HomeMy WebLinkAbout3818 Orlando DrCITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT >'
PERMIT ADDRESS 3S( S 00L-4 �O 1>a. SAoQFV 2D� FL- PERMIT NUMBER
00 Z%`7�j
Total Contract Price of Job 2,(000 - Total Sq. Ft.
Describe Work FiL?1E G,��I�11G1Z �_I [t-✓)A�"1�Zj
Type of Construction Flood Prone (YES) (NO)
Number of Stories Number of Dwellings Zoning
Occupancy: Residential Commercial Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
OWNER �l7 ?IM MACW r/VII.DII�II �f�ITt2/7C�iTYs
ADDRESS ti4i2- UIL4L4VAN0 t,-)y2—
CITY Q1 1 -?A kAA-)1, hi 4f>./7 I. o G. STATE
TITLE HOLDER (IF OTHER THAN OWNER)
ADDRESS
CITY STATE
BONDING COMPANY
ADDRESS
CITY
ARCHITECT
ADDRESS _
CITY
MORTGAGE LENDER
ADDRESS
CITY
STATE
STATE
STATE
PHONE NUMBER(40) ?j7A- 118&
ZIP 5 222 A
ZIP
ZIP
ZIP
7
CONTRACTOR MID rLOP-1DO.AICIL'1JE QVWT &T101�j (1.I(.. PHONE NUMBER 40-7 292'(O'7'cb$
ADDRESS ZVS3 ST. LICENSE NUMBER (0¢4k00(x7QJ89
CITY STATE ZIP 32bob
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 BEE14
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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Signature of Owner/Agent & Date
Type or Print Owner/Agent Name
Signature of Notary & Date
(Official Seal)
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C. CAPOIZOLI
_.: MY COMMI&SION # CC 868345
'•. a: EXPIRE: October 22, 2003
%h pF Q.•` Bonded Thru Notary Public Underwters
Application Approved BY: -�� Date: JKZ-
FEES: Building X571 " Radon Police Fire
Open Space Road Impact Application
PERMIT VALIDATION: CHECK CASH DATE v-5QZ BY
IV
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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_.: MY COMMI&SION # CC 868345
'•. a: EXPIRE: October 22, 2003
%h pF Q.•` Bonded Thru Notary Public Underwters
Application Approved BY: -�� Date: JKZ-
FEES: Building X571 " Radon Police Fire
Open Space Road Impact Application
PERMIT VALIDATION: CHECK CASH DATE v-5QZ BY
IV
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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