HomeMy WebLinkAbout3024 Kananwood Ct Oviedo FL (not City of Sanford)F
CITY OF SANFORD PERMIT APPLICATION
Application # : /' / CJ Submittal Date:
Job Address: 'S<s7s4 L -A -"R -.S 00vD a`� Sink (005 B JkF,%o ,kV- `S'2 rrnS Value of Work: S NVA
Parcel ID: Wk Zoning:`' AI% Historic District:
Description of Work: I QL Prxai_ IMf�Sry-u �R1'i o4 Square Footage:
........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - 9 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 ❑
g of Gas Lines
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required
...............................p...........r...............................................................................
Property. Owner: 4�rct 1" v- i/� c� t Contractor:1 iL1, ��+ �5` �R *� 1 e pf1 t (A1 C -
Address: '90ZA tLPN►4J Wtxv'ts `7c,cC3r 1O[ Address:
,tom Ft 3ti�r lis rr /� C.._ o 0 LF) c)
Phone:��-�(e(o- -rt�r7d E-mail: r� C - L Phone: 4DZ--c-7tedState License Number: UC (45 -7Z -5Z
Bonding Company: tV _ 1&4—cMortgage Lender: kxA
Address: _ PLA Address:
Arch itect/Engineer: �v2eaJ dirt' C(� Sc� ��t s l-t+ti'b� r tK3-&,.,
Address: G,Z1
Plan Review Contact Person: Phone: f�� 56(e Fax:
Phone: A��7- (OCt5
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. 1 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE 114E
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 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 Florida Lien Law, FS 713.
- y . ZZ c�
Signature of ner/Agent Date Signature of Co ractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
'r( 2-14,7 AWiS ryZ �7
Date Signature of Notary -State of Florida Date
;,;►i"�w KENNETH M. LAUVER III L13
ENNETH M. LAUVER III
MY COMMISSION # DD687439EXPIRES June 20, 2011 COMMISSION #DD687439
EXPIRES June 20, 2011
(407)398-153 FlorkteNoteryServico.comFI Notary rv' e.com r
Owner/Agent is � Personally Known to Me or
_ Produced ID Produced ID
APPROVALS: ZONING: UTIL: FD: ENG: BLDG:
Special Conditions:
Rev 07.07
POWER OF ATTORNEY
I hereby nine and appoint M t ck A F:1 EVA A(5 to be my lawful attorney
in fact to act for me and apply to the Ci -?q off- 5A-�" Building Department for
a(n) Sv imm ( G, ��� permit for work to be performed at a location described as:
Lot: 3 Subdivision: 61'r,
(Owner of Property and Address)
-1q - 30- srq - CC40 - 00
(Parcel ID)
And to sign my name and do all things necessary to this appointment.
Bruce "emple — CPC1457252
3024 Kananwood Ct Ste 1008
Oviedo, FI 32765
407-366-4600
STATE OF FLORIDA; COUNTY OF SEMINOLE
The foregoing instrument was acknowledged this & day of 0c,Lv-&Crz-- , 2007,
by Bruce M. Wemple o is personally know to m or has produced
(type of identification) as identification.
ignature of Notary Public, State of Florida
Kenneth M. Lauver III
Print, Type, or Stamp Commissioned Name of Notary Public
KENNETH M. LAUVER III
MY COMf�IS,IQN # DD687439
EXPI !J a 20, 2011
(407) 398-0153 FloridallotaryService.com