HomeMy WebLinkAbout114 Wax Myrtle DrCITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
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PERMIT ADDRESS
Total Contract Pr' e f J
Describe Work
Type of Construction
Number of Stories
Occupancy: . Residential
Number of Dwellings
Commercial
PERMIT NUMBER 0 Z-6-
Total Sq. Ft. 220
Flood Prone (YES) (NO)
Zoning
Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
OWNER d1iChL121 , I Glover, PHONE NUMBER (401)32_4- 5g
ADDRESS I M Wi1Y /Ylljr4ip D i Ira
CITY NQfM"y STATE FinRfdQ ZIP _ 7-7713
TITLE HOLDER (IF OTHER THAN OWNER)
ADDRESS
CITY
BONDING COMPANY
ADDRESS
CITY
ARCHITECT
ADDRESS
CITY
MORTGAGE LENDER
ADDRESS
CITY
STATE
STATE
STATE
STATE
ZIP
ZIP
ZIP
ZIP
CONTRACTOR PHONE NUMBER (407 Z'70 9W
ADDRESS ST. LICENSE NUMBER
CITY STATE EJpP-[ 0- ZIP 7
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 BEEN
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
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WILL NOTIFY THE OWNER OF THE PROPERTY OF
THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
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Signature of 0 r/Agent & Date S' nat.0 a of Contractor & Date 0,
el i' (mil ( 640 Vt r Oen Plays 1- G .
Typ or Print Owner/Agent Name Type or trinf Contract 's Name v
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Signature of Notary & Date Signature of Notary & Date
Official Official Seal)
My Commission DD021985Towrr..jExpires August 17, 2005
Wwne D Stone
MY Commission DD021985
o
a EXPIs August 17, 2005
Application Approved BY: ,%,, Df{GtMLrep Date:
FEES: Building Radon Police Fire
Open Space Road Impact Application
PERMIT VALIDATION: CHECK CASH DATE BY
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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IINIIIIIIINII IIII INIIi 1 NN1®AI®
Name and address ,
Amount of Bond
BK 04326 Pe 0223
CLERKS # 2002831793
LENDER RECORDED 02/14/POOP 104101 AN
Name and address REMRDINO FEES L OO
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as providedbySection713.13(1)(a)7., Florida Statutes:
Name and address
In addition to himself, Owner designates
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NOTICE OF COMMENCEMENT
P State oforida .. County
of Seminole 2 _ -.
PermitNo. Tax Folio; No. (PID) -2 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. OF
GENERAL
DESCRIPTION OF IMPROVEMENT OWNER
INFORMATION Name
and address Mip-MPI 4- Interest
in property (Feetimple, Partnership, etc.) ty
and street address) J 4-
2- MARYANNE
MORSE CLERK
OF CIRCUIT COURT SEMINOLE
COUNTY. FLORID NAME
AND ADDRESS OF FEE SIMPLE TITLE HOLDER -(IF OTHER THAN OWNER) ONTRACTOR
n,,,,./ / /
Name
and address SURETY (
Bonding Company) of
to
receive a copy of the Lienor's Notice as provided
in Section 713.13(1)(b), Florida Statutes. Expiration
Date of Notice of Commencement The
expiration date is 1 year from date of recording unless a different date is specified.) Signature
of Owner g h( E. G Inver Sworn
to and subscribed before me this Z'14 Day of ' PL 6 rtAo, rti , 20 o L , Wayne
D Slone My
Co"Nuion DD021985 My
Commission Expires: Notary
public Na.,:August
1r, zoos The foregoing
instrument was acknowledged before me this 2.h cl day of NZe.(-)r k^a 2V o Z by 1/1' cl- o e ( E . G l o,/cr (name of person acknowledged), who is personally kno\%m to me orwhohasProducedFLDrvem (type of identification) as identification and whodid / did not take an oath> `
POWER OF ATTORNEY
Date: d 11-1 Z D at.
I hereby name and appoint Er r1 QSj A 1 I I
to be my lawful attorney
J '
in fact to act for me and apply to the l
Building Department for a Ind permit
for work to be performed at a location described as:
Section Township Range a J V Lot 14 Block
Owner of Property and Address)
1%nfdrd
and to sign my name and do all things necessary to this appointment.
Randy C. Allen
Type or Print name of Certified Contractor
Sigugfure of Certified Contractor
I Fto2idO 3ZT13
The foregoing instrument was acknowledged before me this 2— / y / O Z—
by Rot n of C. A 1 l e.,
who is personally known to me/who produced
as identification and who did not take oath.
State of Florida County of r s q .a,
Signature of Notary)
Wayne D Slone
Seal My Contmissbn DMI985
a„ Expims August 17, zoos