HomeMy WebLinkAbout112 Ventura Dr!
Permit # :05434e-,
Job Address:
Description of Work:. Rao C-
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: //.-- y
Value of Work: $ 509 0
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service 9Temporary 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 _1X-_ Commercial Industrial Total Square Footage:
Construction Type: _� # of Stories:_ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: V / ` " %dz-' -� / -.WV — _ (Attach ,Proof of Ownership & Legal
Owners Name & Address:
Phone:
Contractor Name & Address:
/,'/,) talil/y/1/ zJf . ; lzlyy ea"4� State License Number: /l_ C_j2o Lo CG �;733 ,C,Z c q�
Phone &Fax: Contact Person: G' Phone: r
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: 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 additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification th I wilt n ify the owner of the property of the requirements o Florida Lien Law,FS 71 .
ggeA6e' , `l fid%
gQ ignature of O r/A Date S gn cure ontractor/Agent Date
G 0 t O er/A ent's Pri t Cop ractor/Agent's Name
M
s
1Az_
Zy
W �R Signature of Ntary-State of Florida Date SigEacXiszXRff
-State of Florida Date
.., DEBBIE BLANTON
E * MY COMN;iSSION
Owner/Agent is — e onalty wn r Con tlt�b�y ng� 2007oU_roduced ID - �OtaN
scount Assoc. Co.
APPROVED BY: Bldg: lY la 6 11 1 !1 fining:
(Initial & Date)
(Initial & Date)
� s9
Utilities:
FD:
(Initial & Date) (Initial & Date)
►%
THIS INSTRUMENT PREPARED BY-
NAME:
Building & Fire Inspecto
' ADDRESS: /_ /,5- ,/v
SFntrvo Cou
1101 East 151Stre
NOTTCE
IFI()Ynl,\'S r 4)l:rsnl C7 fJICi
OF COIVIlVIENCEMEN
Sanford, FL 327'.
State of Florida
County sof Seminole
Permit No.
Tax Folio No- (PID)
and in accordance with Chapter
The undersigned hereby gives notice that improvement
713, Florida Statutes, the following information is
will be made to certain real prop
in this Notice Commencement
provided of
DESCRIPT'fON O„F PROPERTY (Lega! d
ipdon of the property and street address)
GENERAL DESCRIPTION IMPROVIEMENT
I
—
JOF
OWNER INFORMATIONG
Name and address 0i r /2 �J u
10113(
Interest in property (Fee Simple, Partnership,
tc.)
r PY:
lir r
NAME AND ADDRESS OF FEE SIMPLE
TILE BOLDER (IF OTHER THAI
r 41. ,.�. ;.�•
OV VVER1° ' I E1=
l
Ut' u
CONTRACTOR
Name and address
o0
p
�C le
r f�J
SURE (]Bonding Company) i
1 fill I
Ili II 111 II l91 II 11111 III 1191111 ill II 111
Name and address
Amount of Bond
PIARYAI
SEMIN
LE COUNTY T
LENDER
BK
5500 PG 0865
Name and address
CLE
K' S # 8004168436
RECORDED
11/01/2004 12143:42 PM
Persons within the State of Florida designated by Owner
�n whom notice or other documents
9Av8iatp"'k&k Section
713.13(1)(a)7., Florida Statutes:
Name and address
Persons within the State of Florida Designated by
Owner upon whom notice or other documents
may be served as
provided by Section 713.13(1)(a)7.,Florida St
tes:
Name and address:
ddition to himself, Owner Designates
o f
vided in Section 713.13(l)(b), Florida Statut6s.
To receive a
py of the Lienor's Notice as
� iration Date of Notice of Commencement
e expiration date is 1 year from date of r/ecording
tmless a different a is s ecifi
)
4 1
to and subscribed before me this
produced
was acknowledged
of
of 111 %//
-Day of 11 '
me this day of
on acknowledged), who is p
(Type of identification), as i
kno�tmeorwhohas
ion and who did/did not take
�E
JRT
0rdDA
1 III II ill I Illi
COURT