HomeMy WebLinkAbout129 Anthony Dr 04-261 Roofs
Permit #: 4-Z o
Job Address: 112"1 t'fY
CITY OF SANFORD PERMIT APPLICATION
Date: / r/ 3
Description of Work:
Historic District: Zoning: Value of Work: S \2 1 •
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
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 or Commercial _
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 1 V — 2.0- 30 —Sol — Coco —
Owners Name & Address: _:5LA(AU Mud(W)
Contractor Name & Address: 1 Y I t ((,' 1
Phone & Fax: N M-SIZJINo l-,V2-30%ontact Person:
Bonding Company:
Address:
Mortgage Lender: Ili
Attach Proof of Ownership & Legal Description)
LD20-- 34 '7 -7
State License Number: C-G.CO S D V
JIV,d Not- Phone: MO—S32—Yf Address:
y
Architect/
Engineer: ivl Phone: Address:
Fax: 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
o permit s verifica 'on a r fy the owner of the property of the re uire ents of F rida Lien Law, FS 713. 0-
3-03 Signa
a of Own /Agent Date rgn re of Contractor/Agent Date cf,
rint
Owner/Agen s Name Print Contractor/Agent's Name Signature
of Notary -State of Florida Date Signature of Notary -State of Florida Date Owner/
Agent is _ Person lly Known to Me or Produced
ID / i L Contrac
r/Agent is _ Personally Known to Me or roduced
ID STUF
PF FI %aP I RhICATIONAPPROVEDBY: Bldg: _l t'1 F Zoning: Utilities: FD: C^
V!PTYOF qF^."'nMLE (Initial &
ate) (Initial & Date) (Initial & Date) (Initial & Date) The
foreaoingspaetartirdttiemes acknowJedperi before y
this
y o N 'V1 R who
is ffrs 71,ly known to me or has oroduced lJas -
identification. FREDERIC
POTVIN . MY
COMMISSION # DO 093492 EXPIRES:
February 19, 2006 eonded
Thru Notary Public Underwriters LTV.
gotsry
PO"r, - State of Flor'da
State of Florida
Permit No.
NOTICE OF COMMENCEMENT
County of Seminole
Tax Folio No. (PID) l l • . ZO - j(,'' j— Cal. Oise
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.
OF PROPERTY (Legal description of the property and street address)
GENERAL DESCRIPTION OF IMPROVEMENT
CCsid@St 3i 7lafrlf R i l lsllllli'h T!71\1.ti"GOPV
y, i c
3 M• ' Ut CIRCUIT COURI
OWNER INFORMATION
Name and address , i a
Interest in property (Fee Simple, Partnership, etc.) __, L
Kfu
3 2003
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER) 3 1 A
Name and
L3Zty-32-Gt
SURETY (Bonding Company)
Name and address Q _
Amount of Bond
LENDER
Name and address
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes:
Name and address "114
In addition to, himself, Owner designates N 111 of
to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
of recordin¢_ unlecc a dill a P. iQ grwgfipd
Y'%#' • FREDERIC PONIN
MY COMMISSION # DD 093492 —-
a EXPIRES: February 19 2006
Bonded Thru Notary Public underwriters Signatim of er
Sworn to and ubscrib before me this Day of ,
qo My
Commission Expires: 2
I Notary
Public The
foreg ing 'mshump4 knowledged before me this day of 1"bw° ' 1 ; `i - by S .
L C ' V1 (name of person acknowledged), who is personally known to me
or who has produced (type of identification) as identification and
who did / did not take an oath>
m
AV0100950 0105270
RAY VALDES 2003 REAL ESTATE TAX BILL NUMBER 036721
0100950 01 AV 0.278 "AUTO T6 0 0860 32773-
NYDAM JUDY L
129 ANTHONY DR
SANFORD FL 32773-5938
LEG LOT 15
GROVEVIEW VILLAGE
PB 19 PGS 4 TO 6
PAD: 129 ANTHONY DR
AD VALOREM TAXES
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