HomeMy WebLinkAbout2935 Orlando Dr 08-2371 (mech)CITY OF SANFORD PERMIT APPLICATION
kpplication #: `� l a
Submittal Date:
p
�IUS Address: � 1 �3� c � ('7�CGCC%/,
�--
0 A/' Value of Work: S rd
Parcel CD:'
Zoning: Elistoric District:
,,�J
<sDescription of Work: - G4a'r
....................... .............
.Electrical
-U ^P� C t 1) �l �� Square Footage
.............
Permit Type: Building -O'..
❑
.............................. ...............................
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 Cale. Required)
Plumbing/ New Commercial: # of Fixtures
# of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Plumbing Repair - Residential ❑ Commercial ❑
7ccupancy Type: Residential ❑ Commercial
❑ Industrial ❑ Occupancy Use Group(s):
- onstruction Type: # of Stories:
..............
# of Dwelling Units: Flood Zone: (FEMA form required)
. ............................................................
' roperty Own�1-: Imo% CU,ncr T�Jc� Ski
............................................
Corttractora 3G-11360 �Q72
�G/9
Address: � :eo/ rl
/AIP -60 F4
` 95'C�yE mat(:
PhotiJy� S- �GS�ate License Number: ('7'�� %�% 7 71(7
3onding Company:
Mortgage Lender:
lddress: Address:
\rchitectfEngineer:
\ddress:
'fan Review Contact Person:
Phone: Fax:
Phone:
Fax:
E -mail:
kpplication 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
ssuance 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
omit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
k R CONDITIONERS, etc.
)WNER'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
onstruction and zoning.
YARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
MPROVEMENfS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
IRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
JOTICE OF COMMENCEMENT.
IOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to
tis county, and there may be additional permits required from other govcmmcaW entities such as water i
Acceptance of permit is verification that I will notify the owner of the property of
,n
Signature of Owner /Agent
Print Owncr /Agent's Name
Date Si
$ignaturc of Notary -State of Florida - ' - Date
Owner /Agcnt is _ Personally Known to Me or
Produced ID
PPROVALS: ZONING
pecial Conditions:
ev 07.07 -
UTIL: _ - FD:
that may be found in the public records of
districts, state agencies, or federal agencies.
Lien Law. FS 713.
Date
ri, tractor /Agent's Name
Signature of Notary-State of Florida Daze
DEBBIE BI;x 1.'LfIV
COMMISSION r DD629096
EXPIRES: February 25, 2011
1. Not:.ry Discount Assoc. Co.
Contractor /Agent is
_ Pcrsonally- X_'nown -icPf We-dr '
Produced ID
ENG: BLDG: "
1111111111 II 111 II 11111 III II 111 II III II 111 II 111 II 111 II 1111 1111
THIS INJSRUMr:rvTPREPBRED BY: MARYANNE MORSE, CLERK Or CIRCUIT COURT
Nami— I rp_ !
Address: SENINULE COUNTY
4v�1cr �,i�
�� BK 07046 Pg 1036;.(1pg)
State Of Flglida — — S�INO �txec�
CLERK'S # 20080 -2064
RECORDED 08/11/2008 03:32:14 PM
RECORDING FEES 10.00
NOTICE OF COMMENCEMENT RECORDED BY r Smith
Permit Ntrmber Parcel ID Number(PIO) (-9n -3 (C
The undersigned hereby gives notcs that IMProvement will be made to Certafn real property, and in a�ordanoc with Chapter 713,
Flarltla Statutes, the falfowing infamutEvn is Pmvideo rn this Notice of CpmmencamenL
OF PROPERTY (Legal desc 'p(ion oPthe property and street address if available)
r �,
n_ � PTI61:n COPY
OF IMPROVEMENT AePtOC; J?AOL 00OF )P AC MARYP,N." *'F MOR31E
rAT�{( OF CIRCUIT COURT
n1I1F- �UNTY, FLORIDA
OWNER INrORMATION _
Name and address: ie � L>✓W birr�eu I✓
G. 1 2008
CONTRACTOR
Name and address; Cc� I (L I 1 of C. W Sz Ct l y ( C (4 S -T
Persons within tho State of Florida Designated by Owner upon whom notice or other dpCUments may be served ae provldad
by Socfton 713.13(1)(b), FJo da Statute®
Name and address: 1 c (- 71
In adgftion to himself, Owner Designates
Section 713.13 (1)(b), Flprltla Statidae- TO receive a GOpy of Ule LienOPs NOUCO as pfovided In of
Ekpiratlon Date of Notice Of Commencement:
TI19 ex !ration date is 1 year from data of recording unless a different date is a oeifred,
WARNING TO OMYO' 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 IMPROVMENTS To YOUR PROPERTY, A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
INSPECTION. IF YOU 1NTEi JOB SITE BEFORE THE FIRST
N6 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCIN13 WORK DR RECORDING YOUR N0710E OF COMMENCEMENT.
STkE OF FLORIpA--
(�nUNTY OF SEMINOLE
OWNERS 31G TU E DWtYERS PkINTED NAME
(NOTE; Per Flo da Statute 713.13(1) (9), owner must sign....., 0nd no one else may be permitted to sign in his or her stead ,r
The, foregoing Instrument was acknowledged before me this A c
day of
w) ,
by NL C0�214 C!
amof perso makin stm
Who is personally known to me _
OR who has produced identification VOL
V C--�z ` type of Identification Produced
_ 2�S LlC;�;�S
VERIFICATION PURSUANT TO SECTION 92 -625, FLORIDA STATUTES.
UN : PENALTIES OF P RJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT
AR TRUE TO THE 4ESVC011M K_N WLEDGE AND BELIER
SIGNATURE OF NATURAL PERSON SIGNING ABOVE
�p,Y ,O •., JENNIFER E. NICH_OLSON
; � Y MY COMMISSIOI`4 �b 38160
• a = EXPIRES: February 8, 2011
Bonded Thru Notary pubic UndelvrtNers