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HomeMy WebLinkAbout1308 W 8 St (2)F~ , J `3 CITY OF SANFORD PERhlff APPLICATION / mit H : 0 / $ 1r 1 Date: Address: I 1 ( L4/ Q s't <- - P._./ L/ '?n 7n / / cription of \York:+t LIP - o .rl Sr1uare Footage---„ [ 0 toric District Zoning. Value of Work: `5 --� �,' )o _---_- T mit Type: Building _L__ Electrical ___ Mechanical Plumbing Fire Sprinkler/Alarm Pool ctricaL New Service - it of AMPS Additiort/Alteration Change of Servicc __ _ Temporary Pole chanical: Residential Non -Residential Replacement New, (Duct Layout & Energy Calc. Required) mbing/ New Commercial: N of Fixtures It of Water & Sewer Lines N of Gas Lines mbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial :upancy Type: Residential / Commercial Industrial istruction Type: ' t1 of Stories: # of Dwelling Units: Flood Zone. (FEMA form required ) aers Name & Address: DGvyt {7k/L�i /Y tfA2�Ly Y l a-�3 W.Z/ Phone� '?Yl - ?22 tractor Name & Address: State Liccuse Number C BL ae&Fac: -76i'3�iI-?/0�/ �(�a7h2f-�pj S Contact Person: to _- Phone: _`L�� ' 33�?Zo ling Company: rt" rens tgagc Lender: rens: utcct/F.ngineer ress: Phone. Fax: ication is hereby made to obtain a permit to do the work and installations as indicated. I certify that no wort: or installation has commenced prior to the ace of a permit and drat all work will be perforated to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate it must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and CONDITIONERS, etc. tER'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 ruction and zoning- WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYING _E FOR IMPROVEMENTS TO YOUR PROPERTY- IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN DRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. ICE: 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 ounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. ptance of permit is verification I will notify the owner of the property of the requirements of Florida Lien law �ignattVeofowner/Agent vkxw1�j��ji/;' Signature/of Contractor/A i `-O, d ` f ,`,�\'m~ Owner/Agent IOat ame `�+ rY 16 9 C � Signature of Notary -State of Florida = 1 5'298 a•*� ,y A'�^ri Thr u �ci • Q- Owner/Agent is Personally Known to M� Vq,YCjIF •Q�',F�����\\\ _Produced[D :OVALS: ZONING: UTiL: FD: at Conditions: 13. Date AN/y� �r•,to } J 1 ,1 a w1b / SngifatureofNotary:5t#oCFj()'0.a;q L, _ ti�_ fir• `, , . \\ Contractor/Agent is f 'a4ljt•1yMIA or _ Produced I01rij��1�� FL ENG: t w ell 3/2006 Y 4 TO a NOTICE OF COMMENCEMENT Permit No. Parcel ID: State of Florida County of Seminole 1 110 11 111 It 1111111110111 It all It Ill 11110 It 1111161 It III I lull MARYANNE MORSE, CLERK OF CIRCUIT CO1JRT Si MINOLE COUNTY BK 0655G Pg 11221 O pg ) CLERK' S # 20072112.1 339 w RECORDED 01/10/2007 1@;-E0a�Pti1MC0PY (;KI RECORDING FEES I& JRSE RECORDED BY t (PURI' fah r ` CIRCI T ccnitl�0 C01-�, .Y LORIDA The undersigned hereby gives notice that improvement will be L made to certain real property, and in accordance with Chapter U'—, "� = 713, Florida Statutes, the following information is provided in ppl�yy qq this Notice of Commencement. 1. Description of property: (legal description of the property and street address if available) 13 09 IV P -6-1 icL � -� 2. General description of improvement: Re lLa lLyke a 3. Owner Name and address: a. Interest in property b. Name and address of fee simple titleholder (if other than Owner) Contractor Name and address: 'J- kki, f'f� I3ux (�ZS S.w�,.� f=L 32�7z�acZr' 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 maybe served as provided by Section 713.13(l)(a)7., Florida Statutes: a. Name and address 8. 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. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Signaturelof Owner `\\11NN11111. // Sworn to (or affirme4'A�itt Solt, ay..o Personally Knower z6. -n �r � Type of IdentificRi252 cod GE Signature of Notaryj} Commission Expires: ///Jirllllll�\\\ me this day of ,L , 20 b -1 , by itification L-= -2_33 ? THIS INSTRUMENT PREPARED BY. NAME R7 14tILI, t _ ADDR. P U U0 n �-�'