HomeMy WebLinkAbout1131-1161 Windsor Lake CirPermit #
Job Address:
Description of Work:
Historic District:
CITY OFSANFORD PERMIT APPLICATION RECEIVED
Date: T—�o-OCD �ul� 10-2006
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm 11001 _
Electrical: New Service - # of AMPS Additiom/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial _
Occupancy Type: Residential Commercial ;�, Industrial
Construction Type: q of Stories: # of Dwelling Units: Flood Zone: (FEMA form required
Owners Name & Address:
y� Phone: Q' r
Contractor Name & Address: N. Stebr.,r. C*P �`TV t-E$�
��S�Ittaatee �L�ice�nse Number: 9 p
Phone & Fax: — 1 K C Contact Person: lA_JI'.I. ine— I�WI4 Phone: U0�-'%S--1 8 Z
Bonding Company: C
Address: t
Mortgage Lender:
Address: Ci
Archilect/Engineer: ` Phone:
Address: Fax:
Application is i'mereby 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 CONDrr. VJNERS, etc.
OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and dim 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 WITII 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
APPRO
Special Conditions:
Rev 03/2006
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NOTICE OF COMMENCEMENT m
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Permit No.Tax Folio No. m
State of Florida cry
County of Seminole m
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The undersigned hereby givesnotice that improvement will be made to certain real property, and in accordance with W
Chapter 713, Florida Statutes, the following information is provided inxhis Notice of Commencement. M
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1. Description of property: legal description of the property and street address if available) CO
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2.
3.
Owner information —
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a. N and address '� �� i ets ��Od ( I��C�
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b. Interest to property
c. Name and address of fee simple titleholder (if other than Owner)
Contractor
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a. Name and address
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b. Phone number RA6 - ZXM 0 Fax number
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Surety
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a. Name and address ITS 6, [ P-WIfl�'1) rnl?
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b. Phone number v Fax number CI.EPK n'
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c. Amount of bond �F f►��, r :,. ,�. �. ,,,
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Lender
a. Name and address
b. Phone numberFax number
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Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
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provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address ✓
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b. Phone number Fax number
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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.
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a. Phone number Fax number
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9.
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different o
date is specified)
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Signature of Owner
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Sworn
to (or affirmed) 'd subscribed before me this �� day ofIl.� 20 . by
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ersona y ownOR Pro used Id u cation
Type of IdentificationProduced
��r� °a AMY TURNER
(:;�e of Notary b ic, State of Florida Notary Public. of Florida
Commission Expires: My comm. expires Sept. 7, 2007
No. DD 247873
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