HomeMy WebLinkAbout106 Sweet Bay Dr (3)CITY OF SANFORD PERNUT APPLICATION
Permit No.: V `
y ; Date:
Job Address: /Oz5' f'0 0
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: 7.9II Q
F4
El
Additional Information for Electrical & Plumbing Permits
Electrical: _Addition/Alteration _Change of Service Temporary Pole _New AMP Service (# of AMPS )
Plumbing/Residential: 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: _Residential _Commercial _ Industrial Total Sq Ftg: Value of Work: S YGY6'O `"
Type of Construction: Flood Zone: Number of Storics:_Z Number of Dwelling Units:
Parcel No.: Attach Proof of Ownership & Legal Description)
Owner/Address/Phone:
A, D, A024" 1788 r
Contractor/Address/Phone:_
d, r 1 iYF l7i9/t'Y F!. r a77J f>Xa'/ State License Number: GQ 7C y
Contact Person: Phone & Fax Number: 0,7—
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
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 ail 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 I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Date
Print Owner/Agent's N it
Signature of Notary -State of Florida ate
a
Melissa Camero:
Commission # DD079918
i5W: &Pins Dec. 20, 2M
115Fp Q AIlanti 8oadianded g o.,Inc.
Print Contractor/Agent's Name
Signature
Commission # DD079918
pim Dec. 20, 2005
Bonded Tiuu
Atlantic Bonding Co.. Inc.
Owner/Agent is o04-Fersonally Known to Me or Co actor/Agent is / Personally Known to Me or
Produced ID Rroduced ID .7l7 ti23
APPLICATION APPROVED BY: Date: lU
Special Conditions:
am
I HIS INS] KUMEN1 f'Ktf'AkED E% CERTIFIED COPY
NAMEMARYANNE MORSE NOTICE
OF COMMENCEMENT CLERK OF CIRCUIT COURT Permit
NdADOR• /6' gZ!4 Z,:CWI Tax Folio No. DA State
of Florida County
of 5eminole Dwtm CLERK f7dTS.
O8e7( . 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. JUN
2 6 202 1.
Description of property: 3 (legal description ofthe PmPa Yand street address if available) 2.
General description of improvement: G.`g, F-s 3.
Owner information a.
Name and address b.
Interest in property c.
Name and address of fee simple titleholder (if other than Owner) 4.
Contractor a._
Name and address br
Phone number urv'ar- 5.
Surety a
Name and address 6.
7.
b.
Phone number _ c.
Amount of bond _ Lender
a.
Name and address number
Fax
number b.
Phone number Fax number Persons
within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes: a.
Name and address b.
Phone number Fax number 8.
In addition to himself or herself, Owner designates 4! D -S — /.,7 ,y/LEy of fi
OW/Lg;V c:;;a_to receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida Statutes. a.
Phone number fi00J- Fax number 9.
Expiration date of notice of commencement (the expiration date is 1 year from the a of d' nless a different date
is specified) 7, — C4Sworn
to (or affirmed) and subscribed before me this 2011- day of U J rti. , 20y Z , by Personally Known
off-- OR Produced Identification Type of
Identification Produced IIWOME NORSE CLEW OF CIRCUIT COURT OF SEIIIMM
COUNTY BK 04445
PG 0928 FILE NUM
2002900209 c ,",•,. Melis /
E6/
200E
IE111'913 PN Signature of
Notary Public, State of Florida i 'A& .commis
Commission
Expires: '
spires NBonded Noldan ruAtlantic
Bonding
Co, Inc. IINIINNIfl1NiNINIMINI logo
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