HomeMy WebLinkAbout1133 Rinehart Rd (6)Application # :
Job Address:4
Parcel ID:
CITY OF SANFORD PERMIT APPLICATION
Zoning:
Submittal Date: 9
Value of Work: S & 00,0. 00 RECEIVED
Historic District: MAR 14 2007
Description of Work: r I n O ene- Square Footage:
• •Permit Type:Building ❑ • • • • •Electrical •❑ , • • • Mechanical •❑ • • • • Plumbing ❑. • • • • • • S ri • • 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 ❑
Construction Type: # of Stories: # of Dwelling Units
# of Gas Lines
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Use Group(s):
Flood Zone: (FEMA form required )
.Property Owner . beno...P. DI Ke.oUl................. •Contractor:• \P V ••• I��ne....p •.�N�•
Pa`
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Address: 5A9
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5ui4e. 20(9 Address: 465 `l
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11, 32x151
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1
3ti736
Phone:
E-mail:
gyp) 3y7-30Y`r 7 ?�, z oy oaaldvoto
Phone: State License Number:
Bonding Company:
Mortgage Lender:
I
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
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 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.
/-�� �d Vnti 3 — .-b7
Signature of Owner/Agent Date yature of Contractor/Agent Date
3 I) Som h . lvl ` C .y
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL:
Print Co ractor/Agent's Name
Signature of Notary -State of Florida Date
MY COMMISSION # DD629096
d
EXPIRES: February 2S, 2011
hof FI. No Discount Assoc Co.
�.arr.:c.NOTnxv'
Contractor/Agent-i e r /
roduced ID ( ` 0 e
FD. ENG: BLDG:
� 9 7.00
03/12/2007 04:52 4072730425 STOCKLIN PAGE 01/01
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THIS INSTRUMENT PREPAREb BY: KWMW NOW, C1 ON t9F L-19MIT Mitt'i
NAME Dikeou R"Ity smoilm MMY
Ci ADDR. 549 N Wvmore Road, 5QW 2Q� int am pe M1 (IM)
Maitland. F132701'
`N
STATE SOF FLORWA.
CLERK'16- 0 70185
FUUMIO ice'! 140606
NOTICE OF COMMENCE W-0. CERMED COPi
RUM BY l i ttl" n '-,
TAX FOLIO NO.
PERMIT NO.
COUNTY OF SE1V.CWOLE
1 ARYAtI�411-
i£Rit 4if O ; F1.0DA
SE 'NTy
I3l�Y
The UNDERSIGNED hereby gives notice that improvement will be made to certain and real property, and in a000rdanee
with Chapter 713, Flotida Stahrtos, tho following irtkmwtion is providod in this Notice of Commencement:-
DESCRIPnON OF PROPERTY (Legal description and street address)
1125-1195 Rinehart Road, Sanford Florida 32771
4 General Descript cm of Improvement
c American Pie Pi.M-CqUMMXIITi,ur Buildout -- --
OWrffR WFORMATTON
Name and Address Deno P. Dikeou
w _ - 549N Wvmore. Road. Suite 206, Maitland- F132751
4
Interest in Property (Fee Simple, Partnership, etc.) , 104% fee simple
NAME AND ADDRESS Of fEE SE"PLE TITLEHOLDER (if other than O%Vftr)
CONTRACTOR Gilfredo M Ares Inc 1224 Sasoon Avenue Orlando Fl 32803 ph: 407-484-910
(Mame and Address)
SURETY (Bonding Cont y)
-@ Name and ,Address
°.� Amount of Bond
C ' LENDER
Name and ,Address
Persons within the State of Florida designated by owner upon whom notice; or other documents may be served as provided by
Section 713.13(1),(a) 7, Florida Statutes.
In addition to himself, towner designates
Statutes,
m
Expiration Date of Notice of Commencement
(Name and Address)
or
to receive a copy of Lienors Notice as provided in Section 713.13(2}, (b); Florida
o
no expiration date is I year from daze of recording unless a different date is
Signature ofOvmer
u
Sworn to and subscribed before me this 12 day of.
R A M a L M t VWQMM=
dak1, n LA, EVIRE,4: F4Wy k 2olo
Notary Public My untK 0
a se
The foregoing instrument was aclmowlcdged before me this 12 day of Dcccmbcr 2996. by
4 i u (nwne of persm r ctmowledged), wbo is R=nall):k
own t4 rtlte or who has produced _
w
(type of identification) as identification and who did (did not) take an oath.