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Home My WebLink About3101 W 1st St 08-2680 HVACCITY OF SANFORD PERMIT APPLICATION Application #: V ' a �� Job Address: 31 o 1 W l '� A Parcel ID: A6 — l9 — S6 -SIT E ` 3'�fl'Y 600'Zoning: Description of Work: amzv, ax--t / 5 5tA41� ............................ Permit Type: Building ❑ Submittal Date: gf g5 /o g Value of Work: $_ /J�i 400, i _ Historic District: �.Squar� age: ,000.. ............. ............................... . ti } ............................... ............. Electrical ❑ Mechanical *Er Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non - Residential Do" Replacement ILK- 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 M'-- Industrial ❑ Occupancy Use Group(s): C-1\UL R C;J Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ......................................... t ................................................................ .. ............. Property Owner: (2e-AJT12 A L 5NPTi sT Chu R ;l Contractor. 0 - Address: W: s Address: Sk05 5+. 10/fA)5 e«-1-( Z)a 4nd , ,A 3 Y--T 7 / SA-A) FOQ b 1 irk 3a -7 7 1 n lso�/z� Phone: E -mail: Phone: .3�2'I We State License Number: MCy 7 Bonding Company: Address: Architect/Engineer: Address: Plan Review Contact Person: Mortgage Lender: Address: Phone: Fax: Phone: Fax: E -mail: 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 may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the pr rty of the requirements of Florida Lien L 3. Aa;10 Signature of Owner /Agent Date Signature of ontractor /A nt Date RM PA C e nru,, d — Print Owner /Agent's Name Signature of Notary-State of Florida Date Owner /Agent is_ _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 Personally Known to Me or Lei "I Contra�ctor /Ag -ent's ��. EXPIRES October 08, 2011 (407):390 -0153 ftddeNW4ryServ1ce.eom Contractor /Agent is ✓Personally Known to Me or _ Produced ID FD: ENG: BLDG: (90 1�Iio- I 111111 11 1111 11 111 11 1111 11 111 11 111 9 111 If 1111111111111 If III I III( 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: CERTIFIED COPY 7. Persons Within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided gJARYANNE MORSE Section 713.13 (1) (a) 7., Florida Statutes: CLERK �Jyn.F IRCUIT COURT NAME, ADDRESS AND PHONE NUMBER: SEMINt1Li Au.NIFY, FLORIDA 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13 (1) (b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9P Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different dater 2 5 25% specified): : _ 20_ 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT J'JJ 1 Print Na a and Provide Sign �iory' Title /Office x State of Florida AFTER RECORDING — RETURN TO: The forejing instrument hI�IRYAIdNt= MURLit:, t�l_t�RK UI- CIR[:Ui -i GUUIx1 - SENINIILE COUN'T'Y ( me of on) as (type of authori o cer, trustee ltomey h . DK 01065 Wq 0368; (IpU) 4 / /1 - , f �� y '-p :° fNY COMM[SSION # DD7229 n CLERK'S # 2008109191 tWXPIRE ctober08, 2011 oridallotarysorvice.com } 1'ERA- rITNUMBER: RECORDS 0 05/25/2008 01:25!25 PM LLJ t Nohiry sima a T M RECORDING FEE=S; 10.00 p NOTICE OF COMMENCEMENT 11E11;I1REIE_U BY L MoKillley aI ` I,n r) The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, t-- Florida Statues the following information is provided in the Notice of Commencement. 1. DESCRIPTION OF PROPERTY (Legal description and street address, if available) TAX FOLIO NUMBER: !^ 1�0M < SUBDIVISION BLOCK TRACT LOT BLDG UNIT `ocoo (Q -l� ' 30 SA 1= _ a3oA ,�(e�1 ta, �s %sT �- 54N=rrJpi = �3z -7 7� 2. GENggAL DESCRIPTION OFIbTPROVE IF,Nr 3. OWNER INFORMATION: a. Name b. Address c. Interest in property d. Name and address of fee simple titleholder (if other that[ Owner) 4. CONTRACT'OR'S NAME, ADDRESS AND PHONE NUMBER: i�� C -} -..io A AJ5 Pmt 59� 1;4po Pf- 13 'PL-77) I °7- 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE NUMBER: CERTIFIED COPY 7. Persons Within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided gJARYANNE MORSE Section 713.13 (1) (a) 7., Florida Statutes: CLERK �Jyn.F IRCUIT COURT NAME, ADDRESS AND PHONE NUMBER: SEMINt1Li Au.NIFY, FLORIDA 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13 (1) (b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9P Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different dater 2 5 25% specified): : _ 20_ 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT J'JJ 1 Print Na a and Provide Sign �iory' Title /Office x State of Florida County of Palm Beach The forejing instrument "wledged before me this day of,-,. &41t 200T - ( me of on) as (type of authori o cer, trustee ltomey h . BRANDY KNOY 4 / /1 - , f �� y '-p :° fNY COMM[SSION # DD7229 for C .Ciy- -(�� Y"""'"' (name of party on behalf of whom instrument was executed) t ,." (407) 39C -rtr ; tWXPIRE ctober08, 2011 oridallotarysorvice.com n072Z4C/ Nohiry sima a I serial # Under Penalties of perjury, I declare that I have read the foregoing and that cts in it are true the best f MY/ owledge and belief (Section 92.525, Florida Statutes). 1 �% Al Rev .06 -114 -07 (S.Recarding) i�gnytEreofNti (&a erson igning i ye)