HomeMy WebLinkAbout106 Country Pl (4)CITY OF SANFORD P ERAUT APPL?CATION
Permit No.: V 'V ` F
Date:
Job Address: _
Permit Type: Buildin l/ec trical Mechanical Plumbing Fire Alar Sprinkler
Description of Work: 1Q-j--T r%Nrj " X c 5 v
Additional Information for Electrical & Plumbing Permits
Electrical: _Addition/Alteration Abchange of Service ,Temporary Pole kNew AMP Service (# of AMPS )
Plumbing/Residential: D Addition/Alteration :New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lmess Number of Gas Lines
Occupancy Type: XResidential Commercial _ Industrial Total Sq Ftg: Value of Work: $
Type of Construction: Flood Zone: Number of Stories:_ Number of Dwelling Units: t
Parcel No.:. 3 3-- 1 a —3 O 'Q 6iQlp a (Attach Proof
Title Holder (If other than Owner): itt,Q
Address:
Bonding
Address:
Mortgage
Address:
Architect
Address:
Ownership & Legal Description)
State License Number: C&'G IP112 731!
7 323--75R3
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 b4additional permits required from other governmental entities such as
water management districts, state agencies, or federal agencies. 1
Acceptance of permit is verification that I will notify the owner of the
Signature of Owner/Agent Date
Print Owner/Agent's Name
AS- a a %d
Signature ofNotary-State of Florida Date
00AMY XANDERS MY
COMMISSION t CC 766976 r
EXPIRES: March 9, 2002 Bonded
Thiu No" POk UndernrlNrs Owner
ant is ersonally Known to Me or Produced
ID APPLICATION
3.
Y/
o ;),_ Signa"
q of,NotWMt Date t;-; _
Commisdon >m079918 jcc
Expires net: 21% zoos Bonded
Tbru O;; *`
Atlantic BondingCo..me. Contractor/
Agent is Personally Known to Me or CPr
OoducedID iye l (O-1 9 93 (s0 BY:
0606 Arne '- Date: 7— ^ Z— Special
Conditions:
SEMINOLE COUTITY
FI.ORIOA•S F4^TURAt C*qC CE
NOTICE OF COMMENCEMENT
CERTIFIED COPY
MARYANNE MORBE
CLERK OF CIRCUIT COURT
SEMIINjOLE COOVNNTY.-RORIDA
DEPUTY ERK
State of Florida MQR 4 CUU1CountyofSeminole
Permit No. Tax Folio No. (PID) 33 -rq--V Sb6---(,gam-Coha
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapterr' 713, Florida Statutes, the foiling information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description /ofthe property and street,ddress)_ 33-i9 3 71pi
GENERAL DESCRIPTION OF IMPROVEMENT } ;
OWNER INFORMATION
Interest in property
NjUKE AND ADDRESS OF FEE SIMPLE TITLE HOLDER OF OTHER THAN OWNER)
Name and address j f „ MARYAMIE MDRBE. c1rta,c re n.
Amount of Bond
LENDER
Name and ad
AIIIIIIIN1101111
CLERK'S tt 2002840021RECORDED03/04/2OOp 08t36t30 ANRECORDINGFEESLOO
RECORDED BY N Noldtn
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as providedbySection713.13(l xa)7., Florida Statutes:
Name and address_ Q
In addition to himself; Owner designates
01
Of
to receive a copy of the Lienoes Notice as
provided in Section 713(l)(b), Florida Statutes.
Expiration Date of Notice of Commencement
The expiration date is 1 year from date of recording unless a di$'erent a is specified.)
Signature of Owner
Sworn to and s bscribed before me this Day of F" . , ZOO, a
My Commission Expires: 3 % lO o?
Notary Public
The Foregoing instrument was acknowledged before me this - j 441 day of P . , 20 Q a byAhneA. ,0Q-11 n (name of person acknowledged), who is personally known to me
or who has produced (type of identification) as inentification and
who did/did not take an oath. r
jF.,
ayy. AMY XANDERS 3
MY COMMISSION # CC 766976 EXPIRES:
March 9, 2002 Bonded
71au NobryPdk Undeiwribra