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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 war Lock lat.,sagA • • I Ml SURVEY Ati LOCATION w1P ���4® 'III Nm W scut LOT 29 BLOCK E PARCEL L-2 D.W.L EL .7.0' Otl►, LAX § _is§'SS' n=o2°4 .01", a g R=73.00' R=66' .00' g ANA. Toa LOT 30 BLOCK E N tur� MWa ny PROPOSED 2 STORY vq- 1_ fB.S.II 0 D. RESIDENCE v. o P 'm`�-0y a1 II. 111-0 ns Nom. MAA s•iY n 3° It/ LOT 31 BLOCK E y OrN Q �O Q � N O (r Z2 D=03'09'32" /�' R=522.00' / A=28.78' D=10'11"51" a 89C • -• CAMEILLA STREET _1 I° Iklil ` SUP iRY CWD PARCEL A PLOT PUN MODEL STDNDO.1-10-GAR-R AMMO KLAND GOLF COOMR PAR Y CLUD REPLAY !2 (Assn•3AGOn COL E - 1^",unvunwn I.VLI[C.TIa`J) l *d EL6L '°N 05-14-13 FP1PD. DATE 6 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 JA1YA 38039 ,AOd w •c ov1 N c o 0>0 '1 02rmy•5oca1°.9 vi P. �.0=. :=• '� °ger: •aog12 ,0 ;g o >•0 Ca omDDDaoDD —v. cg .co+ O .'Iy�•o•-..D tD )`:'CDa 5 °A X. .r AcD ' D Gn o �wEa'pp¢m. r� D b•O R w O O 0 e,iA 2 a n '. °Og bm n 5' 4.m C..O 't v e a g 'o't o 2 . o _ = a. . 0 ... nT w O el D 04 G ..vD ca o' Odo O�t.�_4ico o O° 5 'ti yVO. 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C m 0 a4 y 0 co s -s Q• em rC crel y to 0 = -• a, 0 tD til fp 0 r►, CD 3 D �°e, p+ O °CD 1 o Os O+ yt W N !+ 0 N g:_ r.) qa = n �. iii A -<.> -`1c11 ,P. 4 , \‘, , , ; , E , 1 A 0 NMES AND DETAILS 088 00 0 Go P /191 A-0 mfg 4 r31 g 5 0- u � c_!..:1 0 '•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 0 ‚0,',7'.1)k,,‚0,',7'.1)k,,010 7 ,i17, • 71. Scott Wiesel tttt 41, 0,1," 7 711/yyj (4(7,71077 77'7•71,7,7,1,yy) (4110700 ...... • NPDES INITIAL itto 1, 0 • > SEWER CONNECTION SIDEWALK FORMS R,snit 10, 700111) SIDEWALK SUB DENS... Dorian Johnson tr: 71./71.7))77 (077 7777,7. 01(1,77 .70 17 :r2 MAI,V),A C,O.nrin; Scott Wiese! ttS..ho.1 tri rirro, Co,nr 077,7) •14.,,tr, Dorian Johnson Pent,i,ks /0, rti '07,1/37.0 (440110) i :114e:30i Dorian Johnson tithed 7,7771,id7yyl lhh7,77,17 '010101111),l COMpl :hh O.!) TEMP ON HOUSE hit:petit,' Steve Mitchell Schpd (rumiciTy; 1714,77.,, 7,77, Prematittt 0 ....... — NOC Marilyn Blancen .e ,;(7';(71,y() 7+:4 ,.02 tin 77, • 7. ,7(7 770.7 .7.'7, r, ,ii; okirj.tri 1 • GROUND ROUGH .pe,to Scott Wiese! Ng+ 1:1,11;.11 r't ▪ .11r, 2 > SERVICE GROUND Rehttlit 2 > ' SLAB ELECTRIC R00,0 2 .•• • • > SOIL BEARING CERT sze,aa 2 • • > TRUSS PLANS ON FI... • '10 2 > WATER SERVICE 2 - SLAB • )+1,, 3 • > PRODUCT APPROVALS • rt. 4 - SOIL TERMITE TREA... 4 > , SPOT SURVEY 4 , TIE BEAM/BOND Steve Mitchell RehLkILs tr, pectof Steve Mitchell ff, ihrroctof Michael Guerasio R,,om,ks 1r,0,.'17,,,.071 intwto, Marilyn Blancett y•k: ..... 4,9,,,0/07 Scott Wiesel t.t, Michael Guerasio re,hrekr,r r:701,..t1.71 Michael Guerasio 21,,) ..... ....... C.01,1p! (1 ,04.1')).3 1l▪ :+1 WO, 777,7771d,yyJ 77711 'WM 1,,,Vrtyy) ad, or,O) Cf:f11,1 1,04.1414) (1177 ▪ 77731(1717yy) (7d, Om) Conlpl (1 771,7"71,17yy7 (Mt 177(0) min) t,:.0117,1 r, rat,,,ttityyt (ti), am., 1101 vi') 17, ;,:t. "10+; ▪ ri •npl; yy; Michael Guerasio Michael Guerasio ittio yeti:arks) Michael Guerasio 7 (7 (71(7'777t7).17) ,171-11171,7 (, 707/7:1044,7 7077 00711 t0,13400741 tom) tom, I iiif1 fr)131) k.0)0410124 hup://parkvcapp/trakit9/permitTRAK.aspx?cmcl—PERMITNO&pern it_no—BLDG1306-00... 7/24/2013 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 ROOF SHEATHING !,,,pe,to, Michael Guerasio SkOo-1 OM Kerr (11!, iron) 6 Re:wit ;0,,, pm10 Remarks toro4010; c;orno; ji.?” 0,0 130) ROUGH DUCT •--- , TELEPHONE ROUGH Ro00 fn.) t^O,oilj 6 TOP OUT 0oOkli; 6 6 TRUSS losA TV ROUGH R,dud rt.suit) 6 ; •0), 6 6 UNIT MASONRY CERT (4,0!! ie00t) WALL SHEATHING , > WIND/DOOR BUCK 41(34 11,• ....... -• 7 .• 8 • • 9 TIN CAP 000 cf,d ie.d;11 HOT MOP IN PROGRE... Rt ,o,; 100 reoorti Scott Wiese! • ;01, t,itmotol 4.1Syy; (71/7,030, Mt, ft"; ,;;.;pt:t It -11 ‚0'000 0;rd:Pyy) C00,14 .00,/(41 tthotoot,» Scott Wiese! R,,rom-kr, 00, 14.,1/41,,yo /13) 00,'! Cr0o4 :am) d)op,073,i Michael Guerasio 34.1cfrVY) 0,) 0000,r,, re00/133,1 0,10 ten, );(01,0, ,on.) Steve Mitchell (010,04,3) routy?ki/yy; Michael Guerasio SO1E..1 ;;'oIg'0!/y'4 1,11h 17,0,) 0,..07100 lemarks) .,300 to,. re i:Oyy) 7!;'; tom; q Michael Guerasio tjyY) .0 U0s.r•ricliyy) Mt•ipm ;.,t Michael Guerasio Michael Guerasio ,nt2 nrni) C Ot4T) U. 700,, 0,Ittify) /001;1,0 330 0V • 1,1;y"..,) /'7/3.0!0;! ii.s0,1•,, Michael Guerasio •,,041:,,y) ,110,n10; d -a do.mdd FRAMING .,,,peok,f Michael Guerasio f.,..he,i rm y/414y) (il0.0,0;) Re,t,d ,,,,, i40701 Remad<d Id» re:m.4(0i Condi dr, ,,,,d,Ilyy) fhb 73,7)7) ------ 7 WIND/DOOR ATTACHM... Michael Guerasio 0,,0ed 0it1447) (00.004 Fie,,tid (''00(0/)) (p0re0m0.1„s) Cdmpl 9 WIRE LATH !dyed»! Michael Guerasio Sched 0/.34y; (dtrdno) . , . 0,0701 (do ie.00.al,N) yr, 3,M.11,y) f,hh 0,r,0 9 INSULATION qwto. Michael Guerasio SchaJ Mti.1^/y3 ( ,,','d1; POI‘aokS (FM lf-M,Ii,S) r'00,1'y ;IV! 10 11 11 11 ) 12 12 12 12 DRYWALL SCREW SCREW ;•1•:m.:1,,, Michael Guerasio ROOF TILE UPLIFT ... Pe, d.t roSoit! ▪ m0d n•,+1) !,,,,rect,, Michael Guerasio :khed !.."+ 1.,Akyp! 0,0 :300) ;7, • !"0!,000) 011:1^,,y1 (/7*0!'"; TILE IN PROGRESS :::speeo, Michael Guerasio ;;;O rOOOlti F'00:3O,3 foo to,O1,; ALARM FINAL in,r•e:.!!Mi Steve Mitchell ;Ott trt,14,1 DRIVEWAY STEEUPA... !"pectot (0,:0,130:100 F2000 /0,700/;;!! 0,01;104 dld,rd,Edd .... ELECTRIC FINAL ,0,1-,,00, Steve Mitchell RotoOt (07, ENG DRAINAGE Rddua ddlyyd Co00 wdd.43,1 (i,n 1,,q) SihOi ;0 C011pt ,3(1,11 fn 1rvddlVy1 (I,t) I fin,' C.0011,) /0 3)030'!)! :lin e;307i yitc1(i'yy; (Lei 01M) 0000y'.!•10,00ro; .... ,r? ▪ 0,4 COMOI /" +"'7)/ yy; 0,4 ;too; m!;•!,•,tor Dorian Johnson yo 300/) RoiltOrK, :•q11.1 • FINAL SURVEY Marilyn Blancett 0,0 12 o'301,0/71 OM don; vr, •> IRRIGATION FINAL Scott Wiese] hbrna+) 4003..t RoolOt V;+.; 70/00d.„,; C:1,014 ;0 10001 0/71 12 ..... . i • y IRRIGATION ROUGH iosoro.1.0; Scott Wiese! n,',Jciiyy; o/,00o; R,dua (no re,oii/ renOnS; nakyj ; ft:h 12 • LANDSCAPING ;,,;;;.,,,, t, William Mohler k•.,,,,i( OW 1.0S40) R,,,,,,,, t*,,.: remad<d) 12 MECHANICAL FINAL 1,0,1., Scott Wiesel :".,003• I w 7)0..00 ('3,)iesoh.,; ,,,,y0.D., jro; roma•ks) /'.;op( 12 111,1(Fyy) fhb MO • fr • d'il,byyj rnd,1 , > : PATIO SLAB/PAVERS 12 PLUMBING FINAL 141,4yy) (000/30/ (11,1 7007.; Michael Guerasio (',3t. I ;0, 'o/./l1,) (0:1 3!;» m30) Scott Wiese! e,; 011W http://parkvcapp/trakit9/permitTRAK.aspx?cmcl-PERMITNO&permit_no=BLDG1306-00... 7/24/2013 PermitTRAK Page 3 of 3 12 yto ,Rt 1r omp,< yr, ROOF FINAL h,! -,,,-•to, Michael Guerasio :or ,;0009y, Rth,at OrkS ''12 • > SHUTTERS 12 • > SIDEWALK Ret.;1- p,son 12 ; > TELEPHONE FINAL Rf.:su( (00 ro.0) 12 •••• > TV FINAL 12 Resort (0.)r•-.0) • • „ > ; WELL FINAL 12 12 ... ,000(0, Michael Guerasio ;0)4,3 own/ Poni.otc', (b0 ovn) rr,..porto, Michael Guerasio ReillarkS (+I% ....-- )0,,r,cto= Steve Mitchell 0001000 00 tetna,0, 1,0)4010 Steve Mitchell SP:nlarks (00 00(/0)'))) (000depyy, ft(tr in(n) trn-nixt-ey) ((0 000) (001,:id,yp (0)nm( Cnnlp! imwdd vy) the) %,,,; -------- qkid yy( %kr, am+) nnipl :PI .341,P0) r0m) '('090:),) Scott Wiese! 00.) rmkt,yy; MO R-0.1000 (00(0(00)00) 0,0,0 :(0.04/rbyy) (00 '0,0; ZONING INSPECTION •ow.,•••••1•0 Tamara Frost nt,n; yy) ADMIN CHECKLIST** 13 00,1,it (0 K .0 (0,, ; Marilyn Blancett (140P)yj iPh MIN; )0.r0p1 to/ ((0(0)')) (00 0/')') ADMIN POOL COMPLE... ud:o••••.t..i Marilyn Blancett &-nr (0 iladdiyy) ,(h ma.) 0, suit Ow rot iflt) • 13 FINAL** (0,00(1 0010,,0Z 0,,,,u*E (('0 ren0al0s) Coop( (o(, (00 0/0)) 1,150,, 1,1 (00 U'o,en'a'ko) F.,1,1 ;en. rildSyyj (no') 0') 0(0)iyyj (0h (110') 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