HomeMy WebLinkAbout911-936 Willner Cir Bldg 9 (fr sp)CITY OF SANFORD, FLORIDA
W A PL Al'f nN FR ECH DING PERMIT
PERMIT ADDRESS CSU (,�J CS PERMIT NUMBER g4-1 l
Total Contract Price of Job 'Ise/ o5, -:e3
Describe Work
Type of Construction
Number of Stories 3 Number of Dwellings _
Occupancy: Residential �/� Commercial
Total Sq. Ft. / / -76 Y. &%.
Flood Prone (YES) (NO)
Z U Zoning /C L
Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
OWNER _
ADDRESS
CITY i
TITLE HOLDER
ADDRESS
CITY
(IF OTHER THAN OWNER)
BONDING COMPANY
ADDRESS
CITY
ARCHI
ADDRE
CITY
L:�v► i�ei i'a/-�, PHONE NUMBER
STATE P-41 Z I P 3 Z-7 O/
STATE
STATE
ZIP
ZIP
MORTGAGE
ADDRESS
CITY
LENDER
STATE
ZIP
CONTRACTOR Dip I&�!,� S f i ,P/`S —_r/1 L PHONE NUMBER
ADDRESS _.* 6e ---44G Z ST. LICENSE NUMBER
CITY STATE /CL, ZIP 3'2-7U/
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.
ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF
THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
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1%1 omm. Expires =
U ; MaNt 19, 1996i = JOY 1. BOUCHARD
A ; No. CC 167574 ; ''F
• Notary Public, State 01 Florida
......... 8 C:••' My comm. expires Oct 23,1995
�._�* 0����p Comm. No. C054761
App 1ica1 Y&W111A1Fproved BY: Date:
FEES: Building , 0 Q Radon Police Fire
Open Space Road Impact Application I
PERMIT VALIDATION: CHECK cl� CASH DATE oZI �'J�% BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN)
**** THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE