HomeMy WebLinkAbout2531 Ridgewood AveCITI' OF SANFORD PERMff APPLICATION
b Address: s
scriplion of Work:
istoric District:
i `it)DB Ol
Zoning:
Date:
i
Total Square Footage Gr
Value of \York: S
rmit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm fool _
ecirical: New Service - N of AMPS Addition/Alteration Change of Service Temporary Pole
echanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
umbing/ New Commercial: N of Fixtures N of Water & Sewer Lines N of Gas lines
umbing/New Residential: N of Water Closets Plumbing Repair - Residential or Commercial _
cupancy Type Residential Commercial Industrial
instruction Type: H of Stories: N of Dwelling Units: Flood Zone: (FEMA form required )
veers Name & Address:
IY83 l s:
mtractor Name & A rr
one & Fax:
r-.
ading Company:
dress:
rtgage (.ender:
dress:
chilect/Engincer: _
dress:
Phone:
xrQAepe !I/' I11A Ore /ir"l_ /Sllaatte I i- se Number: Cc C
RO ` > v Contact person. / "`W (/1 'KK u Phone: =
Phone.
Fax.
plication 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
lance of a permit and therm all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
mil must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, I [EATERS, TANKS, and
t CONDITIONERS, etc.
JNER'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
istruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL T IN YOUR PAYING
LICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN
TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
TICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public reaxds of
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
eptancc of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent Date
Ptint Ownerr/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
ROVALS: ZONING: UTIL: FD:
cial Conditions:
03/2006
Hirepchts of Flor ie w, FS 711.
Signature ofC. tractyt/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is _ Personally Known to Me or
Produced ID
ENG: BLDG:
I IIII II III II III II III II 11111111111111111111111111111111111111
Permit Number
Parcel Identification Number Da? -Rp - 30-W -M.-O-CAo
Prepared by: 14114, 0e r,,,4
f
Return to: Tan woe'-)) 11\7 I4Cto
A/i mde 3IW70/
NOTICE OF COMMENCEMENT
State of^/'
County of Sew
MARYANNE MORSEL CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06520 Pg 18721 tlpg)
CLERK'S # 2006197804
RECORDED 12/15/2006 11:26:06 AM
RECORDING FEES 10.00
RECORDED BY H Bailey
VE-4111-ltU CUPY
MARYANNE MORSE I, w
r
CLERK OF CIRCUIT COURT
SEMINOI : l^"" n n mr 'V, '
8Y—
DEC 1 5
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance wifto-
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
it ' ``
1. Description of property (legal description of the property, and street address if available)
c,N,a Ave . SAjbnnd — 'C-7 b--A
42 General description ooimprovement(s)
E- (Zc)ar-
3. Owner information,,``
Name Y2kjcA Y\O'K`V\ Telephone Number t{p- <63c{ - 3(AS 1
Address
140', 1 Ave Fax Number qua - S(4 v _ cliff -o
t F 3 0 \
Interest in Property:
4. Fee Simple Title Holder (if other than owner shows above)
Name Gm\c. Telephone Number
Address Fax Number
5. Contractor f
Name ./q4 [
Address 700
6. Surety (if any)
Name
Address
7. Lender (if any
Name
Address
Telephone Number
Fax Number
Telephone Number
Fax Number
Amount of bond $ _
Telephone Number
Fax Number
407- 40Q--4 eyO
t7671 0?07 3-9
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 to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in 713.13(1)(b), Florida Statutes.
Name Telephone Number
Address Fax Number
10. Expiration date of notice of commencement (if expiration date is one year from the date of recording unless
different date is specified):
Date Signed Signature of Own, (Note: per 3(1)(g), "owner
must sign ... and no one else may be permitted to sign in
his or her stead."
Sworn to and subscribed before me this I3 day of Q ecernh.A- , 20 O— by
who is personally
known to me OR,--\K- produced _ fl as identification.
EjMITLG. WHITAKBRNolary • uD C State of FloridaSignatureofNotaryy or,:r t.,xp,res May 26, 2008
o. an s2aota
23-20 (9/04)