HomeMy WebLinkAbout154 Wildwood Dr (2)Permit #
Job Address:
_ w CITY OF SANFORD PERMIT APPLICATION
Description of Work: — K l�
Hisforic.District: Zoning Value of Work: $ ly a,
Permit Type: Building _)L Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential INon-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 #: lJ�D /—
Owners Name & Address:
Contractor Name & Address: rl \ I l JU \CV y1 d
2
Phone & Fax: 6X Contact Person:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer.
Address:
(Attach Proof of Ownership & Legal Description)
State License
Phone:
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
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property that may be found in the public recorzjoe m Y
this county,and there may be additional
y permits required from other governmental entities such as water management districts, state agencies, or federal age>�ie$, c
Z O N 4;eptance of pe i ve ' cation that notify the ner of the property of the requirements o ori
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Signature ofNoMT#State of Florida Date Signature of Not
tate of Florida Date
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Owner/Agent is Persrso)nallll Known to Me or yj Contractor/Agent is
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Personall Known to Me or
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APPLICATION APPROVED BY: BP
Zoning:
(Initia &Date
Special Conditions:
(Initial & Date)
Utilities: FD:
(Initial & Date) (Initial & Date)
Permit Number
Parcel Identification Number � 502. Pd(
Prepared By: 0
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Return to; bQ-upl dorLoO ihA 34;2Vi'
NOTICE OF COMMENCEMENT
State of X14 At ch.
County of�/
>.. 1..., — ., ... - t, s v._ ._ ..._..r e. , _- -......._ _..... trate
MARYANNE MURSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05949 PIS 1425
CLERK'S # 2045177786
RECURDED 10/13/'i'005 12:24:34 PH
RECURDING FEES 10.00
RELORDI.D BY D Tho®as
The undersigned hereby gives notice that improvement(s) 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 property, and street address if available)
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2. General description of improvement(s)
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3. Owner In ormation
Name V441- j_ r-kaw ll- Telephone Number p CZ! S 4/d87-
Address j Cj( /�J� �� b�tLj e- Fax Number
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Interest in Property
4. .:Fee Simple Title Holder (if other than owner shown above)
Name�� Telephone Number
Address Fax Number
5. Contractor
Name A -L
Address Illf40
6. Surety (if any) l.4t
Name
Address
7. Lender (if any)
Name
Address
Telephone. Number
Fax Number
Telephone Number
Fax Number
Amount of bond $
Telephone Number
Fax Number
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(a)7., Florida Statutes.
Name Tjelephone Number
Address Fax Number
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in Section 713.13(1)(b), Florida Statutes.
Name Telephone Number
Address `�o� Fax Number
10. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a
different date is specified):
Date Signed iyl#a ure of O er [Note: per Section 713.13 1
( )(g), "owner must
sign ...and no one else may be permitted to sign in his or her
Sworn to and subscribed befoXelne t_h`is day of C7�—i ' `'I�f 2005 by
who is personally known to me OR produced
as identification.
CERTIFIED COPY
Form RevigAR3YssNNE MORSE
CLERK OF CIRCUIT COURT
SEMINOLE COUNTY, FLORIDA
BYE�.�-��,
DEPUPU TY CLERK
OCT 13 2005
Signature of otary (notarial seal to appear below)
MEAGAN CHRISTINE LARSON
�pYP
COMW DD0397918
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Expires V2012oo9
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Florida Notary Assn.. Inc..