HomeMy WebLinkAbout1601 Terrace DrCITY OF SANFORD PERMIT APPLICATION
Application# : t��,5
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Job Address: J l 00
Parcel ID:
Description
RECEIVED
Submittal Date: 7
Value of Work: $ .7, 400
Historic District: '�
Square Footage: I /5
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:
# of Stories:
# of Dwelling Units:
Flood Zone:
(FEMA form required)
.............................................................................
...
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Property Owner:
l�
Contractor:
Address:
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03
Add s:
S + !r<C(
74 it
3 - a/
Phone:
E-mail:
P o�
State License Number:C&CL2Y56 7 V
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax:
E-mail:
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. 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 manage 1pa gistricts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the
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Si re of Owner/Agent Date
Print Owner/Aeent's
KATIE BALLINGER
Notary Public - State of Florida
My Commission Expires Mar 27, 2011
Commission III DD 842325
amded Thmunh National Notary Assn
Owner/Agent
APPROVALS: ZONING: UTIL:
Special Conditions.
Rev 02/2007
of Fljrridtf Lip 4aA, FS 713.
Name
Signature of Notary -State of Florida Date
f/ �l BILA
."r.^.. r+RY COMMISSION # DD629096
Contractor/Agent isPfREeCl�r 2�g Me or
Wit: Notary Discount Assoc. Co.
Produced ID.
FD: ENG: BLDG: 1
C o wKoe.� VJ'-;I.(Gol
Permit No.
Parcel ID: D Z ?zQ • S • DAY ' D Ofd
State of Florida
County of Seminole
The undersigned 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.
2. General description of improvement:
3. Owner Name and address:
a. Interest in property
THIS INISWRIT as &W
fee simple titleholder (if other than Owner)
4. Contractor Name and address: &It tl-c
i 111111 ill it ill II IF it 111 11 III If ill If ill it 111111& it 11114111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06721 Pg 1530; Qpg)
CLERK'S # 2007085084
RECORDED 06108/2007 05:35:5-6 PM
RECORDING FEES 10,00
RECORDED BY H DeVore �®�
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
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
8. In addition to himself or herself, Owner designates _
713.13(1)(b), Florida Statutes.
0
of
to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
i _ C Signature o wner
Sworn to (or af>cirmed) and subscribed before me this day of J � - , 20 Z� by
Personally Known ✓" or Produced Identification
Type of Identification Produced
F �
Signa e o of 2-�Z
State of Florida KATIE ggLLINGER
Co / is n I pir WN�
•. Notary Public - State of Florida
My Commission Expires Mar 27,2011c Commission # DD 642325° Bonded Through National Notary Assn.