HomeMy WebLinkAbout2534 Park Ave 12-1829JUN 192012 CITY OF SANFORD
Jr<y BUILDING,&FIRE PREVENTION~^=^ERW1IT APPLICATION
Application No:la-T Documented Construction Value;$,^^\\^
Job Address:Historic District;Yes •No •
Parcel ID:Zoning;—
Description ofWork:
Plan Review Contact Person;
Phone:Fax;
Title:
E-mail:
Property Owner Information
Name _A1 tJi ^Phone.
Street:Resident of nroperty?:
Bonding Company:
Address;
Building Permit
Square Footage:m
No.ofDwelling Units;
Electrical •
New Service -No.of AMPS:
________Resident ofproperty?:
City,State Zip:^]flrAJ^
Contractor Information
Name H \C Phone:*^7 32^/—yOJ=£-
Street:^JVK >4w-^Fax:c/^7
City,State Zip:/T/?2^T1 I State License No.:(^
Architect/Engineer Information
Name:.
St^'eet:
City,St,Zip:
Phone;
Fax:
E-mail:
Mortgage Lender:
Address;
PERMIT INFORMATION
Construction Type:
Flood Zone;
No.ofStories:
Plumbing •
New Construction -No.of Fixtures;
V,
Mechanical IH (Duct layout required for new systems)Fire Sprinlder/Alarm O No.of heads.
Permit No.
Tax Folio "^,04 'f>Xo<p -I i o
NOTICE OF COMMENCEIVIENT
State ofFlorida
County ofSemlnole
Theundersigned hereby gives notice that improvement
willbe made to certain real property,and in accordance
with Chapter 713,Florida Statutes,the following
informationisprovidedinthisNoticeofCommencement.
1.Description ofproperty:(legal description ofthe properw,and street address ifavailable)
mmmE morse,clerk of circuit court
SKMINOLE COUNTY
SK 07794 Pg 1216?(Ipg)
CLERK'S ft £(312071766
RECORDED 06/19/2012 01il8i07 PM
REC0RDIN6 FEES 10.00
RECORDED BY J Eckenrothlall)
2.General description of improv^ent:"P //
3.Owner information:Name:n^vv hi
Address:/trt mk "F
b.Interestinproperty:
c.Name andaddress offee simple titleholder (ifother than Owner):Name:
Address:
H.%%->')t
/\uurcss:
/O 4.Contractor Name:\A [C n ,uK Phone number:
Sy c.Address:.—5.Surety Name,
Address:
b.Amount ofbond:$
6.Lender:Name:
Address:
b.Lender's phone number:
7.a.Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713Jt3(l)(a)7.,Florida Statutes:Name:
Address:
8.a.In addition to himself or herself,Owner designates of
Lienor'sNoticeasprovidedinSection 713.13n)(hL FloridaStatutes.
b.Phone number ofperson or entity designated byowner:
9.Expiration date of notice of commencement (the expiration date is 1year from the date ofrecording unless a different
date isspecified)_/17-
toreceiveacopyofthe
WARNINGTO OWNER:ANYPAYMENTSMADEBY THE OWNER AFTERTHE EXPIRATIGN OFTHE
NOTICEOF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PARTI,
SECTION 713.13,FLORIDA STATUTES,ANDCANRESULT INYOUR PAYING TWICEFOR IMPROVEMENTS
TOYOUR PROPERTY.ANOTICEOF COMMENCEMENT MUST BE RECORDED AND POSTED ONTHEJOB
SITEBEFORE THEFIRST INSPECTION.IFYOUINTENDTO OBT/HN FINANCING,CONSULT WITH YOUR
LENDER OR ANATTORNEY BEIpRE COMMENCING WORIC OR RECORDING YOUR NOTICE OF
COMMENCEMENT/'/fe ///yVyi ^^
SignatureofOwneror Ofccn^ris AutliorizedDffider/Oircctor/Partnen
Theforegoing instrument was acknowledged before me this
^thority,.,.e.g.officer,trustee,attorney in fact)for (name ofp,
•Ignature ofNotary Public
Personally Known Ki
Verifi
the
Rev.date 3/2008
anager
day of
(SEAL)
Or
Signatory'sTitle/Office
,(year),by (name ofperson)as (type of
dj£)Q:iinstrument was executed).
Notary Public Stale of Florida
Jacqueline Stallworth
MyCommiision EE0546S4
Expires 01/28/2015
OR Produced Identification Type of eniiiicatio
CERTIFIED COPY
HARYANNE MORSE
CLERK OF CIRCUIT COURT
tion pursuant to Section 92.525.Florida Statutes:Undp^penalties ofperjury,1declare that I have read the foi^goin^and
in It are true to^e best of my knowledge antrtelief.iN''w ;vr»r;'o,''Y
rai Perio^^igning Abo^e^^^,-^i(AME
AODR.^
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