstruction Value
(954) 776-0590 Engineer's Name.
Engineer's License #
Ph. ne #
�5 (7 6,16val i► eyt of
City State Zip Phone #
1AOYOAVP 01 1'd,5—c-- ( ISI 7 k400O
Job Site. Address /0340 a r //y S ' Lot Block E
Work Description: NEW TILE ROOF
Ar
hitect's Name
Arhitect's License #„
Phone #
Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work o• installation has commenced prior to the issuance of permit
and that all work will be performed to meet the standards of all laws regulating construction in the City of Park'and, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDn TONERS, ROOFING, SHUTTERS, ETC.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO
Contractor
Notification E-mail:Charlie@actionroofingservices.com
Print Name of Qualifier/Builder:
CHARLES E. DIFALCO
License number:
CCC 054757
Signature of Qualifier:
,
l
a y1L
On this "A' Lday of W%i %+ , 20 /I , before me, the undersigned
Notary Public of the State of Floda, personally appeared
CHARLES E.DIFALQQ and whose name is subscribed to and within
the instrument, a „,,e1(r,,aeknowledges that he/she executed it.
r
NOTARY PUBLIC,F(0)RIDA
ANDRES SANCHEZ
PRINTED NAME OF NOTARY PUBLIC
Ig Personally known to me D Produced identification
❑ Oath taken ❑ Oath not taken
NOTARY PUBLIC SEAL OF
OFFICE:
Application Approved By:
Permit Officer
cOF
ANDRES SANCHEZ
MY r t"',;SS!ON # DD 978347
Apra 4, 2014
,3c ^ ; . ^eget Nutari Services
Notification E-mail:
Print Name of Property
DING YOUR NOTICE OF COMMENCEMENT
Property Owner
wner:,,viargaret LaCaIle
Owner's Address: n
550 (��t�Oral+ f? e, 140r ., e I RUS-
Signature of
On this 2 if dayf Feb two", 20 14 , before me, the undersigned
AQtary Public gf th �tiaie f Florida, personally appeared
( "''IIII 9 l* 44 and whose name is subscribed to and within the
ins menti nd he ins menti ndshe acknowledges that he/she executed it.
NOTARS-PIiBLIC, STATE'F FORIDA
S(,t We 11-j
PRI TED NAME OF NOTARY PUBLIC
ersonally known to me
❑ Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
❑ Produced identification
3ininn r,t1AJA
MY COMMISSION # FF 024224
o;= EXPIRES: June 5, 2017
onded Thru Notary Public Underwriters
Contact Person:
City of Parkland
Building Permit Application
www.citvofoarkland.ore
Phone #:
E-mail:
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. T13.135
Company Name 0
Business Address I
City State
3{rte= R
Pen.J U ee4
Zip Phone it
Property Owner'sName�j ?pfe. fJ !1
L L
Owner's Street Address qL5 COLD (>1
Ctty State Zip Phone #
PAck.t..0
lob Site Address ( Q3) fYle3 Q.
Work nescrlptiofs As A,? 4 S Pei?% \C J QG c
LotBlock
-799 -1X77
Master. PennItNumbr 1 So - ocf',
late
Mien Vatue4110 00.
Sneer's Name
neefs License #
Phone #
Name
License #
Application is hereby made to obtain a permit to do the work and instanatinn as in,ii ed.1;ra i y that no +wont or instaiiation has commenced prior to the issuance of it
and that all work will be performed to meet the standards of alt laws regulating construction in the City of Parki:nd, Florida. I understand that a separate permit may be
secured for ELECTRICAL, PLUMBING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITt7NERS, ROOFING, SHUTTERS, ETC.
1 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING nivicE FOR IMPROVEMENTS TOYOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING -YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail:
PrintI! me of Quallfier/Buiider:
License number:
Signatur
On th s . ' i day of " f , 20 I Li , before me, the undersigned
ry Public of the State of Florida, personally appeared
' ft (:)10p N and whose name is subscribed to and within
the instrument, and hee//ssshee admowl es that he/she executed it.
moi-'-f-ti C.' . ---4-75/?"1-1..‘'
NOTARY PUBUC, STATE OF FLORIDA
PRINTED NAME OF NOTARY PUBLIC
6riPersonally known to me
0 Oath taken
NOTARY PUBLIC SEAL QF
OFFICE:
pplication Approved By:
ermit Officer
0 Produced Identification
0 Oath not taken
Property Owner
Notification E-mail:
Print NameofProperty vner:
Owner's Address:
Signature of Property Owr-er:
On this day of , 20 , before me, the undersigned
Notary Public of the Sate of Florida, personally appeared
and whose name Is subscribed to and within the
instrument and heist e acknowledges that he/she executed it.
NOTARY PUBUC, STATE OF FLLRIDA
LOUELLA PERDUE
MY COMMISSION #FF038075
EXPIRES July 21. 2017
Floridallotary Se rvlco,c®m
PRINTED NAME OF NOTARY PUBUC
0 Personally known to me
O Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
Date:
0 Produced identification
Q Oath not taken
atEZZI trA1040
In-�.T a
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•
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SURVEY
Ati
LOCATION w1P ���4®
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Otl►, LAX
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a g R=73.00' R=66' .00' g
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/ A=28.78'
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_1
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FP1PD. DATE
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Jen NO.: 030815
LEGEND:
® CATCH BASIN
0 CARLE •AJNCION BOX
CENTEBIAVE
0 CONDIT
O CONCRETEEHT•
(o]i MOW SERV=
ELEVATION, AS -BUST
ELEVATION, PROPOSED
FIRE HYDRANT
"^^ EIOYM ARROW
SCALE ? = 30'
. I 14 REA
I
O •aC LB2931, SET 1/2'
P usir POLE - CONC.
-0• LIGHT POLE - 14E1AL
® UANNDLE - SANITARY SEWER
© lomat - sum sae
• NAIL R TW TAB
• W,0. . MSC
V./ WEARY SERYICE(S)
• TELEPFKH* JUKTION Box
0 WATER METER
C• WAXER VALVE
o YARD ORAw
SHEET 2 OF 2 SHEETS
NILE WI "9/1,V
IRRIGATION LEGEND
• HUNTER SPRAY HEAD OR SHRUB AJ)APTOR
X HUN1ER ROTOR HEAD
HUNTER ELECTRIC VALVE
Gi HUNTER CONTROLLER WITH RAIN SENSOR
PVB BACKFLOW PREVENTER
NOT SHOWN:
• CLASS 200 LATERAL PIPE
• SCH 40 MAIN LINE WITH LOW VOLTAGE WIRE
MINIMUM 16 GAUGE
• SCH 40 SLEEVES 2 SIZES LARGER
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'•S UUNN NUlivtlIdtt1
THIS CARD MUST BE POSTED IN FRONT AT ALL TIMES
City of Parkland
6600 University Drive
Parkland, FL 33067
(954) 753-5447
BUILDING\ENGINEERING PERMIT
PERMIT NUMBER: BLDG1306-0090
PERMIT TYPE: SFR
SITE ADDRESS: 10320 CAMEILLA STREET
TYPE OF IMPROVEMENT: NONE
Applicant Information
DESCRIPTION: 30/E PG&CC
Contractor Information
TOLL BROTHERS, INC. D.B.
ISSUED DATE: 7/24/2013
FOLIO NO: TMP52
CODE YEAR:
Owner Information
TOLL BROS INC
951 NW BROKEN SOUND PARKWAY SUITE 951 BROKEN SOUND PARKWAY SUITE 180
180 BOCA RATON, FL 33487
BOCA RATON, FL 33487-
(561) 999-1877
(954) 905-1350
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. (F.S. 713.135).
Notice: In addtion to the requirements of this permit there may be additional restr ctions applicable to this property that may be
found in Public Records of the County, and there may be additiona permits required from other governmental entities such as
water management districts, state agencies or federal agencies.
PERMIT EXPIRES 180 DAYS FROM EITHER THE ISSUE DATE OR 90 DAYS FROM THE LAST APPROVED INSPECTION
il
For Inspections please call (954) 753-5447. Inspections are scheduled fo same-day inspections up until 6:00 AM.
SEQ
ID
INSPECTION TYPE
Building Official or Authorized Signature Date
ELECTRICAL
30 DAY FOR TESTING
TEMP ON HOUSE
2 SERVICE GROUND
2 SLAB ELECTRIC
6 ALARM ROUGH
6 ELECTRIC ROUGH
6 TV ROUGH
12 'ALARM FINAL
12 'ELECTRIC FINAL
12 'TELEPHONE FINAL
12 ITV FINAL
INSPECTIONS
INSPECTOR DATE
SEQ INSPECTIN TYPE
ID
12 WELL FINAL
PLUMBING
STRUCTURAL
SEQ INSPECTION TYPE
ID
1 NOC 1
2 SOIL BEARING CERT
2 TRUSS PLANS ON FILE
3 SLAB
4 PRODUCT APPROVALS
4 SOIL TERMITE TREAT
4 SPOT SURVEY
5 TIE BEAM/BOND
INSPECTOR DATE
INSPECTOR DATE
THIS CARD MUST BE POSTED IN FRONT AT ALL TIMES
City of Parkland
6600 University Drive
Parkland, FL 33067
(954) 753-5447
BUILDING\ENGINEERING PERMIT
6 ROOF S4ATHING
ENGINEERING
SEQ INSPECTION TYPE INSPECTOR DATE
ID
DW SUBGRADE DENSITY
NPDES INITIAL
SIDEWALK FORMS
SIDEWALK SUB DENSITY
12 ENG DRAINAGE
SEQ INSPECTION TYPE
ID
12 LANDSCAPING
LANDSCAPING
MECHANICAL
INSPECTOR
SEQ INSPECTION TYPE INSPECTOR
ID
CONDENSATE LINE
6 ROUGH DUCT
12 MECHANICAL FINAL
No Inspection Group
SEQ INSPECTION TYPE
ID
6 TELEPHONE ROUGH
12 DRIVEWAY STEEL/PAVER
12 ZONING INSPECTION
PLUMBING
DATE
DATE
INSPECTOR DATE
SEQ INSPECTION TYPE INSPECTOR
ID
SEWER CONNECTION
2 GROUND ROUGH
2 WATER SERVICE
6 TOP OUT
12 IRRIGATION FINAL
12 IRRIGATION ROUGH
12 PLUMBING FINAL
DATE
6
6
6
6
7
8
9
9
9
10
11
11
11
12
12
12
12
12
13
13
14
TRUSS
UNIT M
ONRY CERT
WALL SHEATHING
WIND/DOR BUCK
TIN CAP
HOT MOD IN PROGRESS
FRAMIN
WIND/DOR ATTACHMENT
WIRE LAtH
INSULAT ON
DRYWA4 SCREW
ROOF TILE UPLIFTTST
TILE IN PROGRESS
FINAL SURVEY
PATIO SLAB/PAVERS
ROOF FIliJAL
SHUTTEFS
SIDEWALK
ADMIN 4HECKLIST**
ADMIN FOOL COMPLETE
FINAL**
PermitmRAK Page 1 of 3
r Permit 8 BLDG1306-0090
No Parent Activities
r No Permits
4 No Cases
, No Issues
.4 Print
„ Attachments
• Internet Links
'4: Imaging
• Plan Location
View Notes
0(0701206-0090 rk BLDG ;tie
t‘ttt. 11N.,
• • > BLDG1306-0090
30/E PG&CC
ISSUED
SFR
Su:1i07,o NONE
Del ttits AdO Notts
TMP52
at..00 0)01 ,1)0' 0 Bi 070,-'01
• ^ •
04/18/2013 7?
3 0711712013 0013
1,:w7,7 07/24/2013 00/3
rtipaittd
pood
04/20/2014 / 41:71:7
10320 CAMEILLA STREET
017, PARKLAND \livi,4-tin PARKLAND GOLF & COUNTRY CLUB
(7017o FL Tyi., ADDRESS
Zip ",ktct
E I
'1 30
..tt.,1,1•3,3i, i t is 1Pg:
300 V:,1,1 $26:'
C3tarwi Vrt 1SS 00 :A t
• )i'07'01 71,1). (tilt
' Add inspections Calendar , Set Sendertte
— > 30 DAY FOR TESTIN... Steve Mitchell
Rroit rho
0
.......
' ' ' CONDENSATE LINE
• DW SUBGRADE DENSI... Dorian Johnson
Ette‘it.1
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Scott Wiesel
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itto
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PermitTRAK Page 2 of 3
5 R,,M i•Ito 1;0/
• ALARM ROUGH • ,,:p0,10, Steve Mitchell (130 ,00,01,y1
6 Remarks (0., r.,d,9d,d) Comp/ dy, ;001)
. > ELECTRIC ROUGH imr.,-10, Steve Mitchell :00v;(1 Ind '/d,/7'1'y) (hd
6 Rdo.di RemaRs 01,.% ron..rio; Conip) (ro Ald,yy; (i,h
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http://parkvcapp/trakit9/permitTRAK.aspx?cmcl-PERMITNO&permit_no=BLDG1306-00... 7/24/2013
PermitTRAK Page 3 of 3
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http://parkvcapp/trakit9/permitTRAK.aspx?cmd=PERMITNO&permit_no—BLDG1306-00... 7/24/2013
BLDG1306-0090
PERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
CB LDG1306-0090
T 3©/ E
PERMIT TR E
STATUS APPLIED
FEES CHARGED FEES PAID
JOBVALUE OWNER
SFR
ISSUED
$9,644.66
$267,360.00
ISSUED
BALANCE DUE
301E ItG&CC
1 06/18/2013 07/24/2013
1 $8,988.46 $656.20
TOLL BROS INC
PERMITS
BALANCE DIE
1 $9,644.66
$8,988.46 / $656.20
Drintnrl• Fririnl. •)n IDnienr, ')111n 1 of 1
$267,360.00
• ' •••,;
PERMIT NO
SUB -PERMIT
SUB -PERMIT
SUB -PERMIT
(BIDG1306-009(9
*C)/
•
W
PERMITS
1
..,•111!11
•
$8,988.46
PERM T TYPE DESCRIPTION
STATUS APPLIED ISSUED
FEES CHARGED FEES PAID BALANCE DUE
JOBVALUE OWNER
SFR
APPROVED
$8,988.46
$267,360.00
1.9TAL. of M4. FEE$
FEES PAID
$550.00
Printsari • Tho ircrinxi 1Q 1111‘, Cl11 of 1
30/11PG&CC
06/18/2013
$550.00 $8,438.46
TOLL BROS INC
•
er •
CEDUE JOBVAWE
$8,438.46 $267,360.00
NORTH SPRINGS IMPROVEMENT DISTRICT
10300 N.W. 11th Manor
Coral Springs, Florida 33071
(954) 753-0729
RECEIPT FOR UTILITY SERVICE REQUEST
TOLL BROTHERS INC
(applicant)
94525 OLD CLUB ROAD
(billing address)
PARKLAND, FLORIDA 33076
(city, state, zip)
INVOICE:
12304
MAY 23, 2013
(date)
547-0253-02
(account number)
APPLICANT IS FAMILIAR WITH THE TERMS AND CONDITIONS CONTAINED IN THE APPLICATION FOR WATER
SERVICE AND ACKNOWLEDGES AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS CONTAINED THEREIN.
METER USE FEE
SYSTEM CONNECTION FEE
WATER USE DEPOSIT
REPAIRS
(meter number)
(installation date)
10320 CAMEILLA STREET
(service address)
30/E/POD 17-18/PGCC
(legal descrp.)
5/8" METER
TO BE CHARGED ON FIRST BILL
(by)
$ 500.00
3075.00
PAY "'HIS AMOUNT $ 3525.00
CHECK# 9ns7 $
CASH $ BY
APPLICANTS SIGNATURE DAfE
COPIES: White/Builders Copy - Pink/Building Permit Copy - Yellow/Office Copy - Green/Connect Order, W/S - Gold/Connect Order, Office
NORTH SPRINGS IMPROVEMENT DISTRICT
10300 N.W. 11th Manor
Coral Springs, Florida 33071
(954) 753-0729
RECEIPT FOR UTILITY SERVICE REQUEST
INVOICE: 12304
TOLL BROTHERS INC MAY 23, 2013
(applicant) (date)
94525 OLD CLUB ROAD 547-0253-02
(billing address) (account number)
FA.UTAND. FLORIDA 33076
(city, state, zip)
APPLICANT IS FAMILIAR WITH THE TERMS AND CONDITIONS CONTAINED IN THE APPLICATION FOR WATER
SERVICE AND ACKNOWLEDGES AND AGREES TO ABIDE BY THE TERMS AND CONDITIONS CONTAINED THEREIN.
METER USE FEE
SYSTEM CONNECTION FEE
WATER USE DEPOSIT
REPAIRS
(meter number)
(installation date)
10320 CAi)MEILLA STREET
(service address)
30/E/POD 1704B/PGCC
(legal descrp.)
3/8" METER $ 500.00
TO BE CHARGER ON FIRST BILL
(by)
3025.00
PAY'rHIS AMOUNT ' $ 3525.00
CHECK#
CASH $
I$
BY
APPLICANTS SIGNATURE
DATE
COPIES: White/Builders Copy - Pink/Building Permit Copy - Yellow/Office Copy - Green/;,onnect Order, W/S - Gold/Connect Order, Office
B
0.0. COUNTY
F L O R IDA
Environmental Protection and Growth Management Department
PLANNING AND REDEVELOPMENT DIVISION
1 North University Drive, Building A, Suite 102 Plantation, Florida 33324 964-3674656 FAX 954-3574521
Development Review Fee Statement
APPLICANT INFORMATION
Owner (or Agent): ftpamt La Ode Phone: pm) 905-1350
Mailing Address: MS Oki Club Road Parldand, R. 33016
Development/Project fame: Parklarsd Golf and CC Roulet #2 LOT 30E. Ambassador Lot 30E
Pit Name: Pridnd Golf & Crary Club Reek #2 Book 174 Page: 137 OM #: 069 -MP -03
Lo(s): 30 Mod(s): E Building it:
1•
FEES
�EM
Edelmn' aped - School Fee an A -SkI Far*
$11,955.00 1 44% 0 01,.955.01)
$11,1155.00 Total for 16mideittial Eduadaasal Impact
0,955.00 Grund T
y 7/7 ..57.21
tr;to*
VALIDATION
LOPMENI NANAUMENT
DIVISION
I:COMER RECEIPT ***
1'11013 Receipt No: BOOY6432
iTans numbeT: O016.
k,u:s INC
Pto)ect No:
Dt5cription Ouaotity Amount
'6ur-s/
Lit tqC.CP $8,955.80.
48,955.
The fees above are due and payable
13ROWPAD COUNTY BOARD OF COUNTY
THIS STATEMENT BECOMES A RECEIPT WHEN STAMPED BY A REGISTER
Authodsed Signahre:
1
BRQNARD
COUNTY
FLORIDA
Environmental Protection and Growth Management Department
PLANNING AND REDEVELOPMENT DIVISION
1 North University Drive, Building A, Suite 102 Plantation, Flo .ida 33324 954-357-6666 FAX 954-357-6521
Broward County Transportation Concurrencv Satisfaction Certificate
* Please note that this approval does not constitute Environmental Rkview Approval. You will still need
the Environmental Approval Certificate to submit to the Building DE partment.
Issue Date: 06/17/2013 DR Review #: 0022411
Application Number: 000371752
Title of Drawings: Ambassador 30E Project#: 0030
Plan Last Revision Date: 6/14/2014 Bldg Crept Jurisdiction: Parkland
Legal Description: Plat Name: Prklnd Golf & Cntry Club Replat #2
Plat Number: 069 -MP -03 Book: 174 Page: 137 Lct: 30 Block: E
Address: 10320 Cameilla Street, Parkland, FI. 33076
Construction Type: New Construction
This approval is issued in accordance with Sec. 27.66 of the Broward County Natural Resource Protection Code. This
approval is specific for the plans and description described on this approval. Any changes in footprint, Lot #, or
bedrooms or use will require a new approval.
Development Review
a' BUILDING OFFICIAL: Broward County Planning & Environmental Regulation Division impact and/or transportation
concurrency fees have been satisfied/paid for Proposec: 4 -bedroom Single Family Unit
Lot 30E
Receipt# 0022411
L ' TRANSPORTATION CONCURRENCY SATISFACTION: Certificate is hereby 'slued
*Any revision to these plans requires a new development review by the division.
If a building permit is not applied for within 30 days of the Environmental Review Approval, plans must be re -submitted to the
Planning and Environmental Regulation Division for re-evaluation.
Development Reviewer Name: Thuy Turner
F L OR IDA
Environmental Protection and Growth Management Departmen
PLANNING AND REDEVELOPMENT DIVISION
1 North University Drive, Building A, Suite 102 Plantation, Florid 33324 954-357-6666 FAX 954-357-6521
Broward County Environmental Review Approval Certificate
Issue Date: 6/17/2013 ER Review #: 000371752
Title of Drawings: Ambassador 30E Project#: 0030
Plan Last Revision Date: 6/14/2014 Bldg Dept Jurisdiction: Parkland
Legal Description: Plat Name: Prklnd Golf & Cntry Club Replat #2 Lot: 30 Block: E
Address: 10320 Cameilla Street, Parkland, FI. 33076
Construction Type: New Construction
This approval is issued in accordance with Sec. 27.66 of the Broward County Natural Resource Protection Code. This approval is specific
for the plans and description described on this approval, any changes in footprint, Lot #, or bedrooms or use will require a new approval.
APPROVED
WARNING NOTIFICATION TO THE PLANNING AND ENVIRONMENTAL REGULATION DIVISION IS REQUIRED WITHIN TEN (10)
WORKING DAYS AFTER ISSUANCE OFA BUILDING PERMIT, A CERTIF'CATE OF OCCUPANCY, A TEMPORARY
CERTIFICATE OF OCCUPANCY, CERTIFICATE OF COMPLETION, FINAL INSPECTION OR ANY OTHER ACTION THAT
ALLOWS OCCUPANCY OF THE BUILDING OR FACILITY. THE BUILDING DEPARTMENT IS REQUIRED TO
ELECTRONICALLY UPDATE BUILDING PERMIT AND CO DATA ONLINE AT
HTTPS://DMDW EB.BROWARD.ORG/DMDWEB/LOGIN.ASPX
" COMMENTS NEW SFR
If a building permit is not applied for within 30 days of the Environmental RevieviApproval, plans must be re -submitted to the
Planning and Environmental Regulation Division for re-evaluation.
Environmental Reviewer Name: Rich Mathieu
CFN # 111556347, OR BK 49823 PG 918, Page 1 of 1, Recorded 05/23/2013 at 03:01
PM, Broward County Commission, Deputy Clerk 3110
Permit # Folio #
NOTICE OF COMMENCEMENT
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 :
1. Legal Description of Property:
Street Address If available:
Ih, t•tpace_reserved for recor_tle,
Lot 30 Block E Unit/ Bldg A 51Lengthy legal attached
Subdivision 1 Condominium: Parkland Golf & Country Club
10320 Cameilla Street. Plat Book 174. oa 137-10. Replat 82
2. General description of Improvement : New Construction - Single Family Home
Toll FL V Limited Partnership 9425 Old Club Rdad Parkland, FL 33076
Fee Simple
3, a. Owner name and address:
b. Interest In property:
c. Name and address of fee simple
titleholder (If other than Owner):
4. a. Contractor name and address: Toll Bros Inc. 951 Broken Sound Pkwy 6180 Boca Raton, FL 33497
b. Contractor's phone number: 561-999-1877
5. a. Surety name and address:
b. Surety's phone number:
c. Amount of bond:
6. a. Lender name and address:
b. Lender's phone number:
N/A
S
7 a Persons within the State of Florida designated by Owner upon whom notices or other doc
by Section 713.13(1)(a)7., Florida Statutes:
Name: William Schmidt, Toll FL V Limited Partnership
Address: 9425 Old Club Road Parkland. FL 33076
b. Phone number: 954-905-1350
6. a. In addition to himself or herself, the Owner designates
3970 W Indiantown Road, Jupiter, FL 33478
b. Phone number of person or entity designated by owner
9. Expiration date of notice of commencement:
ents may be served as provided
Donald Barnes
to rtrceNe a copy of Lienors Notice ter Section 713.13(1)(b), Florida
561-741-5710
(the expiration dale is 1 year from the date of re ding unless a different date is specified)
WARNING TO OWNER'. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXP RATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7 3, PART I, SECTION 713.13,
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEME TS 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.
By
Signature(*) of Owner(s� nor(s' Authorl Ricer/DlrectorIPPartnerlManager
pan Name Milers
�Schmidt, Division Vise Predd,nt, Toe FL V Limited Porn.nlap edig Name
Title/Office a ata wrm.ehlp,VT Toe FL GI Corp, P it Corp, m Were, NW Title/Office
STATE OF FLORIDA
COUNTY OF BROWARD
The foregoing Instrument was acknowledged before me this 22. day of May
By Milian Sdrnddl ea Wotan VP of Toll FL GP Coo. • FL corp. on behalf of old Corp In ea ceoadtn ns nenera1 oar ner of Toll FL V 10. a FL Ltd oartnerahio on behalf of aaa o.ln.thlp
IndMVldually, of Oat laa Oivlelon Via President for Toil FL V Ltd Partnership
CIPersonally known, or ['produced** following type of Identification:
S� Eii:-.. JULEBECHTEI. 11{{{{
MY COMMISSION M EE 120097�9Slgnature o1 Notary Public:
EXPIRES: Augusts, 2015 IEE Print Name/ I/
Bused TM Noisy Public ludo iters
2013
1 (SEA
VERIFICATION PURSUANT TO SECTION 92,526. FLORIDA STATUTES
Under penalties of perjury, I declare that I have read the foregoing and
that the facts stated In It aro true, to the best of my knowledge and belief.
ecniel
By naturo(s of Own 1er(s Officer/Director/Partner/Manager Manoger whQsi�no4
By Sufi:.
OC I.,
von,e rem"'_ C,.V
9tecadrpuams C. noli21
City of Parkland
Plan Log Out
This form must be completed before plans can be logged out
( ) Zoning kStructural ( ) Electrical () Plumbing () Mechanical ( ) Fire () Engineering
Notified Date(s):
Permit #: 1 &b_ 009 0
Contractor / Owner Name:
Site Address:
Owner Name:
Date Logged Out:
Permit Type:
By: _ /4D4/n PUte
Print name ONLY Please!
Company / Title:
10/05
7oci_/PNf
rammit- 364 - oo q 0 Vadc Eifib
Ibowierhowitilimuswom
11101.1111111101.1
2.Ilioevaiiiiii44011,0,101,10VOMOK .1011601010400001.1.
3.- Iioe Q r t()o t 1'4s1AMs
o jrZsee V9:3 C.(Goviaratmoirmaittiairso
IsrassowstagegOisaillallal"0:4010
ca -cc. P$ 11',24iy' -
r
airs
0 IligaltigalagigasifigoanfferrarairimpOrmar
s
City of Parkland
Plan Log Out
This form must be completed before plans can be looaed out
Zoning KStructural () Electrical ( ) Plumbing () Mechar ical (), Fire () Engineering
Notified Date(s): •11 ?21
'J'3
Permit #: A 3 o to - '009 o Permit Type:
Contractor / Owner Name: s
Site Address:
Owner Name:
Date Logged Out: IUo 1/_5
By: G rb .a Mud
Print namle ONLY Please!
Company / Title: 1.31
10/05
��-- 3o( F (C'Ic7
Jean Panebianco
1306-0090
FRONT ELEVATION HAS CHANGED WITH RENOVATIONS. PROVIDED CITY
COMMISSION APPROVAL DOCUMENTATION.
1.3o(D _ o 09 0
PLANNING AND
ZONING
Michael Guerasio CHANGE PLAN ST
need to provide roof framing plan for small roof system added above dining rc om.
CITY OF PARKLAND
Planning and Zoning Department
6600 University Drive, Parkland, FL 33067 (954) 753-5040 Fax (954) 341-5161
ANTI -MONOTONY APPLICATION
INSTRUCTIONS TO APPLICANTS:
1. Please complete all information on the application and provide attachments.
2. Please provide a location map showing subject property, adjacent lots and surrounding lots. The
location map must show at least two (2) lots on either side of subject Droperty and five (5) lots directly
across from subject property.
3. Please provide a list of ALL adjacent properties and surrounding properties building elevation, body
paint color, trim paint color, roof color, and roof style. Map required must show listed information.
(Photographs of surrounding homes accompanied by home aesthetics may be substituted for required
list). Identify vacant lots, if applicable.
1. APPLICANT INFORMATION
Applicant (if other than owner): 1-.0 LL 3%.12ei,5
Address: a42 -G9 0(4, GLvgj I4' City: t"612-14 L>A&P
Phone: 5(pL--a4V'' IS? % E -Mail Address:
I C-
ST: Zip: -.?j..270%(p
II. PROPERTY LOCATION & INFORMATION
A. Folio Number:[ j[ ]-[ ][ ]-[ ][ ]-[ l[ ]-[ ][ l-[ l: l[ ]-[ l[ ][ ][ l
PP 4VACJv o14- &o*I**t .), CA vP�
C. Subdivision: A -NA .55 �/2O (2 - Coutt.6 c, -t-( p
D. Property Address: o `--2-i -SCJ-Q' t 2�
E. Property Lot/Biock:
F. Model/Elevation: c+CYI 9 r ll \A- 01:2
G. House Color/Trim: c5erietA ' I -] H. Roof Color/Style: Li h+
arif,r
B. Community:
02/05/2009
Page 1 of 1