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HomeMy WebLinkAbout441 E Airport Blvd (2)Permit # : 0 Job Address:* Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: C— z 6 — 0 G. Total Square Footage Value of Work: S �GO -Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of AMPS Addition/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: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: 0 Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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: 1 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 M 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 it is verification that will notify the owner of the property of the requireme o lorida Lien Law S 713. r (` • Signature of er/Agent Dateignatme of 9ractor/Agent Date C`Q� Print Owner/Agent's Name Print Contractor/Agent's N e � , 2- 3, Signature of Notary -State of Florida Date �iat�wc gf Ngary-StateJU i NSC�1 Date �� `0' ' * `DIY COMMI N i' DD 285622 SPIRES: March 23, 2008 •,vrE.^F Rpo:c' BCY�l� TrJI' Bili r HOi3Iy $tfVklF Owner/Agent is _ Personally Known to Me or Contractor/Agent iscrsonall Known to Me or l / Produced ID —Produced ID 7C7 ' 't 3e)(0-0 APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 03/2006 ENG: BLDG-- 135,00 LDG: 135'°0 CHIS INSTRUMENT PREPARED BYv NAME ADDR. �Z� Sf -5v6 �,7 7 Permit No. State of Florida County of Seminole _...moria.�Wrfaam!elog `31••cmC'M.umwaWPJ.--AE+!<$t%5,q lIRRYANI� ,' CLERK (W CIRCUIT C0IW SMINME clomly BK 06301 Pq 1S60; (1pq) CLERK'S 4 'Z-,(XN6i (1;1:'&'517 06/Eb/M 09243140 AN RECiKfDINS FI:1;S 110.00 Kamm by t holden 'TIED COPY MARYA NF.' M AM CLERK O f CIRC JIT OURT .).'k'I :E OF-.COMIvI sN( L�hllslyl' Tax Fopio The undersigned hereby gives notice that improvement will be made to certain real prop Chapter 713, Florida Statutes, the following information is provided in this Notice of Cc Uti LORIDA L RK , and in accordance with 1. Descri tionp�of�p�rQDc�rty: (legal description of the property and street address if availabI � ie) 2. General description of improvement: f 3. Owner information a. Name and address (� b. Interest in property c. Name and address of fee simple titleholder (if other than Owner) 3;4—^e- 4. Contractor 21 L a. Ine and address L Q b. Phone number y01- 75401 -OCY� & Fax number q c 5. Surety /� _ ii -- a. Name ait_d address A -r` CofJt-rM Ylr1W i SStXA�lC,e 47. r 11ir 7 111:10 b. Phone number Fax number I c. Amount of bond 4600,noo I __ 6. Lender a. Name and address C-A0AA p 3 1 s i b. Phone numbe -417S-4N Fax number 7. Persons within the State of Florida designated Owner upon whaWhices or other documents may be served as provided by Section 713.' 3(1)(a)7., Florida Statutes: a. Name and address —�I%V. ©��_ ���s 4- S!Fr.,ie) 04 3J7 7�--- b Phone number L ICD- V)_ Mg37 __ Fax number ��-'. _ 8. In addition to himself or herself. Owner designates—�� of s _ to receive a copy of the Lhenor's iNotue as provided in Section 713.1 )(b), Florida tures. i _ a. Phone number !4-U0-7 - 2 - 7,5?37 Fax number �'� V�- a _ �__ 9. Expiration date of notice of commencement (the a p� iration date is 1 year from the date of recording unless'a different date is specified)A" 54gAufe of Owner Sworn to (or affirmed) and subscribed before me this a� _ day of �y I , ZOt�ID b� �'E-- �_ _e�)e _ Personally Known x OR Produced Identification Type of Identification Produced Signature of Notary Publtct Florida Commission Expires: t x_p Cl Notary Public State of Florida Vanessa Velasquez +� My Commission DD412233 '°�a Expires 06119/2009