HomeMy WebLinkAbout3106 Rudder Cir (2)Permit # : �� b
Job Address:
Description of Work: _
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: Il -.3-0+
Zoning: .i Value of Work: $
C
Permit Type: Building I/ 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 -4/ Commercial Industrial Total Square Footage: —1620t
Construction Type:BK# of Stories: l # of Dwelling Units: _� Flood Zone: (FEMA form required for other than X)
Parcel#: �0(✓L)'�{C`tt p� �V•
Owners Name & Address: —_�Trt r m
Contractor Name & Address:
(Attach Proof of Ownership & Legal Description)
Phone:(OtU / )J =7
State License Number:
Phone & Fax: t Contact Person: Phone:
Bonding Company: 1�1 yy
Address:
Mortgage Lender: N
Address:
Architect/Engineer: Phone:
Address: 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 ofpermit is verification that I will notify the owner of the property of the requirements o r ---
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QQignature ot Date ignature ontrac ent Date
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APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
111897
L=ED POWER OF ATTORNEY
I hereby name and appoint 0/-\ c -.Q v\
of
Date:
to be my lawful attorney
in fact to act forme and apply to �: ��� c� v\ �C� { for
permit for work to be performed
at a location described as: Section_ Township '� Range C
Lot Block Subdivision C') : cD o (A
(Address of Job)
(Owner of Property a#d Address)
and to sign my name and do all things necessary to this appointment.
Acknowledged:
Sworn to and subscribed before me this
L'i Day of n 0 Ci A.D.�1C�i
Notary Public, State of Florida
(Seal)
My Commission
n
Expires• LQi iduouL(/
SHERRIE L. NICHOLSON
Notary Public, State of Florida
My comm. exp. Oct. 5, 2007
Comm. No. DD 255515
Permit Number_
"Parcel Identificalion Number(„
Prepared by:
Prepared By Ak Return Too
Robert P. bailey
61)
P.O. Box 950821
Return to: Lake Mmy, Florida 327,
NOTICE OF COMMENCEMENT
II
State of C, 1.
County of Ste;, nd\P j
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IINIII111N�111111111)911IIIN16t�N111itIllgli➢g111IIlil
MARYANNE MORSE CLERK OF CIRCUIT COURT
SEMINOLE C&Z
HK 05504 FIG 1544
CLERK° S 0 2004170720
RECORDED 11104/5004 1207W PH
RECORDING FEES 10.00
RECORDED BY S O'Kelley
CERTIFJE�D,, COPY
MARYANNE MORSE
CEEA" F CIRCUIT COURY.
E`Irl IN0LE Wi� FLORIDA
The undersigned hereby gives notice that improvementp"s) will be made to certain real roedy and"in accordanc
with Chapter 713, Florida Statutes, the following information is provided in this Notice of. �Cor.:rrim'e,�cement.
1. Description of_property (le d�scri . tion,'t f the property and street ddr ss if available)
CJ L `PO (-1 %,14 e I fin IIP Cu(--ej2u n w CA 0
Y1 � t �-► -�-o �e 106 ��c�ecc� � (����� 3
2. General description of Ir provement(s)
3. Owner nformation
Name ,'3 fA Telephone Number Z-10 7
Address \ U Zelac E�I6vo j�j1J - Fax Number
�a11�l �2-7?73 Interest in Pro eft :
4. Fee Simple Title Holder (if other than owner shown above) p y
Name Telephone Number
Addres Fax 1`4umber
S. Contractor
�lamej
Addressjioij�v� �/SU��J
Telephone Number y�7-
Fax Number
Iff 7- 51-19
6. Surety (if any)
NameTelephone
Address �'
Number
i
Fax Number
Amount of bond �
7. Lender (if any)
Name
Telephone Number
Address f
Fax Number
8. Persons within the State of Floridal
designated by Owner upon whom notices or other documents may be
served as provide y §713.13(1)(�a)7.,
Florida Statutes.
Name
Telephone Number
Address
j Fax Number
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice ;
provided in713.13( (b Florida Statutes.
Name 2� ?(4 . � (� Telephone NumberL0-7 -- -006
Address {Aima ,n 02 —d -G Fax Number fid% 3 J
��U� �� , X? s
10. Expiration date of not ce o commencement (the expiration dale is one year from the dale of recordin,
unless a different date is specified)): _u
oev
Date Signed Signature of Owner No e: per §713.13(1)(g), "owner
must sign ...and no one else may be permitted to sign ii
his or her stead." ? s~u o le
Sworn to and subscribed before me this day of �, 20_ by
who is personally known to me OR _produced
as identification.
Marcena )Bailey
,p My CommissionDOI21761 Signalure of Notary (notarial seal to app ea Blow)
nd" Expires May 30, 2006
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