HomeMy WebLinkAbout1320 E 26 Pl (2)CITY OF SANFORD PERYHT APPLICATION
Permit No.:02ZZ , Date: 03 — I Z—OZ
Job Address: 1320 E . o1(a4k PI D. C e, , 50..n:f6rd . F L 3,20.7 3
Permit Type: OC Building Electrical 10-,chani ral Plumbing Fire Alarm/Sprinkler
Description of Work: &002V5 I v,;- 60D AOLI lore LAndL=rG rm""a
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: $ do
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: '/ (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: yr to ',O'Oe '4K'1 "r"/ d Blvd - e— Incc
40r L Z-1773 Srrs - LFO10
Contractor/Address/Phone: 16A 7dyf TLA c Tol4l irw'-teqJe,
144 46, rq TZ747 3S.2- 73_,(- l$0& lol State License Number:
Contact Person: e ri Phone & Fax Number: 3 SZ -735- / 800 /
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer Phone No.:
Address: 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 FINANCINY, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OF COMMENCEMENT. 1
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 Flo 'der Lien Law, FS 713.
d3-1a-0z. 3 /Z o z
Signature of Owner/Agent Date S' atuii of Contrfor/Agent Date Crews,
y i cce Presi&LA+/Aare n . Owner/
Agent's N*Te of
Florida Date v
NOTARY PUMC • BTA78 OF FLWAA JACQUELMCOGWAWM
co is"
MO B01mEDM 1
tiNdTMYi Owner/Agent is
Personally Known to Me or Produced ID APPLICATION
A Special
Conditions: Contractor/
Aeent's
Name of Notary -State
of NOT UC A
JACQUELM KCMWM C0MM*
8 M#
9GrAM OM BONDEDTWW AMAMy148944OT "
Conoctor/
Agent is
Personally Known to Me or Produced ID ri-
DIk N 36b-44B5 55-IZy-c)
Ratum to:H•anaaW . stamped: (ancrosa Sdulamp«rvNop.) NOTICE OF COMMEN. rOrCE.MNaENTrrear a a am We do In an IS ISO M an I loin
No
f `/
rFS
713.13 RAMCO FORM 4o9 v
N n ae ,j W po14 ti 1 e i I l "YAW
NOR CLERK OF CIRCUIT W)RT 1 / ®
p A WINDLE CULWY QAeQCvs(e raC 4V 41 e 11G0 z BK 04363 PG 1765 40iir r
1;773 CLERK'S N 2002853595 This Instrume
Pro a RECORDED 03/28/POOR 090050 AN Aduress: s
w
o z .n • ; a
RECORDIN8
FEEB 6.00 oS-f
t S'rl,tPa le /'r QED BY N Noldsn hf f
o rq L f17t 7 PropaAr Appraisers
ParoN IdwdN ftorl (Pogo) Number(s): SPACE ABOVE
TM LINE FOR PROCESSING DATA SPACE ABOVE TM LINE FOR RECORDINO DATA Permit No.
NOTICE OF COMMENCEMENT OI State
of
Florida / County of „
rI lot I e The undersigned
hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13
of the Florida Statutes, the following Information is provided in this NOTICE OF COMMEtyCEMENT. General Owner
Addres)
Owner'
s
Interest In site of the Improvement Fee Simple
Tithe holder (if other than owner) Name Addresr
Contra(
Address
Surety
Address
Amount
of bond = Any person
makln loan for the construction of the Improvements: Name IY
Address Person
within
the State of Florida designated by owner upon whom notices or other documents may be served as provided bySectloq713.13(1)(a)7., Florida Statutes. Name Address
In
addition
to himself, owner designates Of to
receive
a copy of the Llenor's Notice as provided In Section 713.13(1xb), Florida Statutes. Expiration date
of Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date is
spedfled). lt tne [
J OI JQJe 1L(.CJ. - ! SQA _ Sip u4
d Owaar rd-tad Sipnatun of Owrrar • Sworn to
and subscribed before an tbis j11 r u'IhC f day
ofeiio 44dlj2?_- (Check
ooe:)XABbnt is persootUy known to me. 0 Aft;ant provided the NOTARY RUBBER
STAMP SEAL CERTIFIED COPY
MARYANNE MORSE
CLERK OF
CIRCUIT COURT BEMINOLE COYNT'
f. 1`100DA e-,..^/ DEPUTY
MAR
2
8 2009k following type
of identification: July 24,
2002 BONDED TW
TROY FART INSURANCE INC
DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. State Forms
C. State Statutes/Contractor Licensing
Public Works Acknowledgement
A. Sidewalk Closing
B. Street Use/Closing
1. Walkways - Protection - Width
2. Barricades - Protection - Width
3. Fencing - Protection - Width - Height
4. Curb Protection/Sidewalk Protection/Street
5. Storm Sewer Protection
C. Dust Control
1
Police Department Acknowledgement
A.- Traffic Control
B. Crowd Control/Security
Utility Department Acknowledgement
A. Water, Sewer - Capped off, Sealed
B. Water for Dust Control (Meter)
Engineering & Planning Acknowledgement
A. Historic District
B. Zoning Issues
Address of Job: ) 3 20 `i Z6
j Sinn nth
Additional Comments: fiV'Yv1c_y4 o 55, O(DG7&- 0
DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. State Forms
C. State Statutes/Contractor Licensing
Public Works Acknowledgement
A. Sidewalk Closing
B. Street Use/Closing
1. Walkways - Protection - Width
Z. Barricades - Protection - Width
3. Fencing - Protection - Width - Height
4. Curb Protection/Sidewalk Protection/Street
5. Storm Sewer Protection
C. Dust Control
Police Department Acknowledgement
A. Traffic Control
B. Crowd Control/Security
Utility Department Acknowledgement
A. Water, Sewer - Capped off, Sealed
B. Water for Dust Control (Meter)
Engineering & Planning Acknowledgement
A. Historic District p vt -3Zq 1200-2_ B.
Zoning Issues Address
of Job: 1320 Additional
Comments: ge'1(VLC,Vak & 55, OMnR-
03/28/2011 11:18 4073022540 SANFORD PD PAGE 01
7-2f.4-1995 3 : 24PM FROM P. l
DEMOLITION
BaiWiing Divblon Acknowledgerneat
A. Permit Application
B. State Foetus
C. State Statute ContraW Licensing
Public Works Acknowledgement
A. Sidewalk Closing
B. Street Usa/Closing
1. Walkways - Protection - Width
2. Barricades - Protection - Width
3. Fencing - Protection - Width - Height
4. Curb Protec tion/Sidewalk ProtectiodStreet
5. Stotat Sewer Protection
C. Dust Control
Police Department Acknowledgement
A. Traffic Control
B. Crowd Control/Socurity
Utility Department Ackuvwrledgemout
A. Water. Sewer -Capped of& Sealed
B. Water for Drat Control (Meter)
Engineering dt Planning Acknowledgement
A. Historic District
B. Zoning Issues
Address of 1ob 3 P1
it /N,4L C L . ,V trl• t
AddkiorW Comrnems. _ G, CC
DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. State Forms
C. State Statutes/Contractor Licensing
Public Works Acknowledgement
A. Sidewalk Closing
B. Street Use/Closing
1. Walkways — Protection — Width
2. Barricades — Protection — Width
3. Fencing — Protection — Width - Height
4. Curb Protection/Sidewalk Protection/Street
5. Storm Sewer Protection
C. Dust Control
Police Department Acknowledgement
A: Traffic Control
B. Crowd Control/Security
Utility Department Acknowledgement
A. Water, Sewer — Capped off, Sealed
B. Water for Dust Control (Meter)
Engineering & Planning Acknowledgement
A. Historic District
B. Zoning Issues
Address of Job: 3 20 F z6
DEMOLITION
Building Division Acknowledgement
A. Permit Application
B. State Forms
C. State Statutes/Contractor Licensing
Public Works Acknowledgement
A. Sidewalk Closing
B. Street Use/Closing
1. Walkways — Protection — Width
2. Barricades — Protection — Width
3. Fencing — Protection — Width - Height
4. Curb Protection/Sidewalk Protection/Street
5. Storm Sewer Protection
C. Dust Control
Police Department Acknowledgement
A. Traffic Control
B. Crowd Control/Security
Utility Department Acknowledgement
A. Water, Sewer — Capped off, Sealed
B. Water for Dust Control (Meter)
Engineering & Planning Acknowledgement
A. Historic District
B. Zoning Issues
Address of Job: 13 20 E 2%
Additional Comments: o 55, 0(D6?&-
3/zl'/oz
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