HomeMy WebLinkAbout105 Mayfair Ciru ✓y i�, r,l a ;'
^ Permit # : () i / 1 D
Job Address: / 0--' 17?R
Description of Work:
Historic District: J 2 — Zoning:
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential on-Resi(
Plumbing/ New Com tial: # of Futures
Plumbing/New sidential: # of Water sets _
Occupant ype' Residential Commercial
Construction Type: # of Stories:
Parcel #•
Owners Name & Address:
r/
Contractor Name 8/Address:
Phone
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
_51
CITY OF SANFORD PERMIT APPLICATION
Date:
C
r:
Value of Work: $ —/
Fire Sprin-kkOAlarm Pool
Replacement New (Duct Layout & E erfy Calc. Require
# of Water & Sewe Ines # of Gas L'
Plumbing air — Residential or mmercial
ndustrial Tota quare Footage:
# of Dwelling Units: Flood Zone: (FEMA form required for other than X)
51
Contact Person:
Proof of Ownership & Legal Description:)
Phone:
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 11\1 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 maybe additional restrictions ppht
this county, and there may be additional permits required from other governmental entities su as
z A eptance of pe rification that I�will
oa the o ofthe property ofthe requir en �
o
QN
o A N SignA ent Date S' r
� z 8 W UI /V'so �
y
)Print Owner/Agent's Nam nature of Notary -State of Florida Date gignatu
Owner/Agent is _ Personally Known to Me or Contra
_ Produced ID n p
APPLICATION APPROVED BY: B1 G Zoning:
nitial & Datd (Initial & Date)
Special Conditions:
to this property that maAbe found in the public records of
:r miffagementdigc tate agRncies, or federal agencies.
of
Utilities:
Name
DEBBIE BLANTON
MY COMMISSION # DD 188491
E=FIRr'S Peh uar 25, 107
Personally Kron to e or
Ry FL Nc', ;,y Discount Assoc. Co.
FD:
(Initial & Date) (Initial & Daze)
1111111111IN11OWN III II11I11111toll IliI1111
MARYANNE MURSE, CLERK OF CIRCUIT CWT
SEMINULE CUUNTY
BK 05942 FSG 1877
Permit Number CLERK'S # 2005174932
Identification Number 35 — /a �3�� S c>—��RDEU 1011112005 08:24:15 AM
CURDING FEES 10.00
Parcel
Prepared by :Robert N. Barbour RECURDED BY D ThQI$d5
800 Meisch Road
Sanford, Florida 32771
Return to: Robert N. Barbour
800 Meisch Road
Sanford, Florida 32771.
NOTICE OF COMMENCEMENT
State of 11r�
County of <?,
�e
�E�f1f1 MORSE,
,MAR YA�� RCUIT C':OURI
CLERK O, COUNTY, FLORIDA
SEMIIygLE
I®CT 1 1 2005
The undersigned hereby gives notice that imprvetnent(s) will be made to certain real property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in the Notice of Commencement.
1. Description of property (le al des c tin IT the pr ertyand street address if available) ,.
2. era! dd cnp ton of m v ent(s)
3. Owner inf ation t I
Name Ilu �� /1t c` Telephone Number
Address ® . j %MZ2
� Fax Number
`77� Interest in Property -444. Fee Simple T tle oldthan owner shown above) /
Name Telephone Number
Address Fax Number
5. Contractor
/�• Name Robert N. Barbour
Address 800 Meisch Rd. Sanford, Fl. 32771
6. Surety (if any)
Name
7. Lender (if an
Name
Address
Telpehone Number 407-323-7583
Telephone Number
Fax Number amount of bond$
Telephone Number
Fax Number
8. Persons within the State of Florida designanated by Owner upon whom notices or other documents mya be served as
provided by 713,13(1)(a)7. Florida Statutes.
Name/� Telephone Number
Address (�` Fax Number
9, In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in 713.p(1)(b , Florida Statuetes.
Name v Telephone Number
Address /VIP/11/e Fax Number
10. Expiration date of notice of commencement (the experation date is
unless a diffrent date is specified): 4 !;7,
0
;7'0 6
Date Signed
111
me this / U day of
from the date of recording
t oeaead. r 113.13(1)(g)"own
noe may be permitted to
'ed
his or her
20 by
who is personally known to me Or produced
as indentification.
ature of Waxy
s JAMES KENNETH JOHNSON .
ANMYCOMMISSION#1)D277312
,, EXPIRES: March 28, 2008
1 -80P3 -NOTARY FI. Notary Discount Assoc. Co.
AFFIDAVIT
EGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: c License #:
Project Information
Owner: VY -L.,1
name
C
r �4�
ress
phone
Permit #:
Subdivision:
Lot #:
I, affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in acc ce with the applicable codes and standards.
Contractor:
Usignatm-e
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowle ed before me this day of �C�1 - , 26)-J , by the
above referenced individual, C�- , who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced
WITNESS my hand and seal this
as valid identification.
day of 120
Notary Public
DEE �LANTON
N # DD ?8849?
E„ "ft 1E ': r ebruary 25, 2007
1-800-3-N6TA,r;Y IFi. �N:` v Dj,.o 11 Assoc. Co.