HomeMy WebLinkAbout88 Mission Blvd (2)Permit # : `) `r' -S, d q J
CITY OF SANFORD PERMIT APPLICATION
Date: I.19 . oto
Job Address: 881 m r S S 1 a Q B L 7
Description of Work: S'r2e P / itr ltoOF /oZri ca S H S"IRSTotal Square Footage 2000
Historic District: Zoning: Value of Work: $ Z4Z`1
Permit Type: Building Electrical Mechanical Plumbing Fire Spnnkler/Alarm Pool _
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Dud Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fatures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial _
Occupancy Type: Residential Commercial Industrial
Construction Type: # of Stories: I # of Dwelling Units: O Flood Zoae: NO (FEMA form required)
Owners Name & Address: NEW TrZ t d GS Ai_t SS I DrJ loco IF I sv- ST-
SA M Fi=bR-A PL 1 Z7 --V I Phone: of 07 - -A2-S - 3 Y 3 O Contractor
Name&Address: HuAit6 Cd4IS7X%JCTtnns "G. 140 &LI 14 C4- 4
oi 1=o 1W FL- 'k V7 7 1 State License Number. « 0 5 7 349 Pbeaw&
I =: 407 - 33 c - 9 O S y Coutaet Person: M GRA lLiN Pbone: _'Mop L
Bonding
Company: N+ I A Address:
Mortgage
Leader: NlA Address:
Arebitect/
Englaeer. NIA Phone: Address:
Fax: Application
is hereby made to obtain a permit to do the work and installations as ;ndicated. 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: I certify thai 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' it is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 9.
20. ot: tee c/liln,C L 9.4o,Ob Signature
of Owner/Agent Date Signature of Contractor/Agent Date Pwa,- -
T G2rs5 9. ,. 2t E 9. zo. P6 Print
Owrwe Agent's Nam Print Contractor/Agent's Name 9,
zv.0C r-AA1;t q. 20.06 Si -
taco of Florida Date sign Dog P`" .•
RY
P I 1 DD d32782 KEN*-
M P. FROSTMY W"-"; EXPIRES: September 22,2009 EXPIRES:
Septemberr22,2009 COMMISSION /
432782 1f
OF Fl0Bonded Th,u Budget Notary Services EXOwner/
Ag'dItios,3L *M9Wj WA ft WM Contractor/Agent is c Personally Known to Me or Produced
ID Produced ID APPROVALS:
ZONING: Special
Conditions: Rev
03/2006 UTIL:
FD: ENG: BLDG:
IIIUII NNINUUNiNu N1 N 11u1NIMN1U1Nu
THIS INSTRUMENT PREPARED BY: Building & Fire Inspectioq
Name: Qt,_*Azt. Sew 1101 East First Streer7
Address: Iqo SO ., V, A Cc Sanford, Florida 3277'
51Imrox-0 Ft- 3Z7'7 CSEMINOLE COUNTY " Z
State of Florida ATURALCHOICE County of Seminole m
ovz
NOTICE OF COMMENCEMENT ;a In
Parcel ID Number (PID) 3t • q . 31. 300. D oti A . o oov r? C7
m
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance witty
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement r o
r „
DESCRIPTION OF PROPERTY (Legal description of the property and street address) 8e -+sst otJ Bc.b . z` 0
SA,po2p f' 3 L 71 E6 srG 3 t rwe tei 5 a6 W 3 i 6 IF 0 o r c
AjgL- %r ar A/F %4 ( L%yS S. Zs Fr * A-b) --I
a.rnr t- /Lo 1!11 p
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
MARYANNE MORSE c
E9
CLERK F CIRCUIT COURT -
arln bi ORBEWRI-PIDI g] a F
4
r SEP
I
1 w2006 Name and
address: New rrs ges M t sS 1 o ry 000 1E. / s r ST 5 ,ni ry tZ:J t` c CONTRACTOR
1
Name
and address: taw c5 LL_L 19 o Bo t-t 14 Gr Persons within
the State of Florida Designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(b), Florida Statutes. Name and
address: In addition
to himself, Owner Designates of To receive
a copy of the Lienor's Notice as Provided in Section 713.
13(1)(b), Florida Statutes. Expiration Date
of Notice of Commencement The expiration
date Is 1 year from date of recording unless a different date is specified.) STATE OF
FLORIDA COUNTY OF
SEMINOLE Signature of
Owner The foregoing
instrument was acknowledged before me this ZO day of 20 0,6 by a
T e3!s5 Who is personally known to me Name of
person making statement OR who
has produced identification type of identification produced SEAL) sa
n,
a$ DepN la6png N41 psgsog ec+Pw'DAi, tery Signature 600Z'ZZ,egme1deS:83dIdx3 ° Z91M 001
NOISSMNOO,IW » ` IWWJ'd
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AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: &2'= Ct9, SM=te_7-70fJ (-4 L License #: CCC
Igo Aoc_tv(A— GT
6A1+yFya ,, iZ 3 Z7 7 /
Project Information
Owner: Jl eW 7-4i ggS _M cS 5iov) Permit M
name
yt Al
Subdivision: /vT)t.^ #*WC-3,
address
Sf/VFOU FL 3z?? I Lot #:
phone
I, k( CW el t , 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 accordance with the applicable codes and standards.
Contractor:
signature
erc,44ao L -
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this day of 720 , by the
above referenced individual, , who acknowledged that he/she is a
duty licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced as valid identification.
WITNESS my hand and seal this day o , 20
Notary Public