HomeMy WebLinkAbout1701 W 13 St (2)r,
CITY OF SANFORD MECHANICAL PERMIT APPLICATION
Permit Number: V( Date: 0
The undersigned hereby applies for a permit to install the following equipment:
Owner's Name: (l1fSCGf P L.GlT/I Cl[Q-1k. / /(!.%i1 MN 0T- T/I HYa
Address of Job: / %O t (il sy,
Mechanical Contractor: & I)eR 7' A_ 'TrN C •
Residential Non -Residential
Imo' •..-
Application Fee: 1
TOTAL
III
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By signing this application, I am stating that I am in compliance with City of Sanford
Mechanical Code.
Applicant Signature
c /TC036Yap
State License Number
NOTICE, OF 03NM ENCENIENT
Permit No. 0), I l a 8 Tax Folio No.
State of Florida
County of Seminole
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.
Description of_ property: (legal description of the property and street address if available)
2. General description of improvement:
3. Owner information // ,,
a. Name and address Rf-SC11,1 Ch-t/t t 1. 1 1-WO W . I ,I- S{-.
C—__ _1 v1
b. 'Interest in property 0Ltrlx c
c. Name and address of fee simple titleholder (if other than Owner)
Qa.
ntractor
Nam an d{ess
Phone number
5. Surety
a. Name and address
b. Phone number =C LI$i `_-
c. Amount of bonds ;Q_
6. Lender I
a. Name and address L 7' + ,
i- A r•i i MP 11
Fax number _
i'i1KL1J 1
Fax number
Ij :),Id 3-.(-
b. Phone number Fax number 1
7. Persons within the State of Florida'}(designatedbyOwner upon whom notices or other documents may be served as provided
by Section 713.13 Florida J •
S(.
fq VVC -f br (T u 0 a. Name and address // CAI D
C Ll-j JH 1, •y- b.
Phone number qto Fax number ODD- 3 til - v'1-7 L 8.
ddition to himself or herself, Owner designates l cg q ,r0 Ay xic E off4-44 -
1. - W1 -7 V to receive a copy of the Lienor's Notice as provided in Section 713.13(
1)(b), Florida Statutes. . a. Phone
number 1141 b1v 34ti F ber Ky1' 3til- "1ti 9. Expiration
date of notice of commencement (the expiration date is 1 year fro a date of re ding unless a different date is
specified) I ti r1'1
siS--i ;e/ Owner Sworn to (
or affirm and subscribed before me this day of 20 b iarliain wlnito
irari ra>i i® Personally Known
OR Produced Identification MM ME HORSE, CLERK ff CIRCUIT COURT Type of
Identification Produced SENINDLE CMK Y SK 04392
PS 1643 V&1
SM2002A69.774 I%* Misty
Burk 4s0a56 PMSignatu a of
NoryPublic, tate of Flori*/*lM'commission cca2ioBY B Hanford Commission Ex ;Ines: `
h O E,Expires March 212004