HomeMy WebLinkAbout417 Holly AveCITY OF SANFORD MECHANICAL PERMIT APPLICATION
Permit Number: -0'2- Date: 3 106 O
The undersigned hereby applies for a permit to install the following equipment:
Owners Name: C". t01-
Address of Job: q KO jI A A U QV)
Mechanical Contractor: —7) Z — j
Residential Non -Residential
Nature of Work:
Job Valuation:
Application Fee:
TOTAL DUE:
By signing this application, I am stating that 1 am in
Mechanical Code.
Amount
10.00
hi Sa rd
i` _,,Applicant Signature
AQKW G. DELLO Fa U"O
S6te License Number
NOTICE Or COMMENCEMENT
County of Seminole
State of Florida
tiPeriri.tzt ;;1Co. 1
Tax Polio No.(PIU) 25'- /j•p-SAS-0/U-pvgy 713,
Florida Statutes, the Theundersignedherebyhivesnotice that improvement will be made to certain real property, and in accordance witl followinginformationisprovidedinthisNoticeofCommencement. Chapter PY
DESCRIPTIONOFP11OPEItTY (Legal description of the property and street addrsse. CERTIFIED
CO MARygNNE
MOR9E QQ )—
IC-QF CjRCU 04GENERAL
DESCRIPTION OF IMPROVEMENT OWNER
INFORMATION Name
and address Interest
in property (Fee Simple, Partnership, etc! NAME
AND ADDRESS OF FEE SIMPLE TITLE IIOLDEII.(IP OTHER 'THAN OWNER)' CONTRACTOR
Name
and address DEL -AIR NEA77NG &AIR COND. SURETY'(
Bonding Company) Name
and address ,V rui
ount oI Bond I1AA
I IO iI1Rip11#i 11Y1>4_.,..._ CLERK'
S * Z002841862 LENDERRECORDED03/06/800t' 10j11,12 R11 Name
and address RECORDING FEEB 6.00 sRECORDEDBY11NoldtmPersons
within the State of Florida designated by Owner upon whom molice or other documents may he served as provided bySection713.13(I)(a)7., Florida Statutes: 1 NameandaddressIn
addition to himself, Owner designates ,U A 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 Commenceweut The
expiration date is 1 year from date of recording^ess a diff ntdat jsspe ci ffiied.) EXr:
r ture of O per D`
11cWgifThlupoi::: .mrs PREPARED BY: Sworn 'riilu!b e>i ibetlf befo a iiie his_ y
Day
of Ald+ PA My
Catu1nission Ex Tres, -11 -D NotaryPublic I The
fgoing instrument w cknowledged before me this ,,,ttom J
day of me
or who has produced (name of person acknowledged), who allxi known to andwhodid / did not take an oath> --- (type of identification) as identifcat,on. T. '
Do