HomeMy WebLinkAbout415 Poplar Ave (3)W
I.
Permit #
Job Address:
Description of Work:
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Value of Work:
RECEIVED`
Date:
Permit Type: Building 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 -4— Industrial Total Square Footage:
Construction Type: # of Stories: // # of Dwelling Units: Flood Zone: (FEMA form required for other than >G
Parcel #: — " G-0t ' 003 (Attach P of Owne _ ip & al_Des e_rlptlon
Owners Name Address: _ _,/ I
3 l On.w Y " Phone: ' rig 0
Contractor Name & Ad ess: l c) 1 -
r
State License Number. D
1 1p
32713
Phone & Fax: -i 0 l 'i U Contact Person: W h nJG AA-k.) Phone: wo qi 3.'V / l
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. t 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.
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.
Acceptant rmr verifi f#bp4ta§J will notifyjyphe owner perry of the requirements of Florida Lie W, FS 713.
na re of Owner/Agent Date Signature of Co ent Date
Print Owner/Agent's Name Prinl Contractor/Agent's Name
1.9s s n•°'
tgnature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Debbie Dilute Brown
Diane Brown •• My Cornmeaion DD355553
Owne t r CfShcitl}9 f?Jr't 5r5`to Me or /` Contracto Agent is a!njPiO b++Rtl9rhM9ro}0.2t)05
P Produced I
sop
APPLICATION APPROVED BY: Bldg: Zoning: W.CGtilities:
Initial Date) (Initial & Date)
Special Conditions:
Law
t 1 e
FD:
initial & Date) (Initial & Date)
w '% --cr-cp •
dri OI- R O
luauu a aa al ma atauluatawalalau
NOTICE OF COMAIENCEMEMYANNr. O:, UYNK [JF U NWI T U"T .
Permit No. tlioTY
State of Florida 8K 06411 Pq 13631 t 1 pq l
County of Seminole CLERKS S # 2006149488
REWROED 09/18/2006 1OMi29 AN
The undersigned hereby gives notice that improvement will be made to certa' EINAMt. 9d% accordance with
Chapter 713, Florida Statutes, the following information is provided in this NIN
of property: (legal description of the property and street address if
2. Gen'eral descrinti
3. Owner informiion v
a. Name d address C, 1NARYANNE MORSE
uJ -%
RUM
I
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
6
Contractor n
b.
Surety
a. Name and address
b. Phone number Fax number
c. Amount of bond q nn e
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 Sermon 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 ofthe Lienor's Notice as provided in Section
713.130)(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 unle a differ t
date is specified)
ignature oKwner
Sworn to (or affirmed) and subscribed before me this _ 6tt j day of 20 ® , by
Personally Kno OR Produced Identification
Type of Identifi 'on Produced
THIS INSTRUMENT PREPARED BY:
o9weD4mem n NAME 361F c
qXo+-
s2. \d am ' • Mir CWMV" on D03003 Signature
of Notary Public, State of Florida. ,,,,, Ejores November 10, 2008 Commission
Expires: 3 - •,
Date O
701-D Cornwall Road
Sanford, FL 32773
Name
Address
ATLAS
FENCEWORKS, Inc.
Phone: (407) 833-7988
Fax: (407) 833-7990
Attn:
11.0
Home h ne 0;7- — D 64
i
City State 'j. _ Zip
Job Site / Subd. Site Phone
r
SPECIFICATIONS: All Chain Link posts set in concrete.
CHAINLINK
Total Height
Posts Spaced
Style Fence
Gauge 0 Residential
Wire 0 Commercial
QUANTITY
wn
LUMM OTA ..
O
Less Deposit ! / c .
Balance Due 56 RA
Top Rail .............. O.D.
Line Post .............. O.D.
End Post .............. O.D.
Corner Post............ O.D.
Walk Gate Post ......... O.D.
Drive Gate Posts ........ O.D.
Gate Frames ........... O.D.
SKETCH
W
7 C (6 -. 46 &— qY' [ P one
Fax .'3Z/9 607;
WOOD FENCE SPECS
No. of Feet
Height
Wood
Style
W. Gate
Dr. Gate
Concrete
Rails
Pickets
All work will be performed in accordance with fencing industry standard practice.
Wood application varies due to slight imperfection and movement in wood produ
t1
If
y t7
L a 3 I
to
I
ao
e;#ve,jzceJ4
We appreciate your business!
TERMS: "' dgg -
AMOUNT DUE UPON COMPQCI°TI
1 1/2% INTEREST CHAR E ON ALL P T U, Customer
ACCOUNTS S0
Signatuf D
a6• `J M"" "
NOT RESPONSIBLE FOR BPfOKEN IRRIGATION
Salesman
LINES THATARE NOT LOCATED! Sales Manager
POWER OF ATTORNEY
Date: 06
I hereby name and appoint av
of J(`Q,o„- Rn C1k,.1 to be my lawful attorney
in fact to act for [fie and apply to the _ (, 0, LnA"
Building Departmeht for a permit
for work to be performed at a location described as:
Section: Township Range Lot Block
Subdivision
Address of J
OSA i
Property and
w • t W
ess)
and to sign my nam(ee and doallthings necessary to this appointmeent Type
or Pr t name o A. /
Signatu
ified Contractor q
The
foregoing instrument was acknowledged before me this (/1 m by
o who
is personally known to me/who produced as
identification and who did not take oath. State
of -, County of Commission #
Notary)
r
DIpq oir eiown My
commission Expires • CVM"W 00$0 e , F
pirw Nowmb r 1,