HomeMy WebLinkAboutBLDG1403-0024-ApplicationCity of Parkland \J0
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Building Permit Application ~ !J:J ..X IV .x
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Contact Person: Krista Hardee
www.cityofparkland.org
Phone #: (239) 498-8426
\.
E-mail: KristaHardee@WCICommunities.c'i
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
Company Name WCI Communities, LLC Master Permit Number l '+o3 -C0"2.'4'
Business Address 24301 Walden Center Drive Date
Crty State Zip Phone# Construction Vatue
Bonita Springs FL 34134 (239) 498-8200 Engineer's Name Specialty Engineerifti
Property Owner's Name WCI Communities, LLC Engineer's license # 009217
Owner's Street Address 24301 Walden Center Drive Phone# (561) 752-5440
Crty State Zip Phone# Architect's Name Zargham & Sinclair it
Bonita Springs FL 34134 (239) 498-8200 Architect's license# AR13223
Job Site Address\\~~'\~~ M~ ~ Block'¥ Phone# (305) 439-3688
Work Description: New Single Family Residence -Construction with Landscaping
'--\IL\ \31{)'l -l~~ ()
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 RECORDING YOUR NOTICE OF COMMENCEMENT
Contractor
Notification E-mail: kristahardee@wcicom munities. com
Print Name of Qualifier/Builder:
Steve T. Jolly
License number:
CGC031523
On this before me, the undersigned
Notary Public of the State of Florida, personally appeared
NOTARY PUBLIC SEAL OF
OFFICE:
0 Produced identification
0 Oath not taken
~~~~.v.:~""" KRISTA L HAAOEE
* .~ * MY COMMISSION IFF 026187
.. ~... EXPIRES:.lme11,2017
"~tOFf\.df-fl BondedThru Budget Notary Services
Property Owner
Notification E-mail:kristahardee@wcicommunities.com
Print Name of Property Owner:
WCI Communities, LLC I Paul Erhardt, Sr. VP
Owner's Address:
24301 Walden Center Dr, Bonita Springs, FL 34134
Signatur
On t is , before me, the undersigned
Notary Public of the State of Florida, personally appeared
.---------and whose name is subscribed to and within the
NOTARY PUBLIC SEAL
OF OFFICE:
edit.
0 Produced identification
0 Oath not taken
~y P(ll( ~~ ••••••• t> KRISTA L HARDEE
* .\1;.1,.. * MY COMMISSION I FF 026187
.. ~ EXPIRES:June11,2017 ~ft OF ,._til'-llcndtd Thru -NOIIty Services
Application Approved By: _______________________ _ Date: ___________ _
Perm it Officer
Electricate6hfiaEfor: 'j TRAYLOR ELECTRIC CO. INC. """'~-'·~~---'""---~"'-""'-'-•-------''-'-' ---===.:.;_==-:::.=.::.=.::::......;:o..::...;::......;==-:..:::..:.. ___________________ ---l
Business Address: 6.? Ml lJ HTT U>RORO RLVD C:OC:ONTTT C:RF.F.K FT 11071
License#: EC 0001185 Estimated Construction Value:
Phone#: 954-421-3.100 /"" Notification E-mail:
Qualifier Signature: / d./vJ ~ ~
The foregoing instn..rent was a <in owl edged before me thus
who is personally known to me or who produced
day of
Notary Public: \ . · -~ My Commission Expires:
~;'_-i)C~
Print Name: GARY R. EVANS
,....._.., ___ ~:lri~A..&> .• '""'JD:.!.~~~VJi.. named person
~ ,---·~·:;;_:'~::>~ identific.Wid'H wlib<6il:'t/did notfake an oath f.P ~\j·. ~ Notary Put: lie -Sia::: cf Florida
:,.\". '[-~;·::My Comm Exp~res Jun 23 2016 ~ -~:;;~, ~,;6':: Commission # f'E 196789 ~
'"""''' Bonded Through Nat:~na1 No:arv Assn
~~ill§!.i~-f:R~Eitt'l~t\.: _______________________________ -__ -___ ~_~ _____ ---i
Business Address:
License#: Estimated Construction Value:
Phone#: Notification E-mail:
Qualifier Signature: Print Name:
day of ,20 ,by the above named person The foregoing instrument was acknowledged before me thus
who is personally known to me or who produced as identification who did/did not take an oath . Notary Public: My Commission Expires:
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 who did/did not take an oath
Notary Public: My Commission Expires:
pa~~~c~ruri~4~~i~;~Q~~~---------------------------------------------~
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 who did/did not take an oath
Notary Public: • My Commission Expires:
2ill~~.f9iJtr.a.~l~t~::;'·t.:::t: .... _______________________________________ -:-_,
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 who did/did not take an oath
Notary Public: My Commission Expires:
Electrical Contractor:
----------------------------------------------------------------------------~ 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 who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor:
----------------------------------------------------------------------------~ 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 who did/did not take an oath
Notary Public: My Commission Expires:
Mechanical Contractor:
----------------------------------------------------------------------------~ 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 who did/did not take an oath
Notary Public: My Commission Expires:
Landscaping Contractor: ----------------------------------------------------------------------------~ 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 who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor: Cypress Trace Security, Inc.
Business Address: 12360 Wiles Road -Coral Springs FL 33076
License#: EF0000034 Estimated Construction Value: ~~c:::.._
Phone#: 954-755-1432/.---) /7 Ngtification E-mail: d.hay@cypresstracesecurity.com ~
Qualifier Signature: ( /~ / ~ ./' Print Name: Ray Amodio
The foregoing instrumentwas ackn6wledged before me thus 18 day of October ,20 13 ,by the above named person
who is persona~wn to me or pf\o produced ··~···. oeti~cJ(YlAJ(1o di /did not take an oath
No"'Y Pubi;c, '-t)~f ~ My Comm;";oo E>pke" ~r;~ foN COMMISSION# E£8411132 (1· ~.,cf\' ...... ·. EXPIRES October 29. 2016
l , (~7139&-0153 Flollda~·oom
~~f;¢a~:t@aQt~?l
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 who did/did not take an oath
Notary Public: My Commission Expires:
PfHm~Iiifei~H RIDGEWAY PLUMBING, INC
Business Address: 640 INDUSTRIAL AVE BOYNTON BEACH, FL 33426
License#: CFC 019077 Estimated Construction Value: ~ I SD
Phone#: 561-732-3176 / Notification E-mail: KATHY®RIDGEWAYPLUMBING. COM
Qualifier Signature: A' ....----Print Name: GARY KOZAN
The foregoing instrUment ~z:owledged before me thus 15TH day of OCTOBER ,2013 ,by the above named person
who is personal!:l known to e or who produced as Identification who did/did not take an oath
Nota~ My Commission Expires: 11-0.""-~d' e ·& ·~~.,
~ ~ ... ··'' ~'>•.,_ 1\ATHl.EE~j M. HALL · /~r.~" ,'\;, \ Nota, y Puul:c -State of Florida t
. :-:! .t~'· >-,; 1·.~" Comm_ Exo'res .Jiin 1" ?01~
M"~nJ'Catfi:i~~~ -<~--cg;:~ Co:nmiss:8n # DD 981724 ~
l,;.-.. -!._-~1· ~<·i:~~~..~.:.:.:~
Business Address:
IHII • oGnceu <•;:_ql1 -iJI•or,al Nolary Assn_
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 who did/did not take an oath
Notary Public: My Commission Expires:
~~~Plfii][;,i!ft~i~iiir:;J
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 who did/did not take an oath
Notary Public: My Commission Expires:
--
~ri~i'ltlict~Wf,\)'~
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 who did/did not take an oath
Notary Public: My Commission Expires:
il:'LE~T;RICAL<cfONTR~~toR -------------------------------
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: _____________ _
,~R:~~ijlt4~A~ttt~cr()R ------------------------------
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: _____________ _
.~~\:OIJ ENGINEERED AIR LLC
....::9....::..5....::..4-....::..4....::..49.:....-....::..1.:.... 60.:....0:__ ____ Estimated Value: l (' "--\ C-., C)
The foregoing instru , 20___:!1_, by the above named person,
who is personal!
~"~~~Q;'C~~l:~~JOR ___________________________ _
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: _____________ _
f;~r~~~:coNr~~ctoR ______________________________ _
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: _____________ _
Et~~t~~J~i@~9t1:
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 who did/did not take an oath
Notary Public: My Commission Expires:
Plurnbi~f!~~ll~~~d:or:
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 who did/did not take an oath
Notary Public: My Commission Expires:
iinec;6~6~~f'C9njractpr,:
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 who did/did not take an oath
Notary Public: My Commission Expires:
lands~J?ing'.Co.ritractor:
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 who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor: 6u~fioWER. t A'J>..\i}<:::.r ~b i; IW~-DeA n~ \12-et~orJ
Business Address: r52oo \ <S\ll.\'t::.. (2-0 { ~"ZA'-1 ~~j_\
License#: ID -W..~.J\\..4<.\L:.-e_ Estimated Construction Value: G ~ )~00 ~
Phone#: 'Slo\ ~ifi_gl_ fll\\-~ Notification E-mail: pf.ZA\YT e_ Sut--\TL.a,VCQ..U~ .... \t> Su~?IJ--\6. J-.\€:T
Qualifier SignaturE\\ ~ / Print Name: \?J\2.b.D Fo~D \~~"
The focegolng lnstru~nt w:;;t,:owledged befoce me th"' day of ,20 ,by the above named person
who is ~son ally kn~to m or who produced as identification who did/did not take an oath
Notocy Publl<o M ~
,..... ~ E~PiN07A .'J,!f;'.-.~,1{-. IRMA -'" · . -A../J.n
'tt:. •C"' b. ~~L :;} MY COMM!SS!ON # EEt3G:>231 '-... ~
.... ~~-~:~~~, .. EXPIRES February 1ti. ;!U If { I' {/
(407i 395-0153 Flof'!daf'jotc!ryServiCe.corr.
el~ctrical Contractor: · ' ·;.. .-, . . . ' . . . . ' ~ .
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 who did/did not take an oath
Notary Public: My Commission Expires:
PJumbing·comrad:or:•·· •.. : ~ .. ·.,. ,.~ ; / ; '··"· ." " ·;.o .·.;,.. (.'.-·-;~"" ~. ,{.," • c:: .; ••
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 who did/did not take an oath
Notary Public: My Commission Expires:
!YiecJ1an1cat•tontrittiir; ••· ~,· < '" ~.~ ,;..:.J,.,_•. >-.:;~v. " "~; i>.-'-.·,S.; ';• ~/<~ ,:-:-.
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 who did/did not take an oath
Notary Public: My Commission Expires:
~~il~l!i~~65 WCI Communities, LLC
Business Address: 24301 Walden Center Drive, Bonita Springs, FL 34134
license#: CGC031523 Estimated Construction Value: V:~CJC\
Phone#: 239-498-8200 Notification E-mail: KristaHardee@WCICommunities.com
Qualifier Signature: XJ~, 't. ~.,j)f) ~ -Print Name: Steven T. Jolly
The foregoing instrum'"i!nt was ackn~ledg{sl before me thus 14 day of October ,20 13 ,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:
:othei.tonffiitfOri·,··· •,
.·• ¥''--·'" -;.>:.._~oc;,.~ .-;: ,. · , •.• ·>~: ,-:;. ~·" .~>.o-.i "· ·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 who did/did not take an oath
Notary Public: My Commission Expires:
Electrical Contractor:
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 who did/did not take an oath
Notary Public: My Commission Expires:
Plumbing Contractor:
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 who did/did not take an oath
Notary Public: My Commission Expires:
Mechanical Contractor:
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 who did/did not take an oath
Notary Public: My Commission Expires:
Landscaping Contractor:
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 who did/did not take an oath
Notary Public: My Commission Expires:
Other Contractor: Vnrv·.c..r)c,_{ t2~S L(/ f\ -h--~ L.--t-cv-) in'-'
Business Address: '1 ,.., \ ........ ..; 6<2-tiltt"'-'-i+ /r-.i...-..y 5~1 tt;-;.7 ""'ft:J, f {. _-.; 3--I{J
License#: l '2-Stf, I Estimated Construction Value~Y / S C.li.2·
Phone#: ( S. 10 () '1-22 ·-Ou 'f~...:>. Notification E-mail: f\ti.L(h~·-n<-i'-;:; .,...,, .;..z..-S"..; ~?.··.::-.':. /~,1..1-n~c..f-cl.:f ~c,..,.,
Qualifier Signature: ~ ~ • ~"""~d.~ Print Name: H -e.LJ-,,.;_._:,, r\ e. fu,;t(-<-·""'
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:
cttlu QQ:ht .) ••. ~~·····. HEATHER SMOLlETT r.tD MY COMMISSION. EE 849754
~·. . . ! EXPIRES: February 3. 2017 ... , ... ;-.,
City of Parkland
Building Permit Application
Contact Person: CHARLES E. DIFALCO
www.cityofparkland.org
Phone#: (954) 776-0590 E-mail: charlie@actionroofingservices.com
ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135
ON ROOFING SERVICES INC.
Lot 3 Block r
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, SHUTIERS, 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 ATIORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
Name of Qualifier/Builder:
CHARLES E. DIFALCO
License number:
CCC 054757
Signature of Qualifier:
Ql Personally known to me
0 Oath taken
NOTARY PUBLIC SEAL OF
OFFICE:
:l Produced identification
0 Oath not taken
_,.'-'''~.v-~:8(/c ANDRES SANCHEZ
* .. ~ * MY COMMISSION# DO 978347
"'~~ EXPIRES: April4, 2014
1?<oFFco-<'" 80nded Thru Budget Nota;y Serv1ces
Owner's Address:
Signature of Property Owner:
On this __ day of ___ _, 20 ___ , before me, the undersigned
Notary Public of the State of Florida, personally appeared
----------and whose name is subscribed to and within the
instrument, and he/she acknowledges that he/she executed it.
NOTARY PUBLIC, STATE OF FLORIDA
PRINTED NAME OF NOTARY PUBLIC
0 Personally known to me
0 Oath taken
NOTARY PUBLIC SEAL
OF OFFICE:
CJ Produced identification
0 Oath not taken
Application Approved By: ________________________ _ Date: ___________ _
Permit Officer
Permit# -------------------------
City of Parkland
Building Division
6600 University Drive
Parkland, FL 33067
Date ----------------------
Phone 954-753-5447 Fax 954-753-8838
30-day Electrical Testing Connection Application
The property owner or General Contractor AND the Electrical Contractor of the property
identified below must complete this application.
Request is hereby made to connect electrical power for a period not to exceed 30 days, for
the purpose of equipment testing. It is acknowledged that approval of temporary power for
this site is in no way a release of this property for permanent use or occupancy. It is further
acknowledged that use of this property without proper authorization will result in an
immediate disconnection of electrical service pursuant to the Florida Building Code.
\ \~~\....9·~~ '""\CJ.._ ~D~~.~D.rcl ~\ ~~\U
Job ~drj\::-' l 0/D~,~~~-~
Legal D~scriptk(iOt/IOci(/ Sub~
License number
The foregoing instrument was acknowledged before me this ____ day of ____________ _, 200 _,
by ___________________ (Name of Person Acknowledging) who is personally known to me,
or who has produced (type of ID) as identification and who did I did not take an oath.
Owner's Signature
Rev. 12/08
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: BLDG1403-0024
PERMIT TYPE: SFR
ISSUED DATE: 4/2/2014
SITE ADDRESS: 11586 NW 79 MNR
TYPE OF IMPROVEMENT: NONE
FOLIO NO: 474131071990
CODE YEAR:
Applicant Information Contractor Information
WCI COMMUNITIES LLC
24301 WALDEN CIRCLE DRIVE
BONITA SPRINGS, FL 34134
(239) 444-3433
Owner Information
WCI COMMUNITIES LLC
24301 WALDEN CIRCLE DRIVE
BONITA SPRINGS, FL 34134
(239) 444-3433
DESCRIPTION: 3/F OSPREY LAKES
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 restrictions 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.
SEQ
ID
0
0
2
2
6
6
6
6
12
12
12
12
PERMIT EXPIRES 180 DAYS FROM EITHER THE ISSUE DATE OR 90 DAYS FROM THE LAST APPROVED INSPECTION
For Inspections please call {954) 753-5447. Inspections are scheduled for same-day inspections up until6:00 AM.
Building Official or Authorized Signature Date
INSPECTIONS
ELECTRICAL PLUMBING
INSPECTION TYPE INSPECTOR DATE SEQ INSPECTION TYPE INSPECTOR DATE
ID
30 DAY FOR TESTING 12 FINAL GAS-PLUMBING
TEMP ON HOUSE 12 IRRIGATION FINAL
SERVICE GROUND 12 IRRIGATION ROUGH
SLAB ELECTRIC 12 PLUMBING FINAL
ALARM ROUGH STRUCTURAL
ELECTRIC ROUGH SEQ INSPECTION TYPE INSPECTOR DATE
TELEPHONE ROUGH ID
TV ROUGH 1 NOC
ALARM FINAL 2 PRODUCT APPROVALS
ELECTRIC FINAL 2 SOIL BEARING CERT
TELEPHONE FINAL 2 TRUSS PLANS ON FILE
TV FINAL 3 SLAB
4 SOIL TERMITE TREAT
SEQ
ID
0
0
0
0
12
SEQ
ID
6
12
SEQ
ID
12
SEQ
ID
0
6
12
SEQ
ID
6
6
6
12
12
14
SEQ
ID
0
0
2
-
THIS CARD MUST BE POSTED IN FRONT AT ALL TIMES
City of Parkland
ENGINEERING
INSPECTION TYPE
DW SUBGRADE DENSITY
NPDES INITIAL
SIDEWALK FORMS
SIDEWALK SUB DENSITY
ENG DRAINAGE
FIRE
INSPECTION TYPE
GAS LINE RGH IN-FIRE
FINAL GAS-FIRE
LANDSCAPING
INSPECTION TYPE
LANDSCAPING
MECHANICAL
INSPECTION TYPE
CONDENSATE LINE
ROUGH DUCT
MECHANICAL FINAL
6600 University Drive
Parkland, FL 33067
(954) 753-5447
BUILDING\ENGINEERING PERMIT
4 SPOT SURVEY
INSPECTOR DATE 5 RAKE BEAM
5 TIE BEAM/BOND
6 ROOF SHEATHING
6 TRUSS
6 UNIT MASONRY CERT
6 WALL SHEATHING
6 WIND/DOOR BUCK
7 TIN CAP
INSPECTOR DATE 8 HOT MOP IN PROGRESS
9 FRAMING
9 WIND/DOOR ATIACHMENT
9 WIRE LATH
10 INSULATION
INSPECTOR DATE
11 DRYWALL SCREW
11 ROOF TILE UPLIFT TST
11 TILE IN PROGRESS
12 DRIVEWY STEEL/PAVERS
INSPECTOR DATE
12 FINAL SURVEY
12 PATIO SLAB/PAVERS
12 ROOF FINAL
12 SHUTIERS
No Inspection Group 12 SIDEWALK
INSPECTION TYPE INSPECTOR DATE 13 ADMIN POOL COMPLETE
15 ADMIN CHECKLIST**
EXHAUST ROUGH
SECOND ROUGH
TUB ROUGH-IN
SEWER FINAL
ZONING INSPECTION
FINAL
PLUMBING
INSPECTION TYPE INSPECTOR DATE
SEWER CONNECTION
WATER SERVICE
GROUND ROUGH
------·---·····-·
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-,~~sH_o_w_E_R_P-AN----------.-------~~-----.~
6 TOP OUT
SFR 3/F OSPREY LAKES
APPROVED 03/05/2014
$9,376.37 $550.00 $8,826.37
Drintorl· 1\Jinnrl:~\/ '::11 1\A':IIrrh ")(\1J1 1 rof 1
, ..
~ NORTH SPRINGS IMPROVEMENT DISTRICT
• 10300 N.W. 11th Manor
' (\ ( / Coral Springs, Florida 33071
1 ~ 0 s . CYJ 01 (954) 753-0729
RECEIPT FOR UTILITY SERVICE REQUEST
INVOICE: 12602
WCI COIPOIATE On'ICI JANUARY 13, 2014
(applicant) (date)
24301 WALDEN CENTIIl DUVE 554-0702-o1
(billing address) (account number)
BO~ltA SPaiiGS, FLORIDA 34134
(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.
1" v-11 METERUSEFEE ______________ na __ A ____________________________ __ $ __ 6_0~0-=-· _:_00::___ __
WASTBWATII./UU81 COMDCTIOJ FIE 11391.00
WATER USE DEPOSIT ___ __:TO:;.::::__B=E=---=C=HAI=G=Ell=-.;:OJI=-:l:...:l=RS=T--=B=t=LL=-------
RBW*II _________ W.~~=T=ER~CO~~~~t~O~M~F~IE~----------S58.00
PAY THIS AMOUNT $ 12549.00
(meter number)
CHECK#}i L.q I I 'i
(installation date)
CASH$ ___ _
(by)
11586 HW 79 MANOR
(service address)
LOT 3/BLOCK l/OSPu.Y LAI.U
(legal descrp.) APPLICANTS SIGNATURE DATE
COPIES: White/Builders Copy -Pink/Building Permit Copy -Yellow/Office Copy -Green/Connect Order, W/S -Gold/Connect Order, Office
B~:9:'NARD Environmental Protection and Growth Management Department
PLANNING AND REDEVELOPMENT DIVISION COUNTY 1 North University Drive, Building A, Suite 102 Plantation, Florida 33324 954-357-6666 FAX 954-357-6521 FLORIDA
Broward County Transportation Concurrency Satisfaction Certificate
* Please note that this approval does not constitute Environmental Review Approval. You will still need
the Environmental Approval Certificate to submit to the Building Department.
Issue Date: 02/27/2014
Application Number: 000378365
Title of Drawings: SF50-131 Hibiscus LOT 3F
Plan Last Revision Date: 01-16-14
Legal Description: Plat Name: Heron Bay North Plat 3
Plat Number: 026-MP-Q5 Book: 176 Page: 73
Address: 11586 NW 79th Manor, Parkland, Fl. 33076
Construction Type: New Construction
DR Review#: 0027215
Project#: 0000
Bldg Dept Jurisdiction: Parkland
Lot: 3 Block: F
This approval is issued in accordance with Sec. 27.66 ofthe 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
G( BUILDING OFFICAL: Broward County Planning & Environmental Regulation Division impact and/or transportation
concurrency fees have been satisfied/paid for Proposed: 4-bedroom Single Family Unit
Lot 13, Block F
Receipt# 0027215
G( TRANSPORTATION CONCURRENCY SATISFACTION: Certificate is hereby issued
*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: Sue Henderson
B~RWARD Environmental Protection and Growth Management Department
PLANNING AND REDEVElOPMENT DIVISION COUNTY
FLORIDA 1 North University Drive, Building A, Suite 102 Plantation, Florida 33324 954-357-6666 FAX 954-357-6521
Broward County Environmental Review Approval Certificate
Issue Date: 2/27/2014
Title of Drawings: SFS0-131 Hibiscus LOT 3F
Plan Last Revision Date: 01-16-14
Legal Description: Plat Name: Heron Bay North Plat 3
Address: 11586 NW 79th Manor, Parkland, Fl. 33076
Construction Type: New Construction
Lot: 3 Block: F
ER Review#: 000378365
Project#: 0000
Bldg DeptJurisdiction: Parkland
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
fit' WARNING NOTIFICATION TO THE PLANNING AND ENVIRONMENTAL REGULATION DIVISION IS REQUIRED WITHIN TEN (10)
WORKING DAYS AFTER ISSUANCE OF A BUILDING PERMIT, A CERTIFICATE 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
HTIPS:/ /DMDWEB.BROWARD.ORG/DMDWEB/LOGIN.ASPX
fit' COMMENTS SFR LOT 3 BLK F, PREVIOUSLY APPROVED MASTER MODEL
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.
Environmental Reviewer Name: Becky Dosh
INSTR i 112109989, OR BK 50559 PG 1773, Page 1 of 1, Recorded 02/19/2014 at
11:24 AM, Broward County Commission, Deputy Clerk 3535
\
AEifll RfQJBPINQ-RmlJlN I9:
ryc;s · CX) 25 (/ !WI'CI OFCOMMI!!CIMil<f
The undenigncd hereby givm notice lhal impnn'emenl will be made to certoin real property. and in accordance wilh <l1apler 713,
Florida Statues the fi>llowins infonnalion is provided in the Notice of CoJnmencement
I. lllliCRIJ'Tl(ll Olll'aOJ'I!JlTY (Lepl 6aeripljoa 1:--· ifaYIIiloble) TAXJOLIO NO.:-----------SVBIJIIVUION\,..G:;Q':~~~~~~"""\::::' TRACT LDI~BLDG UNIT
\ \'S~~ '""f;,~ ~~"'¥\..~U\
2. G-.u. DIE8(2IPI1()N OF OlnOVEMENT:
NN Single Fomly--Pool ond En<:loaln
3.0WNERuaoRMAnoN: L~·~wa~~~~==~~~c~---------------------------
•· .._ 24031 -Cenor o.t.o.,-Sortnuo· FL 34130 , ......... _...:..Foo= ..... =:=----
d. ~--otO.--(if--Own.),;;"'::,'A:....._ __________________________ _
4. COfiTli'ACJOII'S N.UII,ADDUISAND -~ WQComm!!!!l!!. ~C 2901 W!lldonC!n!!r!>M, I!!Q!aS!!h!!! FL34134 1239l48H20Q
5. SUJIETY'S NAME,ADDIIESSAMI rBOI'II:~AND -..AMOONT:
6. u:NDD'S NAME, ADDIIESSAMIPIIONE-
~TMI--.Ain:--50SoulhSid1SII!!I,SUio12110, llnno!polo.MN55402, Phano(l12)217-5&12.
7. Persons wi1bio the S1lle of Florida designatod by o..-upon wbom notices or other clocumenb may be served as provided by
Section 713.13 (J)(a) 7., Florida Statutes:
NAME, ADDRESS AMI PHONE !IUMIIEa:
WCI ~~C.-: L!piiOoportmonl. 24301-Conlorllrho,-Spmpo, FL34t34
8. In oddition to himself or herod( Ownerdesignala the followinato 10eeive a copy of the Lienor's Nolice Mprovided in Section
713.13 (I) (b). Florida Slllutea
NAME,ADDUSSAND -NtJMIIU:
N/A
9. Expiration dale of notice of commencement (the expiration dale is I year from the dale of recordins unless a different dale is
specified): ~20_
Personally knovm or __ pmdtK:edthe fi>llowins type of identification:----------------1ito~IWilEE ~~ X:\C}\;»~ U * .. EXPF.es:.U:n:f ~7N-,.N>Iic) ~ ...... :v 11aoiif!MI __ __
Under Penalties ofperjlll)', I declare lhall have road the foregoing and lhal the facts in it are true to the best of my Jr:nowledso n1
beliep(Section 92.525, FloridaS ).
By ~)oro.-.(a)'AoaoriledOflla,r/:-1...-.._,...llpodabow:
...., . S.JtocoodmoJ
. '
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 property 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.
I. APPLICANT INFORMATION
Applicant (if other than owner):-=Wc..:....:::;C.:..I ..;:;C..;:;o.:..:.m.:..:.m:..:..u=n:..:.:ic:.:ti""e=-s------------------
Address: 11825 Heron Bay Blvd. City: Coral Springs ST: FL Zip: 33076
Phone: 954-340-2679 E-Mail Address: lucianamartins@wcicommunities.com
II. PROPERTY LOCATION & INFORMATION
A. Folio Number: [ ] [ ] --[ ] [ ] --[ ][ ] --[ ][ ] - [ ] [ ] - [ ] [ ] [ ] - [ ] [ ][ ][ ]
B. Community: ...:.H..:..:e::..:..r=on:...:.....::B=a.J..y _________________________ _
C. Subdivision: -=O::..::s::..~:p:..:...re=--y....=La::..:.k.:.:e'--------------------------
D. Property Address: 11586 NW 79 Manor Parkland FL 33076
E. Property Lot/Block: ...!:3:!..!/F _________________________ _
F. Model/Elevation: ...!.H.!.:.i~bi~s.:::.:cu~s::....:f.....:l.!!:ta::.!!li..:::.a!.!:na:::..:t:::::e _____________________ _
G. House Color/Trim: Color scheme# 10
Body color: Mandorla
Trim color: Rafano
02/05/2009
H. Roof Color/Style: Color: Torino Style: Ondulare
J ;;;; 'i / I ,/
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