HomeMy WebLinkAbout225 Towne Center Cir (2)Permit # : 0 lU V -H V '2—
1
Job Address: 7,1'S -VtWN i eK
CITY OF SANFORD PERMIT APPLICATION '
7
Date:
Description of Work: fi l l kV r wvk y f,T t- IV ty,4 l,- r I J 1 V v UII Uyl -- 1 A\ J:V I vv- I-LVIU V k l i vv t
Historic District: Zoning: Value of Work: $d-
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool —
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage: 13oo
Construction Type: N tW # of Stories: t # of Dwelling Units: Flood Zone: (FEMA form required for other than x)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
o va ? V,0 yWVi f C , Zo o
Attach Proof of Ownership & Legal Description)
n--P Ci rG P ,
Phone:
D S o—apl L 1—ve , orlaVl4p1
r
State License Number: CC C 0
Phone &Fad -Opp S1-93Ql- JOLVS9'2141kontactPerson: J Ayiyloyl Phone:HO--Z4(pk-K_ Bonding
Company' fir° Address:
MortgageLender:
N Address: 'm -
1p
n
ArchitectlEngineer: Mo$(
J -U Al Phone: Address: 3'
S AIIUV OI OIST t . J l 1 4 U00, 1 it m0 e SPri vtP S. % 3 2 I Fax: 440 ` 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. NOTICE: In addition
to the requirements of this permit, there may be additional restrictions applicab&hiserty that may ound in the public records of this county, and
there may be additional permits required from other governmental entities such a ent di tricts to agencies, or federal agencies. Acceptance ofpermit is
verification that I will notify the owner of the property of the requirements o d Signature of
Owner/
Agent Date Si ature o ontractor/Agent D to Print Owner/Agent'
s Name ontr Jgr/Agfrfs Naime, Signature of Notary -State
of Florida Date Owner/Agent is _ Produced
ID Personally Known
to Me
or APPLICATION APPROVED BY: Bldg:
Initial & Date) Special Conditions:
Zoning: Signature
of Notary -
State
of Flo d w ale QD 24s O "•n ' . fo • A Contractor/Agent
is _Personally
Knowns•ISleoorCC 123,156 Produced ID %9•°' .DoaP
n Q
re1
STATE .'_ Utilities: FD:
Initial & Date) (
Initial & Date) (
Initial & Date) lo M
12/07/2006 06:53 4078898328 PAGE 01
TWS IKSSRLI 01 pRi`pRRED .
Miq`:l f;um (F CIRCUIT COURT
C.
T,CE' COMMENCEMENT HYRNN(:
NAME %MINQLE cowry
T o W9 03961 (lpg)
Permit No. ADDR- `- ? 7b l_K' S
fate of Florida RECUNDED 07/07l2006 08546z0 AN
unty of Seminole REC(IRDINti RES 10.00
Ya tdP dance with The
undersigned hereby gives notice that improvement will be made to certain re Chapter713, Florida Statutes, the following information is provided in this Notice of Commencement- 1-
Description of property: (legal description of the 2.
General description of improvement: IOwner
information a.
Name and address b.
Interest in property c.
Name and address o' Contractor
a.
Name and address b.
phone number urety
a.
Name and address ll
and
street address if avai S
Ctf
other than Owner) b.
Phone number Fax
number c.
Amount of bond Lender
a.
Name and address b.
Phone number, Fax
number 7designated
by Owner upon whom notices or other Persons withintheStateofFloridadocumentsmay
be served as provided by
Section 713.13(1)(a)7., Florida Statutes: a- Name
and address b_ Phone
number Fax number
of 8.
In
axffi ori
self or
herself; Owner designates 1 1
7W(141L[c--ro1 fL to receive a copy of the Lienor's Noticeas providod in Section 71.3.
13 la S at tS Fax number
R9 3 a1 a. Phone
nurrtbe ' 9. Expiration
date of nonce of cort mencement (the expiration date is 1 year from the date of recording unless a dtffereut date is
specified) Signature of
Owner 14 12006 ,
by Sworn to
cd ubscrib re me this day of a Personally
Known
OR Produced Identification Type of
Identification Produced 0. R.
SHOOK, JR. MY COMMISS0
I DD 170406 EOIRES: December
2B, 2006 80*61hru "
qI0 Nmorr Servko Comnnission F
xpires:
POWER OF ATTORNEY
Date: 2j
f hereby name and appoi-rit Lebe cc4g t Ut It
of &vi-Irol 1A,, 4C to be my lawful attorney
in fact to act for me and apply to the
Building Department for a Yl A permit
for work to be performed at a location described as:
Section Township
Subdivision
Tp w v\ e
Range Lot
1,1 -e.a V1 fo V%A
Address of Job)
ItA41K Cir
Owner of Prop and Address)
and to sign my name and do all things necessary to this appointment.
Block
The foregoing *instrument was acknowledged before me this day of 20 () (,p
by
who is personally known to me/ E—W9;;t—_
State of Florida
Notary Pub
YRIZARRY
My COMMISSION # DD 589614
EXPIRES: Odober2, 2010
nded Thru Notary Public U
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