HomeMy WebLinkAbout106 Krider Rd (2)CITY OF SANFORD PERMT APPLICATION
1'eimit No.: —
Job Address:
PermIf.Type:
Z,ItAtH
Building
i
Description of Work:
Date:1.1` O?
Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS )
Plumbing/Residential: _jL/ Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: dResidential Commercial _Industrial Total Sq Ftg: Value of Work: S fir P
Type of Construction: ha&g Flood Zone: Number of Stories:_ Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: ! v o i //`t /(/, rA a t h r !7 : eft L a *At 5/ - t u Z/
Contractor/Address/Phone: 9&6k A0026' t7 {N A O/ ^__. L 7 71
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
State License Number: CL C OZ Zf0/
Phone & Fax Number: _ %-J,Z Z
Phone No.:
Fax No.:
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 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
as•oa C;c1=pZ
0 Sigdature of Owner/Agent Date Signature of C actor/Agent Date
z-o2
Date Ittite of
Under A 1
Date
voyeam MY 96428
ExWns t)eaMnbor DO 2004 %4W IV Expues December 09 2001
Owner/Agent is ersonally Kn wn to Me or Contractor/Agent is Personall Known to Me orY
Produced ID Produced ID
APPLICATION APPROVED BY: C Date: to hm
Special Conditions:
Permit Number
IINpI1NININNNi11 N ANNANANINN NN11
Parcel Identification Number ' t
Prepared by: /fdeoC/(4,0d ,yf 8'00 f6f#C4 av
y Vac `i SA h%si v% /"% z 7 i/
Return to: po C 4 l-
NOTICE OF COMMENCEMENT
State of _ P/.
County of Jr# i*,wreA.,
NARYANNB lWIWq ,CLERK OF CIRCUIT COURT
NNINOLE COUNTY't
BK 04445 PG 0031
CLERK'S N 2002899954
RECORDED 06/26/M 090505 -AN
RECOROINB FEES 6.00 '
RECORDED BY N Noldn
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'
iq
3
4.
A
7.
Description of propert (legal description of the property, and street address if available)
0 6 rr'd v` +(1. I
General description of improvement(s)
9-trof 16
Owner information
Name Ova;//-, A Tel-tr1" Telephone Number
Address JO C rp;j4 j- #(4 Fax Number
roLiqror,l lei, 3z7rl
Fee Simple Title Holder (if other than owner shown above)
Name ,,^^ Telephone Number
Address /`T Fax Number
Contractor Alcocek 6Aj Name
foe 04mc4 qv.t Address
So//' Surety (
if any) N Name
Address
Lender (
if any) N Name
Address
Telephone
Number y0 y -72 2 • f fJ-f Fax
Number Telephone
Number Fax
Number Amount
of bond $ Telephone
Number 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, Owner designates the following to receive a copy of the Lienor•s N tt* D a
provided
in §713.13(1)(b), Florida Statutes. CERlIFCOPY Name Telephone
Number MARYANNE MOIL Address Fax
Number CLERK OF CIROUIT COURT SEMINOLE COUNTY.
FLOVI A 10. Exoiration
date of notice of coin npricernent (ll:e erpire!io^ date is one year frc^::he recording unless
a different date is specified): n uTy c I JUN
2 6 2002 2 S=
0 Z. It Date Signed
Signature -of' v My,m CC9W28 ' L u
M T AR !,e f 17.00
Expires December 09 m Sworn to
and subscribed before me this day 'of 0 J—, 1
by who is
personally known to me OR pro as identification.
of Not4y (
not6al shl to apavl* below) Form Revised:
9/96