HomeMy WebLinkAbout2513 Poinsetta DrCITY OF SANFORD PERMIT APPLICATION
Application #: 0-1 - Z ` C) Submittal Date: 0 4'. 1A, G77
,Job Address: 2513 P6tn5el�a br1a Value of Work: $2,700.00
Parcel ID: 0(o-20-3)-502-0500-0030 zoning: Historic District: r
Description of Work: fe--004. . 5.512 p�_�{� , �-�ab Sh�nq�eS Square Footage: 13 c�%llQres (J ror,4)
........................................................................................................................
Permit Type: Building b( 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 if Commercial ❑ Industrial ❑
Construction Type: # of Stories: I— # of Dwelling Units: _
# of Gas Lines
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Use Group(s):
Flood Zone: (FEMA form required )
...................................................................................'.11....``.................................
Property Owner: �n�MO V L0.(0. r��� Contractor: 5( IV__1AiOr1f]W �0A�lq , Inc.
Address: �q �� R1 Ve_r Pack Blvd Address: 'NT7 V ("S kJ �O� r Jt.. l 0
06a , o I ';�L 3290 0('�&yr d, F�_ 32802
Phone: 60-)? 72I-6OS E-mail: Phone: 6 (p% -MAtate License Number: CW 32%/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: 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 perm' verification that I will notify te owner of the property of the requirements of Florida Lien Law, FS 713.
I f
to I �0-7C i C9 l l 0'7
ignature of Owner/Agent
Date Signatu of Contractor/Agent Date
I.,-_ O Cct E.
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Print Owner/Agent's Name
Print Contractor/Agent's Name
CL 10-7,
Si�►P31 of M1W t*oft onda
Date Sign ure {*Ngiary-Statmm� RorodState of Florida ate
James C Behrhorst
o My Commission DD484123
Reoecra "enekedes
y c My Cornr%isFion DD484173
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'IF
OF the Expires 1012012009
0. Exp re. 'u [uQ009
Owner/Agent isPersonally Known to Me or
Contractor/Agent is _ erso nown to Me or
_iCProduced ID
Produced ID
APPROVALS: ZONING: UTIL:
FD: ENG: BLDG:
Special Conditions
Rev 02/2007
NOTICE OF COMMENCEMENT
Permit No.
Parcel ID: 01 - 20 31 - 502 -G5>0 - 00 30
State of Florida
County of Seminole
1111111111 11 Ili 111111111111 Ill 111111111111 Ill 11 ill 11 11111111
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MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06730 Pg 19321 (ipg)
CLERK' S # 200712)a9884
RECORDED 06/19/007 09:06:13 AM
RECORDING FEES 10.&I
RECORDED BY H DeVore
The undersigned hereby gives notice that improvement will be THIS INSTRI!MUHT PREPARED BY:
g Y g P /SC%/GSI%d�G�/�w J'
made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in
this Notice of Commencement. ADD
R.--
1. Description of property: (legal description of the property and street address if available) L`5/� F'C?'I01Sf-40_ >�
L,E�� LoT5 3,y, -I-5 P,lk 5 Lip,m -e-race PB -/ PC ?2 r -J FL 3C 773
2. General description of improvement: �-C -Co O�c'o.,� ) ,-, ti
3. Owner Name and address:
a. Interest in property r -)i c.'n e r.5
b. Name and address of fee simple titleholder (if other than Owner)
4. Contractor Name and address: SCi/I�.SQ><i oi7c:%1
5. Surety
a. Name and address
Inc 2'12"? F -,).--,s
"�e %,
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.
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 t e date of recording unless a different
date is specified)
Signature of Owner
Sworn to (or affirmed) and subscribed before me this day of i. qNe— 20 0-i by
ersonal" nown or Produced Identification
Type of Identification Produced
Signature of Notary Public, State of Florida
Commission Expires: .
l.0 ( �-o (tea
=o�xr Po,� Notary Public State of Florida
James C Behftrst
P My Commission DD484123
F n°a Expires 10120/2009