HomeMy WebLinkAbout2427 S Bay AveCITY OF SANFORD PERMIT APPLICATION
Permit No.: t 1, — ' 3 d Date: S oZ/ — (7 2--11;
Job Address: al LZ S, asy AVC, Saw -Nz-t> 39-7-7/ Parcel
No.: Zi (Attacti:Proof,of Qv nersfiip &"I:e$a1 Description)'- Description
of Work: Type
of Construction: Flood Zone: Valuation
of Work: $ C 5SD. t90 Occupancy Type: 14 Residential Commercial Industrial Number
of Stories: Number of Dwelling Units: Zoning: Total Square Footage: L "
t owner: hy,Q.- 4A C[i trot -L Address:
city:
State: Zip: AA 7 7 Phone
No.: _4(d7 A 22 6 4 7S Fax No.: Contractor:
R 4 6, EKG Address:
City: &
teAtV-V &- State: F Zip: X7:,2 State License No.: Pv 60.2i% Phone
No.: 1 &7 32_' S 6 Fax No.: 4107 3 T !? / q Contact Person:
a l C_Yl C rh l a r S Phone No.: ild 7 q ja& &- Title Holder (If
other than Owner): Address: Bonding Company:
Address:
Mortgage'Lender:
l'
i S fl i Y Address: R t] •
5iox 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 v1 irk %4co `
yn. Print Owner/A
ent's Name ignature of Notary -
State of Florida Date e N Lori
Hertsodr My Commission CCO74247
kv .,•' Expires September
26. 2003 Owner/Agent is
personally Known to Me or 2— Signature of
Contractor/
Agent , Date J<11/1
cxxvenl i '-!!• Print Contractor/Agent'
s Name JS46atfiff Date My
Commission CC762328
r• Expires July
26, 2002 Contractor/Agent is
Personally Known to Me or Produced ID Produced
ID APPLICATION APPROVED BY:
Date: Special Conditions:
NOTICE OF COMMENCEMENT
State of Florida County of Seminole
Permit No. 4 Tax Folio No. (PID) 3/-/ F. 3b sao • ODOo • f 3y 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) gW2_7 S. i9aw „o
92 7 -71 L.wuk 5 3 3 pt 0 t 10 t- 13 4 - Af 3 3Vj
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
Name and address A A7,-k-a- -KQ_L fb" 2-4 a7 5 a., .- S s T a -z -
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER•(IF OTHER THAN OWNER)
CONTRACTOR ''"t'(
Dc. / INpUUllNININIMIN3111IN101810
Name and address D R AND G• INC
IT COURT
pay)
BK 04404 PG 0236
SURETY Bonding Company) CLERK'S # 2002E176175
Name and address RECORDED 05/09/2002 12:15:18 PM
REGGIMINU EEFS 6.00
aEt'nRDED SY G Narford
Amount of Bond
ENDERZ:-
Name and address
272 —O
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713. l 3(l)(a)7., Florida Statutes:
Name and address
In addition to himself, Owner designates of
provided in Section 713.13(1)(b), Florida Statutes.
to receive a copy of the Lienor's Notice as
Expiration Date of Notice of Commencement
The expiration date is 1 year from date of recording s a different elate is cnP ifiPrl_1
Signature of Owner "
Sworn to and subscribed before me this Day of ^w, Lori Hartsft
MY Commission CC874247TTp11
My Commission Expires: "' EPitea $ePe*"bw 20.2003
Notary Public
apo- TheZfego!ing instrument was acknowledged before me this day of , ,i b
n,1 _ %/l ( r) / (name of person acknowledg d), who is
ersonainti;:1c:212hto
nee r who has produced (type of identification) as t
and who did / did not take an oath>