HomeMy WebLinkAbout300 E 18 St (2)Oct 26 04 08:49a Pity of Sanford Building 407 328 3859
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/��` Ci rY OF SANNFORD PERMIT APPLICATION
Permit#: W„ -_--
Job Address. -
Description of Work:
Historic Distrid:
Value of Woarlc
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Permit Type: Building _Y__ Electrical Mechanical Plumbing Fire Spriul;ler/Alarm Pool
Electrical: New Sen'ice —# of AMPS Addition/Alteration Change of Service Temporary Pole
Meehan=: Residential Non-Rcm&-ntial Repla=m= New (Dnet i,ayout & Energy Calc. Required)
Plumbing/ New Cammercial: # of Fixhues # of Water & Sewer Lines # of Gas Lines
Plambin"ew Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construtxiou Type: # of Stories: # of Dwelling Gaits Flood Zone (M -MA form required for other than X)
—.—g a.ompan.:
Mortgage Lender.
Address:
Arehiteet/FAMOneer: Phone.
Address: Fax:
Application is bereby made to obtain a permit to do the work and installations as indicated. I certify that no wank or installation has commenced prior to the
iFzuancc of a penult 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, PLL'MBLNG, SIGNS, WELLS, POOLS, FURNACES, BMERS, HEATERS, TANKS, and
AIR COND(TIONERS, etc.
OWNER'S AFFIDAME: I acetify that all ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws reguh :ng
consmtetion and zoning_ WARNING TO OWNER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEW MAY RESULT IN YOUR PAYR G
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR A-14
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT,
NOTICF: In addition to the requirements of Ibis permit, them may be additional restrictions
this county, and there may be additional permits required from oder governmental entities s
�`�O f /'t is verification t]> t I will notify the owner of the property of the requin
tui SigrAdrcofownwAnmi
to Itis property tbat may be found in the public records X
x management districts, stat& agencies, or fakral agenc _ts.
of Norary-State of Florida Dare Signaturc of Kotari-Stam of Florida
Data
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Owner;Agent is Per — to Me of ContractorhkSeat is P natty m Me or
--PrP ID Produced ID
CION APPROVED BY: Bldg: \ ring. Utilities: FD;
(In Date) anitiai & Date) (Initial & Date) (Initial &
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I mei to tta It oat U1 11 910 11111
NOTICE ACDF COMMXNCECANT
State of fi lorida �/�� C of eini Molle
Permit No. Tax Folio No. (PID) . /K�"' - t J�'r'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
OWNER
Nance aaO
NAM AND ADDRESS OF FEL S11"LE TMA HOLDER(IF OTHER THAN OWNER)
CONTRACTOR,Ak6 11ff�i�.fl��
Name andAddrew
SURETY (Bonding y)
Name and address 60 _Iv: MoRS f
Amount of Bond
LENDER SEnA1N .
Name and address
V
Persons within the State of Florida desipated by Owner upon wham notice or other documents A14be served as provided
by Section 713.13(lXa)7., Florida Suites.
Name and address
In addition to himself Owner designates of
to receivre a copy of the Lienor's Notice as
provided in Section 713.13(i)(b), Florida Stags
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Expiration Date of Notice of Commencement
{The expiration date is 1 vear fist date of recording a di%rnt dar . ;s crew .t t c
:of Ehvoes-�-, �•�
Sworn to and sub 'be@ before tate this Day of
my Comndubn Ealtir"'. / -7
os -
Notary Public
The foregoing mstrmeat was aclmo wledged before clue this day of 1 11.4 by ` j
u
( Rf w. 0 personally known to tdf
me or who has produced _
and who did I did not take an
Notary Public - State of Florida
MvCommssiw Bpx eaDec7,2008
Commission # DD 377639
Bonded By National NotaryAssn.