HomeMy WebLinkAbout124 Dresdan Ct (2)CITY OF SANFORD PERMIT APPLICATION
Permit #
Job Address: � O y Date:
��•►-�--Foy �• L x-1-1 �
,Description of Work. �t� O {�, n Cx
Historic District: Zoning: V Work: S 0
Permit Type: Building —1� Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential ZNon-Residential Replacement New
(Duct Layout &Energy Calc. Required) .
Plumbing/ New Commercial: # of Fixttties # 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 #•
Owners Name & Address:(J 1^c
(Attar Proof of Ownership & Legal' !T Description)
a 4 r1 (�a+D
s ) �e � - �
�-- Phone: -5 M'Q0 S -T�3 Q ��
Contractor Name &Address: e i> 1 Irl n —t r , (�S S U r�Sl _ l Yp i n
rrp t' - l �1 i State censretN-uumbeery, g_YQ� r , l_
Phone & FatG� �O—I �� � I{u% $3 a `Contact Persor� 1 ' c r 40�Z9
�IP one:
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 perfotmcd 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 VOCIIt. 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.
O [ E: 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 count', and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of petIIti v t [ wi notify the owner ofthe roperryof the requi encs of Flo ' en Law, FS 713.
r��17
.signs
IAN J O'CONNELL a Si tutp�PGpmaactor/
Y P` - t�rar Public Store of Florida P No 1 t of Flori
Print QgE ornmlonExpYes�ep� ` * 11,2007
ae, Pri �6sion # DD237
r Commission,# DD237102
- -. .. .--••_-- F..,,. avNcrtionalNotoNASM
of Florida/ Date .. .
Owner/Agent is o wn Contractor/Agent is /' Personally Known to Me or
_ Produced [D / !- IG fISS`� _ Produced ID
APPLICATION APPROVED BY: Bidg• �U-ng: (initial & Date)
Special Conditions:
Utilities:
FD:
(Initial & Date) (initial & Date)
�u-io-cr�r�c tJ•JJ rrt�.n•r
TO:4076881818 P.1
MARYANNE MORSE, CLERK OF CIRCUIT COURT
This instrument Prepared By:
SEMINOLE COUNTY
NameP. K�aE?, le -
BK 05486 PG 1844
Address Z-0�(�U�—�,���
CLERK'S # 2004160945
RECORDED 10/18/2004 12:30:39 pM
RECORDING FEES 10:00
Permit No.
RECRRD R,X.t holden
NOTICE OF COMMENCEMENT
--C-QFIED (XRT
STATE OF��-��
AM_ 01Ut �
M
COUNTY OFA— T (�
RLtR� f3F CWtiff Wfflp�
.d' CO .i�7Y. FLOft7'
THE UNDERSIGNED hereby gives notice that improveinent will be made to certain real property, and in act a ce,
_
with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commenceme�e�r
aim
1. Description of property: (legal description of property, and street address if available)
ILA -tee.-�-�-A. N 0-T-
'
x : CT- 8 2004
-5-Pct J- = �� -� (-�-7
.�
-1 1-
2. General description of improvement:
�zcxz)�
u
3 Owner information
and
a. Name and address: Z)oE +-4 U I"'•rF'- , 1 2�-L} ��'e5 �{�� � C'.�' •5`A ��0�
b. Interest in property: O VU r --- ) E—'
c. Name and address of fee simple titleholder (if other than owner):
4. Contractor: ^^\\ _
a. Name and addresa:��,.S-)'elr_ I N ( C01�JST - U et't (v y Ll 5 sv ► Ne Lr�
b. Phone number: u t 7 SA O —7\4 q --1
C. Fax number (optional, if service by fax is acceptable):
5. Surety
LA o--7 0`00 0-1 low L �
a. Name and address:
b. Amount of bond $
c: Phone number: V v
d. Fax number (optional, if service by fax is acceptable):
6. Lender\
a. Name and address:
b. Phone number:
c. Fax number (optional, if service by fax ie acceptable):
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided in section 713.13(1)(a)7., Florida Statutes: `` ^
a. Name and address:
b. Phone number:
e. Fax number (optional, if service by fax is acceptable):
8. In addition to himself, Owner designates the following p rson(s) to receive a copy of the Lienor a Notice as provided
in Section 713.13(1)(b), Florida Statutes:
a. Name and address:
b. Phone number:
c. Fax number (optional, if service by fax is acceptable):
9 Expiration date of notice of commencement (the expiration date is i year from the date of recording unless a
different date is specified)
Sworn to and subscr ✓ r Signature of Owner
_ who i ersonally know me or produced �6 t L
as i en tcatton, and who did t>yke y Owner's Name
an oath, Ellis day of Jif,tst-�i' f
Owners Address: Z 1 L r« h M« �' p
0-f f gW.4, _( 3 2730
Signature of Notart,-Z
Printed name of Notary
Commission No./Expu•n
X
Seal:
Vi
ALL Iv , f► Y 1'0 COMPLY WITH RECORDIF4G REQUIREMENTS
coo ► CO 3331141
,„,t
jlot
LIMITED POWER OF ATTORNEY
Delphini Construction Company
General Contractor—Roofing Contractor
Date: 0 Z -S 0
I hereby name and appoint V[A-rI c-7-7 it 03%04 DELPHINI CONSTRUCTION
to be my lawful attorney in fact to act for me to apply for a roofing permit in the
tT Q1=- S Q►Jc�� for the project'titled�5��
and to do all things necessary to this process.
Kevin Ohlhues
Vice president, Delphini Construction
License # CCC 056380
Acknowledged r
Sworn and subscribed before me, this Z<"'
day of�' 004 by Kevin
Ohlhues who is personally known to me.
- stole of FWdo
Notary PublicOF Comm
�
Seminole County
State of Florida
Brian J. OConnell (407) 830-7447 Pager / Voice Mail (407) 974-6295
Please call if you have any questions Fax: (407) 830-7429
845 Sunshine Lane Altamonte Springs, Florida 32752
Licenses # CGC 017860 & CCC 056380