HomeMy WebLinkAbout211 W 25 StCITY OF SANFOTVO PERMT APPLICATION
Permit No.:
0/ /
Date: a
Job Address: ,
Permit Type: Building
t
Electrical Mechanical Plumbing Fire Alarm/Sprinkler
r.QDescriptionofWork: %D/- - 1WOFfeit O T W 00 %y-h,94t
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
06
Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: Value of Work: S P
Type of Construction: 1 Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: .TJ' f'/ „ram ;L 4 3 S S. F't c 12 7 7 1
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender: )(,,/ /
Address: _
Architect/Engineer
Address:
Yo 7. a r . ?_pa
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 FINANCIN(j, 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 mpVement districts, state agencies, or federal agencies.
A ptan o i verificati will notify the owner of th ope of the requirem of Florida Lien Law, FS 713.
02,
S e of er Agen Date igna of Contractor/Agent //- Date
i ) xmo/l C dL 6
Pr t Owner/Agent's Name Print Contractor/ gent's Name IL
7.-1-ox
Signa of 1 -JtaJf ELFlorida Date Signature f Notary -State of Florida Date
4, INI
of Florida
EN
TONY A. MILLERNotaryPublic,
of FloridaNotaryPublic, My Comm. exp. DO& 25, 20Public, Stara
Comm. No. CC 989945 MY Cow- OP' DO& 25, 2004
Comm. No. CC 989945
Owner/Agent is )( Personally Known to Me or Contractor/Agent is cc Personally Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: I
r
Date:
Special Conditions:
IIIIINp/p111pINNpININ111NNIN11p111N1111p111111
Permit Number
Parcel Identification Number
Prepared by: / 0' '1
Y00 6t/rck alrG
SahfhtFI, T 2 7 7
Return to: 16/COG/,('0 (f 014'%'y l
NOTICE OF COMMENCEMENT
State of (
County of -F.% -wI 6 a,o e
RIM ON, CLERK OF CIRCUIT COURT
HOLE CDJRTY
04315 PS 1703
RKIS # 2002826112
WM OB/04/1'M 1Pe39M3 PN
ADINB FEEB 6.00 ,
00 BY M Nolden
CERTIFIED COPII
MARYANNE WORSE
CLERK OF CIRCUIT.000RT
SEMINOLE COUNTY. FLMDQA
IV
DEPUff CLERK
hFEB 4 2002
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in
accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice ofCommencement.
1, Description of property (legal description of the property, and street address if available)
2. General description of improvement(s)
3. Owner info mation
Name T jS(.p bi 3b, Telephone Number
Address ke Fax Number
3z7t/
4. Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address Fax Number
5 Contractor fvoyq
G Oo
l% Name t®
Address
Jot jy/`a t P'/, 3 r r T l
6.
1 Surety (if any) N
Name 14- Address
7. Lender (if any)
Name
Address
Telephone Number
Fax Number
Telephond Number
Fax Number ,
Amount of bond '
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents
may be served as provided by §713.13(1)(a)7:, Florida Statutes.
Name Telephone Number
Address Fax Number
9. In addition to himself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address Fax Number
0. Expiration date of notice of cominPricer.?ent (t . er.p_ ;^^ da's is one yezr itv the cote ^•
recording unless a different date is specified):
1
Date Signed
to
who is _{gyp
as identification.
Form Revised: 9ft
bscribed before me this / day of f-C Eta Rr 1.9-- yo- by
ally known to me OR produced
4
TONY A. MILLER Signatur f Notary (notarial seal to appear below)
Notary Public, State of Florida
My Comm. exp. Dec. 25, 2004
Comm. No. CC'-"M
01/3e/2002 17:50 COLON IAl- BPIF*' COLD-41AIL/14 4 4073021111
1 -0
t40. 52% P003
M=m Abn. --W Uw %j Awwd% DaW
COMMERCIAL REAL ESTATE MORTGAGE Afff)
ASSIGNMEWT OF LEASES AND RENTS
IWA-MEISi.'ADDRESSIESICFVORTSASl3RrS; MontaDorl)
I
NWEIA03RESSUFffROER rU%dc;l
JOHN SOBIK JR O'LONIAL BANK
12435 S FRENCH AVE R05 W COLONIAL DR
SANFORD FL, 32771 PRLANDO, FL 32801
Jan. 31
01
2002
MAXIMUM PRIkCIPAL AMOUNI 48C, 000. 00
Eighty Thousand And 001100 Dollars
PROPERTY DESCRIPTION UnClude legal description, street adcress and sidwell!tax itQ.'n number):
LOT I BLOCK 3, DREAWOLD, ACCORDING TO THE PLAT THEREOF AS REC0FJDED
IN PUT BOOK 4, PAGE(S) 30,-OF THE PUBLIC RECORDS OF SEMINOLE COUNTY,
FLORIDA, LESS THE NORTH 20 FEET FOR ROAD.
jPFTYSICAL ADDRESS 211 W 25TH ST SANFORD, FLORIDA
F[5-ida Documentary Stamp Tax required by taw in the amount of $ 280.U-C—)--- has been paid or will be paid directly t
the Department of Revenue, Certificate of Registration No. 6300.1.5320-78-002
This mortgage is made on this date between the panics fisted above. The Mortgagor in considevelior, of the maxinwrn principat
amount shown above and for other valuable consideration; the receipt of which is acknowledged, hereby mortgages and warrants
to the Lander, he successors and assigns, forever, the land and property described above, togg1he, with the privileges,
impioveintnX3, werft and polits, cavemerab, theradhaTnards, appurtenances, equiipmern, and other personal goods of whatsoever
description which may now OF hWWtt*F be located, situated or affixed on and used In connection therewith (hereinafter called the
Property). Mortgagor covenants that Mortgagor is lawfully Poised of the estate hereby conveyed and has the right to mo—gage,
grant, co—ev and sasion the Property (and, if this mortgage is on a lamohold, that the ground lease is in full force and etts--t
without modification except as noted above and without default on the pan of either lessor or leaves thereunder), that the Property
is unencumbered, and that Mortgagor wM warrant and defend generally the'thle to the Property against all claims and demands,
subject to any easamentr, and restrictions listed in a schedule of exceptions to coverage in any title insurance policy "urft
Lender's Interest in the property.
By s%ning Ift marope. tech MMpgor =Mow"es that ell prhiim bars bane mad and undeMoK kdWkq 111w on won tV00, theft ad four. Fqmd gad seew by
Wrtgagor.
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