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HomeMy WebLinkAbout1381 Rinehart Rd 09-264CITY OF SANFORD PERMIT APPLICATION Application # q_ k - g_ uok (� Job Address: [a � % ri "1Q- -C`� Parcel ID: 30- - (q- 3-6'- •S7 © 6) - d OCY 00 oning: Submittal Date: LO /Z7 / Value of Work: S to , 6eO .4 (On Historic District: Description of Work: C- - 1`0 6 � O b Square Footage: ... ............................... ..... ........ ............................... Permit Type: Building 9A 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 Cale. 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: 05L �# of Stories: _ # of Dwelling Units: Flood Zone: (FEMA form required) ................/.,........................................................................ ............................... Property Owner: C4Z`FLneX-f c J QQ9 Fun 4 L tL_C Contractor: Ron- CIl` r Address.W t O A � 1,7S- CJC CCU - _bb e, � t`` .)Q- � Address: 2 SO U �1D L,;t 5 S S i Ft Me h oirno 1-, P_e . F:,l,ls . wz &.Yos / l Fa.x qt)7_ 6, ?5 -7665a n R Phone: E -mail: Phonem(p-7L663 State License Number: 47 CC L 3 a 66 79 Bonding Company: Address: Architect/Engineer: Address: Mortgage Lender: Address: Phone: Fax: ! x Plan Review Contact PersonkrtsL, % A U�Mr� Phonee:&?6 -Z! G 3 Fa &9,5-7 66 7 E -mail: L� ,Y VC©0- 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. Accept perrrlit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. to 4 Z A Signature of Owner /Agent l5ate Si ature of Contractor /Agent Date ,4C-A AI 2. yiy iy ��✓� 1� rcS'I c�-c t+. W L� g e. Print Owner /Agent's Name � Print Contractor /A ent's 1 a Signature of Notary-State of F, londa Date Signature of Notary-State o _ MY COMQSNON # DD 459661 MARIA N. CLARK EXPIRES: September 4, 2009 U +rj f, qrg 6ondad Thru Notary Public Underwriters Notary Public, State of Florida My Comm. exp. Dec. 9, 2008 Comm. N0. (PAJ7RA41 is ✓ Personally Known to Me or Contractor /Agent is _ Personally Known to Me or Produced ID Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 UTIL: FD: ENG: BLDG: tun ►� to ►t ul ►i nl X111111 III II 11111 III 11 III 1111111 III 1 IIII MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY THIS INSTRUMENT P EPARED BY: BX 07085 Rg 0311; (1pg) Name: b r1 b ©I CLERK'S # 8008121853 Address: _�',O e_ Aue j�/ RECORDED 10/29/2008 08:85:85 PM L 3 70 S' SEMINOLE COUNTY RECORDING FEES 10.00 CEP i IFIED Copy State of Flo FLORIDA'S NATURAL CHOICE r SE RECORDED BY T Smith MAT •I(ANNE Ni0►� EI ERi( OF : COUNTY FLORIDA NOTICE OF COMMENCEMENT r�'r p�P0TY ( ) 9 2008 Permit Number � Parcel ID Number PID �� - � C?- 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. '.RIPTIION OF PRO I description of the property and street address if available) /Mrnne � r r r P PR `7_� 1Yl 7 Y Loy 41 [ 38 / Kl`Vte , ha—r- "t` Rc(j �3cU -i16troll, ?'`L 32"77% GENERAL DESCRIPTION OF IMPROVEMENT r e-- r'O©P $ 3 ssii . m- e_�- OWNER INFORMATION Name and address: 0', CONTRACTOR (� Name and address: � +-P _ AL-101 . L A'nn lE - WT 3-,)-'7 e Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name and address: /y.S �€YC�L6Y� /zZ�rtrT �.�1L