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CITY OF SANFORD PERMIT APPLICATION
Permit # : b Date:
Job Address: dOO 1 i laLseu 5 00y Y t SRIJYFM-b , EL 37.171
Description of Work: FIaRIMic,H ,AVA I iWA CL A5 l x a ' WOO-6 FC-NOE 4(2 µ'X(o' W4Lr-k s .
Historic District: Zoning: Value of Work: S 5327.00
Permit Type: Building V"' 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 Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: •7 I - I`9 '.71 - Z> 11 — Cfi'
Owners Name & Address:,To t4 N aAM?tE L.
Contractor Name & Address:
t
Phone & Fax: ri-t - • S
Bonding Company:_
ROC..k1rt7
Attach Proof of Ownership & Legal Description)
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State License Number: 6C 0335i-i3
Person: a EOAZC7 E 'D (-L Phone: }07' 3b 5-d 7Lb
Address: /
n
Mortgage Lender: Alk
Address: //
Architect/Engineer: A/A 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. 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: 1 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 pu it isJ'1rn17W' 1 will notify the owner of the property of the requirements of Florida L•,en ' ^w, FS 713.
X S '-oi
Signature of Owner/Agent ot. Signature of Cont for/Agent Date
P ' t Agent's Na
vPrint
o ractor(A is
9 a-06O-
Tdt9ffG4(TM IgrL ate ignatur -St t ailmoriA. Date Elaine
A. Briggs Commission #DD436506 Commission #
DD436506 Exni 009 Owne
is EX hTKA5VT2W Contracwtl) tTivu 6nEA 91! IRE -or JltuUl
dlD +J _ Produced I D APPLICATION
APPROVED BY: Bldg: Zoning: Utilities: FD: Initial &
Date) (Initial & Date) (Initial & Date) (Initial & Date) Special
Conditions:
LIMITED POWER OF ATTORNEY
DATE `R— a— 0 k
I HEREBY NAME AND APPOINT:
AN AGENT OF: PRESTIGE FENCE OOMPANY
TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO
THE BUILDING DEPARTMENT OF: C-- f
FOR A FENCE PERMIT FOR WORK TO BE PERFORMED AT
LOT NUMBER: S
SUBDIVISION: 70"VN2 C A, c i 3 0r fC 0
ADDRESS: -)00\ I4'.h : 3c , \ .
AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY TO
THIS APPOINTMENT.
GEORGE TYLL
NAME OF CONTRACTOR)
The foregoing instrument was acknowledged before me
DATE: 1' a9-O (,.
BY: GEORGE TYLL
Who is personally known to me and did not take an oath.
STATE OF FLORIDA
CO TY OF ORANGE
NOTARY SEAL
SIGNATURE O Y:
Notary PubNc - Stale of FWM
COIlI AMM #t DD2669b6
bndrd NoYont Noloryllpn
NOTICE OF COMMENCEMENT
This document prepared by; Name; PRE.MGE MCE COMPANY (Elaine Briggs)
STATE OF FLORMA TAX FOLIO 11(Comp)de parcd ID #) 31-19-31-511-0000-0540
The undersigned hereby informs W concerned that improvements wiD be made 1m certain real propaxty. and in accordance with
Chapter 713. FWda Statues, the lbHowing W101111890a is provided m this Notim of Commomem IL
DESCRIPTION OF PROPERTY (Legs! description of the property and street address)
Accordi!j to the plat thereof, Leg Lot $4 !lt 56 QAm S 15 ft of lot 56), ROSE COURT Recorded in Plat Book 3, Pages 3 of the
Seminole County, Florida, CRY of Sanford
GENERAI. DESCRwnoN OF Il MOVAENT:
Furnish and Install 254' x V Cypress Board on Board Fence with (2) 4' x
OWNER NAME a ADDRESS
32771
OWNERS DGEREST IN PROPERTY (Fee Simpk, Partnership, etc.). der
NAME AND ADDRESS OF PEE SPAPLE TITLE HOLDER (If other than owner)
COUR ;
n/a .
1
CONTRACTOR NAME & ADDRESS: FRES11rt. FENCE COMPANY VA 1401M CENTRAL AVENUE SUM 07
OVIED06 FLORIDA 32765 Q
SURETY (Bonding Company) NAME a ADDRESS:
no
Amount ofBond:
Pas= within the state of larida designaW by owner open whom notice or ocher documents may be served as provided by Section
713.13(IN7, Florida Statues:
Name and Address n/a
In addition to birnscK owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(IXb), Florida Statutes:
Name and Address n/a
Expiration Date ofNcbw of Commencement
The aspiration date is 1 year from date eftaro
STATE COUNTY
The fortgpin its was acknowledged this;;
who is pasonaily known to we
rxltnowledged that befsbe signs
MARYANNE MORSEn CLERK OF CIRCUIT
CLERK OF SEMINOLE COUNTY
BK 06428 Pg 9662; (ipg)
FILE NUM 2006156901
RECORDED 09/29/2006 01:19152 PM
RECORDING FEES 10.00
RECORDED BY N Bailey
dt luua,Fel 4 gloeafo
Printed Name of Owner
Of
type of identification) as Warrdfication and
COURT NOTARY PUBIX-STATE
Print, Type:, "rotary Public
Commission #DD436506
Expires: JLM 02, 2009
PiGiidl'U i?Uru Adar`r Ronding Co., Inc.
1111111111111111111111111noinanIsHINItuaunwnulol•u.
BOUNDARY SURVEY OF: 2001 HIBISCUS COURT, SANFORD, FLORIDA 32771
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LEGAL DESCRIPTION: —
i t_
ALL OF LOT 56 (LESS SOUTH 15 FEET) AND ALL OF LO 54, ROSE COURT ADDITION
TO CITY OF SANFORD, FLORIDA ACCORDING TO THE PLAT THEREOF AS RECORDED IN
PLAT BOOK 3, PAGES 3,4, AND 5, PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA.
FLOOD CERTIFICATION:
THIS PROPERTY LIES IN FLOOD ZONE "X" ACCORDING TO F.I.R.M. MAP
NO. 12117CO045 E DATED APRIL 17, 1995.
SURVEY NOTES:
NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER.
A PROFESSIONAL LIABILITY INSURANCE POLICY DEDUCTIBLE USUALLY EXCEEDS
LEGAL DEFENSE FEES FOR THIS TYPE OF SURVEY. THE SURVEY DEPICTED HERE
IS NOT COVERED BY PROFESSIONAL LIABILITY INSURANCE.
CERTIFIED CORRECT TO:
1) JOHN BROCATO
2) LAUREL BROCATO
3) COMMONWEALTH LAND TITLE
4) BENCHMARK TITLE AGENCY, INC.
5) MARKET STREET MORTGAGE CORPORATION
By: _ c% k0 z Date : -5/z- r
WILLIAM KEITH ROARK FLORIDA P.S.M. ##5251
ROARK, G.S.
2207 COMMUNITY WAY, SANFORD, FLORIDA 32771
PHONE:(407) 324-0954 FAX: (407) 324-0691 FIELD BOOK 66, PAGE 76