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HomeMy WebLinkAbout210-212 Brazil Ct/� CITY OF SANFORD PERMIT APPLICATION Permit # : 6 1 - l l wk Date: 9.12 - C 7 Job Address: 240 `217- 9"*2tL- Cev2T Description of Work: $'IILiP (200F ae, -Sty "V(.( -E- Total Squar!.Potage 3 0-25 S f Historic District: No Zoning: Permit Type: Building K, Electrical Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets _ Occupancy Type: Residential Commercial Construction Type: # of Stories: Value of Work: S 5725 Mechanical Plumbing Fire Sprinkler/Alarm Pool _ - Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair -Residential or Commercial Industrial # of Dwelling Units: Flood Zone: (FEMA form required) Owners Name & Address: "PlAi IS >i ar J jg9O F 4 S'�t,vFarw Fi_ 3Z7 7I Phone: 40 -2 - 322- 3y 30 Contractor Name & Address: _ H o WwE> C�eN '4,wu1 C -T 6rJ LX -C— 070 BALI ✓1 A CT - "5 &N F01z'-> T- "5&NFu>z'-> r -L- 347-21 State License Number: '.A -EA --L _ §05--7 9K Rhone Fax: '102 — 3 30 ' RO 6 Contact Person: 12Z C-i*M t'\ 505" Phone: tf07 — Z?Pt 9 89 Bonding Company: leis Address: Mortgage Lender: N Address: Architect/Engineer: / Address: 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. 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 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 permit is verification that I will notify the owner of the property of the requirements of FloridyLien Law, FS 713. Ck" ff /-;I - 200?' �<,,- , I. l Z, 07 Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Own r/A - tatKEggWR. FROb I Date * MY COMMISSION # DD 4320 9 * EXPIRES: September 22, srgrEOF f`o,,o Bonded Thru Budget Notary Services Owner/Agent rsrsonally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 03/2006 UTIL: FD: R. i G bfA/lh L Print Contra for/Agent' ame a. zoo S' n otary-State of lorida Date tour ass KENNETH P. FROST MY COMMISSION # DO 432782 EXPES: September 22, 2009 Contractor/AAi.AY'PLaooP� ytggKhdtwb'WMe or Produced ID ENG: BLDG: �5` .. . THIS INSTRUMENT PREPARED BY: Name: Address: i `io 9yLa j a e—r '54NFo2Q Fz S-2-'17► rLORMWSE COUMTY State of Florida`►`E Ilift111110 1113 111110 111 It of 1111111111111110 M H W 111111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE CORKY AK 06816 Pq 1035; Opg) CLERK" S 1I 24-')07132543 RE[J)RDED 09/12/2007 11 i4i,*A AN RErTIMING C=0 10 NN RFC'URDED 8Y T Snaith fCFRT;FIED COPY �11ARYA1`':�IE MORSE CLERK OF CIRCUIT COURT NOTICE OF COMMENCEMENT UNTY, FLORIDA Parcel ID Number (PID) 3i, If. 3 i, 300, 0CgA, cicoo SEMINO E� _. The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance8wi h Gha CLERK . Florida Statutes, the following information is provided in this Notice of Commencement. i RAE 20011 DESCRIPTION OF PROPERTY (Legal description of the property and street address) NE A,t %j a F Iv -6 �y 'S E C- 3 i R-An.E E 1 7-W P 3 1 GENERAL DESCRIPTION OF IMPROVEMENT , P-kP ae -' ri .V c ti�7 OWNER INFORMATION Name and address: tuc=1 nr t g`5 �L, t Ssr or,? loo© C I -, S- 5rivr bIu ►`-L 3177► CONTRACTOR �e5 C. ame and address: t4ciuet5, 2vc:.. 0 -AJ t 11 60L-I✓iA '1,5:4Frv{-o24- FL z�71 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 To receive a copy of the Lienors 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.) of STATE OF FLORIDA COUNTY OF SEMINOLE A 'e—A ��-� W C H Q Q IL G S 14. CAS .0 OWNERS SIGNATURE OWNERS PRINTED NAME "(NOTE: Per Florida Statute 713.13(1) (g), owner must sign...... and no one else may be permitted to sign in his other stead." The foregoing instrument was acknowledged before me this 1 Z day of .20o-7 by C'hARl , ff Q,22 Name of person making statement OR who has produced identification (SEAL) KENNETH P. FROST ** MY COMMISSION k DD 432782 EXPIRES: September 22, 2009 ",,,'OF FVO'R Bended Thru Budget Notary Services Who is personally known to me type of identification produced Notary Signature