HomeMy WebLinkAbout1810 Reddy PlCITY OF SANFORD PERMIT APPLICATION
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Permit # : ®� I —7 ` v %(ti, — ^ te: O
Job Address: C7�s1�1 �C ' 0 v t 3? --)
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3
Description Ark: Oo �7 r Total Square Footage
Historic District: Zoning: Value of Work: S �77 D 0 . rn;'
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical. New Service — # of AMPS Addition/Alteration Change of Service TemporaryPole
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)
Owners Name &
Address:
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
D
A.
State Lice Number: Cu -o'7 -7-5v
Contact Person: Phone: L
41 vs
Phone:
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. 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
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Wa
APPROVALS. ZONING:
Special Conditions:
Rev 03/2006
that I wi�n�ot� the owner of the property of the quit
it Date S
of Flo Dat S
Y FAYE ADCbCK
Law, FS
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f tractor/Agent t�'hp�
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ractor/ gent's ame p a d —
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of Notary -State of Florida j aye a,Jtb A , a°°. •4<Z'
Contractor/Agent
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Personally Known_.g.Mi; or
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r113 11131 KUPALN I PREPARED BY:
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State of-'. orida
emit No.
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MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06537 pg 1362; (Ipg)
CLERWI E # 2007000.37
RECORDED 01/02/2007 10:19:47M
NC ''ICE OF COMMENCEMENtORDING FEES 10. @0
REMM, V f*SWftq1rey
Tax Folio No. (PID)
e undersigned h, eby gives notice the rnprovement will be made to certain real property, and in accordance with Chapter
3, Florida Statue' s, the following infer : aticn is provided in this Notice of Commencement.
` SCRIPTION OF PROPERTY ( -gal description of the property and street address)
:NERAL DE CRIPTION OF If ;'ROVEMENTf iLL 00e�
NNER INFO) MATION
une and addre _
.erect in proper ; (Fee Sir.
AME AND Ail DRESS OF FEE 'APLE TITLE HOLDER.(IF OTHER THAN OWNER)
3NTRACTO . .
me
dr
ade _
�ur
JRETY (Bone. ;.gig Company)
ame and addre::
mount of Bonc
NDER
_�,e and addre.
L7,, � 0 e) g��e, L_�
f
ERTIFIFD MPV
Z-XANNE MORgE
K OF CIRCUIT COU.11f
4�COUN,TY._FL'OR10A
DEPUTY Ct.FRK
#,IAN 2 2001
arsons within VL. ,tate of Florida des, , :.te('. by Owner upon whom notice or other documents may be served as provided
, Section 713.13- Xa)7., Florida State
ante and addre: ;
additionto. hi .:self, Owner desig> es of
to receive a copy of the Lienor's Notice as
ovided in Sec- n 713.13(1)(b), Fl;:; lda Statutes.
tion Dai: of Notice of Com-. affient
SAG e ez Airattor. +e rs�vct sof recording un721'/
di . ' ,trr dy�tP is m� ifi
`eY F�AYE ADCOCK
UBUC. STATE OF fLOAloA '��
V �'� M• Expires o6c, 2, 2008 Signature of Owner
M, # v �raaae
avorn an s ;,sc be o f� Day of t
My Commission Expires: , Z Z 0�
:ot u lie
` ryi eZa o _1
f en ackn:. i:ed ped before me this day of h9_ by
oreomp�` 'irn
in f<,ct to act fo - me and apply . o for
a�P,o d permit for work to beP erformed
at a location de,, zibed as: Sec don Township Range
Loi Block Subdivision
(A of Job) s
� n i
o
(Owner of Property and Address)
i
and o sign my -name and do al'. things necessary to this appointment
4,� CCGoZZSv
(T or PrLn a of Certified Co ctor and License #)
I
( ..,ignatu re o ed tractor)
ACInOWledged ,.,. !!" DAFNEY FAYE ADCOCK
( NOTARY PUBLIC, STATE OF FLORIDA
MY Comm. Expires DEC. 2, 2008
Sw.rn to and :bscribed ors., me this COMM. # DD376609
_Day of A.D. 000
Not t' Public, Sta'e of Florida
(Seal)
M)
sion Expires-