HomeMy WebLinkAbout320 E 29 StCITY OF SANFORD PERMIT APPLICATION
Permit # : e
Job Address: 13
Description of Work:
h
DVP 9-
Historic District: , Zoning: R Es l
r )
El 5p4ut of Work: S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets,
Replacement New
Change of Service Temporary Pole
Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
LAIpt. 4.,
0
S,h I 7i
ro
Spe-r-s.
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: gJOG1c. # of Stories: I # of Dwelling Units: _I Flood Zone: _,y (FEMA form required for other than X)
Parcel #: O t — A 0 — 30 ` I -/
Owners Name & Address:
Contractor Name & Address: A/119 r r
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: N r<
Address:
Architect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Phone:
State License Number:
Contact Person: RA%LAA QA- ._%) Phone: 0
Phone:
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. 1 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.
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
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of p is verification that 1 wil tify the owner of the property of the requirements of Florida Lien Law, FS 713.
16,4
Signature of Owner/Agent Date Signature of Contractor/Agent
AA R AAAg J -If /'s OA/ Print
Qwne /Agen ' Name, /r / I /
Print
Contractor/Agent's Name Si
ature of Notary -State of Florida Date Signature of Notary -State of Florida 111:
4Curtis _ Herbe yp OsLpe +
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t 20 3r 1 r41F,$, ecrodimyfon-into
nc lac. a00365.70, APPLICATION APPROVED BY:
Bldg: Zoning: Initia & Date) Special
Conditions: Contractor/
Agent is.
Produced ID _ Utilities:
Initial & Date)
Date
Date Personally
Known
to
Me or FD: Initial & Date) (
Initial &
Date)
Ifill 11IN11It0IN11101111111111If11111111111119OfIam 1
i 59
NOTICE
OF COMIv1ENCEMEN'IMRYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE
COUNTY Permit
No. TaRKFW9 1337; Qpg) State
of Florida CLERK'S IF ecsovttOI5900 County
of Seminole RECORDED 10/03/2006 04:26:49 PM RECORDING
FEES 10.00 The
undersigned hereby gives notice that improvement will be made to certain 9 riv, Anh9Wftordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. lA
Description
of property: (legal Owner
information a.
Name and address of
the property and street address if available) b.
Interest in property c.
Name and address of fee simple titleholder (if other than Owner) 4.
Contractor . .. a.
Name and address 6idP>G ARYANNE
maDar _ b.
Phone number Fax number K OF U _ 5.
Surety INOL Ifs ;
a.
Name and address W.— b.
Phone number Fax number c.
Amount of bond t • 6.
Lender a.
Name and address b.
Phone number Fax number 7.
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)7., Florida Statutes: a.
Name and address b.
Phone number Fax number 8.
In addition to himself or herself, Owner designates 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 9.
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date
is specified) Signa
f Owner Swo
to (or affirmed) and ubscribed before me this _ day of , 20 06 , by PCLr` 6Ct ca A c k so Personally
Known - OR Produced Identification Type
of Identification Produced F tr DEBBIE
BLANTON SignatureofNotaryPublic, State of Florida[Q:D7EXPIRES: OMMISSION # pp gggg1 CommissionExpires: February25,
2007 FL
Notary Diacoart Am=. Co.