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HomeMy WebLinkAbout306 Live Oak Blvdy�. CITY OF SANFORD PERMrr APPLICATION - Permit # ( D►tc: Job Address: D_�Ogo Description of Work: ,f,1E-o Historic District: Zoning: Value of Work; Permit Type: Building _ ElectricalT_ Mechwical ______ plumbing _ Fite Sprinkler/Alarm Pool Electtical; New Service - # of AMPS - Addition/Mteration _ Change of Scv4cc - __ Tomporwy Pole T_ Mechanical: Residential Non-RResidaitial Replacement New — (Duct Layout & F-nctgy Cdc. Requited) Plumbing! New Commercial: # of Fixtum , # of Wates & Sewer Lines # of Gas Lines __.,,_ Plumbing/New Residential: # of Wates Qwiets � Plumbing Repair - Residential or Corrutlercial _ Occupancy Type: Residential Cortuner6al Industrial Total Square Footage: aft. �P Cottstructiatt Type: .._.._—____. # of Stories; . # of Dwelling Units: Flood Zone: _ (FEMA form required ftr other than X) Parcel d:. 1, l _r?,.0.__.Q— _d..S`V..O �> O I D — (Attach Proof of Ownenhip & Legil Description) -, Owners blame &Address: _ � t' �D Ll UCS © I--' (VI 1 1; L U A U I f Phone_ _ Con�ir1actar Name & Address: V State License Number: 66cj ®--,°'-` Phone & FaX: Contact Person:... Phone: $onding Companr. � Address •� Mortgage Lender: Address: Ar<hitect!£nglncer: �/V i Phone. Address: Fax: _ --- Application is hereby made to obtain a pertnit to dpi the worse end installations as indicated i certify that eo work or installation has commenced prio , to the issuance of a permit and that all work will be perfc•rmed to mod =duds of all laws tegulating construction in this jurisdiction. I understated that a s oparate permit must be secured for ELECTRICAL WORE, PLUM9[NG, SIGNS, WELLS, POOLS, FURNACES. BOILERS. HEATERS, TANKS, and AIR CONDITIONERS, etc. QWNER'S AFFIDAVIT: I certify that stl of the fi,regoing information is accurate and that all work will be done in compliance wide all applicable (A' V-- regulating construction and zoning, WARNING TO OWNE'Z YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Y00.k. PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDSIt OR AN ATTORNEY BEFORE RECORDING YOUR NC?ICE OF COMMENCEMENT. rloxtcs: In addition to the requiternents of this p emit there may be additional restrictions applicable to this property that may be found in the publi c records of this county, and there tray be additional permits tctiuired from other governmental entities such as water maeagement distrim stabi agencies, or fad-ral agencies. eeeptance of perm" 'fic=tion that l 'l[ oo a owner of the property of the requitertetrttL• of Florida Lim 40 Eo S Sig tllreo£Owner! eat /)t� Date SignamreofContrattodAgent Dat N. t SP L:- .. o c a' Pri t Age i s Name Print Contractor/Agent's Name o g La m 3 m W z �.... Ls z a s" n tvrc of Nocery-State of Florida ir,Dat SignAute Of %Ottry-State Of Flonda Date ° i'• m - v Cb c a 433, Owner/Agent is Perorally K,nov•n to Me or ConttyctotlAgeet is Pcmntlly Known to Me or ar L,-froduced [D [, r,),( AIS —5 Q � Produced tD 1 Rt uC YZ–S l_ tCN—ZE APPLICAr[ON APPROVED BY; 8I4db QOning: Uel tic:: —FD (Initial & Date) (Initipl Q Da[c) (Initial & Date) (Initial ,k Date) Spcciai Conditions: I Permit No. Tax Folio No.J( 3 O 3 O S O D 0 0 0 (g Q i Notice Of Commencement s'rA1E or 9_- lq COUNTY OF S'enjj!24le_ 'riff.. .. UNDERSIGNED hereby gives notice that improvement will bo made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Conunericement. _ _possible). COPY 1. of proprxty: (legal description of PfOP y,and strmt addres if pARYAN�EMOR Sa V� Ce`€ OF CIRCtj!7 COUR'Q C:UUN7Ye EL01 FL 3r;� -�- 73 pgPt.i'fY FRf� 2. Ckmeral description of imlxovemau: o�jl/! �7„ /NOV 2 2004 3. Owner Infomtadon: a. Name and Address: 11111111111 If 111 a 111 II1IIIIfIilil1111111110 111aM11111111111" ve, 66Ll! & ✓� MARYANNE MURSt--1 11ERK LF CIRCUIT CLIURi Q� n IV16 3� 7' SEOLE C(JiJN7Y (�' � BK 115501 PG 00 62 ' b. Interest inCLERK'S # 2:K)41 G87t-'D5 >x°> y REWNDED 11/0-2'/2004 08 a 09.21 AM C. Name and address of foe simple titleholder . (if other than owner): RL_f lil(r)Ihif3 FUl 10.00 R6.'Qt)111Jf:1) HY L Meftiley 4. C.—tractor (name and address) ' r 5. surety: 4�1 Address b. Amount of bond S 6. Lender. (Name and Address) -' 7. Persons within the State of Flo rida{{{designated by Owner upon wbom notices or other documents may be served as provided by section 713..3 (1) (a) 7., Florida Statutes: (name and address) 8. In addition to himself, Owner designates the following persons (s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b). Florida Statute%( name and address) 9. Expiration date of n of eanm=xment (thc expiration date is I spc':iria') 2y to and subscribed MARLENE COVERT lvly COMMISSION # DD 112516 EXPIRES: April 25, 2006 t onded That Notary Public underwriters 361a �rv,� �✓ 1 vol biz &-al l --L 3a 7-73 (thvncrs Address)