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HomeMy WebLinkAbout307 Dogwood DrHistoric District: Zoning: Value of Work: S Permit Type: Building 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 Mechanical Plumbing Z Fire Sprinkler/Alarm Pogl . .r _ Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Ca1F. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair— Residential or Commercial Industrial Total Square Footage: Construction Tyne: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 33- V9 - 3a— -Sem o fico -tai $o (Attach Proof of Ownership & Legal Description) Owners Name & Address: L -t iiju,-N I De!%1ukg L,3tx-.,b"c-tt 301 bo4t,xx�a DQ.aa. S�ti•�o�p 3 1'1 \ Phone: 40 '1019 — al:'S% Contractor Name &'Address: H tf lArAwt S CAH— ­1140 1k,�, ogn-- 32$ci State License Number: c­*-�d.263�0 Phone & Fax: 144171-2Ar-%- 2 -1 -co eol -Z40r%'1-&9 Contact Person: 1AxC4**rLS Phone: A-61 Bonding Company: Address: Mortgage Address: Architect/ Address: 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 verification that I still notify the owner of the property of the requirements of Florida Lien Law, F 3ig:na� ;owner /Agent a e �S7`'ature ofConnactor/Agent Date Print Owner/Agent's Name PrinrContrac Agent' Name Signature of Notary -State of Florida 101 Date i --nature of No. ry S e t 1 131I>* $ AN1 W ++� MY COMMISSION # DD629096 pNISE��ppRINNKEFFNEY EXPIRES: February 25, 2011 O ec it C'rrsonafl% Kn"bwn to e or Contractor/A_ 1.$ rsofihNQIIK !>pOF1MYSSION # DD402414 / Produce OFtt��� EXPIRCS: Mar. 3,2 (407) 398-0153 Florida Notary Service.com APPLIC:\TION APPROVED BY: Bldg: Special Conditions: Zoning: i Initial & Date) (Initial & Date) Gt:.:ies: FD: (Initial & Date) (hi;tial & Datc 1,7Wl CITY OF SANFORD PERM[T'APPLICATION� Mo Permit # C;1 Date: Job Address: 3Ol Doc-%" MoD - tibztxe swkP- r tzp 3�`l'1 Description of Work: 2-ro Z E S i o4 vE '� �r ti �� �85r p ts,,L� +(��i �a eti,,C• a �W-wt-v>rn.,n- e°�. W kWM Historic District: Zoning: Value of Work: S Permit Type: Building 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 Mechanical Plumbing Z Fire Sprinkler/Alarm Pogl . .r _ Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Ca1F. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair— Residential or Commercial Industrial Total Square Footage: Construction Tyne: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 33- V9 - 3a— -Sem o fico -tai $o (Attach Proof of Ownership & Legal Description) Owners Name & Address: L -t iiju,-N I De!%1ukg L,3tx-.,b"c-tt 301 bo4t,xx�a DQ.aa. S�ti•�o�p 3 1'1 \ Phone: 40 '1019 — al:'S% Contractor Name &'Address: H tf lArAwt S CAH— ­1140 1k,�, ogn-- 32$ci State License Number: c­*-�d.263�0 Phone & Fax: 144171-2Ar-%- 2 -1 -co eol -Z40r%'1-&9 Contact Person: 1AxC4**rLS Phone: A-61 Bonding Company: Address: Mortgage Address: Architect/ Address: 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 verification that I still notify the owner of the property of the requirements of Florida Lien Law, F 3ig:na� ;owner /Agent a e �S7`'ature ofConnactor/Agent Date Print Owner/Agent's Name PrinrContrac Agent' Name Signature of Notary -State of Florida 101 Date i --nature of No. ry S e t 1 131I>* $ AN1 W ++� MY COMMISSION # DD629096 pNISE��ppRINNKEFFNEY EXPIRES: February 25, 2011 O ec it C'rrsonafl% Kn"bwn to e or Contractor/A_ 1.$ rsofihNQIIK !>pOF1MYSSION # DD402414 / Produce OFtt��� EXPIRCS: Mar. 3,2 (407) 398-0153 Florida Notary Service.com APPLIC:\TION APPROVED BY: Bldg: Special Conditions: Zoning: i Initial & Date) (Initial & Date) Gt:.:ies: FD: (Initial & Date) (hi;tial & Datc • s �� Permit Number Parcel Identification Number 1111111 Ill It Ill It Ill N ill it Ill it Al 11 Ill 11 Ill It Ill 11 Ill 11111 Prepared by: MARYANNE MORSE, CLERIC OF CIRCUIT COURT SEMINOLE COUNTY BK 06733 pg 09331 (ipg) Return to: ( �Ct-�a �5 �t c CL -p—t- CLERKS S # 2007090905 RECORDED 06/20/2007 03:22:1+ PM RECORDING FEES 10.0 . CERTIFIED COPY RECORDED BY H DeVare APY'�,yaM7 moRSE NOTICE OF COMMENCEMENT CLERKJIT COURT SE'MlNTY. FLORIDA State of��'�CC� / DEPUTV County of .- 22L - 'JUN 2 0 2007 The undersigned hereby gives notice that improvements) 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. description of property (legal, description of the property, and street address if available) 2. General description of Improvement(s) --",,�W,;, 15 3, Owner infprmation % - `f ,� `-��'�u�-G'� �`� Telephone Number Name Fax Number Address 3 0 Interest in Property: 4, Fee Simple Title Holder (if other than owner shown above) Name Telephone Number Address Fax Number 5�Dr� Contractor zGe== eze Name Address /61 r) JU li'f 141-- zIz g. Surety (if any) Name Address /cam: �� �e, r. r ` .2 ,V * L C t7 Telephone Number 7 G� 2'1 , Fax Number s 2-Y l "� Telephone Number Fax Number Amount of bond 7, Lender (if any) Telephone Number Name Fax Number Address g. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7., Florida Statutes. Telephone Number Name Fax Number Address g, in addition to himself or herself, Owner designates the following. to receive a copy of the Lienor's Notice as provided in §713.1.3(1)(b), Florlda Statutes.Telephone Number Name Fax Number Address 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified): owner Date Signed Signature of Owner (Note: per §713.13(1)(9), " must sign ...and no one else may be permitted to sign in his or her stead." Ljrl >;a• oF�da of"�� P _, 20 by 4ti nrl Pd before me this Y who Is personally known to me OR prod ce ZI)/ as identification. Signature of Notary (notarial seal to ap ar below) �,tiWT°0 DENISE ICARIN KEENEY e MY CON'"AW,ION # DD402414 . ell 4�®� X W ES: Mar. 3, 2009. 9 Form Revised: 12/00 for 1to20 (ar�r) 398fa153 Floridada NotarySe vice.com