HomeMy WebLinkAbout1701 Peterson PlCITY OF SANFORD PERMIT APPLICATION
RECEIVED 10-13-65
Permit #: yl.y � 7 � � Date: <O • j3 • 6.� r
Job Address- jjo, �EI &9SOI0 PLAC& OCT 1 [ ziool
Description of Work: RETAWI�LDALL-
Historic District: Zoning: Value of Work: $ao0y
Permit Type: Building ✓ Electrical 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 # 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)
Pa reel #: 11 CAC) 30 / 7k, 3 00 04,0a Ou 0 Z), /� (Attach Proof of Ownership & Legal Description)
4
Owners Name & Address: "86\1UbID/1 6& COAP
Phone: ¢07 -328'0/ 2-y
Contractor Name & Address: 19/19N % /G o Eyf4o o/n6/J+' cox/O /1/
State License Number: (Ise tai e 9GS
Phone & Fax: X07'328-0/23 328-06.5/ Contact Person: ,CiDN QA/G6 SI Phone: 321- 23/- IFG3s
Bonding Company: AIM
Address:
Mortgage Lender:
Address: /
Architect/Engineer: ii/i9XYWA) e/✓/C. �%N'i /AASC-41 Phone: 9 `
07"327' 7700
Address: &)/A11_M S0RjAjjS YJFax:
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. 1 understand that a separate
permit must be seemed for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: 1 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 sucl as water management districts, state agencies, or federal agencies.
Acceptance ofp it is ve ification that ill not y the owner of the property of the quirem nts of Flo a Lr n 713.
lD —l3 OS
gr of WpOKAgent Date ture of Contractor/Agent Date
Prim Owner/Agee 's Name +C'mractor/Agent's ameS go ture o Notarytate of Florida Date ry- rte e of Florida Date
Owner/Agent is ersonally Known to Me or Connector/Agent is t_-�ersonally Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Bldg: Zor 1 Q I?o� Utilities: FD:
vial &Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditiog6,
�O��ytY Pp �bJessicathaway.1111184"
= 1661 •' �" p'•- Jessica Hathaway
:Commission #DD46 /tT,, p °�0
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Eglites: AUG. 14, 2009 /1 �� ; �; �.,_C0MMWon #DD461661
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RMIMED
11/11/2NM 09%44:10 PX
laMMPrepared by: Donald Bailey otice- of CommencQ"M
t holden
2499 Old Lake Mary Road, Suite 104, Sanford, fl
State of Florida County o
Seminole
Permit #: Tax Folio No. (PID):
CERTIFIED
XOYAW Mi
The undersigned hereby gives notice that improvement will be made to certain real p
accordance with Chapter 713, Florida Statutes, the following'! information is provided in
of Commencement.
CLE rte c T
CU
-operty, and in SE N
this Wti,cii'
fly
Description of Property (Legal description of the property and street addrJss):
Co
1801 Peterson Place, Sanford, Florida 32771
General Description of Improvement:
Stem Wall
Owner Information:
Name and address: Atlantic Development Corp
2499 Old Lake Mary Road, Suite 104, Sanford, Florida 32771
Interest in property (Fee Simple, Partnership, etc.)
Fee Simple
Fee Simple Title Holder if other than owner):
Same
CONTRACTOR:
Name and address: Atlantic Development Corp
2499 Old Lake Mary Road, Suite 104, Sanford, Fla 32771
Surety (Bonding Company):
Name and address: N/A
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 documents
served as provided by Section 71 3.13(l)(a)7., Florida Statutu i es:
may be
Name and address:
In addition to himself, Owner designates NA
to receive a copy of the L
provided in Section 713.13(1)(b), Florida Statutues.
enors Notice as
Expiration Date of Notice of Commencement:
The expirn a d e ' 15 1 year from the date of recordinglegdids s ecffied)
essica Tunless aerentate i
affiaway
C!I-Commission #DD461661
,jF.. ..-,V;txpires: AUG. 14, 2009
1Q, W www.AARONNoTARY.com a
nee
Sworn to and subscribed before me this i1 Day of 2005 6
My Commisi on Expires: A(A,/
ry Public
Th fore oing instrument was aknwledg0d before me thisj_jday of
y
20_0 5— by
7_ (name of person aknowledged), who is personall k
I r -
produced (type of identification) as identification and who did1did
own to me or who has
not take an oath.
IPY