HomeMy WebLinkAbout215 Brushcreek Dr (3)A
a Permit No.: O 2 SJ
Job Address: 5
Parcel No.: 3 3 -
Description of Work: ry
CITY OF SANFORD PERMIT APPLICATION
Date- Jew. 16" z aoz
41rrppk" Lb. iM C Sun G„ e n F(- 37--n l
R - 0000 -1 AD (Attach Proof of Ownership & Legal Description)
Type of Construction: Flood Zone:
Valuation of Work: $ Occupancy Type: Residential _Commercial Industrial
Number of Stories: 2 Number of Dwelling Units: __L Zoning: Total Square Footage: fy Owner: .
t1 •—'k J l n S Address:
21 S (3' U S kree C be, City:
S C-40nA State: Fc- Zip: 3Zi-7 Phone
No.: -o--) 3 2- 39 (3 Fax No.: (' O7 Contractor:
Address:
City:
State: "' Zip: — State Lipense No.: Phone
No.: Fax No.: Contact
Person: i ry Phone No.: 40-7 Title
Holder (If other.an Owner): 0LJ !V 1C r Address:
NJA Bonding
Company: Address:
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 ofthe 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. z00N,
lnature of
Owner/Agent Date Signature of Contractor/Agent Date ot, -. ""35
ON t Owner/
Agent's Name J Print
Contractor/
Agent's Name Mgnatu tide_ —_
Date Signature of Notary -State of Florida Date c"aY.
JO A14N M. JOHNSON MY COMMISSION
N CC 921808 s, EXPIRES:
March
23, 2004 rFOFF p0.'
Bonded Thrd Budget Notary Sernces Owner/Agent
is Personally Knowi2 tQ Me or Contractor/Agent is _ Personally Known to Me or Produced ID—,
1QOTQ q'L57I 13 F0 Produced ID / )) APPLICATION APPROVED
BY: Date: Special Conditions:
I
DESCRIPPON: COUNTRY CLUB PARK ffH6,5E
N! r,.+rjjt ! iN J1.•AT AIJ:)rt . _ . - _. PAWS]
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LOT 1455
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VOTES; FLOOD CERTFICAPON LgU?LMIYG SE7E CKS
Ri AA1WG5 AR.r RACfCQ ON THC CF.h"C77!INE CLr BAfr_D CW L'R rCOLMAL FACAaS'CV fl+=Yli: iV
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W. LLLWA S AND LOT CRAINAGE irPF SHOMW RATE J,IAP, 1F smul7 w
14•'+EUA' M BASL D Uti SI Q EM'.T f'•91NG SWDAN HEREGN COEN NOT LIE WTHIY
rl,AN5 cR THE MC.CCr, rrlt IX %fAl7 FC" WZAP,! AAA. r1G!r: f]-
SL%LPkN%". TiFS ARF TO FOI.I\DA YJ. DA6 STnVCR ' VCS - 20WE ' x -. ULtL!]TJrr LIB[:
4. PLOi FLAN ONLY. LOT HAS MOr SEEK STAKE- MMWLk%%.'/ PAIM Ma JIM294 D".AO F
Y4 D(c rLrLd LL.L EG; !UE DATE. T_. A.-ML : ;?, !?95 I OT rf'f5 £avyAw.s
rule M klnr A CNN LJC'V UX" KVIS U DA;i: %7-nt4nCOAX tt.!P I'1T Ar•aLe +{-
la:
t"
PMAMM BY:
K0bJ31N-7TT7.S9e=S OF v 527
MaTfMrizics"Ims, INC.
ORANGE f:ITY:V FL. 32714-0618
KT#505l;()DA}6% t
I
i:J 'JV1u H1 .'laoip thr ;iOth deny of November
MASTRRP'IECE HOMES, THC.
ErjnO 07r
A.D. 20DO. by
a corporction exist ifW rarr&-r the J.awi of the State of Florida , cod Lavine, UP prineipal place of buNiness at
POST 0770Z SOX 740618, OMN(TIF. CUT, FLURLDA 31774-4618
hrreinafter called the gr+a,Uor, to JON FVT-'REASKINS, A Y.RKED MAN whore
past o ffAvac{dr .-m ht 21.5 BU SHCKL I"K ll It 1V F her
e.inaftercalled the gron-fee. SAN
FOR11, FT.OTR T DA : 2 i ! 1 r,
Whr ti,n„owi hr a' th, Wray eanW- urTr'iilete4et' irrt::de 0L 1114 NY,I!! OP eka+-,rrnnnn aid tim
herfl. ImFW repRwr4avw snd a„ rm eir in&xirbulm, and Iha mu f0fas 0Dt 011IMS OCOM MUXIV tt11PS
fk That a gr,an4on fur nrW in conAidimasian of the r ujn of $10.00 andathervaguoblom conNidrratiwss,
receipt whereat is herreky cac:kr.cararledge d, by these presents doer grant, bargain, sell, aliem remise,
rpleaw... convey and curafirrfa unto the prxvrnree, all that r ertainland Nitteate in K?XIINOI,V County.
Florida, W... 1,
0: 1 Hfi, CO>LNI'RY i;t,UJ3 PAR{ (?'EASE III) , ACCORDING TO THE nA't' TtI REOF AS RL,
CORDED IN I'l.,,T HOOK 5F1, PAGES 12 AKD 13. OF THE YUIf'_,1C RECORDS OF S Mrgo.T.F. COL:
NTY, FLORIDA. 40
UD
SOKEC:
T TO Cuvvnovt , Conditions, R-c:utrlcticrna and Basumento of Record, en Cn ii
uny Awd Taxes for the cur. Front year. r
PARCEL
IDYNTUTCATION NUMBER: 33-19-30-518-0000-1860 c.
GJ
TOtAfwithrrlltxurterMMLO, dterrdUa., cntR and appurterarzew thereto lre&NVing or in af4 wim appmainiv. fo
Hot Wd to g t.4e scrrrre in fees simple folyumr_ the!
grantor hereby auc:enwifs with saido{rrerame that it is lawfully neazed of said lwsd in fee simple; Mal
it has good roots antd tau-ful authorh%y to yell arse[ ourr4.vysaid land, that it rterrhy full warronta the trile to
said land and will defersst the same t,{:c+ FLO OOP. lawful claims? of all persorm claiming by. Mrorsg r< or UMPP the
mid gruntor. W
5 1WWf the grantor has caused these premnis to be. tconrQnlM
SEAV ejw.cute+rd in itar natrx. and irs oor'pomte seol to be henwntn o fated, F* iU proper offs-
mR thc:ry:unm duly audwraeed, the din- andytuar firvi abom- written. Se+
talg` ign.
pd, w. aled and delivered in file Presan-4v of: NAS'['[
CiCI'IECE HO"8, INC. I............................................
i
4RUBI3W2
IF5 _ NS , President