HomeMy WebLinkAbout2415 S French AveCITY OF SANFORD PERMIT APPLICATION
Application # 17f/ Submittal Date: 41416-1
Job Address: P Lw4 ,, SEC")f AI p<< ►J 1� � 7�� Value of Work: $
rI RECEIVED
Parcel ID: _!�^ f�— �-3 �i�C7" io Zoning: Historic District:
Description of Work:
Square Footage: APR 0 4 2007
..................................................... i................................................................
Permit Type: Building 13 Electrical ❑ Mechanical ❑ Plumbing 0 Fire Sprinkler/Alarm ❑ Pool 0 Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service 0 Temporary Pole ❑
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 ❑ Commercial 0
Occupancy Type: Residential ❑ Commercial 0-1-1
Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
..........................................11....................L...........0..................... ......`.................
Property Owner: Plioo 13 1,S I tI t .� U9 SYS �N �N .`t �►` Contractor: 5C)Onc1\ 2)\_1 -gam
Address: Address: v
I•
Phone: E-mail: _ _ _ r- n�%- �r�. ��ate License Number:
Bonding Company:
Address:
Address:
Arch itect/Engineer: Phone:
Address: Fax:
Plan Review Contact Person:
Phone' Fax:
E-maili
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 Floridien L ww, FS 713.
y,4 ^07
Signature of Owner/Agent Date ignatureo Contractor/Mont Date
Print Owner/Agent's Name Print Contractor/Agent's Name f
Signature of Notary -State of Florida Date Signature of Notary -State pf�Date
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0ONussioro CD i
c
Owner/Agent is _ Personally Known to Me or Contractor/Age-!LR ersonally
_ Produced ID _ Produced��
07298 Q ®%
APPROVALS: ZONING� : UTIL:FD:c�iQ� eO
_\
Special Conditions: �� V4
Special
� d
Rev 02/2007
-2000
NOTICE OF COMMENCEMENT
Permit No.
Parcel ID: t
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement will he
mnie to certain real property, aad in accordance with Chapter
7 13, f loridn Statures, the fo> lowing information is provided in
this Notice of Commencement.
1111111 II1 II 111 II 111 II 111 II 11111111 II III II III II III 11111 11111
MWA)dl`it:_ *108k, CLEAR 01- ClFt&II GUURT
SEMINOLE* COUNTY
SK 06546 Pq 1449; (1pg)
CLERK'S # 2007049BE2
RECORDED 04/04/2007 01105:44 PM
RECORDING FklEs 10.00
RECUt7Dl_D BY L *Kinley
1, Description of p perty. (legal description of the property and street address if available)
CERTIFIED COPY;
MARYANNE MORSE
CLERKOF C CUIT -COURT
SEMINOItE C N IARID�
:3
8Y
DEPUTY
2. Caen ral�description of improvement: j' C`e-ag-r"_�+,_..r�i.�.��- – —
1, Owner Namo and address:
L
a. Interest in property 0 . =---
b. Name and address cif fee simple titleholder (if other than Owner)
f'
Contractor Name and address; �&,!.o—wA--i
Surety
a. Name and address ---
b. Amount of bond
ti. Lender Name and address:
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section1" lorida Statutes:
s. !Fame and add ess�-
8. In addition to himself or herself, Owner designates _Y_ __. _.,___ of
— to receive a copy of the UienWs Notice as provided in Section
Florida SLst.utes,
9, Expiration date of notice, r,fcorntr.encement (the expirA.tion date is I year Kim. the date of recor6lig unless u different
date is specified) '
Signatt�rc of Owner S ,1,
Sworn to or al#finned) nd .subs�-ribed before the this ._. day of __-- - -____—, 20 =� by
Personull'r K:now;i or Produced Identification -----.—
Type of lJor►tification. Prod
CHIS INSTRUMENT PREPARED BY:
NAME ,Ul
$Afarure� c, State of -
totrtinissio Fes: j� 3/o y tt
LIMITED PORES OF ATTOWCKY
I hereby name and appoint
of �MA A'00 0 NS ( JJ(
.4
C)
DA E
to,Ae my lawful attorney
in fact to act for me and apply to A`� � �Q ' ,WIS\ FWfor
U v
a pe it for work to be performed
at a location describe as: Section Township
Range Lot Block Subdivision
�- (Owner of Property and Address)
and to sigmy, name and do all things necessary to this appointment.
f0-� r e-QkvLA 0,VC l -I
e or Primo nd*�, oD Cer i ied Contractor, License n
t
ractor
Acknowledged:
4
Sworn to and subscribed before me this
Day of A.D.J-p���
Notaiy Public, State of Florida
(Seal) a I
My Commission Expires:
�I
Al�d�r
:IMft U00V AWL, Ino