Loading...
HomeMy WebLinkAbout203 S Hampton CtCITY OF SANFORD PERMIT APPLICATION Permit No.: C) Q_—/ 3 0 P Date: Job Address: '0 _ 5, ` t-A Jdtr ` c" i 17 3 Parcel No.: 67-aV- 000 Or / 1 ca D (Attach Proof of Ownership & Legal Description) Description of Work: Type of Construction: Flood Zone: Valuation of Work: $ t " 13 0,Ss t Occupancy Type: , Residential Commercial Industrial Number of Stories: Number of Dwelling Units: Zoning: Total Square Footage: Owner: C I-&c ,mot 2 St n ep i,.- -,z- Address: City: State: Zip: 7 73 Phone No.: Fax No.: Contractor: b Q 6 j Address: /2 ( !S> q-r Q`A ,:,- L..AI DD City: V State:ILZip: State License No.: L' Phone No.: Q7 3,2-7Sk, Fax No.: I/A 7 5 -J1 / X q R Contact Person: 1 ' i OLV) r-t% Phone No.: 8 7 Title Holder (If other than Owner): Address: Bonding Company: Address: 1Gl6rtgage Lender: H p i Le J= y- Address: Fi Ot 0 a y 2 57 S .Jg; Ksv -n N c l F/. 2-2,3 / , y,A Sir 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 G- ra, iC_1A 'elr1"of31G:lv Gt1Gz MrinWwner/ A_aerWs dame SHARON D. ALEXANDER Notary Public, State of Florida My comm. expires Dec. 21, 2005 No. DD78961 Bonded thru Ashton Agency, Inc.(800)451.4854 Own r/Agent is Per pally Kno n tQ Me or roduced ID(_Um APPLICATION APPROVED BY: Signature 6f Contractor/Agent urate Print Contractor/Age 's Name ig ure of Notary -State off lorida Date Lynnette Mote k '* My Commission CC762328 a, nV Expires July 26, 2002 Contract . r/A ent isV Personall Known to M gYe or roduced ID /oaf I Date: Special Conditions: r:.-*i.+q+ va .. T a » f e r - .. l Y dY,:+i^aC,.r,7'-s,. r ,r. ";r ,."7 5., r "Ft '.F«.a, y.. CITY OF SANFORD PERNIIT.APPLICATION Permit No.: / w` Date: Y0. - Job Address:C1dA s, Na. rlo Aj, tii Parcel No.: b 7- (-. '• Q lo'` t UU f)* 1 ! c (Attach Proof of Ownership, & Legal Description) Description of .Work t^: Type of Construction:- Flood Zone: q ' Valuation of Work: $ ' V 0SAP Occupancy Type:: Residential Commercial Industrial Number of Stories: Number of Dwelling Units: Zoning: r Total Square footage """"` a Owner: 'CZ t' Qrl e t f3 d t C." " { . t. Address: City. -n r?i a State. 1Zip. '•","`'s Phone No,;: I . - - (FaX No 1 „, l Contractor:,. ea:,i . * [- ,. Address e"H City t E'_yltsa VGA_ •. , ....: State: . Zip: Z'2 State License No.: 1 G ejU ;Z / FaxN oPhone No. S. S Lt'4 191 Contact Person. tiva, V 'I yl i, tad. Phone No. Y,6 Title Holder (If other than Owner) Address.• , Bonding Company ` Address: Mortgage Lender: m, -tr •, 4 fi°•. / , 4 Address:—, 1,a 12 Architect: Phone No.: p r Address : °` _ 1; ax °No P' 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 with all applicable laws regulatirig 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 IVOTICE. OF COMMENCEMENT. . NOTICE: In addition to there of this, permit, there may be additional restrictions applicable to thisproperty that may be found in the public records of this county, and there may, be additional permits required from other governmental entities suchas water management districts, :state agencies, or. federal agencies. E} 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 ..4 / '"S re of Gontracfor/Agent~. r ; mate 7 - d r Prmt, Own6r% Agent's Name PH Contractor/AgeAN f) dnt's Na e` ti 67ii fi' p - S. S'ignatur - ' Date Sig Lure of Notary -State of Florida Date SHARON D. ALEXANDER Notary Public, State of Florida My. corn ezpices Dec.,21 2005 No`DD78961 <; N. Bantletl,thru? Ashton Agency,inc: (800)451-48P `1 V4L Owner/ Agent is Personally Known to 1VIe or Contractor/Agent is Personally Known to Me or Produced ID . f "/ ' . 1•!}¢ 1 1 L fl ? iProduced ID % C. t APPLICATION APPROVED BY: Date: Special Conditions: r.....°...,-+f+'.r4,."...,,:':;.-ti..w-w-^N+..:.__. ....-......,.y- - .y... ..... ...........:._ -^ 3. ': -.,e °' ---._. . ..-w' -- , "e.„;1 .. ... ..........r }.... ..., CITY OF SANFORD PERMIT APPLICATION Permit No.: .. ' Date: Job Address: VAS vin Parcel No.: &7. V • Y 6 Attach _Proof of Ownership; & Legal Description) Description of Work: r 13t Type of Construction: p " Flood Zone: Valuation of Work: $ Occupancy Type: j Residential Commercial Industrial Number of StoriesNumber of Dwelling Units: Zoning: Total Square'Footage -- Owner: § t t ° SQ,,t C; 1. City State Zip- , lp Phone NotFaX No t t, ' Contractor' Address Lh!; City. KY fs E°:1 ...:,. State: Zip:., State License No:: v Phone No. Fax No.:,. Contact Person . t `i ,3. r;s Phone No.: d / " Lr# c Title Holder:( If other than Owner),, Address: Bonding Company: Address: Mortgage Lender: Address: i ` i Architect: Phone No.: Address --A Application Application ishereby 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. .. q permit, y NOTICE: Inadditiontotherequirementsofthisermttheremaybeadditional 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. tis, •:t, ' b . 9' 1 ^iA .lf .! '\ 7 YG--w. 'X +.id_ i i .t Signature of Owner/Agent Date f' Signature o ;ate f Contractor/Aent D _ ARW fu t... L ' . ("d l 4` %i'! AR^"ii '! .... IME !...w FS , .'.' .l`+'"J' ^z ii' '!` F :d` r4 :1' •-: !%' i .. Print Owner/ Agent's -Name Prmt Contractor/ geA ntyh s Nacn`e h ! F VT 1 ' S1 ature of Nota State of'Florida .v 'Date Si nature of Notary -State of Florida ry- arYDateSHARON D ALEXANDER Notary Public; Stafe of Florida My comm, expires Dec 21; 200.5 No: DD7896t. Bonded thru Ashton,Agency, Inc (800)451 48.59 . Owner/Agent is Personally Known to Me or. Contractor/Agent isi Personally Known to Me or Produced ID -, roduced ID x APPLICATION APPROVED BY: Date: Special Conditions: i t NOTICE OF COMMENCEMENT NOTARIZE I' State of Florida County of Seminole a i, Permit No. i% - ' G 3o T Folio No. (PID) o to ' U U oO . / r 07, d 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) y-t S. v -t I CU*iED COPY GENERAL DESCRIPTION OF IMPROVEMENT A ARYANNE MOi SE Y'l'k(`1 mrnv nr nrrx+rirr raorrsx OWNER'. INFORMATION MAY 2 1 2002. Name and address 6 r-a ,)Ja- S e,z o20. S. m e u 4 J„`c r-6 S1 z.277 Interest in property (Fee Simple, Partnership, etc.) 71 NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER -(IF OTHER THAN OWNER)Mad ORIC W ru IF e M H1 U % CONTRACTOR S N m 31 ro N d address DUCT Rite Roofing 12 -0 Saratoga 1 n . Geneva. F 1 32732 W - R M Ln — l' -I a Ttilru 1NSTRlJMEW PkEPMW BY11 SURETY (Bonding Company) NAME Name and address 11) , 4 Amount of Bond ENDER (mortgage. co) ' Name and address C `m (f— P, (0. Aro x L-/q 2 fib ,I %e- k Snv v r 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 addiess In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement The expiration date is 1 year from date of recording unless a diffeWnt Sworn to a Notary Public The for oing ire me or who has and who did / MY COMMISSION N CC B32532 EXPIRES: July 19, 2003 Bonded Thru Notary Public Underwriters subscribed before me this 1 date is specified.) Signature of Owner tlo Day of )9 My Commission Expires: ZC zSZ instrument was acknowledged before me this day of sp9 by W, f Ct SGol (name of person acknowledged), who is personally known to type of identification) as identification id not take an oath>