The URL can be used to link to this page

Home My WebLink About806 E 20 StCITY OF SANFORD PERMIT APPLICATION Permit # : 0 t - I v Z-1 Date: 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 JobAddress: �a�L - '-Ao, �15-T. escription of Work: ZZ S t 16-Q 10A �' To I Square Footage Z Zfn "D Historic District: Zoning: Value of Work: $ _r C) 0 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS Addition/Alteration Change of Service 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 or Commercial Occupancy Type: Residential Commercial Industrial Construction Type: tt of Stories: # of Dwelling Units: Flood Zone: (FEMA form required ) ate/ Sign re Contractor/Age Signature of Owner/A91 ate _. A Kt dGIV 9P Q v 20""- Owners me & Address: 3`Z"'i Phone d 3z 3 Couiractor Name & Address: aAe tL.- Qr., r w_.• 0 Y no Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: State License Number: C.0 C- 0 Z_Z. SD 1 Contact Person O Phone: <5 Y 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 w ter management districts, state agencies, or federal agencies. Acceptance of a ti`s ver 6cah n that I will notify the owner of the property of the requirem of F a Lien Law, F l 1_ ate/ Sign re Contractor/Age Signature of Owner/A91 ate _. ri t Own Agent' ame Print Contractor/Agnt'se - i ure o otary- tate of I _ E DC CK ignature of Notary -State of Florida Date NOTARY PUSL TAE OF FLORIDA t Ix MY Comm, Expire DEC. 2, 2008 COMM. # DD376609 Owner/Agent is Personally Known to Me or Contractor/Agent is _ Personally Known to Me or cc roduced ID ( �i S>_� 553I�(0 p��-(� Produced ID APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: -7 Rev 03/2006 / e �t: III85" LE I'ED POWER OF ATTORNEY Date: 2' b I he --,-by name arid appoint of _ �o � YJ 67 to be my lawful attorney in f ,ct to act for �mee and apply'_ �J o Cl for a Com, &q. ermit for work to be performed P P at a :vocation de-c-ribed as: Section Township Range Lot Block Subdivision (Address of Job) ' . U U � ' V �J -7� - (�N�-L- lj 'ti ti / �j z. -7 1 I ZKNner of Property and Address) and to sign my aame and do all' things necessary to this appointment _ - `-"C Iz— (The or Prin ._ a of entified Contractor and License #) / // (Signature of Certifie-d Contractor) Achnowledged: Sw�.rn to and siibscribed before: me this ._Day of --- _ A.D. Novxy Public, State of Florida � e�'�A►FNEY FAYE ADCOCK 1 NOT PUBLIC, BTATE OF FLORIDA MY Camm, Explr9& DEC. 2, 2008 y Ce�plsi0�: kj� &oof Florida Permit No. NOTICE OF COMMENCEMEN'.' Tax Folio No. (PID) 'ounty of Sertinol< D- D The undersigned hereby gives notice that improvement will be made to certain real pros . v, and in accordance : ith Chapter 713, Florida Statutes, the following information is provided in this Notice of Commv.ncz int. DESCRIPTION OF PROPERTY (Legal descriptif the property and street add.. -;s) GENERAL DESCRIPTION OF IMPROVEMENT -1rIFIEO COPY MARYANNF- MO er MUiLRK IT COURT , LORIDA 8. OWNER INFORMATIONYVJ f� �, �,CS Q"h 5Na 0 L ddress [[nn o 1r— —T- a .� f� �J'Z—"l L U 0 / 007 Interest in property (Fee Simple, Partnership, etc.) I L.RJ-1-1, NAME AND ADDRESS OF FEE SIINIPLE TITLE HOLDER•(IF OTHER T �N OWNER) CONTRACTOR Iat nd addriss SURETY (Bonding Name and address SHOW 011 11 MARYOhl,'41-- VWRl ly c S1IT COURT Amount of Bond lwil.E Ctwl'e' 8ItKW8Pg0640; (1 LENDER CL E Ri'; S S :H 2007 Q, far 7-70 Name and address qf; „" ;;OP Persons within the State of Florida designated by Owner upon whom notice or oth..r c, =ments maybe scrvec' s provided by Section 713.13(1)(2)7., Florida Statutes: Name and address — In addition to, himself, Owner designates _ of to receive a py of the Lienor's p< 'tiee as provided in Section 713.13(1)(b), Florida Statutes. E nt ( auunln • . %n Yy�>.o4�U4a�iC'df re rdinQ ttnlese a different date NOTARY PUBLIC, $TATE OF FLORIDA 1- MY Comm. Expires EC. 2, 2008 1, h , 1007M. rI DD 76609 Signature of weer Swo a sub/�i ed b erne this Day of b� My Commission Eapres. No ary bli The fore ng ins nt �owledged before the this day of _ — _by C, (name of person acknow, ,e ), who is person .iy known to me or who s roduced (ty-pe = i entification) as i< ntification and who did ! di not take an oath>