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HomeMy WebLinkAbout2701 Ridgewood Ave 15-150 (fireworks display)-7 S G S i AND �j f42D IKO . CITY OF SANFORD PERMIT APPLICATION ­ -tz/vp Application #: v V Submittal Date: 1 A `�uL Job Address: 9 ` !k r ' i S��n •2d i t =L. 3Z- Value of Work: $� 3O ; 04 i °�y�8 ' Parcel ID' Lo S 1' ISO i , 1� �w+ w��- I i P i I IZoning: ?0 Historic District: 1 yONt Description of Work: �� 1. � �Lo y, o� ��c�2� S- (%&CALui2P' Square Footage: �� O �� 5 ......................................................................................... ............................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non - Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type:'7Dmo # of Stories: _j_ # of Dwelling Units: Flood Zone: (FEMA form required) ..........................--..i............................................................. ��.{{............................... Property Owner: 'x h�2u `c�'ti9 ° ` � °S�c2 Contractor: 0,e yt+2A HauA'„vy Gin C XCCr J c c nct �n+c Address: I �7�tGi i'+Jii {ei2 17��y� Address: 1 ZlS ?,4(_L C((LLAZ- A4c,m. y,-6_ �ea NctT3 Ft_. W-teA-e_2 CZ aAe,,% Ft_ 3 8-4 Phone: (03) d ZJl �,5�j�i E -mail: (40n o`Wit)( /� � Ws"; tAS Phone: Coo � State License Number: Bonding Company: L'� Mortgage Lender: o A Address: Address: Architect /Engineer: Z 1Z n Phone: -� Address: Fax: Plan Review Contact Person: yCf1�1iS l�et�ti�C.e.�o Phone:Cgl� 3SI'" Fax: �y0�� ��I E -mail: L�pavt�lo��35�i itS Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there Ay be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Ac t ncc of e i is vfic do that I will notify the owner of the prope the requirements of Florida Lien Law, FS 713. � � ate, � { � •' �� Signature df O er /Agent D to Signature of Contractor /Agent •-- : GAP ' A(F�, iii ��� P int.Qwner /Agent's Name n tractor /Agent's me �C4��U��'Lj�pjANe� i gnat r of da n1Y C'l ±:it -?l 11 N # t� J1�3 Signature of Notary-State of Florida = Dfte. '- e ''�oii�oe� , :::� +F', npF,2d,?Al0 �� 623877 ` o� , s : (407) 390.0153 Horida iNolay @R!1'I @ @. @ @FR j -9 • J. BD Q� �o nded mc� e ;Fain- 0, Insulav�.•OQ�N \ \\\\ /�¢j Owner /Agent is Personally Known to Me or Contractor /Agent is X Personally Known 1!� ;Ti 4 O \ \ Produced ID _ Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 07.07 to Permit No.g —' Tax Folio No._ A (L, 191-- '310 -SAC- CC= — 05`IA NOTICE OF COMMENCEMENT State of Florida County of Seminole 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. I fill 111111111111111111111111111 II 1111111111111 II III If III I fill MARYANNE MORUE,,CLERK OF CIRCUIT COURT 591INOLE 'COUNTY 2K 07047 Py 16761 (1[3!1) CLERK'S # 2006092998 MCORDF I) 08/i3/a008 10:06: P i AM RECORDING FE"_ 10.00 RECORDED BY L McKinley 1. Description of property: (legal description of the property, and street address if available) J55` t�(�s ( �- �.}(�:� �� PL '�� 7 "%"� n l:l7l 7 �� Yiyl lii 1 F kt:+ r f.,:,L �, T�' , �•�"'.�. CLAW - � "A,`°—b 2. General description of improvement: bc-Ate, Ioldc5XCI? CERTIFIED COPY 3. Owner information: Name: Shi,,4 �zj i:,.Ic. , MARYANNE M RSE j Address: ��si, l;r� l lYl�i Y� 1�2i 1 + +u:t" S : +.ac 5 '''Z'?c:' CLERK OF CIRCUIT COURT MI 0 CO TY, FLORIDA b. Interest in property: . c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 01 rr e1 K 4. Contractor Name: -ZwC_ • Phone number: (d 1) c. Address: t ?,15 0,t wry► PA -ice C:.: Lad �P,2_ 619 - _FA F- L,._ X415 - 5. Surety Name r -11 A � j c9.0 Address: b. Amount of bond: klonk N 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 713.13(1)(a)7., Florida Statutes: Name: 1 c, s�i� t�a,�� W ts% `�-2o'•c: 5 ce �TA-,C-, Address: 6Vit eq- 0Q.1v� -i aa. S g L 32- I Ztvl 5: Sz >d`C, �I -7564 8.a. In addition to himself or herself, 6wner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE *RST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A Y COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT ' tell ZM `i 1 c C Q-&S c du: s _` Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager Signat ry's Title /Office The foregoing instrument was acknowledged before me this v, day of �U 'L3 (year) , by (name of person) as (type of authority.... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) . (SEAL) Signature of Notary Public Personally Kno OR Produced Identification Type of Identification Produced Verification pur ant to ectio 525 Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated t pre t e )$e o my knowledge and belief. �jpte��oo�0000son ■unsuraasreearracaucrnrccr er. JULIA M. COLEMAN commg 4443 Signature of Na erson Signing Above THIS INSTRUMENT PREPARED Bit 78 Ewa W?12012 Rev. date 3/2008 Nowy Ass".hic NAME M • � ��1 /L(i .� �r "ii V'Z M1n.e.i,: moo° o��o�'o °pp°��uar�anaroaaecraoa6 ADDR. _..��. - _ -- O O n J O O 6 0 0 T 3 0 0 0 0 ED i w w 0 U O U ED a UNIMPROVED GRASSY AREA WASTE SERVICES TREES COMPACTED DIRT ROAD �- CSX RAIL ROAD TRACKS i LOW LYING WET GRASSY ' AREA ,e is i SUBJECT SITE BOUNDARY (INFERRED LOCATION BASED ON CONVERSATIONS WITH WASTE SERVICES, INC.) FARMED LAND BASED ON: 2002 AERIAL PHOTOGRAPH AND : >iTE SKETCH COMPLETED ON 6/9/05 ;i i I ,�NOVS LOW -LYING AREA EXISTING CANOPY (5 +mac -,) Aic, l-v _ AQvtiw t iS kq-8 PAVED AREA (CONCRETE WITH RFBAR) DENSE VEGETATION FARMED_ LAND GEOCY�VTTEC CONSIL1,TA.NTS SI TE LAYOUT F~T ;GUpE NO. ICEPiOUSE FACILITY PROJECT NO. "'i t'FE _ DOCUMENT NO. SANFORD, FL 32771 - RD, - DATE: - i 0 50 100 !-APPROXIMATE SCALE !N FEET FEOi71 -01 NE 2005