HomeMy WebLinkAbout220-222 Brazil CtCITY OF SANFORD PERMIT APPLICATION
Q
Permit # J C 7 6 Date:.9• I g. O (y
Job Address: ZZO - LLZ Ar•o Z ; I C t-
Description of Work: TitaP / 2F'?odF tw.l S H N 6 LES Total Square Footage 3 o0s
Historic District: Zoning: Value of Work: S S7 y3
Permit Type: Building 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 Faints # 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 Zone: (FEMA form required)
Owners Name & Address: /-J CW T@ r SGS M r S S r0 n! 1000
S A•NFioea F- 3Z77 1 Pbooe: 40> - 373 - T'f 30
Contractor Name & Address: Ho M g'5 Co wr ST12yG-T/O.y LA C 190 90c n / *4 cr -
SANFOi'L0 FL 3L771 state Limm Number.. CCC o 9 7 3`i9
Pbene& Fax: 4 O7 - 3 9 o - 9 o ET 4 Contact Person: 1Zt L-rt A" Pboue: 0) - 221 - `( gag
Bonding Company: ev/ A
Address:
Mortgage Lender. IVJA
Address:
AreWteet/Engbeer. IVI A Phone
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I o tify 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 construe ion 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 infommtion 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 maybe found in the public records of
this county. and there may be additional permits required from other governrnartal entities such as water management districts. state agencies, or feda d agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirem is of F ride Li Law, FS 713.
9. Zo. o
Signatureof Owner/Agent Date Signature of Co r/Agent Date PWI, `
T^ 6555 t?• 2-0• 2iGim" L- Se q Zv a6 Print
Owner/Agen}3 Name/ Print Contractor/AReat s Now 9
zv.a6 q. L o. o Si
o potary-S of Florida Data Signatmemof tary-State of Florida Date V. . .'
i;Ef;r;E iH P. i NOST ,0"" KENNETH P. FROST n
r j a '.iY CG-4AISSIOii F DD432782 * * MY COMMISSION it DO 432782 51,
EeP!
PES: "A",
EXPIRES:
EXPIRES: September 22, 2009 OWner/
iftis ersonalTy Known to or Conlnu Wr/Agersf Irgfr Produced—
IDProduced ID APPROVALS:
ZONING: UTIL: FD: ENG: BLDG: Special
Conditions: Rev
0317006
Inan AA AAun AnAtN nlfiA nlAAntlnn
n•
THIS INSTRUMENT PREPARED BY: Building & Fire Inspection m
Name: i2 catl4KD $EE 1101 East First Street'
Address: uyo 0*4-kj,A Cr- Sanford, Florida 32771 r
S"Fo" F 32.'1'7 t CSEjWNOLE COUNTYm
State of Florida TURAL CHOICE County of Seminole o
0
o
NOTICE OF COMMENCEMENT
Pamel ID Number (PID) 3t. lai• 31. 1900. coL(A . 000o 0
va
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) Z'tu - ZzZ 94R Z4t- c r
SAnlFyrt,o FL SZ771 L!<6 'be'r- al We 101S i'Z6e 31 L. F si op W %-z
N
0
MARYANNE MORSEGENERALDESCRIPTIONOFIMPROVEMENT X
rt rR1c nl: CIRCUIT COURT
OWNER INFORMATION SEP 2 12006
Name and address: New Tif vQ M SSrenJ Icon IF 1 ' Si SMVFi RA Ft_
3Z771
CONTRACTOR
Name and address: tE9+%G5 CoQSTi2ucX)Cn1 L L-L via &L41/14 Cr &itifrpA& fL
SZ771
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.113(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates of
To receive a copy of the Lienoi's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
The expiration date is 1 year from date of recording unless a different date is specified.
STATE OF FLORIDA
COUNTY OF SEMINOLE
Signature of Owner
The foregoing instrument was acknowledged before me this Z0 day of SS'ea& M 6e- . 2004
by ;Ead 7` Cm . Who Is personally known to me
Name of person making statement
OR who ties produced Identification type of identification produced
SEAL)
KE 1NETH?. FROST
r Z V 1 y, rtsy COMMISSION;: DD 432782
W. J EXPIRES: September 22, 2009
ecF,v "Done,] TAru Bu,gel tiot,ryServices n
0
c
F,
C7
n
a
ti
00a+ m
X
0
CIDw
o
0
w
v
m
r7
v
0
rph
cm
cc, 0
CetiSO
o.
c
to
o
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A^C5 6M-S:e-1'C r1 a,/ License #:
go Boti , A Cr-
G f/yr-vR.-> OrL 32-771
Project Information
Owner: NeW T/Li6eS
name
ZZo -2Z2 154,f74L eT
address
343 -3Y3o
phone
Permit #:
Subdivision: vrM t`S
Lot M
I, r«F 1€ , 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.
r?
Contractor: IL
signature
Z
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this day of , 20 , by the
above referenced individual, ` , who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced as valid identification.
WITNESS my hand and seal this day of , 20
Notary Public