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Home My WebLink About113 Willowbay Ridge St 04-22 FenceCITY OF SANFORD PERAUT APPLICATION Permit No.: 0 1 Job Address: Permit Type: Building Description of Work: c.Zdej Mechanical Date: Plumbing Additional Information for Electrical & Plumbing Permits Electrical: Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS ) Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: Residential Commercial _ Industrial Total Sq Ftg: Value of Work: S if 600 . — Type of Construction: Parcel No.: Owner/Address/Phone: Contractor/Addr s/Phc 0 Contact Person: Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer Address: Flood Zone: Number of Stories: Number of Dwelling Units: Attach Proof of Ownership & Legal Description) Fax Number: State License Number: Phone No.: Fax No.: 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. 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 property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Agent to S 4g (-- <k13Is_- ractor/ g 's Name of No of Florida Owner/Agent is Personally Known to Me or Contractor/Agent is b Personally Produced ID Produced ID APPLICATION APPROVED BY: Date: vz_41103 A, Special Conditions: Continuodei2003 10:12 ORLANDO TE N0.690 D 2 Customer Original (Reprinted) Pgpe Commerce Title Company TITLE AFFIDAVIT to be executed by Purchaser) STATE OF MORIDA COLINi'Y OF Seminole Before me, the undersigned authority, personally appeared RE: FILENO. 03-06-1258 Sarah L McWeeney and Christopher A Webb _ Who, being duly sworn according to law, depose(s) and says) as follows (as used in this Affidavit, the term "Affiant" shall include all parties executing this Affidavit): That Afftant A. Nees agreed to purchase from Centex Homes Seller): and B. Will execute a mortgageRtvst deed to CTX Mort aq rem fly. L.Lc! — encumbering the following described property situated in die County of Spm; nnl P State of Florida Lot 196, THE PRESERVE AT LAKE MONROE, according to the Plat thereof, as recorded in Flat Book 62, pages 12 through 15, of the Public Records of Seminole County, Florida. 2. That, to the knowledge of Afliant, there are no parties who have any interest in said property other than Seller and that there are no facts known to Affiant which could give rise to a claim being adversely asserted to any of said property, except NONE: 1. That, other than as shown in Item 1, Affient has entered into no agrecrtent, contract or commitment for the "sale, lease, mortgage, option or creation of any other encumbrance on said property, except: NONE 4. That, to the knowledge of Afflant, there are no taxes, liens or assessments due or about to become, due which have attached or. could attach to said property, except: NONE 5. That Affiant is a citizen of the United states, of legal age, under no legal disabilities and has never been known by any home other than that shown above. 6. That, if title to said property is to be acquired by a. corporation, partnership or trust, such, corporation, partnership or trust is in good standing under applicable laws and that the contemplated purchase and/or mortgage of said property by said entity is pursuant to proper authority. 7. 71at there are no proceedings now pending iu any State or Federal Court to which the Affiant is a party including, but not limited to, proceedings iri bankraptcy, receivership or insolvency, nor are there any judgments or liens of any nature which constitute or could constitute a clierge or lien upon said property. S. That, to the knowledge of Affiant, there have been no improvements, repairs, additions or alterations performed upon, said property within the past 90 days; that the Affiant has not entered into any agreement or contract with any party for the furnishings of any labor, services or material in connection with any improvements, repairs, additions or alterations within the rofcrenced time period; and that there are no parties who have any claim or right to a lien for services, labor or material in connection with any improvements, repairs, additions or alterations on said property. 9. That, to the knowledge of Affiant, the binder/commitment of Commerce Title Company, the policy issuing agent, and the underwriter, under bindedcoailmitment Number , correctly and accurately reflects the status of the ritle to said property, including ale liens, mortgages and other encumbrances affecting said property. 10. Affiant(s) further states that helshe/they are familiar with the nature of the oath and the penalties as provided by law for falsely swearing to statements made in an affidavit of this nature. Affient(s) finally state(s) that he/she/they have read and/or have had read to thcln the contents of this affidavit and that he/she/tltey do fully understand and attest to the correctness Info taken by_ Today's Date. Chart # Do not write above this line Appt Date Time Day M Tu W Th F Office: Alt Orl OV OC Patient's Name (First) (Last)_ Address City PhoneHome(Work( ) . Patient's SSN, Referring Dr. Name Family PhysicianName Address Address Telephone(___) Fax Telephone(_, Who Authorized/referred Referral # ST/ZIP I. -Fax Insurance Co Insured's Name Insured's DOB Insured's Employer Insured's ID/SSN GroupName141m Relationship of Pt to insured Phone # to verify insurance s/w Effective date of coverage Deduct amount Satisfied? Co -Payment or Percentage Pre -Existing Clause? Is Allergy evaluation, testing and treatment in MD office covered? Is SKIN testing covered?(CPT 95024/95004) Is BAST testing covered?(CPT 86003) Are Allergy Injections covered?(CPT 95117) Vials?(CPT 95155) What company. does the patient get Nebulizer Machine from? Lab Can we bill lab work? or must be billed by lab Flu INJ? Needs Dictation? (all managed care) Authorization needed? Is authorization required for each visit Expires Insurance Mailing Address Approved Not Approved. Verified by Date of ITS, conuriis. A£fiant makes this Affidavit for the purpose of inducing, Commerce Title Company, policy issuing agent for this commerce Title Insurance Company the underwriter, to issue its Policy or Policies of Title Insurance in connection with the above referenced trdesaction. SWORN TO AND SUBSCRIBED before me this 29th day of September , 2003 Sarah L. IKcWeeney Printed Name: Notary Public Commission Expires - Christopher A. Webb n J Info taken by Chart # Today's Date Appt Date Patient's Name (First) (Last) Address PhoneHome(_ )_ Referring Dr. Name Address Time Do not write above this line City Day M Tu W Th F Office: Alt Orl OV OC Work(__) Patient's SSN. Family PhysicianName Address ST/ZIP Telephone) Fax . Telephone(_, Fax Who Authorized/referred Referral # Insurance Co Insured's Name Insured's DOB Insured's Employer Insured's ID/SSN GroupName/# Relationship of Pt to insured Phone # to verify insurance s/w Effective date of coverage Deduct amount Satisfied? Co -Payment or Percentage Pre -Existing Clause? Is Allergy evaluation, testing and treatment in MD office covered? Is SKIN testing covered?(CPT 95024/95004) Is RAST testing covered?(CPT 86003) Are Allergy injections covered?(CPT 95117) Vials?(CPT 95155) What company does the patient get Nebulizer Machine from? Lab Can we bill lab work? or must be billed by lab Flu INJ? Needs Dictation? (all managed care) Authorization needed? Is authorization required for each visit Expires Insurance Mailing Address Approved Not Approved s Verified by Date Urcl_HNVU TERM SPORTS 4 40733107r72 CLANIC CUSTOMER NJ! ADDRFee• %/4 LWEAL FEET: 1_ HEIGHT TYPE a 05 ••cYH 8 i_JChfl O Ultr BOARD SIZE RA 0U2x4 [ 2Q1x4 Dtxs WALK (E r OTY: — ORIVE GATES: OT .- _ LINE POSTS. OTY: ERMINAC POST: QTy. TOP RAIL: OTY: _ WIRE GAUGE: KK. _ FENCE TO FOLLOW CONTC ENCE TO 8E LEVEL: Q 4EMOVE EXISTING FENQ ENCE LINE TO BE CLEAR ARNER LOT: ERMIT NEEDED: wic Fella will:saia the t:uslnmcr. r ,ny W} gnaranrM'll{r7r acrnf ca If r alitFrrttgw•tl3fi:1" trtcfefinnxil 415i0u1F 4:11 be hnUgj 6k 10d. .;p utaalRnv,; f tlrr 0-1. All nl:aCn, he rertn5 ••I rhie rnner m ct T',•a urgtvr f ( rYfN rNre:rl a,:,IN•A• d+c cikt In td.MkXr r t1 C. J11ut Cnit 14 Mltttl:rl 40 " wrcK> Iulr rcapatA'hrlav Air 1 Ic9tt WIt,JIS Sri mvell null trrr P Itd • wng c. Clmsrt Flare will {r ME READ AND UNDRIa TRACT AMOUNT. IN PAYMENT: ONCE DUE N COMPLETION c- COUNTY: F FEr1lCE MAP PAGE:_ STYLE skQ S1ockade ood OSO On 8D Shadow jqqx Picket SIZE GOOD SIDE 3 In 4 GOU1 OPENING: OPENWC: 0. 0.. O. D.: O. D.: KT: _ R OF GROUND: Q Q YES Q NO YES NO Q YES Q NO El YES 0 NO NO. 647 D02 P• Z 330 Dog Trxk Road • tongwood. Ft 327S OATS: 407- 3310765 AE one • n7-331-0772 Far PHONEXHOME't t WORK FAX # 0)'- M08ILE FRONT n ath Mt. in dricrvrli:I:n 4hca r6c ien Lr: rF m 1>e cre,:Ied. hm I•frdee nn .. - r•rl) i„'• i lntlC: hu!IY,9:Cli. i1 Is arcrnr mell.ltd that the evllu,br- - uhmu r u n .Cbdrlta CTaSSir Frnce S,:h.rrlt an rcc ae ticprnlgnYr •rvrvad Y . RMs:wlit ily (urh.i•,tq, rr{tthf IJr:u;1 II Y tir:flCt in): Prnptsly lint or R a={ Ics and miHutY, n,iwen:r, Cluc Y{y • { elt iinte is nqt resp.nr ihta Lin r,f xpttnklt•rs ur.q tcr uem. wal /Clltavrd i l is Juc ar d¢ ligti r.f cun,DlCtilat of r. rl, a v11N 1•rri:rl li]Ys nr nh' K prrtltorly1:: CNtt it ferKr nnnl a nu a financr 1K:}. f 1lf"_CS rn pay all mre p ymcn, ii rtccicrl m 1iJll. Ri •lp t,; at,nargt of I /. ;., /Itr nnnrll .Shah he { r' rCsr:J!il;r:lyChcra,ncnna.l in,Ac Cnlltuioa ui rh...k.l,r l' `r s andfhrnr.al a fatllnllu '1'rnL•oal•' arxr,4rar.nnt iJin nl tp,nwnrkoru> am+ ere w, Clac;i< lrncc NI r:¢ e>ccr of n n Ymrn rill lab.,f V f`I Irt ;In:.it.'y h pup, nr r..:, tcVl fr:rnjgrnln:htprnEr ft For if) ra 2 Crctx :,, lug Culltt :igaartcd C,:nUFe s rq n .rr:ra C..tgl mi)'h1 r.f ynnt:rghn,nrna„crt pttpii;d:nn y{Prl7•;71 f.a J,r rapt :,nr: lncarirn •v tenet. Ms. 19nW)'r1cr: •rr) rI i6l4'cIt nI wnr 1 al lcncr:r;ff a tru.knvv r,• < , ) / YISN Ir 1wuxDa0.c ILC wrakr I nnk auJ wary, N, Idq IrQ 3TAP1oTNE ABOVErCLAUSE,r„ 1 y /`nlrf ,nd rprall „ L WiJI`„ 1' h nCerr 1wn1c cr=I;R Iht.+111M1 m0 al:tmmn„ 41M o. OKrF CAL ED r( C. O. - INSTAl1.ER 40013 Cp. MrE ST^g71:G toMp ET' r s_j v •a s a 60 nNO ACCEPTEp mow, 1 • r yra'r3310772 oEscRP o0T PLAN RECORDED ,N P lAT LOT T96. PRE5ERIA(AS 9URNIS,iEp900x62, PGES 1ALAKE MONROCIj OF T,•'E PUBLIC 1t[CQRpS or SE411NOLE COUN ir. FLOMDA 7C:AMCTmfAt( fV eO L•w! 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NO V t[O E1fCCP1 AS SI,ORp~ENtS NAVj LAho KEN AA/S( a #^ Mh,Olrr t'rc SIGNAI tAt OfArLP( ANp ryq OAM)r Al AN OHAPPCA• LORIDA LIC(NSEO SURI No.266 D03 -- No.( CLASSIC FENCE COMPANY 3 4 330 DOG TRACK ROAD LONGWOOD, FL 327550 ACU DATE:' - SALESPERSON 407) 331-0765 FAX: (407) 331-077e I SOLD TO SHIP TO YOUR ORDER NO. iAT E S H I P'O E D -SHIPPED VIA' F.O.B. POINT TERMS QUANTITY' UNIT, DESCRIPTION UNIT PRICE TOTALUNIT RrA W rN fo- V, 1A app- EAMMM mmmm mmmm