HomeMy WebLinkAbout2428 Yale Ave (2)4--, '7,
CITY OF SANFORD PERMC[' APPLICATION
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` t Date: _ to -01
.b Address: ;a y 2. S N A L_I� A\J ; A VJ'r—Q
ascription of Work: ?e ' zo'c) f Total Square Footage_ / Q S
istoric District: Zoning: Value of Work: S S
;rmit Type: Building -V/--Electrical Mechanical Plumbing Fire Sprinkier/Alarm Pool _
ectricaL New Service - # of AMPS AdditiordAlteration Change of Service ____ TemporaryPole
echanicaL Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
umbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas lines
umbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial _
,:cupancy Type: Residential -A -- Commercial Industrial
instruction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
vuers Name & Address: li W.} W % �':zs
z4 2a QJz, :� 3z'�'1 Pnnnr. 1 - 3o?.--
,u+tractor Name & A Adjd-resr^s� �Z c .IZ UU i 1. l^i ,Z `y RC i tCi f & T i Ley`{ r��
'3103
1 tJ\� •' A\( LtJ ` C �. Ci S State License Number: _ C;ZKc'
one & Fat: b l 911 Z $tel lV Contact Person:')p N �u>v H 1-i`�_►�__ P11o11C � L) 30 3 4 i ut
riding Company:
Idress:
rrtgage Lender:
dress
chitect/Engineer
dress:
Phone.
Fat:
plication is hereby made to obtain a permit to do the work and installations as indicated. l certify that no wort, or installation has commenced prior to the
lance 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
mit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
Z CONDITIONERS, etc.
✓NER'S AFFIDAVIT: t certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
tstruction and zoning_ WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
!ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEN"I'.
,TICE: 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
; county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
;eptance of permit is verification that 1 will
notify the owner of the property of the requirements of Florida L _ w, FS 713-
Signature of Owner/Agent az Sign ure ofCon ractor gent \\,ajgll"'I////
Pri wner/Agent's Name, Pri ontractor/Agent's nc 2 P
�� ce`Y����e Citi • �=
ignature of Notary -State of t1brida Date Signature of Notary -State of Florida = `Date - s '
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••,a�YP%i, .••••REBE•H
REBECCA A. RUELMAN•: �O •°T #LIDS�7298 a • *�
Cmmission # DD01932664Expires 3/13/2007
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Q\\O�\
Owner/g��
`Peor9dMdlW0_* o or Contractor/Agent is Personally Kno'61, '07
Pni" n3-36_ O Produced ID
8 (OZ
'ROVALS: ZONING:
tial Conditions:
03/2006
UTIL: FD:
ENG:
BLDG:
4 Prov.
NOTICE OF COMMENCEMENT
Permit No.
Parcel ID:
State of Florida
County of Seminole
Iloll itlit11oil IIit111111IIIII it III ti1►;11it111fill itIlllAM
MARYA,NNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
SK 06551 pg 1957; Qpgl
CLERK'S # `00700596
RECORDED 01/11/2007 x:24:46 AM
RECORDING FEES 10. ft
RECORDED BY t holden
The undersigned hereby gives notice that improvement will be (HIS INSTRUMENT PREPARED BYj
made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in NAM E Irl
this Notice of Commencement. ADDR. t y
Y
1. Description of property: (legal description of the property and street address if available)
2 y 23 A ►a LA V s. � �, ►� ► �-��� , f= t 3 L I-1 1
2. General description of improvement:
3. Owner Name and address: _ A CZ- ► ►J A, 2-4 Z -:� AV r-- S;,. N V`" F."() J
a. Interest in property ZZ) _.) 1-1 z f
b. Name and address of fee simple titleholder (if other than Owner)
Tl. Contractor Name and address: RLC, A w{ j s;. 1 c S- �-P-J't i 10 !
4 A n. of K y F-1
---5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
Persons within the State of Florida designated by Owner upon whom notices or other docu ents m�be s ry , as
provided by Section 713.13(l)(a)7., Florida Statutes:
a. Name and address rt LiZ S c I- F
8. In addition to himself or herself, Owner designates W P. 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 Lis 1 year from the date of recording unless a different
date is specified)F7/2
Signature of Owner
Sworn to (or affirmed and subscribed before me this -/11-- day of , 20—, by
I IA -M
Personally Known or Produced Identification S. q"6,3._,t3 6 - D
Typeo entification Produced
r
Signature of NoPuSil, State of Florida
Commission Expires:
.......................................
REBECCA A..RU
Commission # DD0193266
Expires 3/13/2007
Bonded through
;(800-432.4254)
Florida Notary Assn., Inc.
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