HomeMy WebLinkAbout301 E 28 Plr '
to CITY OF SANFORD PERNII r APPLICATION ^^
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Permit # : ^
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Date:
lob Address. _m a+__ `v ilC _
Description of Work: CXJi= '-RCC-)
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1(C Q Totals uare Foo tyagge %O a r
Historic District. N Zoning: 11 Value of Work: $ r R' !!
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of -Service "femporary 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-:::F..:ir - Residential or Commiercial
Occupancy Type: Residential Commercial X_ Industrial
Construction Type: # of Stories:.J_ # of Dwelling Units: __J— Flood Zone: (FEMA form required
waers Name & Address: l i rY-06 ,` Q. `z1r _ r-
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t_09 1 r'C C I t- i I -N v o . I. e-I. i 14M - oatrac(
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Fart: -
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Company: ddress:
Mortgage
Lender I ddress:
rchitect/
Engiaeer: ddress:
Contact
Person: Number:
Phone:
Fax:
Lpplication
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 ssuancc
of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. t understand that a separate mmit
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 and that all work will be done in compliance with all applicable laws regulating a
struction 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 1TTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 40TICE:
In addition to die mquirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of his
county, and true may be additional permits required from other governmental entities such as water management di 'cts ,start agencies, or federal agencies. Wzeptance
of permit is verification that I will notify the owner of the property of the requi omen of rida L a ; F 713. Jf
ty O AgenteEFICat a of Contr for/A Date s
Name Si
of 701-5 t9te or FToraa — ' ate LORI
WARNICKE Notary
PUNC, State of Floflda My
comm. exp. June 19, 2007 Owner/
Agent is QD 222705 . Produced
ID rPPROVALS:
ZONING: UTIL: FD: pecial
Conditions: cv
03/2006 s
Namc DEBBIE
BLANTON hIV
CGMs•1:^' •JN # DD 188491 EX-- •
to.)ruary25,2007 1
tEw•3 r:c'! ; : L rMay niacouM Assoc. Co. Contractor/
Agennt-is• personally Kn Produced
ID ENG:
BLDG: ASS
Hall Is 11111 Bit 11111111111 11111 11 11111111111111111111111111111
ARYANNE MORSE, CLERK OF CIRCUIT COURTNOTICEOFCOMMENCEMENEMINDLECOUNTY
BK 441_Pg 0785; (lpg) TPermitNo. V12-#2@@6ire482
State of Florida RECORDED 10/ 10/2006 02 r 39 i 22 PM
County of Seminole RECORDING FEESg10.00
The undersigned hereby gives notice that improvement will be made to certain real -propeproperty, and inla cordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property and street address if available)
2. G eral description of improvement:
rnil
3. Owner information
a. Name and address
b. Interest in property
c. Name and address of f1 g EWFr*p 6h8V:Owner)
4. Contractor
a. iName anio goorq5.
S
b. Phone number
5. Surety
a. Name and address
6.
7.
8.
9.
b. Phone number
c. Amount of bond
Lender
a.
number
Fax number utrU,' i 4lCrt'
b. Phone number Fax number
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)77., Florida Statutes:
a. Name and address AID,/92P
b. Phone number Fax number
In addition to himself or herself, Owner designates d of
to receive a copy of the Lienor's,Tsiotice as provided in Section
713.13(1)(b), Florida Statutes.
a. Phone number Fax number
Expiration date of notice of co encement (the expiration date is 1 year from the date of recording unless a different
date is specified)
Signature of Owner.
Sworn to (or affirmed) and subscribed before me this _ day of , 20 by
Personally Known A,. OR Produced Identification
Type of Identification Produced
LOAI WAANICKE
Notary Public, State of Florida
My comm. exp. June 19, 2007
Comm. No..DD 222705SiurelofNotaryPublic, State of Florida
Commission Expires: