HomeMy WebLinkAbout920 Cypress AveApplication #:
Job Address:
Parcel ID•
Description of Work: E$XU10 l
CITY OF SANFORD PERMIT APPLICATION
^UUW Zoning:
Submittal Date:
Value of Work: $
Historic District-
9;
istrict:
Square Footage:
..................................................................... 0... 0...............00............0...0............
Permit Type: Building 1t Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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 ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: — # of Dwelling Units: Flood Zone: (FEMA form required)
0.....0...........0..........0001...........0..0....0.........000...........►0.............. 0............................
Property Owner: �'- Q �� �i 1�" ` CA, Contractor: l
Address: Address:
•� !06 3�1(0�
Phone: E-mail: Phone. _� State``Lice se Number:
Bonding Company: Mortgage Lender: IV
Address:
Address:
Architect/Engineer- Phone:
Address:
Plan Review Contact Person:
Phone: Fax:
Fax:
E-mail:
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
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID -
APPROVALS: ZONING: UTIL:
Special Conditions:
Rev 02/2007
FS �3.
r Date
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Contractor/Agent is — ai p nowp to ��\\
Produced ID ' \�
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FD: ENG: BLDG:
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NOTICE OF COMMENCEMENT
Permit No. O 7 1 q & Z.
Parcel 1D: -S• Tq— ;6 11,iA— 0040
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.
it)tion of
2. General description of improvement:
3. Owner Name and address:
(4,
a. Interest in property
b. Name and address of fee simple titleholder (if other than Owner)
Contractor Name and address:
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
7,
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MARYANNE (MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06675 Pg 1319; Q pg )
CLERK' S # 2007063247
RECORDED 04/27/2007 04:21:33 PM
RECORDING FEES 10.00
RECORDED BY H DeVore
(;H;s INSTRJIMENT PREPARED BY:
MAME
CLERK OF CIRCUIT rt` --,RT
Persons within the State of Florida designated by Owner upon whom notices or other documents may
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes. n 11
9. Expiration date of notice of commencement (the expiration date is 1 yearfro date of
date is specified) ,4I Jim,(A6„,i
Sworn to (or affirmed) and subscribed before me this jk]� day of
Personally Known or Produce Id n fication
Type of Identification Produced i �
gnature of Notary Public, State of Florida
Commission Expires:
Signature
2001
a different
20 _.�, by
aO. NRY pt"
�f+ HERBERT CHERRY
* * MY COMMISSION *OD3309W
EMPIRES: October ts, zoos
aw"d 171111lk d Notary Service