HomeMy WebLinkAbout130 N Scott Ave (2)2-03-20A 12:591?H FROM P. 1
CITY OF SANPORD PERAIrr APPLICATION
Pcrntit # : 3�. ' _Date:
.rob Addreis:
Description of Work: puri'` A-) L,
OUCH}
Historic District: Zoning:
Value of Work: S 7
� ae• as�wa. ®�or..�.�er.��aeeer.. - i�rt
Permit Typc: Building Eloctricatl Mechanical Plumbing Fire SQrinit2er/Alarm Pool
Electrical: New Swim -# of AMPS
Addilion/Alteration Change of Service Temporary Pole
Mechanical: Residential Non-Residentitd
Roplac,ttieitt Now (Duct Layout & E.i aV Cala RogUitnd)
Plumbing/ New Commercial: # of Fixtures
# OC Water & Sewer Lincs # of Gas Liras
Plumbing/New Residential: # of Winter Closets
Plumbing Repair - Residential or Commercial
Occupancy Type: Residential i! Commercial
In i"bisl Total Square Foo(agt:
Construction Type: # of Stories:
# of AwsLing Units. Flood Zone: (FMA form nogttMed for other by X)
Parcel N:
w _ (Astec► Proof of Ownersblp & Local Deseripdoit)
Owners Name 6t Addreu:
3C5 M
Contractor Name At Addr.:
Phone & Far. �D25
Bohding Company:
Address:
MorTcage Leader:
Address:
ArchItecVEnglnear:
Address:
+V TT V � P64+e:
M661)36 6 N 1
State I Fce�� It License Number
Person! V r= M tALyrh.ne:
Pkooa:
FAY:
Application is hereby rnedc to obtain a permit to do the work and installatiorta as indicated. I certify that no work or installation has oommeaced prior to the
issuance of a permit and that all work will be performed to nett somditn" of Ill laws regulating oonstruaioo is this jurisdiction I untlarstaod that a separdu
Permit retest bc.secumd for RLECTRICAL WORK. PLUMBING. SIGNS, WBLI S, POOLS, FURNACES, BOILERS. HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing lafomution is accurue and that all work will be dont io compliant with an applicable lawsregalatiug
oonstruetion and zoning. WARNING TO OWNER: YOUR FAILUR4 TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAY INfi
TWICE FOR IMPROVEMENTS TO YOUR PROPBRTY. If YOU INT8ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE It YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the sequiremems of this permit, that may be additional restrictions applicable to Ibis pmperry OW may be found in the public records of
this county, and them MAY be additional peirnits requited from other govemmexual entities such as water management districts, state agtncies�rfedetal ageneses.
Acceptance of permit is verification tau I will notify the owoet of the property of the require rne of Florida w 711. O '
SlgrwturcotOwnedAgcot Date Si o on dA c Data
Print OWuu/Agent's Name Tri (fact /A44: t i e
TIFFANY A ROLON .
MY COMMISSION NtoDMp43g7g1
- P�itrES: Qune 8, 2009or
APPLICATION APPROVED BY: B
ac
Special Conditions:
Signature of NouryStatc of Florida tate
�ogtrletodAgcm is Passail Known to Me r
Produced ID 2 C79 " `5 �
Zoning:. Uulitics: PD:
(Initial Ec Gare) (Initial & Dau) (initial Qt Date)
rA
First Quality Plumbing & Irrigation Inc.
746 N. Volusia Ave.
Orange City, Fl 32763
Phone (386) 775-0909 Fax (386) 775-0918
July 12, 2005
City of Sanford
P.O. Box 1788
Sanford, FL 32772
Re: Plumbing Permit Applications
Dear Sir or Madam:
This letter will serve as Power of Attorney authorizing the following person to sign for me for plumbing
permits for the following lots, one time only:
George Pihakis,
George Pihakis: 130 North Scott Avenue
Permit Number: 05 -
Should you have any questions please feel free to call me at the number above.
Sincerely,
v
ary Evers
President
License # CF -C050566
State of Florida/ County of Volusia
The fore oing strument was acknowledged before me this
day of 2005 by Gary Wayne Evers ,who
is personally know to me and who did not take an oath.
TIFFANY A ROLON
��`oFivo�
MY COMMISSION # DD438781
EXPIRES: June 8,2009
(407) 39"153
Flodde Nabuy SaMce.com
1NIS INS�T�UMENT P
EPA
NAME _ L4. +.�
Permit No. ADDR. .
State of Flozi
County of Seminole
!--
0
I I MIT'!
OF COMASNCEMENT
Tax Polio No.
P.k�l
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.
1. Dascri tion of pro /,� AbdW '.o 4�o&/ '.S'A'1WWU � `��7%
r / p erty: (legal description of the property and street address if available) 160ri /7 „ ANm
_ _ .S'�Gy'7dN�!AQ✓,cW�A1 �9C�.oi2DivC� -�v �fip r»v� .�� .e�
2. General description of improvement.-
3.
mprovement:
3. Owner information
�
P---111. Name and address
0' _
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractortt.._ ;
a. Name and address Y KS + (�U q c
.- . Phone number 3 8`L '77S - O 9 0 Fax num ?F 7S o S
?
S. Surety
- --
0
X)
Ln
b, Phone number Fax number
Wi c. Amount of bond
e. 6. Lender
u.i
a. Name and address
a 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
N-
�- 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
cF 713.13(1)(b), Florida Statutes.
a. Phone number Fax number
U; 9. Expiration date of notice of commencement (the expiration date is 1 year from th date of "ruiless a different
date is specified)
u Signature of Owner
L
Y=DSworn to (or affirmed) and subscribed before me this o2 � day of �, 20D& , by
eon
UL - ,
rPersonally Known _ OR uced Identification y
T e of Identification Pro L P-. -3 oo S.2 — 3-4 — 'D
w �� G i� 1►E' C41
O 4.
Signature o -.� :' • �. �-.. q.
�f
Commission Expires: >
W� DREAMA THOMAS
S o�Qv
'DEPUTY CLERK'
zi
1161I611�111111l11i1�11:1111III itIII mtunlot uall nIasi +