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HomeMy WebLinkAbout452 Sand Cove Dr✓ CITY OF SANFORD PERMIT APPLICATION / I Permit # :0 s 1 n Date: Job Address: 45CA SGtv\Ca io�re L . Description of Work: C�6koa�e 0'.3;Z 0-j� C)0,C ,,a3e L I iA Historic District: Re Zoning: Value of Work: $ 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 X 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: Construction Type: # of Stories: _ I # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: \ - U —_400 —O OU _ O (Attach Proof of Ownership & Legal Description) Owners Name & Address: S �•�0.SG� kN\"r i G of So—& oJ,-- ��rA SGv -e l � ._ 0 Phone: 9 Q ~ (0 `U `6 ' Contractor Name & Address: \ ,�f7 L G, N. r c} 1P 0_'�en"ATf q� � t' l QD �Fcr5\' ph-)oof State License Number: �a.;a(�_ V�l`-13a� Phone & Fax: liO1-F'S'k-b05,0 /�/t U7 S`1"tod ( Contact Person: ONU",� "6 S�t �JGt— Phone: ([1�7 i'�QO`Zi i Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: Application is hereby made to obtain a pemlit 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 requireuRgrits of Florida Lien w S 713. Signature of Owner/Agent Date 6 ature of Contractor/Agent Date 10 1 Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or _ Produced ID APPLICATION APPROVED BY: Bldg: Zoning: (Initia Date) Special Conditions: Print 's Name 60S Signature of Notary -State jp�dg UE GRAVE Date MY COMMISSION 4 DD 164280 EXPIRES: November 12, 2006 o ctorP � ° Bon#,&h 9Y1kn` %iir toeMe or lProduce ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) Seminole County Property Appraiser Database Information 1V Page I of 1 FE° RSONVAL FR PERT V DFI-7AI L REAL F.SfiAiTE FERSONkL TAX ROLL SALES SEAfiL'k1 Account Number: 0101766 David JoFinsort.CFA.ASA �.� Business Name: CARRIAGE COVE M H PARK PPETV Business Address: 452 SAND COVE DR APP MSE Business City,State,Zip: SANFORD FL SEMINOLE COUNTY, FLORIDA Parcel No.: 12-20-30-300-0130-0000 N1101 E. First St./ Tax District: 95 - SANFORD-REDVDST Sapfbro FI. 32-1,71 407-,665-7506 Dor: 6832 - MOBILE HOME ATT) Just/Market Value: $1,094 NOTE:Assessed values shown are:.NOT certified values and therefore are subject to change before being finalized for ad valorem tax pu Iia+ x p c ltil<rlr CONTAC http://www.scpafl.org/pls/web/pp_web.seminole_county title_pp?ACCT=0101766&cpad... 6/12/2005