HomeMy WebLinkAbout2614 Mohawk Ave (2)Permit #
Job Address:
Description of Work: ��-
Historic District:
_ CITY OF SANFORD PERMIT APPLICATION
Date:
Zoning: Value of Work:
Yv ae) t 4)0
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole_
Mechanical: Residential X, 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 #: (Attach Proof of O n rshi & Leg Description)
kOwners Name & Address: s 4, O c, d H W
iJ Q R L Phone: 2�
Contractor Name & Address: � v4� A)P, L . / tl </�i t% — //%�i� Ham% �C+Gt / yv . _ •
G//tiIa/V � �/9Yt/"e%`7%/c�/ State License Number: /i,_ C O{2 LLLc//(.,7
Phone & Fax: 4 / Contact Person: Phone:
Bonding Company: N 1
Address:
Mortgage Lender: -
Address:
Architect/Engineer:
Address:
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 property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permi ' rification that I w- otify the wner of the roperty of the requiremen f Florida Li n Law, FS 7 3.
v /0 6 6'� �
/( r of Owner/Agent Date =tuofContractor/A ent / Date
U C 4Z_ kc_ 0 C_
nt Owner/Agent's Nam Print Con ctor/Agent's Name /
o o Signature of N State Florida Date Signature of Notary -State of Flonda Date
U
r DEBBIE BLANON
$ Owner/Agent is 'R@rsonally Known to Me or on / dt7Vi� IRS a�lyD n� w. or
. _Produced ID ed 1(�ypip—
4917
1 -800 -3 -NOTARY FL Notary Discount Assoc. co.
APPLICATION APPROVED BY: Bld YLo ing: Utilities:
LI'TIn", KI & Dat (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
�I
t THIS INSTRUMENT PREPARED BY-
NAME: Building & Fire lnspectol
ADDR S: J,' ' s a�/ " '`"-' 1101 East 1n Stre
SF.�tLvol:� cou�n�
vMS A.77'2' "°y"" � .�'°�� ���« Sanford, FL 327.
NOTICE OF COMMENCEMENT
State of Florida Counts of Seminole
Permit No. Tac Folio No. (PID)
The undersigned hereby gives notice that improvement will be made to certaim -,,al property, and ir. accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and greet address)
GENERAL DESCRIPTION OF DIPROVEMENT
XO »ORMATION.. //°�� OUT � 8 200�f
Vame and address � U e �YG o ek z sa 1¢ /� n A J A A 1i
Interest in property (Fee Simple, Partnership, etc_)2? i i mu (;U v l
AR`CANUE MOR sE
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OVdNER) 09K OF CIRCU1
1
Yl,
Ato 9i
.�) I ITY !ts":rrw
COl��71 RIGTOR
Name and address _ r
,;ETRE (Bonding Company)
Name and address
Amount of Bond
LENDER
Name and address
3131
LyASCJrJ /!/I(T/yA/�1L'K Pd 1.3�s7C q
Persons within the State of Florida designated by Owner upon whom notice or other doct.ffients may be served ss provided by Section
713-13(1)(#)7., Florida Statutes: 111111 1N 111N 11111 N 111 IN 1111 N IN ®11111!1111111
Name and address
* T COURT
ae:sons within the State of Florida iDcs;grrated oy Owner upon whom notice or &&�rimy be served as
provided by Section 713.13(l)(a)7.,Florida Statutes: BK 05486 PG 1836
`tame and address: LE RK' S # 2004160937
d 4:45 Rif_
In addition to himself, Owner Designates CORDED BY G Harford
OI
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 didv
To receive a copy of the L-enoes Notice as
date is
Sworn to and subscribed before me this 62 Day of r, ,✓ , --7 e V
My Commission FspireS: �' P�
MY Commission DD149947
Notary Public �was
�oe Expires October 22, 2008
The faregoin inshvmeowled ed efo� re me this da ofgg y bjr
(Name of person acknowledged), who i er onally known to a or who has
rnoduced (Type of identification), as id o did/did not take