HomeMy WebLinkAbout313 W 15 St (2)-7
Permit 0
Job Address: 11A)
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date:
A
rr" vr-y &^za x 1--ve j5 ins yo^ -j /LAMU X&Me,4
Zoning: Value of Work: 5 IR56
Permit Type: Building — Electrical Mechanical Plumbing --Fire Sprinkler/Alarm Pool
Electrical: New Service – # of A1\yPS Addition/Alteration —k!��Chanae of Service Temporary Pole
Mechanical: Residential _ Non -Residential Replacement — New _ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: 'rr of Fixtures # of Water & Sewer Lines
tr of Gas Lines
Plumbing/New Residential: -# of Water Closets Plumbing Repair – Residential or Corrimercial
Occupancy Type: Residential Commercial — Industrial Total Square Footage:
Construction Type: — # of Stories: # of Dwelling Units: — Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Cnt Ai 9 ILJOFFCY'4
Phone: -3lf4
Contractor -Named& Address:
1Z 5, Z 2— all At jLa-W.License .Number: 46C 150.6 19 43
Phone Fax: Contact Person: Yr -O Phone:
3onding Company:
Address:
Mortgage Lender:
Address:
-ren hone.:
acie io Li r -0 C"IeIV
!SSULnce 7,—errni: Lno mar.ail 1nrK Ili .;e peo . r:orme:-.ieeE �zandards o.- -il law'
s nuguia-Llru: -onsiruc,:on in -.us jurisoicz-or,.
inCler:;tanu mai
oerm -!E,�=RS, -. NKS. ana
AIR n must �,t! secured for ELECTRICAL WORK. -LUMBING. HGNS, WELLS. POOLS, 30 Il ZRS. A
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 ic regulating..
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYIN
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 maybe 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 re of Florida Lien Law, 713.
i
Contractor/Agent
Signature. of Owner/Agent Date j1trs
Print Owner/Agent's Name
Signature of Notary -State of Florida bate
Owner/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
P Age isName
eignature of Notary -State of Florida Date
Contractor/Agree96
Produced ID DD62
25'Lul
February
somy o,,�,wt AsSO� Co.
Zoning: Utilities:
(Initial & Date) (Initial & Date) (Initial & Date)
� 3�
4o9- ,
NOTICE OF COMMENCEMENT
Permit No.
Parcel ID: Aoj - ga So3 6000 06 94D
State of Florida
County of Seminole
The undersigned hereby gives notice that improvement will be
made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in
this Notice of Commencement.
I all 11a11110a111111111111111111111111111III111111 ful
MARYANNE IMRSE, CLERK OF CIRCUIT COURT
SEMINOLE LAITY
RK 06M Pq_ 0970; (I pg)
CLERK'S # 2007046728
RECORDED 03/29/2007 An
RECORDING FEES 10.00
RECORDED BY T Smith
of property: (legal description of the property and street address if available)
2. General description of improvement:
3. Owner Name and address: C kez �-e
a. Interest in property
b. Name and address of fee simple titleholder (if other than Owner)
Contractor Name and address:
Surety
a. Name and address _
b. Amount of bond
6. Lender Name and address:
7.
0
,4AR,r,'V: 1NE MORSIE,
u RK` OF CIRCUIT COURI'r
SEMiNOtyE;� LINTY, FLORIDA -
6:Y
eiEp" . Y CCF_l
2.9,x,
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
8. In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is I year fray the date cording unles a 'fferent
date is specified)
gria r Owner
Sworn to (or affirmed) and subscribed before me this �ln" day of m '.,'C' , 20 _031_, by
C COI Lt's- l..*Gw
Personally Known or Produced Identification X
Type of Identification Produced { LD( it WILD ' -0
Signature of Notary Public, State of Florida
Commission Expires: ]6AU SQL
5G 6''`� �� 3zzz3
CORINNE CLARK
;'o• � Notary Public - State o(Florida
` U : My Commission Expires May 9, 2009
Commission # DD 427612
°„° Bonded By National Notary Assn.