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HomeMy WebLinkAbout303 Lakewood DrPermit # : 7O / + 3 U .J Job Address: ' 3p % Description of Work: 1 VIfJI%C CITY OF SANFORD PERMIT APPLICATION Historic District: Zoning: ! Valuetbf Work: $ S CVC 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) Parcel #: _� / `% —��— ©� ��QJ t�, (Attach Proof of Ownership & Legal Description) Owners Name & Address: L Contractor N�e�& D`�NT7iY C; Phone & Fax: =L Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer: Address: Phone: 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 ofthe 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 ap I'cable 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 c as at managem2d' cts, state agencies, or federal agencies. Acceptance ofpermit is verification that I will notify the owner ofthe property ofthe req.Vmen�oF rid 713 Signature of Owner/Agent Date of Contractor/ ent Date UM -lam L. 5,424c(,a4 PriVA,z)_76;,- gent's NP t Contractor/Agent's Name j f o � S' na rff Otary-State of Florida Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special C ndiligu&�® JEFFREY C. BALES Notary Public, State of Florida My comm. expires Jan. 18, 2006 No. DD72737 Bonded thru Ashton Agency, Inc. (800)451-4854 Zoning: V,g,1,XDE8BIS y,,�31 Ant T(1'Cnown to e or Y�ONTIGilstON #188491 EP :. a ruary 25, 2007 1 -800 -3 -NOTARY FL Notary Discount Assoc. Co. (Initial & Date) (Initial & Date) (Initial & Date) THIS INSTFi�JNI NT PR PA/I �ED, 3Y: NAME .' U(l AE RES S SEMINOLE COUNTY FLORIONS NATONAL 0101 . State of Florida Permit No NOTICE OF COMMENCEMENT Building & Fire Inspections 1101 East 1 st Street Sanford, FL 32771 County of Seminole Tax Folio No. (PID) The undersigned hereby gives notice that improvement 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. I DESCRIPTION OF !GENERAL j OWNER INFORMA " Name and address t description of the property and street I,-- Se°c AAJ9 P94 ON^OF IMPROVEMENT j Interest in properly (Fee Simple, Partnership, etc.) NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN. OWNER) jymQ CONTRACTOR \Name and address SURETY (Bonding Company) Name and address Amount of Bond SEMINOLE WWTY BK 05441 PG 0897 LENDER CLERK" S # 21004138467 MSI Ik.11 WVW1`1/moi 10x51 ati3 AM Name and address Rrtt3{1llING f4E{`iiI RWlNK-1 BY L "inley Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(x)7., Florida Statutes: f� j� Name and address /,��/ /,�V/ Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7. lorida Statutes: Name and address: In addition to himself, Owner Designates /�� of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified.) Signature pf Owner ,� Sw r to d subscribed before me this Day of My Commission Expires: JEFFREY C. BALES . Notary Public, State of Florida gAMY comm. expires Jan. 18, 2006 NO iC Bonded thru AshtonInc. ( No �Dt74737 54 The foregoing instrument was acknowledged before me this day of , h/ l L z - f flrn % ?� eX (Name of person acknowledged), who is personally known to me or who has produced (Type of identification), as identification and who did/did not'take and oath. 1