HomeMy WebLinkAbout116 Mayfair Ct (2)0
• CITY OF SANFORD PERMIT APPLICATION
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Permit #: � Date:
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Job Address: / ftp MA ✓f/? IR Cy ug > S f A/fi3R,p. IRA. p
Description of Work: Actor .9 0/%/C)f-) �f'21— /D/� /CE�Fi//2 566 SC0i0L ONDAJ
Historic District: Zoning: Value of Work: $ A/�G�G�
Permit Type: Building —( Electrical —)L 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
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential_ Commercial Industrial
Construction Type: # of Stories: # of Dwelling Units:
# of Gas Lines
Plumbing Repair – Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Parcel #: –r� (Attach Proof of Ownership & Legal Description)
Owners Name & Address: To i f2, Z e QUILT
Phone:
Contractor Name & Address: Ikwiepmefjr i� Ill CCO i R AC PAP -IL O 211 ('
State License Number: C6C- 0Q 2A (-d G
Phone & Fax: 4-0-32301 31 Contact Person: Phone:
Application is hereby made to obtain a permit to do the wq(c and i
issuance of a permit and that all work will be performed f eet st
permit must be secured for ELECTRICAL WORK, PLUMBING,
AIR CONDITIONERS, etc. "
Phone: 4-7- 3? -7 q 3_j
:.._ Fax:
that no. wgzk or installation has commenced prior to the
struction'iif:this jurisdiction. I understand that a separate
ACES, BOILERS, HEATERS, TANKS, and
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 wil otify the owner of property of the
re o caner/Agen Date
P nt Owrkr a
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Signature of Notary -State of Flon a l
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i Donn DAVID R. BARTLETT
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APPLICATION APPROVED BY: Bldg:
Special Conditions:
Zoning:
3.
Signature of Contractor/Agent
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Signature-$ otary-State of Florida Date
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DAVID R. BARTLETT i
.�` mission # DD0202297
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CITE OF SANFORD
INSPECTION RECORD
PLEASE CALL 407-330-5659 TO REQUEST INSPECTIONS
PERMIT NUMBER03 •dL4 �1 DATE(00. ZO �
ADDRESS %
OWNER
DESCRIP
•
•
BUILDING ELECTRICAL MECHANICAL PLUMBING
MONOLITHIC
TEMPORARY POLE
ROUGH IN
R.I. UNDERGROUND
FOUNDATION
R.I. UNDERGROUND
R.I. CEILING
R.I.WALLS OR FLOORS
SLAB
ROUGH IN - WALL
HOOD SYSTEM
TUB SET
ROOF/ WALL SHEATHING
ROUGH IN - CEILING
SPRINKLER SYSTEM
SEWER
FRAME
POOL GROUND
GAS PIPELINE
GAS PIPELINE
LINTELME BEAM
CHANGE OF SERVICE
FINAL
FINAL
INSULATION
ALARM
OTHER
OTHER
FIREWALL
PRE POWER
FINAL
FINAL
FIRE -MISCELLANEOUS
OTHER
DRIVEWAY
_
OTHER
THIS CARD IS TO DISPLAYED ON STREET SIDE OF THE LOT AND
SHALL NOT BE REMOVED UNTIL WORK IS COMPLETED.
SANITARY FACILITIES REQUIRED ON SITE
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 OF COMMENCEMENT REQUI YES NO
BUILDING OFFICIAL
Prepared by: Donald Bailey Notice of Commencement
510 Central Park Drive, Sanford, fl
State of Florida County of Seminole
Permit#: Tax Folio No. (PID): 23-19-30-505-0000-0090
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.
Description of Property (Legal description of the property and street address):
116 Mayfair Court, Sanford, Florida 32771
r-.f�Y;lt;fvF: MOR -521
General Description of Improvement:
tt- 01' CIRCUlli ('c"'RY
Room addition
Owner Information:
Name and address: Joyce Kirtley
116 Mayfair Court, Sanford, florida 32771
Interest in property (Fee Simple, Partnership, etc.)
Fee Simple
Fee Simple Title Holder ( if other than owner):
Same
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CONTRACTOR:
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�ame and address: Atlantic Development Corp
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510 Central Park Drive, Sanford, Fla 32771
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Surety (Bonding Company):
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Name and address: N/A
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Amount of Bond: N/A
Lender:
Name and address: N/A
Persons within the state of Florida designated by Owner upon whom notice or other doduments may be
served as provided by Section 713.13(1)(a)7.,Florida Statutues:
Name and address:
In addition to himself, Owner designates NA
to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b), Florida Statutues.
Expiration Date of Notice of Commencement:
The expiration date is 1 year from the date of recording unless a dierent date is specified) -
gn re of Owner oyce Kirtle
S o a subscribed before m thiS'75 Day of C 200$_.
My Commision Expires:110117-00-1
Notary Public
The foregoing instrument was aknwledged before me this-Aday of 20Q� by
4)L"L— kaif r (name of person aknowledg , who is personallyk�n'to me or who has
pro ced (type of identification) as identificaa ion w I'1
1I(�. COr 1ThfIon N OD02� 0
�F, 1!00
Expires 1/107
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