HomeMy WebLinkAbout1100 French AveCITY OF SANFORD PERMIT APPLICATION
Application # : 0 t "� Submittal Date: 6-7
Job Address: 1 100 FiLimck G �Q� ] .g 7�7 � Value of Work: $ rl 2 000 , C
Parcel ID' 95--r d- /�T' (/J3l% ( "+�1� Zoning: C ' Historic District: �(/
Description of Work: L01cce- - � IQ"< Square Footage: 7�
Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
# of Gas Lines
Plumbing Repair - Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: 6tk # of Stories: # of Dwelling Units: /v Flood Zone-�-� (FEMA form required
•Property Owner: •••••••e••••••••••• .....................4..6..................................................................
• ••Contractor:ffJ'Yierj(�ei✓1F-11N�f•C�F•1"f'I�
Address: Address: 5Z y2l e /coed
Phone:��E-mail: �� �ev•C�"✓1 Phoned-20-572VPhone3XV-20-572V State License Number: O 131L69 �-
Bonding Company: Mortgage Lender:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Address:
Phone: Fax:
Phone:
Fax:
E-mail:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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 e dditional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
cct ermit is verification that I will n iy the owner of th u nts of F en Law, FS 713.
ignat e of Owner Agent ate r Si ature of Contractor/Agent Date
Print (,KvneAkgent's Name Print Contractor/Agent's Name
Sigat rt� tF 'M RIDA -Yate
ate
g
Commissio # DD- 0
03
3Expir .-AUG 17, X009
Bonded antic Bonding Co., C.
Owner/Agent is Personally Known to �c or
Produced ID
APPROVALS: ZONING: UTIL: FD:
Special Conditions:
Rev 07.07
SigW�Mye iCltf bpdaRIDl1 Date
G. M. Morgan
Commission # DD463003
Expires: AUG. V, 2009
Bondedd TT}}���� Atlantic k�ndin c�n Inc.
Contra�,tsr7Aeen� is krersona y'Ki4owrrt° Me or/�
U -1 -Produced ID � (o�2 �,L' 2- Q G `CL
ENG:
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POWER OF ATTORNEY
Date: LAlV l " a 00 7
I hereby name and appoint RoL�EJZT R� v
of A MEFZi CABS RObr / A/ G Corn p a n y to be my lawful attorney
in fact to act for me and apply to the --�v 0 -
Building Department for a permit
for work to be performed at a location described as:
Section �! 12 Township Q Range 0610 Lot /% Block lJr
Subdivision
i [ pd ;!g �wc�, gag- Sa6t�av)& E -I 3 771
(Address of Job) /
-T 6 l cJ Y✓ ►'` C v?�2 !�/ D Re �i� d �y✓f',a�o/0�
(Owner of froperty and Address) �J!
and to sign my name and do all things necessary to this appointment.
RIcHAW> !). LEE, CCC.- I'Ba4lsQ
Type or Print Name of Certified Contractor and Contractor's License Number
t-& --
Signature of Certified Contractor
-5u�J6
The foregoing instrument was acknowledged before me this day of 20 Q7
byo-�
who is personally known to me/who produced /V7 1"I D L-
as
as identification and who did not take oath.
State of-Elori& 1-771'4,1 r
C unty�of �rfq // Y,,) I
Notary Public, ,
DAVID DEAN CLARK
VOTARY PUBLIC MOTA
My cwnHmsion Expose Jan. 31, 2008
Seal
rnc) c=
Florida County of Seminoie
NOTICE OF COMMENCEMENT
The und,6rsigned hereby gives notice that improvement will be made to certain real property, and in accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
GENERAL DESCRIPrNJON 0
OWNER INFORMATION
Name and address:
CONTRACTOR
Name and address-
MENT
property and street address)
6 V-7 61k f3 ?V'�?
X71 t7a----,/.-
Or .
CERTIFIED,- CQP�(
MARYANNE MORSE
CLERK OF CIRCUIT COURT
SEMIty LE r' IVTY. FLORIDA
27,71 8
2001
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: -,Calf AJ 11 �r2y l 1 5 •.l rr �--� rr_�o( - 3777'7
In addition to himself, Owner Designates �ivJct,/- `o��'�k•�t elf S �.a...�ia.e. 5�..,✓ 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 vear from date of recordinq unless a diffe
STATE OF FLORIDA
COUNTY OF SEMINOLE /
The foregoing instrument was acknowledged before me this 26
by
date is
day of \�E�.y 20
Who is personally known to me �—
Name of person. making statement
OR who has produced identification Act . type of identification produced
(SEAL)
NOTP y PUBLIC -8m OF FLORMA
C, M Morgan
comm�sioA # DD 2 Q9
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