HomeMy WebLinkAbout2532 Elm AveCITY OF SANFORD PERMIT APPLICATION
3. Permit # : "to
lob Address:
Description of Work:
Historic District:
ov
Zoning:
n
Dale: 9— a % O 6
Sci r crop - r-1- , -2, -7 13
Total Square Footage
Value of Work: S ly,0y0 Jo —
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Additiort/Altcration Change of Service ;Temporary Pole
Mechanical. Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
v
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
i
Plumbing/New Residential. # of Water Closets Plumbing Repair — Residential or Commercial
Dccupancy Type: Residential l Commercial Industrial
Construction Type: / R of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
waers Name & Address: W 1 1114 MS / t953 a 40, Din A V aL
4h /J rrei
r
Ft. 3 a 7 73 Phone:
contractor Name & Address: Weeb Ro T G o
act bC C. r JZk r W '.r S y t / S. State License Number: R C D
hone & Fax: ()7- b q S—r} (p )-(p Contact Person: Phone:
hooding Company:
ddress:
Mortgage Lender: 0 f-
dilress:
rchilect/Fagincer: Phone:
ddress: _ Fax:
pplication 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
ssuance of a permit and dim all work will be performed to meet standards of all laws regulating construction in this jurisdiction..I understand that a separate
mrinit 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 acid 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 COMMENCEMENI' MAY RESULT IN YOUR PAYING
WICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH I YOUR LENDER OR AN
TTORNEY 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 may be found in the public records of
his county, and dice may be additional permits required from other governmental entities such as Waflmanagcmuu districts, state agencies, or federal agencies.
cceptance of permit is verification that I will notify the owner of the property of the require a of lorida I.ie
X 99f4
a , F 7 1.
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signature of O /A t Date S' u c of Cog I/
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r
Date
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10W*/Agci@t's Nam Prin ontractor/Agent Name•
otary-State of Florida Date Signature of Notary -Stale of Florida i . 'Pat
4e g Dianne D Shglerdek Q, A T • "
v ` y • ~
My Commission DD2 o. .
iG ••
c
4 919 .
Produced D
syonally Known to Me or Cont
Produced ID
Personall Kno • r ° T"t +e
33 F1111P\\NON
iPPROVALS: ZONING: UTIL: FD: ENG: BLDG: F 3
pecial Conditions:
cv 03/2006
S l.ov
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: W e-e,CS 4vT t h! v
Out beep, Qun
W\V\-key S%Y1+i tl
License #: ke 00 ari$ P_ 3
3 Z-7 0:
Project Information
Owner: Wtl [aW'5 Permit M
Mine
2s3a f ir^ Hv,e-
address
phone
Subdivision:
Lot M
I, P\arvkc _tvj5C5 , 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 accord a ith the applicable codes and standards.
Contractor:
S
printed name
STATE OF FLORIDA
COUNTY OF wc h v This
instrument was acknowledged before me this AIt%1 day of Se , 206 L, by the above
referenced individual, Hard ,who ackno legged that he/she is a duly
licensed contractor with , and who acknowledged that he/
she was authorized to execute this document. He/s d
either
personally known to me or produced -
h.L . as valid identification. WITNESS
my hand and seal this a q+_, day of OF
F /IN1111
1P0
P4rcd Yl 7i k w, t w-S
rt Av Sn•,
NOTICE OF COMMENCEMENT
Permit No. b (o 3?jgj Tax Folio No.
State of Florida
County of Seminole
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.
f /
it 1. Description of property: (legal description of the property and street address if available) t011% P PertY ( g P P Pe 7'
2. General description of improvement:
X 3. Owner information k
a. Name and address S k I 1 V. a w-
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
f
a. Name and address W eelS 1.
17.
8.
b.
Phone number _ Surety
a.
Name and address b.
Phone number _ c.
Amount of bond Lender
a.
Name and address 10.4 Fax
number Fax
number b.
Phone number Fax number Persons
within the State of Florida designated by Owner upon whom notices or provided
by Section 713.13(1)(a)7., Florida Statutes: a.
Name and address b.
Phone number In
addition to himself or herself Owner designates Fax
number documents
may be served as 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 Expiration
date of notice of commencement (the expiration date is 1 year from date of recording unless a differe date
is specified) ` Swo
to or affirmed ) scribed before me this A l day of X/
L / - / Personally
Known 41 OR Produced Identification Type
of Identification Produced' jpW
Nj Dianne D Shderdek My
Commission DD229859 ignature
of Notary ic, State of Florida i„ Expires Juy zs 2007 Commission
Expires: 1-a6 5V S'
ature of Owner z,
20 4 , by IINagoli
RWIN qufAiaillognon101311 MARYANNE MORSE,
CLERK OF CIRCUIT COURT SEMINOLE COUNTY
BK 064,
04 Pg 0941; Qpg) CLERK'S #
2006155411 RECORDED 09/
27/2006 12:23:45 PM RECORDING FEES
10.00 RECORDED BY
0 Harford
POWER OFATTORNEY Date: ` -
Iv J b I
hereby name and appoint 40,v-0 Of \&)
etaks to be my lawful attorney In
fact to act for me and apply to the 0 Santo J Building
Department for a r C. r o • permit For
work to be performed at a location described as: Section
Township Range _ Lot Block Subdivision
sl,.
le W,,a.s as 3a f'iW-' AOC Owner
of Property and Address) and
to sign my name and do all things necessary to this appointment. r
m2Y1
a Yct L f' Type
oJr yPrint acne of -Register qarQOrA
TL_ and
Contractor's License Numuer Signature
of Register or Certified Contractor The
foregoing instrument was acknowledged before me this oP4 day of of 20 0k By
H4 Who
is personally known to me/who produced As
identification and who did not take oath. State
of Florida ,z County
of A-,
aoNotary
Public, Orange County, Florida Gail
L. Fredrick Commission *
DD383026 p-`
j
Expires Mach 15, 2007 MBonded
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