HomeMy WebLinkAbout104 Challenger Ct (2)CITY OF SANFORD PERMIT APPLICATION
Application # : `—
Job Address: -
Parcel ID:
1 ��
Submittal Date: /^
S Value of Work: $
Zoning: Historic District:
e
Description of Work: , ij% ��I5 f D r/ /7fl al� L•fAGt//i�/%7 A71 -e Square Footage:
...................................................................................................................�0��?
Permit Type: Building V -Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial Industrial ❑
# of Gas Lines
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
......................................................................................................................
Property Owner: 1 Jccontractort re ive Fen ce
7�
Address: r Address: f
Phone: E-mail: Phone'? 6. 7`a D tate License umber:
Bonding Company:
Address:
Architect/Engineer:
Address:
Mortgage Lender:
Address:
Plan Review Contact Person: Phone: Fax:
Phone:
Fax:
E-mail:
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 govemmental entities luc w ter management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING S� �� UTIL: FD:
Date
Name
Signature of Notary -Slate of Florida Date
!: MY COMMISSION # DD629096
'XPIRFS: February 25, 2011
Contractor/Agent is _PeFI. Not Discount Assoc r or
_ Produced ID O -
ENG: BLDG: 0
Special Conditions: 12a e, Co Fe- %cI.1 c�
Rev 02/2007 Fence Hofs 7 S7 -p 5' j vt " 7 stele wa/A
NOTICE OF COMMENCEMENT- '
Permit No. A I �j 00o p 0 Zo
Parcel ID: 1 �► {�
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement will be
made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in
this Notice of Commencement.
I lilt 1111111 fit 11 I111111111 It IIIt It III If 1111113 If III If oil I fill
MARYANNE MURSE, CLERK OF CIRCUIT COURT
SENINOLE COUNTY
AK L157 7 Fig 14181 (1pg)
CLE RK" S # 20�t'171 024:30
RECORDED 07/13/2007 01:31:38 PM,
RECORDING FEES 11.10
RECORDED BY H Deere
[HIS INSTRUMENT PREPARED BY:
NAME _
ADDR.
r �271�
1. Description of property: (legal description of the property and street address if available) jTi MK16 ll!KY1K�V
VERTIFIED COPY
2. General description of improvement:
n
3. Owner Name and address: VVIV / t ' SF
a. Interest in property
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b. Name and address of fee simple titleholder (if otficr than wner) uT
VUL
(. Contractor Name and address: 1 1%
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is 1 yeaLfrom the date of r ding unless a different
date is specified)
Signature of Owner
Sworn t (or affi ed) subscribed before me this �a .- day of kPLVe___ 120 by
Personally Known tl or Produced Identification
T> ,peoentification Produced
O �pY Au�' Angela R. MaMrro
My Commission DD273758
CStgj;�Jo—fNXota Public, tate of Florida;4 Expires December Os, 20'017
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Commission Expires: