HomeMy WebLinkAbout207 S Summerlin AveCIT\' OF SANFORD PERMIT APPLICATION
Permit # : O &— 320 O
lob Address: 202—,.s • Stlw Wl C r
Description of Work:
Historic District: P 5 -Zoning:
Date:
Total Square Footage
Value of Work: S S7 m0
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alatrttt 1 foulpoo"
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Tempororary Pule _
Mechanical: Residential Non -Residential Replacement New Duct Layout & Energy Call. Required)
Plumbing/ New Commercial: # of Fixtures P of Water & Sewer Lines k of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial _
Dccupancy Type: Residential Commercial Industrial
Construction Type. R of Stories: ' of Dwelling Units: Flood Zone: (FEMA foray required )
Dwaers Name & Address:
Phone: e-7- 30Z - 7 3Z]-Z?(e- 7933
oatracter Name & Address: dot#CZMI*ii(!n" 41Lf r—.3_7 ty, 'y1i fA :faiaftaD YDT•
t{2Z- X57 State License Number: C4-7 l'
I
boat &
Fa:: K07- 4 LL- 0790 Contact Person: Si nz;... S ' Phone: ire7. 22Z-4f3! 3oading
Company: ddress:
Mortgage
Leader: ddress:
rehilect/
F.agineer: Phone: ddress:
Fax: pplication
is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenceA prior to the ssuance
of a permit and drat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 understand that a separate ermit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and UR
CONDITIONERS, etc. WNER'
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 onstruction
and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING WICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN TTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 40TIC
In addition to the requirements of thispermit, there may be additional restrictions applicable to this pro that may beIfound•in Utepublic records of his
county, and there may be additional permits required Dorn other governmental entities such rwaler manag districts, state cacics, or federal agencies. ccepwp&-
IX%. s verifVMiot Cill notify the owner of the property of the requir./ov. f Flora L'n aw, FS 717 Print /
Agent's ignabrre
of Not _c Owner/
Agent is Produced
ID _ LPPROVALS:
ZONING: pecial
Conditions: ev
03/2w Date
9/
1-vlo f
orida Kimberly Jeanne N ibis s
Commission #DD207900 Expires:
May Thru
2007
Bonded
op.
J`K on*dmu hAAeadine Co.. Inc UTIL:
FD: r
of
Notary -State of Florida Contractor/
Agent is _ Produced
ID _ ENG:
Date
Date
Personally
Known to Me or BLDG:
ht
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I d31,7A0B Co
WnWM #t OD 367631B loltd
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THIS IINSTRUMENTP P R,Eg BY:
NAME / w .
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Sfl% y Tax Folio No.
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.
Description of property: (legal description of the property and street address if available) Zo7 ,g. 5,0aWceLUA
AVC Soawo«e fj 3 7,7'I1
2. General description of improvement: c
Imp 1__n.-COPY
3. Owner information MARYAN"IE .MORSE
a. Name and address ,7 S Samme-r Li P2 fi e Saod -Pyeat 3 7--7-21 CLERKY;RVIT COIJRI
b. Interest ih property
c. Name and address of fee simple titleholder (if other than Owner)
Contractor
a. Namee andaddress b.
Phone number 5.
Surety a.
Name and address I1
b.
Phone number _ c.
Amount of bond Lender
a.
Name and address WA
Y )
i w Y/Y IA 4 Fax number
KO 7 - Iq Z Z Fax number
1 v
9.. PUTY CLE'
if - . * V'
r2006zp,
r
9; 611 X ap 19
r y
r b.
Phone
number Fax number m I: 7. Persons
within the State of Florida designated by Owner upon whom notices or other documents may be servj4w provided by
Section 713.13(1)(a)7., Florida Statutes: s a.
Name
and address b. Phone
number Fax number 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. a. Phone
number Fax number 9. Expiration
date of notice of commencement (the expiration date is 1 ye the date of recording unless a different date is
specified) I Vre
o wn >rn Sworn
to (
or affirmed) and subscribed before me this / 2 day of Sp D erN 6e1v , 20: O 6 , by Personally n
vn OR Produced Identification Type of
Identification Produced _ Signature of
Notary Public, State of Florida Commission Expires:
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0031.2G 0 00367630
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