HomeMy WebLinkAbout3609 S Orlando DrCITYOF SANFORD PERMIT APPLICATION
Permit No.: (/ .- W ` Date: I I 2
Job Address: J. DRAW)() "blZ &nJ RR"b 32773
Parcel No.: 0 - 30 300 — 035 0 eco 0 (Attach Proof of Ownership & Legal Description)
Description of Work_7:Qs-IA1J 1N W t-1KFS-joJ-_ Mo"bj- f"j &+yyf," &Wf-t?_ i o-f 6 0 0
Type of Construction:
Valuation of Work: $
Number of Stories: _
Owner: -ei m CO
Address: 0 A
City:
Phone No.: o
Contractor: A i
Address:
City: 02 Lin)
Phone No.: k
Contact Person:
Flood Zone:
Occupancy Type: Residential Commercial Industrial
Number of Dwelling Units: Zoning: Total Square Footage: `7 , J 7.SSiQ.
MORE
rf &DIM C hWOMI
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address: I
Architect:
Address:
State: 11E_ Zip:_ %'32 7 7 3
Fax No.: 4D7 31-2 - 4q q 0
Zip: 32 806 State License No.: a-00.AJ 55_10
Fax No. -0&V7
Phone No.: 40 g— Z
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.
Sip!10je of Owner/Agent Date
Print ner/Agent's Name
of Nota tat of Florida Date
NOTARY 9 My Comm. Exp.1/5/04
PUBLIC a No. CC 900150
Personally Known [ l Other I.D.
4 Z
Arlattife of C tractor/Agen D to
gent's ame
Signature of Notary -State Floridaf <
0T % Christine Caliendo-Monninp
My Commission CC9M29
p dF Expires December 10, 2004
Owner/Agent is Personally Known to Me or Contractor/Agent is V Personally Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Date:
Special Conditions:
07/20/2001 12:57 4072826346 ALLAMERICANROOFNORTH PAGE 01
POWER. OF ,ATTORNEY
Date : I t Q2
I hereby name and appoint
of ,411 qm&eC< /n,rf C' to be my lawful attorney- sA
in -fact to act for me and apply to the Building
Department fora kyP00- permit for
work to be performed at a location described as: Section
Township 2 0 Range O Lot ZM_ BlockC)35) Subdivision!
V000 sS
O Fz
3z-7-73 and
to sign my name and do all things necessary to this appointment.
1-
03F-Ph p2s
55- -
7O ae
Number State
of Fl r,}lC
Countyof ll vo
v. Sworn
to and subscribed before me this day of Z
tie::rjs bL.l9jl/J inlE/1%rti/ym(name of person. acknowledged) whoonally known
to me or *ho has produced Ude \_ ZI ---
7 N
ary Public Commission
expires: Mona
Lisa Gipson Commission #
CC 910567 jam=
Eapirea March 27, 2004 n
Bonded Thru A%% ,
Atlantic Bonding Co., Inc. seal)
NOTICE OF CONIIVIENCEMENT CERTIFIED COPY "
MARYANNE MORSIRPermitNo. Tax Folio No. CLERK of CIRCUIT State of Florida SEM OLE COUNTY. kAWACountyofSeminole
The undersigned hereby gives notice that improvement will be made to certain real property, and in acccor ane vlith
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
of property: (legal description of the property and street addres if
30 - inn - 035D -0000 %%Vq 5. 021 Arv n
2. General description of improvement:
foo-C— S.1 <4e,,t OM tAAI&ri ).0, 3.
Owner information a.
Name and address b.
Interest in property c.
Name and address of fee simple titleholder (if other than Owner) Contractorf
r f- * -4 Name
and,d ess 5
Q. 0. I b.
Phone number qL S.
Surety a.
Name and address b.
Phone number c.
Amount of bond 6.
Lender a.
Name ind address b.
Phone number / 7.
Persons within the State of FI provided
by Section 713.13( I a.
Name and address J 1
c
Fax
number Fax
number Fax
number JAN
1 T 2002 z
7?j designated
by Owner upon whom notices or other documents may be served as Florida
Statutes: b. -
Phone number Fax number 8.
In addition to himself or herself, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida Statutes a.
Phone number Fax number 9.
Expiration date of notice of c mmencement (the expiration date is I year from the date of recording unless a different date
is specified) Signature
of Owner Sworn
to (or affirmed) and subscribed before me this V day of 120 02 by fin .;
a r cic r,figs 11011 INNIONINNIMINI Personally
Known --%,,<R Produced Identification MARYANNE HORSE, CLERK OF CIRCUIT COURT Type
of Identification Produced SEMINOLE COUNTY BK
04285 PS 0895 CLERKIS #
2002810339 11/
2002 12115/56 PN r
BA EES 6.00 SignatureovotaPubli , State of Florida <"ioTrwr9 Mycolm. B M Noldon Commission
xpi > No.CC900150 µ
ersonauy Known (10tMr I.D.