HomeMy WebLinkAbout3510 S Park AveCITY OF SANFORD PERNUT APPLICATION
Permit No.: ( /, / 2.— i
Job Address:,S
Parcel No.: , o7 - y
Description of Work:,
Type of Construction:
Valuation of Work: $ y UD Occupancy Type:
Number of Stories: I Number of Dwelling Units:
kOwner:
Address:
City: .;
Phone No.:
Contractor:
Address:
Residential
Zoning:
State: F I'
I r+ A*V
Date: %- op f - 0201
Flood Zone:
Commercial
Total Square Footage:
City: S.4Wr-aa State: Zip: 36A'%%3 State License No.
Phone No.: Ttv% ,i/ Fax No.:
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company: Ai A -
Address:
Mortgage Lender: A
Address:
Phone No.:
Architect: ri 'T Phone No.:
Address: Fax No.:
Industrial
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. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,
POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc.
rA
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. 1F 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
4,Z -02
Signature of Owner7AgeAt 0 Date
Ale av Ar w A
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is P Personally Known to Me or
Produced ID
APPLICATION APPROVED BY
s—/a:
of Contractor/Agent Date
Print ntractor/Agent's Name
Signature of Notary -State of Florida Date
Melissa ,•1 RrPom. Cameron0
Commission # DD079918
s ;4= Expires Dec. 20, 20055 `
o.
i'F inifll A[1
Bonded 7
antic Bonding Co., Inc.
Contractor/Agent is Personall Known to Me or
Produced IDJ L/i-$'9d7
Date:
Special Conditions:
H}S Its MENT PARED Iry
SEMLLU INOLECOTYFWR1LkAS
wsvaiu GSOICE NOTICE
OF COMMENCEMENT Statnof
F rida County of Seminole Permit
No. 0 2 — " o
Tax
Folio No. (PID) The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713,
Florida Statutes, the falling information is provided in this Notice of Commencement. OF
PROPERTY (Legal description ofthe property and street address) GT/!'
Tir i li"r&*L!7 o
L- SO$$tI GEN
im AL DESCRiPTION OF 6VEMEN k
OWNER Name
and a Interest
in property (Fee Simple, Partnership, etc.) NAME
AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER) CONTRACTOR
Name
and address_ J SURETY (
Bonding Company) s
8S2AIA
IAI AATAIIIAI ID Name
and address IT COURT S
ENINOLEAmount
ofBond R
COE DEDOl/29/PO02 10122: 4 All LENDERRECORDING
FEES 6.00 RECORDED
BY 6 Harford Name
and address Persons
within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by
Section 713.13(lxa)7., Florida Statutes: Name
and address In
addition to himsd% Owner designates of to
receive a copy of the Lienor s Notice as provided
in Section 713(l)(b), Florida Statutes. Expiration
Date of Notice of Commencement The
expiration date is 1 year from date of recording unless a e is specified.) f%'
ZriC Signature
of Owner S Illy / jl y wA S41orn
to and subscribed bqfwe me this Notary
Public acknowledged
before me this 'L3 day of 20_&Z by t9U,
l t 6 t.L— (name of person admowl ed), who is (mown to me
o "M Me-pmdaeed and
who did/did not take as oath. type
of identifirdtion)CL 0
c
MARYANN
9N
CLERK of tiiT.COURT jitwni
G cn Ty. WOR1DA