HomeMy WebLinkAbout110 Earrison DrDECEIVED
MAY 112011
BY: ORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: — k5 ° Documented Construction Value: $ 6,9
Job Address: 11 Q C 0 Vf i S 00 Dri Vfz Historic District: Yes No
Parcel ID: & - 19 ' 0 -1S Z O - C E 0 U - 01 9 G Zoning:
Description of Work: ro n f (P L)G 1 V'
Plan Review Contact Person:
Phone: Fax: E-mail:
Title:
Property Owner Information \
Name . U Id T<$ ,1 G ( i°U-'-N Phone: 203 1 Ll03 - Cog90
J
Street: 3U 2 0 AQDI CAL- Lf Resident of property?
City, State Zip: Ol tS , UW 220 2S
Contractor Information
Name f IONCAyd con tyul jj o n L-(, c Phone: P () Lq S-LI I —1 ( I Z
Street: S 9 0- 3 Well S E 0 o d Fax: (q 0o) ,:LIB -110 S
City, State Zip: 0 Y0 V) C Po r V_ EL 37,0 i State License No.: c C r 3 2J Q'3uu Name:
Street:
City,
St, Zip: Bonding
Company: Address:
Building
Permit Square
Footage: Architect/
Engineer Information Phone:
Fax:
E-
mail: Mortgage
Lender: Address:
PERMIT
INFORMATION Construction
Type: No. of Stories: No.
of Dwelling Units: Flood Zone: Electrical
New
Service — No. of AMPS: Mechanical (
Duct layout required for new systems) Plumbing
New
Construction - No. of Fixtures: Fire
Sprinkler/Alarm No. of heads:
Application is hereby made to obtain a permit; to do the work and installations as indicated. I certify that, no
work or installation has cormnenced 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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .IOB SITE BEFORE THE
FIRST INSPECTION. 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. The
City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to
calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan
review fee based on :past permit activity levels. Should calculated. charges exceed the documented construction
value when the executed contract is submitted, credit will be applied to your permit fees when the permit
is released. Sagnpuare `
f o a
Dane
Signature of Contractor/Agent Dick Z
P—qeNdnImm N uA Cv Uv M S ran j
gl'ti lame Pril"YContraclor/Agent's Name k1 1,
0L /I I i_ a
7c' I nhn,,;, _. t; ' "" Date Sign5ti r # Notziry-Staterof Florida Date ORMAW =oi
At °u,G Notary publio State of Florida3 Jennifer Koski MycommissionDD928560
riQ +Q Expires
10/27/2013 RM M own
to
Me -
or Contractor/Agent is Personally Known to Nle.or' ro uce` e
Produced ID Type of ID APPROVALS.: ZONING: UTILITIES`:
WASTE WATER: ENGINEERING: FIRE: BUILDING:
COMMENTS: Rev`1`
1..
08
Mai 10 2011 4:35PM HP LRSERJET Fnx 118111l 111"1I>% airm alailo
Penuit Ato. -2i - +q - 36
Tax Folio No.
RYM NOM,M CLERK OF CIRCUIT MT
SENINGLE COMY
Si4 07569 PO `cam , t 1 pg )
CLERX,%c 41 2'011049472
RECORDED 05I11/2011 12119:25 PM
WCORDINS FEES 10.00 COPS
RECDRDED BY T Saiti1 WOW1 ARSE
NOTICE OF CO l MENCEMENT RY ANNE U cbU0
Stag of Florida C E K of (IRSCountyofsetninoicUN'
The undcrsigned hereby gives notice that improvement
will be made to certain real property, and in acctnilaace
with Chapter 713, Florida Stututes, the following
infonnation is provided in this Notice of Conunencernent. 1
1. Description afproperty: (legal dnedption of ttre property, snd street addrez K;Lvailab tr) Li: (-, t1:
14Z (uilli t)i2_.I:ii#;t I l'tr, tl R", i 1D t:(.lTf""t jyl ) i)'r" (!f}('!E'r:'I fLL.' `' e (M ) 1 1 2.
Cerier ri description of impravernent. y ( Y ( f? 1 3.
Owner information: Naine: bl`w"'4'1 .t a , fl'i b.
Interest in property: -111, (r, f - c.
Name and address of fee simple titleholder (if other Then 0mar): Name: Address:
4.
Contractor Name: jdf,bW.1vj ( 00 0 Yt 4r i t l-rl , t t . (_ Phone riutnber. JVil 11 I I 12 c,
Address: 'i A-:' f t1t _ 5.
Surety Namc17 Address.
b, Amount
of
bond: $ G, Lender: Name:
Address' b. Lerxler'
s
phone number: 7.at. Persons
within the State of Florida designated by Owner upon who n notices or other docnnnents may be served as provided by Section
713.13(1 xa)7., Florida Staines: Namc: . Address: 8.a.
In
addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice
as provided in Section Zia.I3(1)(b), Florida Srattlteg. h. Plione number
of person orentily designated by owncr: 9. Expiration flute
of notice of cornmencemcni (tine cxpir(atiott date is 1 ycar frotn the date- of recording unless a different late is specified)
WARNING TO OWNER:
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMPNCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP'ITR 713, PART 1, SECTION 713,13.
FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWTCE FOR'IMPROVEMHNTS TO YOUR PROPERTY,
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TUE 30B SITE BEFORE TIM
FIRST INSPECTION. TF'YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR ENDER OR AN
EITTORNEY 13EI COMME ING WORK OR ftECL)RDi1t1G YOUR NOTICE OF C ME ly
i Sigtr hire n!
Ntnern, thyii r An ,tr. i }t jean ir. fvr t; itiri0.1a " Sign Aory's Ti116101' ice The foregoing imtnrmcnt
was acknowledged fore me this , day of gli r) , by (naruc of ipc j (i(iypc-cif tip / t aurlrority, , ..
c.g.
oificcr, tntstee, attorney in fact) Car (name ofl)arty (ur belia f of whom instiumeni was czccluc$l tk)e& . gn;oiue of
pinta Pith!' t T Persnna31Y KI OR
Produced idcuiiFrcation Type of lden0cation Produced Vea-ificntion Pursuant
to Section 92.525, Florida Staitars: Under ,' Ities ofper' ry. I d are tha I have zM ilia foregoing and thrit tb,faotq stated
in it t2r frde to the hest olary cnsu led end beJ1e /' 1 Q 5rgnatun; r. Rev.
date 3
Above L- h
it_
6. e Ic, v; T A,
Nil JO,
NES Notory Public J
Commonw0alth of Miglny! /
7710+SJ$ My
Commission Explres
Jun 30, 2011