HomeMy WebLinkAbout116 N Aberdeen DrCITY OF SANFORD PERMIT APPLICATION
Doz_\$55 - ,PermitPJo.• Date:
Job Address: r 140 AL -kV Tr7eeA
Permit Type: _ Building El rical Mechanical Plumbi Fire
za,
AI r
Description of Work: f /"
Additional Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service Temporary Pole New AMP Service (Y of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water nit Sewer Drainage Lines Number of Gas Lines
Occupancy Type: Residential _Commercial _ Industrial Total Sq Ftg: A' do Value of Work: S
Type of Construction: 31fflC'k Flood Zone.-_& Number of Stories:_ Number of Dwelling Units:
of Ownership & Legal Description)
SZ771 State License Number:
Contact Person: Phone & Fax Number. 407 — 3 Z :9 --
Title Holder (If other than Owner): _=de
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer Phone No.:
Address: Fax No.:
Application is hereby a to obtain a permit to do the work and installations as indicated. I certify that no work or itt:tallmioo 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 FOP, IMPROVEMENTS TO YOUR PROPERTY. W 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 cribbes such as
water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the p perty f the requirer"nA of Florida Lien Law, FS 713.
Signature o Agent Da e Agent Date
Print Contractor/Agent's Nam
Signature of Notary -State of Florida Date
JU E P. RAPE %%c,,,
Melissa CameronMN
o 01 iWW _: .Commission DD079918
vueue No. a ? o Espires Dec 20, 2005
k %i Soaded Tiuu
11rb.wp"" R"` Atlantic Bonding Co., Inc.
er/Agent is nally Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID -/— L ram! l—f /? _ Produced ID
APPLICATION APPROVED BY: Date: U '
k
Special Conditions:
Notice of Commencement
State of Florida
County of SeminolePermitNo._d y1 cJs' Tax Folio No.(PID)
The undersigned hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713. Florida Statues, the following informatiom is provided in this Notice ofCommencement.
DESCRIPTION OF PROPERTY (legal description of the property aflreet address)---3] — GENERAL
DESCRIPTION OF IMPROVEMENT OWNER
MORMAT N' Name
and ad ess , P
Interest
in propert (Fea•Simple, Partnership,etc) MNAME
AND ADDRESS OF FEE 894PLE TITLE HOLDER (IF OTHER THAN OWNER) CONTRACTOR
Name
and ad ess tv SURETY(
BONDIN CO) Name
and Address rwIng.
NMI AmOunt
of Bond BK
04425 P6 1545 RndaddressCLERK'S 0 2002889075 I
coa.ar..i.ldcitlil. Persons
within the State of Florida designated by Owner upon whom ootice or other documents may be served as provided bySection713.13(1Xa)7.,Florida Statues: Name
and address Expiration
Date of Notice of Commencement The
expiration date is I year from date of recording unlesstdui nffe t date is spec ed.) A
WWre,Sworn
t9 andsubscribe be q me this Day of 11
jUc:-,) a rowlit'
lilstrument UA4kCMy
Commission Expires: NotCERTIFIED COPY
MARYANNEMORSae
was acknowledge before me this- of CLE of
OF CIROUIT 00 • - "OW - by name of
person acknowledge), who is per ally known to me or who has produced EMIN ECOdFLVt (type of identification) as identification and who did/did not take an oaUt. U LERK'
JEAi sk P: RAPE a t
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PM.eattir tta.w to