HomeMy WebLinkAbout2674-2680 Orlando DrAPPLICATION FOR BUILDING PERMIT
CITY OF SANFORD, FLORIDA
PERMIT NUMBER
TAX ID #
JOB ADDRESS --24:�L �11'1 /2 LA ub0 �� - �-tyFi��
Total Contract Price of Job: A:- - Zoning �2
Describe Work: P- rtobaLl"
Type of Construction: Total Sq. Ft. /4 d{
Number of Stories: �_ Number of Dwellings: Use:
LEGAL DESCRIPTION (please attach printout from Seminole County)
OWNER
ADDRESS .� F Sf /i� n Ar�1 h3L ti
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STATE ZIP `32-(O `(
CITY �ASSL,F�2/ ��
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TITLE HOLDER
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(If other than owner)
Title Holder Address
CL ' E
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(If other than owner)
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City State Zip
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BONDING COMPANY
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Bonding Company A ress
city �Lf9�a� � .sP � State �l Zip
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ARCHITECT 2 / CR%�G /�� S
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Address
City A 4A Aj 1!�,F .5E State Zip n
MORTGAGE LENDER �O IVI Il/� C 12'C t A L �v'FA�F E • i�A n/
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Address
City E vJ A'(_C e. State Zip 32-
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CONTRACTOR �� 1liJ / .. License #
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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, POOLS, MECHANICAL, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoing information
is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning. A CERTIFIED
COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE
WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS
BEEN ISSUED.
WARNING TO OWNER: YOUR FAILURE TO RECORD A. NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO
YOUR PROPERTY. IF YO INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR A TTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT. f
Signature Signatur
Owner or Agent Contractor
Date: 1,2-19 021 Date:
Not _
Notary `J
1p� xpires: My Commissio�l Expires
My "'— "$a7 �Y PEISLI, STATE OF=FLii PJotary Nbiic.. 5 :e bi r4orr a
t r E - ?ISSIF�N� t,P: 1LLY`23,199? 1995
+1y Commission Expires M1ay 6,
uondud
by
nanv
ACCEPTANCE -OF PERMIT-"fiS"VERIFICATION THAT I WILL NOTIFY THE OWNER
OF THE PROPERTY OF THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
Application Approved By: Accepted By:
FEES: Building oC1q.0 L) Radon: Police Impact:
Fire Impact Open Space: Application:f),
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (COUNTY ADMIN.)