HomeMy WebLinkAbout310 S Magnolia AvePermit No.: CR -5
Job Address: 3/
CITY OF SANFORD. PERMIT APPLICATION
Date: xAzat
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
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
o
Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: ,R . Value of Work: $ `1.2 d a
Type of Construction: Re Flood Zone: Number of Stories:/ Number of Dwelling Units:
Contact Person: 17.&1-d-e- Phone & Fax Number:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architecb'Engineer
Address:
Attach Proof of Ownership & Legal Description)
State License Number: 42-_-.-)2093
Phone No.:
Fax No.:
Application is hereby made to obtain 1 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.
Accep of permit is verificaho that 1 11 notify the owner of the property of the requirements of Florida Lien Law, FS 713.
7,
Si ature of Owner/Agent D> Signature of Co actor/Agent Date
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Print Owner/Agent's Name
P
int ontractor/Ag is Name /
8.4*-
ature
O CP
Signature of -State ofFloridaDate ; N
of
Notary-S a of Florida Date 4•, - •'
r' ANN K JOHNSON o * :
v'
Ci. ''IiSSlON CC 921808 Ma
23, 2004 rj;;
w; o. Aotvv services Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
ID Produced ID APPLICATION
APPROVED BY: Date: /-iOy/ Special Conditions: -
Permit No.
State of Florida
County.of Seminole
NeTICE OF COMMENCEMENT
Tax Folio No&4? ;a,,SW T
AO i 4 R// 40t C;
B/1f 5 TA S FB
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 Commencemenn COS
1. Description of property: (legal description of the property and street.add ess if available) '0Z,,I o.
2. General description of improvement: ft, poa
01
3. Owner information
a. Name and address
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
1(3b.
dor
Name and address Yo f oa:iNQ. /s2
Phone number frOZ --12 2=44va
5. Surety
a. Name and address ..0
b. Phone number _
c. Amount of bond _
6. Lender
a. Name and address-
7
Fax numb II
Fax nuRV R' '
o r-%, a »o -
RECORDING FEES 6.00
RECORDED BY G Harfo
b. Phone number
r'
Fax number
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address k^„A—PS A004Al2 — /_e7Z /`vow' Lb r l 5"v t r 32 —77
b. Phone number
8. In addition to'himself or herself, Owner designates
9.
713.13(1)(b), Florida Statutes.
a. Phone number
Expiration date of notice of commencement (the
d f d
Fax number
of
to receive a copy of the Lienor's Notice as provided in Section
iration date is
ate s sped e ) Rf WILLIAM YATES. SR.
Sworn
My Comm Exp. 6/2/04
No. CC 940537
11 r«sawy Wmwn I I00m I.D.
Se2—
Fax number
1 year from a date of rec in nl s a different
x uv
agn;ef-P Owner
J.
of 1i ft'K , 20 by
loe
Personally Known OR Produced Identification
Type of Identification Produced CERTIFIED COPY
MARYANNE MORN
CLERK OF CIS
Signature of Notary Public, State of Florida
Commission Expires: ,
THIS INSTRUMENY-PREPARED Uy-
NAME
ADDR.
FI _7,s723
JAN 0 9 2002
City of Sanford 'The Friendlyredly City
Certificate of Appropriateness Application r;:. ;;:,i Y f',:_:•
Historic Preservation Board pp
THIS APPLICATION IS SUBMITTED BY --
Name:
Address:
1 • SITE IS PART Of:
2• SITE ADDRESS:
lr7lf/
D DOWNTOWN COMMERCIAL HISTORIC DISTRICT WOLD SANFORD HISTORIC RESIDENTIAL DISTRICT
3• BUSINESS OR SITE NAME.
4.
DESCRIBE ALL CHANGES IN DESIGN, MATERIAL, COLOR, OR LOCATION TO THE EXTERIOR OF BUILDING AND PROPERTY. ATTACH ADDITIONAL PAGES IF NECESSARY. SUBMIT A SITE L/1YO 1T OR DRAWING FOR EACH REQUEST
For the P-ieds indicated, the following support data is required
D Sample point Pallets for all point color requests. F Iry WIll1AM YATES, SR. 13 Photographs of existing structure and impact
My Comm EW. WZI04 O Full sat of world drawl areanr '
r9 drawings os required for buildingLtC +
No. CC 94. Ap Application is valid for sirs 6 I months. Application is. sub'eq to
permits.
11Perssn*14roro IIGem LD. 1
rer lbytheHistoricPria rVo Board APP'ed Application shall be Basted on Structure. Applicant'
s Signaturtt' w Owner'
s SSDate:. Dote:
Staff
Review Dote: In ? OFFICIAL USE NLY Historic
Presery on Board Meeting Dote• SixMonthReviewDoteComplete:
Incomplete D APP
ATION IS: APPROVED
APPROVED
WITH CONDITIONS DENIED
CHAIRPERSON:
ADMINISTRATIVE
OFFICIAL: CERTIFICATE
OF APPROPRIATENESS APPLICATION
CITY
OF SANFORD P,
O. Box 1788 Sanford,
FL 32772-1788 407)
330-5672 DATE:
DATE: