HomeMy WebLinkAbout111 Commerce WayOV- -3ao,(,
Permit #
Job Address: 11 1 t-nmrner
Description of Work: Remodel
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: SPptPmher 24., 2004
Value of Work: $ -4 JS Oa. 0 0
Permit Type: Building Electrical _X_ Mechanical Plumbing - Fire Sprinkler/Alarm Pool _
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 Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Secure Cell, 111 o merce Way, Sanford, Florida
Phone:
Contractor Name & Address: Cern orate El c rntri n Ser1li ces, 6855 Hanging MOSS Rd- Orl aT'do, FL
37807 State License Number: EC -0001 584
Phone&Fax: 407-677-40801 407-677-9t91t9etPerson: Harold Phone: 407.-677_4080
Bonding Company: N/A
Address:
Mortgage Lender: _ N1A
Address:
Architect/Engineer: N/A Phone:
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 �Pkpermits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Signature 8f Owner/Agent
Print O ner/Acot's N le
Signature of N of Florida
1 A
O / ^gent is _ It n
roduced ID
the owner of the property of the requirements Florida Lien Law, F 1 1. \``11ll�llllll��//
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Date S' nature of ont act�/ge"nyt p : �M\SSI0
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Print Contractor/Agent's N ® _
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Date g ature of Notary -State of Florida Uatfry 9`'•;�l6bndedrNd���
MICHAEL J.RERSNMAN rrl��A�ellillal N1�o\\\\\
Notary Public, State of Flo I&
k tsotate.ovOres Feb. 8, 2W6 Contractor/Agent is,_ Personally Known to Me or
No_ CC 99M _ Produced ID
APPLICATION APPROVED BY: Bldg: I_[L,Aq-Poding: Utilities:
V—(Initial & Date) (Initial & Date)
Special Conditions:
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(Initial & Date) (Initial & Date)
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N�r�C,
0MS R1STPWM:n$gAKtU t91SECURE SELL LLC 4073212UU4
NAME�LUL;�
ADDR. CU �- ,
rf NOTICE OF COMMENCEMENT
ermit No.
State of Florida
Tax Folio No.
County of Seminole
The undersigned hereby gives notice that improvement 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.
1. Description of property: (legal description of the property and street address if available)
P4(1(li if1 3s' /y-3J-hb``'v000-D�C'C) i?sX Sl iA�,a,in i�9S P,
�li 130 GLG 6-4 014 9y 2VU ..—II—Lc lixA",-9 f E Si r-j� �, �?7l
2. General description of improvement: cG Lwfe Ee- wai �' �4 lP f (2 6/2
3. Owner information , r
a. Name and addressWMYANNE MO
RSE
b. Interest in property VOK Of CIRC ;': r t�!)l.�;fi?
c. Name and address of fee simple titleholder (if other than Owner) UNY' s"9:41r�QA
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Contractor
a. Name and address C0,400VA17 iY21 e- sC N di t
t q;T f/4"A iM mis; ft� DjQ A/V io L-
b. Phone number / ✓ Y -07-622-Y-'050
Surety
a. Name and address
Fax number '/02 7,7- `l71
1 1161 11 116 11 all 1111111 all 1111111 411 11111111111, 1111111111111
b. Phone number Fax nu"AWNNE MORSE, CLERK Of CIRCUIT GO
c. Amount of bond SEMINOLE COUNTY
BK 05470 U
G. Lender - CLERK'S # 2004152799
a. Name and address ;
b. Phone number Fax
Persons within the State of Florida designated by Owner upon whom
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address _
b. Phone number
In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
a. Phone number
Expiration date of notice of commencement (the expiration date is 1 year
date is specified) 1/
Fax number
may be served as
of
to receive a copy of the Lienor's Notice as provided in Section
Fax number
Sworn to (or affirmed) and subscribed before me this day of
K L A «QV
Personally Known ✓ OR Produced Identification
Type of Identification Produced
Signat re of Notary Public, Stat�offlori
Commission Expires:
of recording unless a different
fit'
ELIZABETH D; c^r;lv�ln �'ax
NL)bl;c - Suitt of Flo�-
commissirm
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