HomeMy WebLinkAbout171 Wood Ridge TrlCITY OF SANFORD. FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMIT ADDRESS
Total Contract is of b 4) V, ,(
Describe Work In rb f%
Type of Construction
Number of Stories
Occupancy: . Residen
0Z--1(2b
Flood Prone (YES) (NO)
Number of Dwellings Zoning
tial Commercial Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER 32-1 -- Sf1s- OCCC,,p.3(n0
OWNER f
ADDRESS
CITY ,
C:
TITLE HOLDER
ADDRESS
CITY
IF OTHER THAN OWNER)
BONDING COMPANY
ADDRESS
CITY
ARCHITECT
ADDRESS _
CITY
MORTGAGE LENDER
ADDRESS
CITY
STATE
STATE
STATE
STATE
NUMBER A01) 2Ltq u
ZIP
ZIP
ZIP
ZIP
CONTRACTOR
r.
10 PHONE NUMBER O-I l
ADDRESS .ST. LICENSE NUMBER
CITY STATE ZIP Z
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 WILL NOTIFY THE OWNER OF THE PROPERTY OF
THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
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a
H Si a ure of Owner/Agent & Date S nat.ur of Contractor & ate 0,
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Type oi Print Owner/Agent Name Type or PiJint Contractor's Name o x 9
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V a Signature of Notary & Date Signature of Notary & Date
30 Official Seal) (Official Seal)
Wayne D Stone ' Wayne D StoneaVPt.
My Commission D0021M moo^ DD021g85 0
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E Application Approved BY: Date: Z- cci
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FEES: Building Radon Police Fire a
y
Open Space Road Impact Application
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W o o PERMIT VALIDATION: CHECK CASH DATE BY v O
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0 a E ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) N
1ITHISAPPLICATIONUSEDFORWORKVALUED2500.00 OR MORE
POWER OF ATTORNEY
Date: 6112 0
I hereby name and appoint C r it e.st H l'
of to be my lawful attorney
in fact to act for me and apply to the o %-'Offiej
Building Department for a d permit
for work to be performed at a location described as:
Section Township Range \,A-,., Lot Block
Subdivision
a n = UYAM 1E Nat,'SDn -
Owner of Property and Address) sa _CoQ0' 510?,i
and to sign my name and do all things necessary to this appointment.
Randy C. Allen
Type or Print name of Certified Contractor
Sign re of Certified Contractor
The foregoing instrument was acknowledged before me this 6 / 17 / oDL
by Ilen
who is personally known to me/who produced
as identification and who did not take oath.
State of Florida County of (0 r--OL n q Q,
Signature of Notary)
dr+
ission
Wayne
DRStone
My
CommDD021985 Seal a
Expires August 17. 2005 32 1
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t I X tA c i!y • •
i Qa1( C I ll l lie 101MIN101 IMINININMinn
I-flu PGp 1 reRlLE COUNTY
n _ "AT RAL CHOICE MARY NO' C ERK OF CIRCUIT COURT
P 1`,`.V`SEMINOLE COUNTY
NOTICE OF COM .ENCEM.EPff 04447 PG 0962
ERK'S # 2002901406
RECORDED 06/28/POOL 090602 AN
State of Florida . e
Permit No. Tax Folio No. (PID , a0c) The undersigned hereby gives notice that improvement will be 'made to certain real property, and in accordance with Chapter
713, Florida Statutes, the folling information is provided in this Notice of Commencement.
A
ON OF P =(Legal description of the property and street address)Li3D
GENERAL DESCRIPTION OF 1MPROVJ MENT
OWNER INFORMATION
Name and address kftQ m
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER)
1
CONTRACTO
Name and address
SURETY (Bonding,Company) CEltrlrlEU CQRIh
Name and address MARYANNE MORSE•
COURT
Al ount of Bond FLORIDA
LENDER ULVNameandaddress
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
of
to receive a copy of the Lienor's Notice as
provided in Section 713(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
The expiration date is 1 year from date of recording unless a different to issssspeciS )
Sign ture of Owner Mctr7 /4. J-aner
Sworn to?nd s bs before we this S
Day of one , 20 O Z,
2
My Commission Expires: 0 8/ 1 -7 l c S' s
Notary Public
The
1
foregoing instrument was acknowledged before me this / S f 4 day of Tit n Q., , 20 O Z by
a jbel2r(name of person acknowledged), who is personally known to
MP or who has roduced • . (type of identification) as mentification
and•who did/did not take an oath.
4400 VA" o Stone
0j. MY Cormdssion D0021 M
ExOrss August 17, 2005