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Home My WebLink About2008 Lily Cte '• g CITY OF SANFORD PERMIT APPLICATION / Permit #: t'y' - 3 2 e I Date: Z/ lD Y Job Address: Z OCR T 4-1 C-i-. 5a n 92 0 I(.1 3 Z 7 -7 1 1 1 c Description of Work: C - ro Dy l O C& -Tu rc h Total Square Footage LL5 0 . (5a Historic District: Zoning: Value ot'Work: $ T Q Permit Type: Building 5( 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: I— # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) Name & Address: I e-1 n o V- •V F Contractor Name & Phone & Fax: `iv Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer: Address: 49 - -- 7 '7 00 VOy rP In .i 5 2 5 M e ajo %,, gc t n D r• Phone: LF 01- y t (- (O Z% 2 j ao C-m e . I -e 3ZASO-SStaatte License Number- C C C 057 O Contact Person: . ITV S Phone: 3 Z f- 5 7 7 7 F 7 7 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. NOTIC : 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 of FI Lien Law, FS 713. Signature of nednent Dane (__ Signature of))Contractor//AAgent/)// /! Date yGj L 0 p v5 (Q S I- • 1 / cC l.0 r f 1 Ac Print 0 er/A nt's ame if lint CoP rractor/Agentt''s NameOPv: Commission # DD311329 Expires April 20, 2008 OF h Bonaed Troy Fain • InWp=, ft $AO7aS701a VWfiffAgefitIs _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 03/2006 UTIL: FD: Signature of Notary - State Contractor/ Agent is P Produced ID ENG: 01 °%,, Karen H. Walthers Commission # DD311329 4, o` Expires April 20, 2008 OF a aoMed Troy Fain • InWarpi, Inc 80"W7019 BLDG: a/ Authorization Letter/ Limited Power of Attorney 1, Douglas E. McCormack, contractor license #CCC 057608, hereby authorize the following to act, as my agent, in obtaining permits at SBldg. Dept. for: 7-6 0 V G- 1 I( C . 5an• rc, Ft. 3-27-7/ 1 , c f--(o 31-1g_3t-Sig-6000-059-0 Agents Name Drivers License Number o v keS 'P. 0j+L-,Vs 4,-,)+3(p 4y1 - '79- This authorization is to remain in effect from the registration and permitting application process through the final inspection; unless otherwise canceled by myself in writing. Contractor's Signature Sworn to and subscribed to before me this day of,4AZEI 2006, by who is personally known to me or. - who has produced -- as identification and who did not take an oaft No1arY Public My Commission - vim POa, Karen H. Walthers Commission # DD311329 A4 o` Expires April 20, 2008 OF BaWaO TI07 Fain • Inw w ts, Ina $004W7019 oiiv er eo . AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: OvJA-,i OJ .s744&45 License #: I S7F cor,00r etc -:-A b,,1 00 Project Information Owner: [Alu v 6 Permit #: name 0c"? (—, I .j C-+ . address phone C CC 05-7 bC)a Subdivision: 405 e (Ov v -- Lot #: to 3 I, t.eaus P. m c7M-c~e4"l-- affiant, hereby affirm that I am the duly licensed contractor of record for the above referenced permit, that all the foregoing information is true and accurate, and that the dry- in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: ! C A94 signature printed name STATE OF FLORIDA COUNTY OF This instrument wa acknowledged before me this o?*day of , 20 o 4K by the above referenced individual, eN who acknowledged that he/she is a duly licensed contractor with F , and who acknowledged that he/ she was authorized to execute this document. He/she is either personally known to me or predneed — as valid identification. WITNESS my hand and seal this o?-;111 day of 20 sL Notary Public Karen H. Walthers Commission # DD311329 v4' QF Expires Apri120, 2008 OFP- liwdedT Fein-Insu.'. SppJ{rOtY THIS INSTRUMENT PREPARED BY. IIIIIIIIIIII111111111111111111111111111111111111111111111111 r NAME NOTIC OF COMMENCEMENT 1 q 7 f%a.C jr.re a. e i* 10 > 0 • ADDR. 17 1- Permit No. Wcn ct 1 3 Z 7 56 Tax Folio No. 31 - 19 - 31- 50 - o ooe•-- g>57'17 C. Stat on a m oum, of Seminole m o The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with 9 V! Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. m m if (- b T G -P 5 1-1 r7 r, 1. Description of property: (legal description of the prop rty and street address available) 59 -P Vz> r T OC Lp-r g05 E 0 eo orLT v 1P 3 rr3 -n 2. General description of improvement: 2z - ., Pa re I-, M . 1 VVI aj I F , 4--n c- 1, ry n 3. Owner information pp a. Name and address (c nt I j l' 1 u r P k v 5-2S M a L V, e e r, r c i c b. Interest in property c. N me and address of fee simple titleholder (if other than Owner) j 1 ve 1por F- I . 33057 Contractor a. Name and address O u , V evo- S /ci 7 b o ed-c M 0oc 1' l• 3 2 5 0 D b. Phone number '+u'7 - (e 199 - o v Fax number q 07 - le9 9 - -7 -7 D Z- C 5. Surety a. Name and address z b. Phone number Fax number o c. Amount of bond C: 6. Lender 8 a. Name and address a.+ CG b. Phone number Fax number co o 7. 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 G 0 b. Phone number Fax number 8. In addition to himself or herself, Owner designates of a- X. to receive a copy of the Lienor's Notice as provided in Section. 713. 13(1)(b), Florida Statutes. m a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different o date is specified) gnature of Ow r o j o Sworn to (or affirmed) and subscribed before me this day of /may 20 e G , by Uh Personally Known V" OR Produced Identification Type of Identification Produced CERTIFI COPY MARY, NN .MORSE CLERK Cl 1T CQURT SEM NTY:=F! OR!DA Signature of Notary Public, State of Florida ?, PO° , Karen H. Walthers _By , Commission # DD311329 o by c a CommissionExpires: N , 0 s` Expires April 20, 2008 rFOF Bwdad Tmy Fain • Insurance, Im 800. W7019 { f 4