HomeMy WebLinkAbout201 North Star CtSEP-08-2006 FRI 02:24 PM TRI CITY SERVICE DEPT FAX N0, 4073321791 P. 02
Address:
CITY OF SANFORD PERMIT APPLICATION
Permit N : Q 0 - I 9 - p,
QDate: O
JobAddress; 2DI r 4- ` Description
of Work: 11 i &tp iml AX-L3-z.'SU Total Square Footage c701 ulo - Historic
District: Zoning: -ausiine SS Value of Work: S 13, `tZ S ~ Permit
Type: Building Electrical * Mechanical Plumbing _` Fire Sprinkler/Alarm Pool Electrical:
New Service -- d of AMPS Addition/Alterotion _ Mechanical:
Residential Change
of Service Temporary Pole Non•
Residcntial Replacement New (Duct Layout & Enerby Calc. Required) Plumbing/
New Commercial: Nor Fixtures N of Water & Sewer Lines it of On Lines _ Plumbing/
New Residential: rf of Water Closcls Plumbing Repair - Residential or Commcrcial Occupancy
Type: Residential Commercial Industrial Construcdon
Type: / N of Stories: 0 - N of Dwelling Unite: Flood Zone: 6BMA form required) Owners
Name & Address: + T Mil (S T-t sle e 7 a 9 A4 -,n n rd Contractor
Naltle & Address: Phone:
L
Sgte
License Number: (( Phone &
Faa: ge3-7- 7R- 4 s f Intact Person: Bonding
Company: _Phone:
Address:
Mortgage
Lender: _ Address: __ ^
Architect/
Eagincor: Phone;
Fa:: _
Application
is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuanceofapermitandthatallworkwillbeperlotmedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate PermitmustbesecuredforELF,CTRJCAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIRCONDITIONERS, etc. WN ' '
AFF VIT:
I ccnity that all of the foregoing infomtation is accurate and that all work will be done in compliance with •all applicable laws regulating constructionandzoning. WARMING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCWENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUL), WITH YOUR LENDER OR AN ATTORNEYBEFORER1.CORDiNG YOUR NOTICE OP COMMENCEMENT. hIOTICF.:
In addition to the requirements of tllis permit, there may be additional restrictions applicable to this property that may be fou he public records of thiscounty, and there may be additional perm'TS required from other governmental entities such as water management di oica, SWte Doti or federal agencies. Acceptance
0 emtil is rification I wil Hy the own DI'ho property of the r sire ents of FI da L, Law, FS 71). 06 ...... ,`
o
Signatureofner/Agent Datc Signature of Contractor/Agent Uate LeadA. - f Print
Owner It's N me C' 1 P
nt Contructor/Agent's rtie 9 ;
J . ignature, Notary -State of Florida Date ignature of Notary-Sude of Florida ate SUSAN
D. SCHAFER MY
COMMISSION t DD 501584 Owncr/
Agent is y Personally Known to .\4c or '(( * EXPIRES:
April 20, 2010 Produced
I[> contractor/Agent ie% Personally K a
orBaded
Tluu Budget Nobrl Services Produced
m APPROVALS:
ZONING: VTIL: FD; L'NG:-_ BLDGWI — Special
Conditions: Rev
03/2006 DEBRA
L. HARSH Notary
Public, State of Florida My
comm. exp. April 28,• 2008 Comm.
No. DD 314120
SEP-08-2006 FRI 02:24 PM TRI CITY SERVICE DEPT FAX NO.11101111391178111111111111111111111111111111110111111
i'ermit Number
Parcel Identification Number 28-19-30-508-0000
Prepared by: Sheryl Stevens - Rinehart
Tri City Electrical Contractors, Inc.
430 West Drive
Altamonte Springs, FL 32714
407) 788-3500
Return to: same as above
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
IRYANNE MORSE, CLERK OF CIRCUIT COURT
MINOLE COUNTY
1-E+64@ r-Rg-t't 01 (1 pg )
LERKIS # 2006146422
CORDED 09/12/2006 11r5006 AN
CORDING FEES 10.00
CORDED BY H Bailey CERTxFIED, C PY
MARYAN F r 17RSE
CLERK OF C'RC .T COURT
SEMINOLE C UN . FLORIDA
r—
BY
DEP Y ULM',
SEP?4
The undersigned hereby gives notice that improvement(s) 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.
1. Description of property (legal description of the property, and street address if available) E 227.30
Ft of Lot 7 Northstar Business Park PH 3 PB 44 PGS 44 & 45 201 Northsmr Court Sanford, FL 32771
2. General description of improvement(s) Provide power to new subpanel
3. Owner Information
Name Robert ) Mills, Trustee Telephone Number
Address 727 Mallard Dr Sanford, FL 32771 Fax Number
4. Fee Simple Title Holder (if other than owner shown above)
Name N/A Telephone Number
Address Fax Number
5. Contractor
Name: Tri-City Electrical Contractors, Inc Telephone Number: (407) 788-3500
Address: 430 West Dr., Altamonte Springs., FL Fax Number: (407) 332-1791
6. Surety (if any)
Name N/A Telephone Number
Address Fax Number
7. Lender (if any)
Name N/A Telephone Number
Address Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by 713.13(1)(a)7., Florida Statutes.
Name Telephone Number
Address Fax Number
9. In addition himself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in 713.13(1)(b), Florida Statutes.
Name N/A Telephone Number
Address Fax Number
10. Expiration date of notice of commencement (the expiration date is one year from the date of
recording unless a different date is specified):
q WOL LJ - ;F
Date Signed Signature of Owner t
Sworn to and subscribed before me this day of , 2006 by
who is personally known to me OR produced
as identification.
DEBRA L. HARSH
Notary Public, State of Florida
My comm. exp. April 28, 2008
Comm» No. DS 914120
Al L Z' A 4
Signature of Notary (notarial seal to appear below)
Oto I to 50 51- W' 5 5
G