HomeMy WebLinkAbout2026 Elizabeth CtIV d aV7% 2. t
CITY OF SANFORD PERMIT APPLICATION
Permit No.: ll v ` kO Date: L-9-ITL16
Job Address: (c E (; zeso.e ln
Parcel No.: (Attach Proof of Ownership & Legal Description)
Description of Work: r t
Type of Construction: Flood Zone:
Valuation of Work. $ %Q0. OQ 10 Occupancy Type:' Residential Commercial Industrial
Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage:
Owner: Ev- r.,ve F4 O 1r-r r
Address: t5.2 6 f
City: S O_C O 1i State: Zip: 3 z 77
Phone No.: _ 4Q 7 3 2 o2 y,e'd 7 Fax No.:
Contractor: -b!R, ALb tr. Z yLel
Address: a L%D Scx,-r. p:t & t:x ri— Jli
City: State: Zip: ? -7AState License No.: gel ,!!:AQ 2 31 c1 6 Phone
No.: _ 467 3 2,7 46_6 t 4 Fax No.: 9 D '7 .3elQ /_-: 9 Contact Person: e—
ka rt Ap V' r :5 Phone No.: Title Holder (If
other than Owner): Address: Bonding Company:
Address:
A -'Mortgage
Lender:.
Address: Architect: Address:
Phone
No.:
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
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, FS 713. Signature of Owner/
Agent Date Print Own r/
Agent's Name Signature ry-S
Florida Date ai00 ft,%, Deborah
L Lyon My Commission DD026294
Expres May 15
2005 of ContYactor/Agent
lal Print Contractor/
Agent'
s Name Signature of Notary -
State of Florida Date Jti'pYPU i
Melissa Cameron Commission # DD079918 a:
Expires Dec.
20 2005 Thru ,ni,`, Atlantic
Bonding
co.,1= Owner/Agent is
XPersonally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID OLProduced
ID yYl (vim -1 SZ (17"W APPLICATION APPROVED BY:
Dywr Date: Special Conditions:
NOTARIZEGwca.
NOTICE OF : COMMENCEMENT
STATE OF FLORIDA nnCOUNTY OF SENHNOLE
Permit # V
The UNDERSIGNED hereby gives notice that improvement will be made to certain and real
property, and in accordance with Chapter 713, Florida Statutes, the following information is_
provided in this Notice of Commencement. 31- 1 4- 31- s13_ o oc>d- a.zo a
DESCRIPTION OF PROPERTY (Legal Description and Street Address) UzL i -j t, - h. cn`
P-Q, Ld# 2/3 G ysve_ dt _%& n rs Pa. 17 Pr 31
General Description -of Improvement r e.voc I
OWNER INFORMATION
Namd and Address Eyw-a s't Movie-1 CL Sn—•V.e r't
fr'• k • A 2717 1
Interest in Property (Fee Simple, Partnership, eta)
Name and Address of Fee Simple Titleholder (if other than own")
P Contractor rld G,/ Inc . 1240 Saratoga Tn. Geneva. F1 32732
Name and Address)
Ioil N uu uuu u a auivaw utll INN
Surety (Bonding Company)
MARYM E NORBE, CLERK OF CIRCUIT COURT
Nam -and Address BEMIMOLE COUNTY
sit e*305 Pa tses
rs
Amount of Bond REcoe a oti u nna ng.>ra,,
RECORDING FEES 6.00
Lendeftortgage co) NRECORDED BY N Nolden Name
and Address Persons
within the State of Florida designated by owner upon whom notice or other documents may
be served as provided by Section 713.13(1), (a), 7.. Florida Statutes. Name
and Address) In
addition to himself Owner designates b).
Florida Statutes. or
to
receive a copy of Lienors Notice as provided in Section 713.13(2), Expiration
Date of Notice of Commencement Me
expiration date is 1 year from date of recording unless a different date specified) Sworn
to and i
Notary
Public Of
Owner r—
v before
we this day My
Commission Expires: Deborah
L Lyon My
Corm oom DD025294 a,.
d t
Ewn
May 15 2005 The
fQregojng Mint was scl i rledge before me this Z day of Qi!'(/Ci t I }9 f 11,2 by /"
l r(/ (Name of person acknowledged), who is pjsona y 1 to me or who has
produced (type of identification) as identification and who did (did not) take
an oath. CERTIFIED
Copy MARYANNE
MO RSLP CLERKOFCIRCUIT00URSEMIOLECOIMTy. i'.ORILy 1
12M
AJA "
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