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Home My WebLink About823 S Park Ave 05-1939 (re-roof)c, CITY OF SANFORD PERMIT APPLICATION Owner/Agent is XpMonally Known Produced ID APPLICATION APPROVED BY: Bldg: Special Conditions: Permit # : (�� Date �3 I ro-2a»r Job Address: BZ✓ SCAT 4 2&zr.. &C'wE S&L�ap Description of Work: Kc - KG Historic District: Zoning: Value of Work: S 57 7S 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 Calc. 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: a (-P Construction Type: a, # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) . Parcel#: 2,5- (g— S a - "C7— ( 003 -0090 Owners Name & Address: Phone & Fax: 004 / gd7&1.3l1f— Contact Person: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: (Attach Proof of Ownership & Legal Description) Phone: Phone: Fa:: 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. TICE: 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 govemmental entities such as water management districts, state agencies, or federal agencies. Acceptance of catio at I notify the owner of the property of the requirements of d� ien law, FS 713. ture of Own Date Signature of Contractor/Agent Date nt ftwner/Agent's Name n Print`Contractor/Agent N Notary -State of Florida s CHHWM•pUTTIN11--6igrpture of Notary' -State of Florida _ Date AWE�� t.oernp p0037p8gp TF@ �rN 1?/1ti2M / SRI, Banded �' I��i;�tractor/Agent is I. _ Personally Known to •••••••••••••.•.••Fl:;b°�t;?!?!Y!1asn., Ine : Produced ID (Initial & Date) Zoning: OL% �31�6tilities: (Initial & D te) 110 wean/ ppf1Qmw Ewkn 127M64= Ballad Oau (l00X32-42 (Initial & Date) (Initial & Date) 14 Permit No. State of Florida County of Seminole NOTICE OF COMMENCEMENT Tax Folio No. .257 19-30-5�G-1003-ce-91 undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with ?ter 713, Florida Statutes, the following information is provided in this Notice of Commencement. Description of property: (legal description of the property and street address if available) LE4 S 32 /z FT of Lor9 oL (ECG LoT lo BGK /o T%Z Town( of Sy4gro2y SZ3 S'o u 9t.t u AQ- A KVE General description of improvement: "\ * 1 ke -2oaF Omer information , a. Name and address M YANNE M01?�: g s sS?E</E�/ C hI Rse6 / E CfI �S M t t� c b. Interest in property �cADA�-cr c. Name and address of fee simple titleholder (if other than 4. Contractor a. Name and addressGg24 Z8S rho 3zs33 b. Phone number t4 d?-9q q- coat— t Fax number 0-1 - 9 - asL 1 5. Surety a. Name and address b. Phone number Fax number c. Amount of bond 6. Lender a. Name and address b. Phone number Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address b. Phone number Fax number 8. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.. a. Phone number Fax number, 9. Expiration date of notice of commencement (the expiration date is 1 year froze} th to of reco ' g unl s. a different ` date is specified) 11 +:Signatur caner. . .. .. Sw to (or affirmed) and subscribed before me this Wt'A- day of.d 2p Q� tJ � ►�'*++r+rnrtrtit n m7 � 1�11 TOI Personally Known OR Produced Identification MARYANNE MORSEj CLERK OF CIRCUIT COURT Type of Identification Produced SEMINOLE COUNTY BK 05659 PG 1088 CLERKt S• # 2005048280 RECORDED 03/23/2005 M2704 AM Signature of Notary Public, State of Florida RECORDINS FEES 10.00 RECORDED BY t holden (.1 ComnwooO7nm E� 1?/16/ = `Bonded Oyu (OoO)M.42 �nu� R1eME 66M.... •— r LDIMD POWER OF ATTORNEY I hereby authorize of 3-2 c9 —Oq Date v- to sign his/her name on my behalf in order to apply for a �� - �00 permit for the work to be performed at: Lot I r- 10 Subdivision —Foco 1 Or sc'4-" -Ord Address 2;2 3—S 92X & moe sa46,- c4 f 1-- � 3'a % :71 If applicable only! STATE OF FLORIDA SEMINOLE COUNTY Tann WC ► & 03 T or Print N e o Company and License # of Contractor Sign re Jf Licensed Contractor Type or Print Name of Owner Signature of Owner The foregoing instrument was acknowledged before me this 09 day of 20AZ�; by .-Zh a n si :S, 7 Q rY P r (name of person acknowledging). ;•••••••••~ERIVA 1N....... i QWW 00Wnm Em..lah&2= . , A M. 9t - (Signature of Notary Public — State of Thorida Q ►2 n (Print, Type or Stamp Commissioned Name) Personally known OR produced identification Type of identification produced: AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS O 1 _ Company: LAC License #: Project Information Owner: 5�11'e C' InI ks M c,r name �3 Sou t \ pgrk S0.^ c, address "3 3o g q3 phone Permit M Subdivision: S0.n Fora t C" n o l 5t'� kL +bJV\a,� Lot M I, k ��Q 6 \ A! affiant, hereby affirm that I am the duly licensed contractor of record for the abo a referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: si�ature printed name STATE OF FLORIDA COUNTY OF This instrument was acknowledged before me this _ day of `► "ll(ii , 20U by the above referenced individual, , who acknowledged that he/she is a duly licensed contractor with , and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced as valid identification. WITNESS my hand and seal this -�— day of I k,/✓ , 2017� Notary Public E EBBIE BLANTON MMIGSION N DD IS M1RES: February 25,2007FL Rotary D400unl Assoc. Co.