HomeMy WebLinkAbout2549 El Portal Aveoi'? f
Permit #
Job Address:
Description of Work -
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date:
Value of Work: $1pT o U' r aD
Permit Type: Building -X-- 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:
Construction Type: # of Stories: --4— # of Dwelling Units: _ Flood Zone: (FEMA form required for other than X)
Parcel #: O 1 - ^. q
woers'Na- me &"Address:- r
Attach Proof of Ownership & Legal Description)
1t 9-6 b I •aeh » h u.r u -107 - ° c.%' t.I PL Phone: `7'2--7 - .15' 10 •- 6 Z %
Contractor Name & Address: 't RZ 6 • 1—YS4 Sm `r0. trQc L 1c ( GKp L/CL. off ?
Kkcl.cc AN p c r',S State Lice- nse Number: R CDDaZ 315/
Phooe & Faz: 907 J27 S'& a4 "/0734 R ! 398r Contact Person: Phone: W 7 41610 6'BFS,k
Bonding Company:
Address: "
1
t1 Lender-l' 1 V Q /1.Q - - -
Architect/Engineer: - - Phooe:
Address: Fax:
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: 1 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.
N 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 records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance o t v fication that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signatureof et r --[Pate =ignatureofCon totra /AgentDatePrint
Owner/Agent's N a,.mtfe Print Contractor/Agent'ss
Name
OUJAIX
of
Notary -State of Florida Oww,/
Agent is Personally Known to vO'
Produced [D ' ter APPLICATION
APPROVED BY: Bldg. Initial &
Date) Special
Conditions: l
lorry Pm,- •ail V M
Caatllr * EjqYa Mmr 28, CAntl * '
m t W 533338 OW49119y
N901 Zoning:
Initial &
Date) Utilities:
of
Florida Date y0'
a'., Dana A. Murray Personally =
Commission # DD28502 1
g Expires February 13, 2008 nal
Ba dTrgFdn•Maurraa IOD76STOlS FD:
initial &
Date) (Initial & Date) 9.
3 '0-D
NOTARIZE
Permit Number;
Parcel Identification Numbero i - 30~ 3 SG 5l
Prepared by: Ga i t Mo r r 1 S
1260 Saratoga Ln.
Geneva, F1, 32732
Return to: D. R and G, I nc .
1260 Saratoga Ln.
Geneva, F.I. 32732
NOTICE OF COMMENCEMENT
111MANNE MURSEl MERK OF CIRUJIT COURT
SMINULE CUlNr7Y
BK 06399 Ng 0002; Upg)
CLERK'S # 2006143965
RI:C1,101_1) 09/0%/)'006 1W%21 AM
REC1100INS FEU 10.00
RK111400 BY L McKinley
CERTIFIED COPY
MARYANNE` NIORSE
uER OF CIRCUIT ORIDIf
SEM C
BY p LER
State of.
County of : CPm i nn 1 P _ EP< % 2-+
The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordancewithChapter713, Florida Statutes, the following information is provided in this Notice of. Commencement.
M
4
5
7
Description of property (legal description of the property, and street address if available)
r- 4", t- I Ct AS U. ;z q D re -a (v P 19 3 PCs 9D
General description of improvement(s)
Owner information
Name , %. ,cv Ge I' e-%{-Fit. Gt Telephone Number, rjoi7-Sib 3;Z `S
Address (, $ 6 ,ua to,b.1 ' _
Fax Number
0A Interest in Property:
Fee Simple Title Holder.(if other than owner shown above)
Name . Telephone Number
Address Fax Number
Contractor
Name D.- R
Address1260
Surety (if any)
Name
Address
and G. Inc. Telephone Number : 407 327 5636
Saratoga Ln Geneva.'Fl, 3 n umber 407349 1398-
Lender (if any) 136
Name
Address .
Telephone Number
Fax Number
Amount of bond $_
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by §71.3 13(1)(a)7., Florida Statutes.
Name Telephone Number
Address, Fax Number
9. In addition to himself or 6erseit, Owner designates the following to receive a copy of the Lienor's Notice as
provided in §713.13(1)(b), Florida Statutes.
Name 1 Telephone Number
Address„ Fax Number
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording
unless a different date is specified):
0 (v
Date Signeb I Signature of Owner Note: per §713.13(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 9 Ste\ day of19by who is
personally known to me OR producedy \ -JZXS %-RnS i as identification. i
at of
Notary (notarial seal to appear below) Form Revised: 3/
98 NOry Pim - ftb
of Fbitdi EjVCVMWJWW CAnenl "Exp1=MNr26, 2010 / DD 5333 80n
W By NdMalNo" AM.
R
1
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: D R And G , Inc. License #: RC 0023146
1260 Saratoga Ln
Geneva, F1. 32732
Project Information
Owner: Po- +evt_c_r_
e, V6 6(acte,r6e," %. \
Fst, lvc:LecAiLrc.
address
Permit #:
Subdivision: _U yeavyn Wp_& y lhi
Lot #: 1
1, R i r_ha rd Mn r r i s , 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, fleshings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
signature
Richard Morris
printed name
STATE OF FLORIDA
COUNTY OF 5tz v ti.vLb lie
This instrument was acknowledged before me this 611&- day of Y%A-k\l , 200 by theabovereferencedindividual, R i c h a rd Mo r r i S ,who acknowledged that he/she is a
duly licensed contractor with D Rand G , Inc. , and who acknowledged that
he/she was authorized to execute this document., He/she is either personallyknown to me or
producedas valid identification.
WITNESS my hand and seal this SYIn, day of ut\.I 20 p
b'011-2":- Dana A.. Murray
Commission # DD285482
Exp ires ires February 13, 2008M9A
sets , BW"Tmy F*-ko mq, lODJl6TOlY
lie'Q.6
ii;ry Public