HomeMy WebLinkAbout2432 Mellonville AveCITY OF SANFORD PERMIT APPLICATION
Permit No.: 0 2 r 150 ? .", Date:
Job Address;.
G
Permit Type: Building Electrical Mechanica l Plumbing FirepA^la_rm/Sprinkler
Description of Work:
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
Occupancy Type: Residennt-ial _Commercial _ Industrial Total Sq Ftg: POO Value of Work: $h00e
Type of Construction: dr- Flood Zone: ]Number of Stories:/ Number of Dwelling Units:
Parcel No.:
Owner/Address/Phone:
S-Ow,wd-
Attach Proof of Ownership & Legal Description)
Contractor/Address/Phone:
State License Number:
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
Phone & Fax Number:
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 FINANCINY, 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 management districts, state agencies, or federal agencies.
Acceptance of permit is verificatio at I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
L.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Prfirt,Owner/Agent's Name Print Contractor/Agent's Name
ti-, Yy) Q Z
lotarv-State of Florida Date
u ANN M. JOHNSON - . -__
MY COP:iMISSION # CC 921808
0 EXPIRES: March 23, 2004Nj9lFo. KGo
P
Bonded Thru Budpat Notary Services
Owner/Agent is ersonal'I'Inocvn tocil
Produced ID i't- DL.
APPLICATION APPROVED BY:
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
Date:
Special Conditions:
r VALIJtJ cvv1 nLn. r_J1nIL Inn 01L.L 116u610cn v i-a0 a
IINOLE COUNTY TAX COLLECTOR NOTICE OF AD VALOREM TAXES AND NON -AD VALOREM ASSESSN
31-19-31-520-0000-1250 10294 1 102,763
N ,
f
0132189 01 SP 0.340 ••SNGLP 0860 32771-
DUNCAN CARLOS L & WANDA L
2432MELLONVILLE AVE
SANFORD FL 32771-4557
25,000 1 77,763 1 S1
LEG LOTS 125 127 + 129
SANFO PARK
PB 5 PG 62
PAD: 2432 MELLONVILLE AVE
COMBINED TAXES AND ASSESSMENTS $1 , 669 . 47 See reverse side for
important information.
IF PAID ' NOV 30T DEC 31 JAN 31 FEB 28 1 MAR 31
BY 1,602.69 1,619.39 1,636.08 1,652.78 1,669.47
RAY VALDES 2001 REAL ESTATE TAX BILL NUMBER 014573
SEMINOLE COUNTY TAX COLLECTOR NOTICF OF AD VAI ORFM TAXES AND NON -AD VAI ORFM ASSFSSMFNTS
31-19-31-520-0000-1250 10294
SP0132189 N
DUNCAN CARLOS L & WANDA L
2432MELLONVILLE AVE
SANFORD FL 32771-4557
102,763 1 25,000 1 77,763
LEG LOTS 1.25 127 + 129
SANFO PARK
PB 5 PG 62
PAD: 2432 MELLONVILLE AVE
S1
PAY IN U.S. FUNDS TO RAY VALDES • TAX COLLECTOR • P.O. BOX 630 • SANFORD, FL 32772-0530
IC DAM . I NOV 30 1 DEC 31 1 JAN 31 1 FEB 28 1 MAR 3'