HomeMy WebLinkAbout100 Wilner Cir (pool) (4)�I
CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
CITY WATER AVAILABLECITY SEWER AVAILABLE _
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PERMIT ADDRESS 1(DO UQVL-NLQ C:K PERMIT NUMBER aa-zaclq
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Total Contract Price of Job
Describe Work C4C:*J
Type of Construction
Number of Stories lev—
Occupancy: Residential
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Total Sq. Ft.
Flood Prone (YES
Number of Dwellings Zoning _
Commercial V-- Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER t.
OWNER L.AK*- AONQof 465orlATF.S LAP41Tf.fJ Pry E2Sl`�l� PHONE NUMBER
ADDRESS Lt13 >9_%dCJ Jk.
CITY AyTAo4ft j7? SpeZ..O &�S STATE F 1 ZIP 3p.'101
TITLE HOLDER (IF OTHER THAN OWNER)
ADDRESS
CITY STATE
BONDING COMPANY f�vH v
ADDRESS g 1�10opGoC�C 17 .
CITY pRt_ar.►�o
ARCHITECT 1 Arf_ ry,►.J SoUJ�T�s
ADDRESS F0 (3p X 576b l 2_7
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MORTGAGE LENDER NAT1o�GjAr-9 K
ADDRESS 7 -5-Q
CITY tZ%,JTi Q_ Aft v
ZIP
STATE F L ZIP 3;L-603
STATE ir- L-- ZIP
STATE ZIP
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CONTRACTOR �pv�►+rt£.iZCl�l. Ppe1�g �� PHONE NUMBER AiV7-6a-1 I-1 163
ADDRESS x,230 'LVteSall4- C-1 ST. LICENSE NUMBER L'P C_ pZyys
CITY C>J-11V_DC> STATE ZIP 3 7'1165-
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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, PLUMBING, MECHANICAL, SIGNS, POOLS, 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 COPY OF THE RECORDED 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. FAILURE•TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE 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.
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CCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF
HE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
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Signature ofer/ gent & Date S' nat re of ontractor & Date 0 a
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Type or Print Owner/Agent Name Type or Print Contractor's Name o ? m
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Signature of Notary & Date Signatu a of Notary & Date
(Official Seal) (Official Seal)'
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Application App ro a Y. Date:
FEES: Building M6 05'.44k Rado Police �Frie
Open Space RVaImpact ;N,144
tion
PERMIT VALIDATION: CHECK CASH DATE BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN)
**** THIS APPLICATION USED'FOR WORK VALUED $2500.00 OR MORE
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