HomeMy WebLinkAbout120 Anderson Cir (3)1
CITY OF SANFORD PERMIT APPLICATION
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Permit # : /
0 — `
Date: — l,,C 401
Job Address: In axle
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Description of Work: W Wcl C--ky CQ-- Total Square Footage
Ilistoric District: Zoning: Value of Work: S % (.60, ao
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Addition/Alteration Change of Service Temporary Pole_
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: # of Stories: # of Dwelling Units: Flood 'hone: (FEMA form required )
Owners Name & Address: l y LS S `oS5 , In rA t,62eSexn Q t (—
Phone:
Contractor Name & Address: r0. C'Pt, C 41? VZk kCQ LL C \q S S e- W Ot 9;z' 1-1dr, nt,1
e' f
ate License Number: o S- n 9N A 04
Phone & Fax: L- Z!10 - Flo - 1Cl G a Contact Person: Phone: 3-3(e-1 !jb
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: 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. 1 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
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management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the re ire erida Lien Law, FS 713.
Signature of Owner/Agent Date • Sigg Date
PrintOwner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID APPROVALS:
ZONING: Special
Conditions: Rev
03/2006 UTI
L: FD: Print
Contractor/Agent's Name S
o ate DEBBIE
BLANTON MY
COMMISSION # DD IS Mt cXPIRES:
February 25, 21)W rygt(
gSgpis t or I Q
ENG:
BLDG:
rl up 1,r] j !
ZI -U. LT T. Er I f
Lot 2, Block E, COUNTRY CLUB MANOR UNIT 3, according to the
plat thereof, as recorded in Plat Book 12, Page(s) 75 and 76, of the j n[non v C/RCZI r°
Public Records of Seminole County, FL. ro '. .: •-,
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Community number: 120294 Panel: 0045--
Suffix: E F.I.R.M. Date: 411711995 Flood Zone: X
y
Date offield work: 612912006 Completion Date: 613012006
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Certified to:
Julia Hoss; Title Professionals of Florida; Ticor Title Insurance o
Colnpa» y of Florida; Financial Freedom Senior Funding Company, its'
successors and/or assigns.
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Location sketch
Not to Scale
A_NDER_SON SCALE: 1 "=JO' CIRCLE
CIMPROVED 50' R/W
64.79' M.
RR 5/8
LB 6771 nR 5/8' 65.00' P. RR 5/8• 1
O PC LB J225 (BR) EAST LB 3225 Q
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5.67'
A
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S8976'01' r:
5.81' M.
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46.JO' 8.4' :Lu
ONE STOR Y (R O Q: r• tl W" 00
tp CID 20NRES./ 120 N 0
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10.
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4' H£
0 LOT
1 jSqED LOT 2 LOT J BLOCK
E BLOCK E BLOCK E L.
u" 0.6' nR
5/8' \ Flu - - LB
J225 \ / nR 5/8" J
LOT
18 nR s%b' LOT 4 BLOCK
E LB J225 BLOCK E PropertyAdclres'
s: i
120Anderson Circle Sanford,
FL 32771 Sun/
ey number.- SL 756.39 RNCRAi
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