HomeMy WebLinkAbout316 Rachelle Ave (2)l
CITY OF SANFORD PERMIT APPLICATION
Application # : U / ;0) 3 '/
Job Address: , 316 y Cif,' 11r,- /5/ ,d -
Parcel ID:
Zoning:
Submittal Date: `
Value of Work: S /��v
Historic District:
Description of Work: 44,2ae A,'-, If Square Footage:
........................................................................................................................
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 # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
.........
.............................................................................................L................
Property Owner: Lk,D 2 �I'� G_.. Contractor: �X.�z'y 'r,'�'*>ze• j `G e
Address: Address: 6 f -2,g- A--�,F-f A, �n-v t"S L /,•
Phone:
Bonding Company:
Address:
Arch itect/Engineer:
Address:
E-mail:
Plan Review Contact Person:
, f 2gn Aro)2_o /rZ 3 z 7 -? /
Phone: 40'7 7T4 JPK.PYS.tate License Number:
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 t the requirements of is permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, dWeo
ts required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance f ify the owner of theproperty of the requiremen f Florida L n w FS713.
/t/a 7
Sign -- Date Signature of Contractor/Agent Date
'r�f� lc��7zK>¢v 5' I/07
Print Owner/Agent's Name
L-r.gnaturc of No[ -r gte of Florida Date
M,47rQ,F.,."P1
�ANNA MARTINO
MY COMMISSION # DD 603692
EXPIRES: October 10, 2010
Bonded Thru Budget Notary Services
Owner/Agent is P/Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
Prin ontractor/ is Name �a<ate
�//V/J17Signature o€y-State o n
,~State MARTINO
* * MY COMMISSION # DD 603692
s EXPIRES: October 10, 2010
$dZ"'i Bonded Tin Budget Notary Services.
Contractor/Agent is _ Personally Known to Me or
Produced IDP/
ENG: BLDG:
* i-01
Permit Number:
Parcel Identification Number:
Prepared By: Irene Fuentes
5430 LBJ Freeway, Suite 1250
Dallas, TX 75240
Return To: Thomas M. Pritzkau
5430 LBJ Freeway, Suite 1250
Dallas, TX 75240
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
I IN It iii i iii ii iii ii IN it 11111111 it ii1 i1 III iii iii Ii iii I iiia
MARYANNE MORSE.* CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
HK 06691 Pg 0618; (1pg)
CLERK'S # 8007070821
RECORDED 05/11/2007 03:04:15 PM
RECORDING FEES 10.00
RECORDED 9Y H DeVore COQ �-
C�R�\F`C �. Ju�'�bt
l�PRu W c R "\�`
The undersigned hereby gives notice that improvement(s) will be made to certain real property, an(
accordance with Chapter 713, Florida Statutes, the following information is provided in the Notice
Commencement. Vj
1. Description of property (legal description of the property, and street address if available)
See Attached 2335 W. Seminole Blvd., Sanford, FL 32771 (Regatta Shores),
2. General description of improvement(s) Roo -i; S� n!j 1-e5
3. Owner Information
Name: UDR, Inc. Telephone Number:
Address: 400 E. Cary Street Fax Number:
Richmond, VA 23219 Interest In Property:
4. Fee Simple Title Holder (if other than the owner shown above)
Name: Telephone Number:
Address: Fax Number:
804-780-2691
804-788-0635
fee simple
5. Contractor
Name:/ �' �. I Telephone Number: 407-423-5060
Address: r Fax Number: 407-423-0403
6. Surety (if any)
Name:
Address:
7. Lender (if any)
Name:
Address:
Telephone Number:
Fax Number:
Amount of bond'!
Telephone Number:
Fax Number:
8. Persons with the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by §713.13(1)(b), Florida Statutes.
Name: Thomas M. Pritzkau Telephone Number: 972-774-0552
Address: 5430 LBJ Freeway, Suite 1250 Fax Number: 972-991-9868
Dallas, TX 75240
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in §713.13(1)(b), Florida Statutes.
Name: Telephone Number:
Address: Fax Nyrnber: A _
10. Expiration date of Notice of Commencement (the expira(on d i n 9, 1, r 'tate of recording
unless a different date is specified):
Date Signed Signature of Owner LN&e: er ; .I3(1)(g), "owner"
must sign ... and no one else may , e permitted to sign
in his or her stead."
V,
Sworn to and subscribed before me this 1 day of, V'iiu_ by
who is J!L personall oto' me oduce
r ru
as identification. ��� e� PEN 1
h9Y COM iSSlO X131
'?o`�Oa� `xP�aiiry�t,z84� arial seal must appear below)
(407)398-0153 Flondai