Loading...
HomeMy WebLinkAbout120 Larkwood Dr (5)l/_ (/ CITY OF SANFORD PERMIT APPLICATION Date: _ Job Add,ress: A c3 ©'mak w n d b 1) Description of Work: Historic District: Zoning: Value of Work: $ % Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm _— Pool _ Electrical: New Service - # of AMPS Addition/Alteration Change of Service TemporaryPole — 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 X, Commercial Industrial Total Square Footage: 3' to (O Construction Type/&e O F# of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel p: ;J N I{ '-1 3 C) 5 ('K 0 p Q Q CJ O QW (Attach rProof of Ownership & Legal Description) � Owners Name & Address: I a Q I—I' t --LO ® r) i �-- � ' j, •A,t 1"clk-b -F 1 73 -+ % 7 ►�- Phone: Contractor Name &!Address• 'S2,711 State License Number: Phone & I= ^^ Contact Person: Phone: Bonding Company. Address: Mortgage Lender: /1 Address: Architect/Engineer: Phone: Address: Fax: Application is hereby made to obtain a permit to do the work and installations' as indicated: "I certify tUt 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 forELECCRICAL 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, them 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 that I will notify the owner of the property of the requirements of FloridaLienS 1Signature ofOwner/Agent Date Signature ofCoarractor/Agent Date Print �O(wj�neer/Ag/en�t'ss Name Print ContractodAgent's Name Signature &Q,slotary-State of Florida Date Signature of Notary-St� to f F,o da Date •P�a ; Deborah M. McCallum �vr" C ytngia 9rard 41 := MYCOMMISSION # DD028728 EXPIRES My Commission DD123828 vP` May 23, 2005a a Expires June 09, 2006 t �o, g DED THR YR FAIN IN R E i G Owner/Awe irtls ,c.�rrso��a�y (Crnow b{� Contractor/Aeent is Personally Known to Me or (,- Produced [D 1�3' 1Velfj G _ Produced ID .,: 7112 i to S c -c Cc— S L;7)q APPLICATION APPROVED BY: BldOLE I� l I Z� �Z ning: unbrics: FD: (Initial & Date) (initial & Date) (initial & Date) ) (Initial &Date) Special Conditions: Permit No. STMT- Of CO(INfY OF Tax Folio No.,K3 y I J 3 0 s 18 0 80 0 0090 Notice Of Commencement Tl IE UNDERSIGNED hereby gives notice that improvement will be trade to certain real praperty, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Conunencanunt. t. Lkscriptitm of proptxty: (legal description of property, and street address if possible). IIIIIitllIIi111itlliit11111!l11111111all III 11111111111111IN 2. General description of improvement: 3. Owner Information: jao `-al-(.ffovd b. Interest in property: C. Name and address of fee simple titleholder . (if other than owner): MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 05493 PG 0451 CLERK'S # 2004164527 RECORDED 10/25/2004 08:10:38 AM RECORDING FEES 10.00 RECORDED BY t holden CW'1FIED CM MARYA, NNE MOl O? CIl2f UIT (rTWT 4. C—Tactor: (name and address) s�� �� ► �L ; �z�3 5. Surety: a. 11", t►ddtnss b. Amount of bond S 6. Lender. (Name and Address) —' 7. Persons within the State of Florida!!! "`gated by Owner upon whom notices or other documents maybe served as provided by section 713.3 (1) (a) 7., Florida Statutes: (name and address) 8. In addition to himself, Owner designates the following persons (s) to receive a copy of the Lienoi s Notice as provided in Section 713.13 (1) (b). Florida Statutes;_( name end address) 9. I..xpiration date of notice of conurietwe hent (the expiration date is I year from the date of recording unless a different date is specified) Swam to and subscribed before the this /_day of 0 a7f 20 d Signature of Notary Public) C! i31E F3LANTON LJY a';:i fr'd: !ON # DD 188491 February 25, 2007 1-800-3-NOTA9Y FL Notery Discount Assoc. Co. THIS INSTP MENi PREPARED BYE, NAME X04'4 7 ? (Signature Of Owner) (Owner's Nume) /,20 1401,Wdc;(d f - & V'P6 r -j r -L 32- ,w (Owners Address