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Home My WebLink About1301 E 26 Pl (2)/ — CITY OF SANFORD PERMIT APPLICATION l Permit # : f 5� ,, Date:� 1 Job Address: 1 3ei ZCP4'% 0100,9 s� ae) f nl _ !PC 3Q7"7,3 Description of Work: .1 n ls*a 1 % P C3 r n , \ Historic District: Zoning: Value of Work: $ 1 ono- 0 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Addition/Alteration Change of Service Temporary Pole _ _ Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair — Residential or Commercial _ Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel#: SCD " P0-91 • YCd _ Obl 0 `1 Owners Name & Address: A U r Contractor Name & Address: (Attach Proof of Ownership & Legal Description) ger : 4.1.1 (ZOO aecl 6eye-1Cetc) State License Number: Phone & Fax: /^� Contact Person: Phone: Bonding Company AJ T Address: Mortgage Lender Address: Architect/Engineer: Phone: Address: Fax: 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. 1 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 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 t is verificatio�that �otilf�y heowner of the property of the requirements of Floridal-ien Law, FS 713. 7 ature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of No oridrA, • CCi ffdWM E*f4i.11/1 % COMffAi %n#W4415R Owner/Agent is S`P'A na Produced 1 APPLICATION APPROVED BY: Bldg: Zoning: tial Date) Special Conditions: Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is_ Personally Known to Me or Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) 6. b. Phone number c. Amount of bond Lender a. Name and address AJ/ Fax number b. Phone m-unber Fax number 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 Larry A. O ,.-- ?r CS i + C On 4 ie cA A: 4hc> 4 11 'l 12ob Red Cleve 131ve So � b. Phone number N0-7 SBS SIC Fax number 40-) S8 S-40'iO 8. In addition to himself or herself, Owner designatese� of ,�--�- S a- to receive a copy o e Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number q01 x-12 3 - 3 2 rn Fax number '4 67 4 2 $ - 83 I Co 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) &,k� Signature of Owner Sworn to (orffirmed) and subscribed before me this 4 day of JQt1L�tL7�t' A 12067 , by �'rr�nK �.�baya.-f-or.2 _ CERTIFIED COPY Personally Known ✓ OR Produced Identification M R NE MORS Type of Identification Produced CL R 0 CI CU OURT SE OL CO N.., ORlla� X PHYLLIS I. GIBSON BY r4�r'U �n MY COMMISSION #DD477598 DE CLERK Signature of f4otary Public, State of Florida f, Commission Expires: ��M1 r EXPIRES: OCT 02, 2009 AI `� 007 'y.� Bonded through 1 st State Insurance ' a ~r g Irei ►9IJ! U iDl tI DDIII IDD li DDI II Dil I/►iD ID DII tD DG' p 1011IDDI ti (HIS INSTRUT,9ENT PREPARED BY: NQRYANNE NORSE NAME T it Tc� (�NOTICE OF COMMENCEMENT SENINOLE Y CLERK OF CIRCUIT COURT BK 06843 Pg 1727; (Ipg) ADDR. (2-Cx) i7oi L � �! S Pq Permit No. Tax State o `C ? 3 . Fo1�9(PK' ## RECORDED 01/04/2 �. 0�.24sJ1 Cotuity of Seminole^ Pill RECORDING FEES 10� 00 RECORDED BY t holds The undersigned hereby gives notice that improvement, will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following informations provided in this Notice of Commencement. 1. Description of property: (legal description of the property and street address if available) Qt -1 4n G{{ y C C. Pt i r Do, + - 13o f 41, SSC n "`c. Sd 77 3 2. General description of improvem nt: to $+0 I t PCA -e- bar n 3. Owner information a. Name and address '�14n J�6r A I -i rDcSr -I- Ay--6o�i 1,., 12oo IZr-rJ CleyGIand (31Yc1 n ' rJ Ic, 37-7"71 b. Interest in property c. Naive and address of fee simple titleholder (if other than Owner) Contractor a. Name and address &3ri �a r Air por A I2 Cy --.1 1 z cci C - e. 8Nci- I C 32 737 b. Phone number Id61 $'$5-LjWcz� Faxnumber 4'cr7 5786-y040 5. Surety a. Name and address Aj / A- 6. b. Phone number c. Amount of bond Lender a. Name and address AJ/ Fax number b. Phone m-unber Fax number 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 Larry A. O ,.-- ?r CS i + C On 4 ie cA A: 4hc> 4 11 'l 12ob Red Cleve 131ve So � b. Phone number N0-7 SBS SIC Fax number 40-) S8 S-40'iO 8. In addition to himself or herself, Owner designatese� of ,�--�- S a- to receive a copy o e Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number q01 x-12 3 - 3 2 rn Fax number '4 67 4 2 $ - 83 I Co 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) &,k� Signature of Owner Sworn to (orffirmed) and subscribed before me this 4 day of JQt1L�tL7�t' A 12067 , by �'rr�nK �.�baya.-f-or.2 _ CERTIFIED COPY Personally Known ✓ OR Produced Identification M R NE MORS Type of Identification Produced CL R 0 CI CU OURT SE OL CO N.., ORlla� X PHYLLIS I. GIBSON BY r4�r'U �n MY COMMISSION #DD477598 DE CLERK Signature of f4otary Public, State of Florida f, Commission Expires: ��M1 r EXPIRES: OCT 02, 2009 AI `� 007 'y.� Bonded through 1 st State Insurance ' a ~r g N m W (7 a 0- V Z H Q J W J W W I— U') H ry (3 Q 03 N H V cn �o 04 r- 04 v m CD BUILDING FOR AGRI-STEEL NOTES: WIND SPEED < 130 MPH STEEL. _ . A512 GR. 50 (NO SCALE) (USE ASCE MINIMUM DESIGN LOADS CONCRETE .3000 PSI 0 28 DAYS FOR BUILDINGS AND OTHER STRUCTURES BLDG. CODE .STANDARD BUILDING CODE, 1994 TO DETERMINE WIND LOADS} Li VE LOAD. 110 ff/SQ. 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