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Home My WebLink About324 Borada Rd (2)i (v/ CITY OF SANFORD PERMIT APPLICATION Permit #: 015'!0� /� _A Date: Job Address: 3 Z` - 13,0+2lib A ( oeb /m�9-b 3 2 %r7 3 Description of Work: u—c= F Slyo4'C Historic District: Zoning: Value of Work: $ o� Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 1 • 20 • 3o • 5F4 •yv o o • 12-00 (Attach Proof of Ownership &at Des ription) Owners Name & Address: I �1 11 t-1 i`I . 324 8O9Pt� A 2ot� Contractor Name ddress: �J' N4L JZc,, F►tt11_ t� � 52-5 t� 6LK M - o � Okivic 32-Y State Liff ��se Number: �c- 13 Z. 5 7 0 2 Phone & Fax: 4'01 367 `i7,�, * 4fl 'I Z 17 oC ntact Person: IHF/ W ��c.ES +�-fL Phone: 2) 231 1 $� / Bonding Company: Address: ,t Mortgage Lender: Address: . Architect/Engineer: N Phone: Address: Fax: 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, 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. 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 proJw,F be found in the public records of this county, and there may be additional permits required from other governmental entities such as a anagestate agencies, or federal agencies, Acceptance o ermit is verification that I w'll notify the owner of the, property of the requirem is of Florida ' . Signature of Owner/ t Date, Sig tur f Con r/ �rft ate J 014,4 C caner/Agent's Name Pri ontracto A s Name ... Signat e o n, -State e� int f F ate I t 13LANTON WK ;Oa,X,4ISSION # DD 188491 Nly COMMIISSION # DD 188491 E 1 F, b-uary 25, 2007 EXPIRES: February 25, 2007 1 -000.3 -NOTARY F. NDYnry Discount Assoc. Co. Owner A�eritais NoracPersona7ly'ICiftit�ti42t R'1e 4c. Co. ctor/lAgentlis�-"�'Person or _Pro ucedi15`""". �� (� _Produced IDr^ \ 0 ce APPLICATION APPROVED BY:BlZoning: Utilities: FD: t a) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: F Permit Number Parcel Identification ,�N�um (beer Prepared by: j a�s 1/v YVLP—� Return to: &cam"u a�z� NOTICE OF COMAIENCEMENT MARYANNE MORSE, CLERK O CIRCUIT ITT tINOLE COLKty Htt (681 '=i P6 () 33f> CLERK'S #1 2005122090 RMDED 07l21/&ick 12x46:18 P RMRDINS FEES 10. c?c) RECORM BY t holden CERTIFIED COPY ` MA YANNE MORSE CLE QF glRf UIT COURT State of(� County of �`a?'%�CC�. 41r r The undersigned hereby gives notice that improvement(s) 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. 1. Description of property (legal description of the property, and street address if available) 2. General description of improvement(s) 3. n "ibiSaiM15-on/ x,,++��"-•� �,� Name��,G.4A,✓" � ;,, i "Y. . ��Ie ne Number'T� 3,2 Address 3 -,' Pon Fax Number ��; 1�j Interest in Property: 9 w 4. Fe F1,11 ot owner shown above Name Telephone Number Address N 1 Fax Number 5. Contractor , , 4 Name { f 5 �(d d L7 f b2LV,qelephone Number 40-+ -3<o'4- - gZ3k, Addres'Da�,, , ax Number �1'O ( Z - 1 -44 e Surety (if an� Name fiTelephone Number Address Fax Number Amount of bond $ 7. Lender (if any) Name Telephone Number Address �(a Fax Number 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7., Florida Statutes. Name Telephone Number Address" (� Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name Telephone Number Address 1V (A Fax Number 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified): Date Signed Signa fOwner [Note: per §713.13(1)(g), "owner must sign ...and no one else may be permitted to sign in his or her stead." Sworn to and subscribed before me this day of _) a ( , 20 05 by who is as idet known to me OR produced Patricia R10h&rtts Form Revise&. 4/98 :P° My Commission DDG43740 O, Expires October 30 2005 Signature of Notary (notarial seal must appear below) i - } AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: J� L &o FiN /f 5 25 3 LAuc.rl 002A ( . License #: (CL 0 2, 5 7 o 2 Project Information Owner: i(Ail (LIWli Permit #: 3 Z`� &, (Z- A -h 12773 S��•o2D r2, Subdivision: address Lot #: phone I, JOHN VOf-CE'S71FZ , affiant, hereby affirm that I am the duly licensed contractor of record for the above referenced permit, that all the foregoing information is true and accurate, and that the dry- in, flashings at the above referenced address or lot has been installed in accordarteswith the annlinable codes and standards. Contractor: I �I�oKN Tletc�-IM name STATE OF FLORIDA COUNTY OF This instrument was acknowledge before me this day of JyLy , 20!? by the above referenced individual, J OR t4 P4�� — , who acknowledged that he/she is a duly licensed contractor with 7K P194 , and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced W 62L + 7L [6 p25 o as valid identification. WITNESS my hand and seal this day of - ` .200's. otary Public �' DEBBIE BL4NTON SiON # DD 188491 •^"Fw71-800-tary Discount Assoc. co.