HomeMy WebLinkAbout2422 French AvePcrinit ff
+ob Addtcss: Z1422 F90tQ
Description of Work*
Historic District: _
CI"I'Y Or SANFORD PERMIT APPLTCATTOI�r;
Date
t-4
A\) P— SA\&p)M 1 37`71.)
Zoning: Value of Work: S_00.04 0p
"'rIl'YtiL?iii" _''::u_:a'11•&12 '
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool..
Electrical: New Service -1l oCAMPS Addition/Alteration Change of Service Tempor`iry Pole
Mechanical: Residential Non -Residential 11eplacement New (Duct Layout & Energy Cali, Required)
Plumbing/ New Commercial: 11 of Fixtures 11 of Wnter & Sewer Lincs 1l of Gas Lines
Plumbing/New Residential: it of Water Closets I'lumbing Ttcp iir— Residential or Commercial _-•-.--_
Occupancy Type: Residential Commercial industrial 'I'otal Square rootage:
Construction Tyne:1t of Stories: 11 oCDwelling Units: Flood Zone: (MN1A. form require(! for o(lier thsn X)
rum'.=�cner_r.^7rr..r
Parcel $: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: O1To T[iO M AS 24 ZZ A\J E. SAK3 60 2-0 3211
Phone: Nb'( 322 04 S2-. ----- .---
n
Contractor Name &''Address: 41-2 CK t N (J .-.._....-........
_
'90o �2F(��tii �J� S�D,?�(j C1 3z 7'i State LicenseNnmher: G�V0 72�rQ�.---...._.._Ged
Phone & 'ax: —` O� 330 L)33 3 Contact Person: _ 1'honc: fQZ
BrindingCompany, --i—_AtvO,4 1��COt✓� --
Address:
.Mortgage Lender: .
Address:
Archited] I'll gincer:
Address:
Application is hereby made to obtain a permit to do the work and installations :s indicated. I certify that no work or installation has corirnencui prior to lite
issuance of a permit and that all work will be performed to meet standards of ail laws regulating constniction in this jurisdiction. 1 understand that a separate
permit must be secured for ELECTRICAL WORM, Pi_UMBING, SiGNS, WELLS, POOLS, FURNACES, BOiLEI'Z-S, HEATEI'S, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and to,all work will be done in compliance avith :dl applicahlc. laws rel ul?ting
construction and zoning. WARNING TO OWNER: YOUR FAiLUtE'f0 RECORD A NOTICE OF COMMENCEMENT MAY RE, SU I:N i`OUI:. PAY TNG
TWiCE FOR TMPROVEMENTS 'T'0 YOUR PROPER1-Y. IF YOU INTEND TO OCTATN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFOR-E RECORDING YOUR NOTICE OF COMMENCEMENT.
In addition to the requirements of this permil, there ntay be additional h:striclions applicable to this: properly that nuy be found in the public records of
this county. ami there may be additional permits required from other I;avcrnntcntal entities such :t:; water nt:utagcnlcnt districts, stale. agencies, or fcde.ral agcrlctes.
Acceptance ofp reit s veriGr li t th:r I ��ill notify the o rcr of rite "o" \v
ofthe requirements Florida Lien w S 713.
Sift :uurc of �wtcr/r\gent -- D: e Sitnaunc of Co tractor/Agent Date
077-e7 �j M *4f _
Print Owner/ gen ' Nam I' int Conte it-\ ,c is
�� Sil;t:aturcc N1:ar tate 1Mic' t o2AK eliny tc
Still
of otnry-State
of
I:11 idaC2�
:� Y "o, Linda Linda A Keeling o� My COmnIIssion CC985428
My Commission CC985428 OF Expires December 09 2004
0
�'rooed� Expires December 09 2004 Kno ti i\icor
Owner/Arent iI \
s ' Kom. to . or ---
Produced 11) I'roducc.'.:f)
AITLIC:\TION APPROVED BY: (ll(I( �� i"!
I Initial S I)ate)
1pecia! Conditions:
(lnilial .': Datil
(Initial ,': D:tle) (11':tial .- Dat:
-►-sem
471
pCrulit No.
Suitc OfFlorid"
): S 111ii101C
�-�YANNE wiii CLERK OF CIRCUIT COURT
SiWNULE CIMTY +
BK 5465 PPG 1919
CLERK'S #i ':�1�e141 �►�►378
1,T01,1CL Or,COj\Cv�I�CJ i\�SJ'1`�I�:CCRDM 09/25f 4 10i54iV PX
RECORDED BY L McKinley
County O c
Tllc ulldcrsi llccl hereby Lives aloticc haat ilnprovCulCnt will be 111:1dc to ccl't,lilt real property, ;I;Id ill•accordance with
Cllaptcr 713, );�lovld<1 Statutes, the followili' 111fol"11,160ll is pzoviciccl in dais :�loticC o Coz1u11cuccmcclt.
l 1 y ;incl street aciclres• i1: available) ;•r"'u`F?�mcycn .+���, —
1. •I�cscri Aloll O1'property: (lcral cicscription ofd lz'o 1�8 ��� .►a in
�ZZ C -70C_ 71�_3 Ll�_k 1&4� K rig
2. Gcllcl•al description oS: izupl"ovenlellt: ____�•�1�a_�1� �'�.('�e�l��
Owllcr itlfornlatioll
a. Name allcl adclress
-
c. Nanlc and :iddres ol;icc sllnpic titiclloldcr (if: other tll;'.n Ow11cr)
Nall�c and acldz•cs s �_� 2G��—.�(-�0-1—'-���--�
b, phol1C llllinbcr-
5. Surety
1. 1`1a111C ;1114 adClvcs—s
) . pilollc nu111bcr
c, AnIoullt Ol: bond
6. 1_ Cndcr
a. Nalllc and address
Fa}: number
1`a ll11111bcr
r
Tax aunt cr
b. 'l.}llollc 1111111bc1• ----
7.
-- ------ -
J'clsolls tivitllilltllc St'ltc of Florida dc,18111tccf by 01Y11Cr upon „'honl alot•ICC5 or othCr doculllellts luny be sclvc as
provided by Scction 71. ,1., ] a I. l lorida Statutes:
a.. Nalnc and address
1';Ix 111n11bCr o
�, • �,�11O11C 1111111bCr --
8. X111aaitioll to llilllscll or llclscll; 0 ncr cicsi�natcs —
to 1'cccn�c a copy of dlc S.icnor's Notice as provided iIl Scctloll
Florida Sta.tutcs:
iwnibcr
------------
Phoac I11a111bC1'
9, Expiradoll
CIaIC O'1'11Ot1CC OiC0a11111C11cCt11C[tt (t'11C C:�plrat1O11 datC 15 l yc:u" fCO111••• C cI•atc Ol' I" O Cllnj•,l I111105S � "Cl'Ctlt
datC li SpCGI�ICCi) V
rl
silgo:ll:llrc 01: oWalcr
4— J20 by
rad : lbscribcd before nlc till: (1,1Y o[ --
XS\4,O111 0 Ol' a��ll'll1CCI) . `
told LAWSON
Or` Produced lciCutiticat:aon ✓_ t, My -Comm �,. N2O/O5
)"c ovally 1�no�.n LA L�2
__ ,.. . •.- ...: _ .. :�� OY'j G'�� I� � � � •r• No. DD 034.965
i
11 Personal4y Knayn: )�p�er D.
f•
Date: 9— -2q-
Andrew
`l -
POWER OF ATTORNEY
Andrew J . (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit for 24'ZZ F� CNe fA AVO,
(type of permit) (address) 3.7 ? `7
app °rte Linda A Keeling
My Commission CC985428
or nd'f Expires December 09 2004
Stamp
C1known to me or driver license # , of State of Florida, County of
2-4 day of S� rE Ge- , 2004.