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HomeMy WebLinkAbout417 W 3 StCITY OF SANFORD PERMIT APPLICATION Permit #: ©�J 9 O / Date: Job Address: k W 12,t `��pp Description of Work: e—nA o � i TIED Historic District: Zoning: Value of Work: $- J Q 00 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 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 #: Owners Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer Address: < (Attach Proof of Ownership & Legal Description) Lc, u•t �(ee�C. > > LcL V (-e— Phone: �91 ?J2 g Z( k State License Number: Contact Person: Phone: Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to the issuance of a pennit 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 coning. 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 pennit, 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 pennits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance ofpermit is verification that 1 will notify the owner of the property of the requirement ofa Li r Law, FS 713. Signature of Owner/Agent Date Signatur of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Produced ID Personally Known to Me or APPLICATION APPROVED BY: Bld Zoning: (Initial & Date) Special Conditions: Prim on 'ac r A is N• ne _�� Signature o otary- tate o F onda ate DESSIE BLANTON f0 CnNIMMSION # DD 188491 o L I -i{ —11 February 25, 2007 Conn -actor/ g� Adl' 3� „- tP rspnall'A&' :. t9 Nk er o. Produc�ci-IDS^ (Initial & Date) Utilities: FD: (Initial & Date) tuuual M vatc) NAME ADD Permit No. State of Florida County of Seminole NOTICE OF COMMENCEMENT Tax Folio. No. 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. 1. Description of property: (legal description of the property and street address if available) LO -7 S—CP.EE > `3 --7 -1 1 2. General description of improvement: 3. Owner information a. Name and address W . '4 C y b. Interest in property dor) c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address 5. b. Phone number _ Surety a. Name and address b. Phone number c. Amount of bond 6. Lender 7 Name and address Co Fax number MARY ANNF MORSE CLERK Of CIRCUIT COURT CgUNTY FLORIDA SEMY HN -91 -c -A n Fax number A�b -2ef y 2010 b. Phone number Fax number Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name,and address b. Phone number In addition to himself or herself, Owner designates Fax number of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from a of recording unless a different date is specified) Signature of Owner Sworn to (or affirmed) and subscribed before me this day of a'l t , 200-J^ , by Personally Known OR Produced Identification Type of Identification Produced L— 6 k .c� I v MARYRNNE MORSE CLERK OF CIRCUIT COURT Dt�Q� Signature of Notary Public, State of Florida Commission Expires: CLERK OF SEMINOLE COUNTY BK 05879 PC 1537 NUM 2005147963 6",` ` DEB -'E BL NT( O R IEW20 5 12:17-.M Rta MOMM113SSIONyC# DD i RD NS FEES 10. 00 DT RCS: February 25, AOR D BY 3 Eckenroth 1-90n-3 'NOTA+{Y FL No2eiry Discount Assoc. Co. BROKERS TITLE OF LNGWD Fax:4076825073 Aug 29 2005 11:47 P.Ol Prepared By: Aojelanlo Admu Broken Title of Longwood, LLC 2015 W S.R. 434 Longwood FL incidental to the issuance of a title insurance policy. File Number: 05.363 Parcel lA #: 25-19,30-6AG-M7-0060 �e 11411RI This WARRANTY DEED, dated 07/20/2005 by Scott Wrlght, a single maa, whose post office address is 219 S. Laurel Avenue, Sanford, FL 32771, hereinafter called the GRANTOR, to Eigh & Low Electric whose post office address is 417 W. 3rd Street, Sanford, a �O Corporation, (Wherever used herein the terms "Grantor" and "Grantee" shall inclparties rhhe hereinafter � acted t heirs, of individuals, and the successors and assigns of corporations.) p g cprc�sentatives and assigns WITNESSETH: That the GRANTOR, for and in consideration of the sum of 510.00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the GRANTEE, all that certain land situate in Seminole County, FL, viz: L*5) 6 and North 14 feet of Lot 7, Block 5, Tier 79 Town of Sanford, according to the plat thereof, recorded in Plat Book 1, Page(s) 61, of the Public 1Records of Seminole County, Florida. SAED PROPERTY IS NOT TBE HOMESTEAD OF THE GRANTOR 9 FloridNDER THE LAWS AND CONSTffMON OF THE STATE OF FLORIDA SUBJECT TO covenants, conditions, restrictions, reservations, limitations, easements and agreements of record, if any; taxes and assessments for,the year 2005 and subsequent years; and to all applicable zoning ordinances and/or restrictions and prohibitions imposed by governmental authorities, if any, TOGETHER, with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining, TO HAVE AND TO HOLD, the same in fee simple forever, AND THE GRANTOR hereby covenants with said GRANTEE that except as above noted, the GRANTOR is lawfully seized of said land in fee simple; that the GRANTOR has good, right and lawful authority to sell and convey said land; that the GRANTOR hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever. IN WITNESS WHEREOF, GRANTOR has signed and sealed these presents .? tl e ate set forth above, SIGNED IN THE Print Name; Signature: Print Name: OF Robbie c. Diaz STATE OF Florida COUNTY OF Seminole FOLLOWING S THE FOREGOING INSTRUMENT was acknowledged Bingle man who is/are personally known to me or who I identification. (SEAL) t' ,e me this 20 • DAY OF JULY 2005 by Scott Wriest, a ve produce VALID DRIVERS LICENSE as Not blic Eg, NIE H. ADAMS Print d/ My Commission Expires: 0&'N 4, MAIGIA10 H Adorns rs My Commi9Alon 0023$604 Ek,P'MV SOPNM00r 13. 2007 Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control lice Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: Additional Comments: F /,..9 /u s' A Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways — Protection — Width 2. Barricades — Protection — Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District Zoning Issues r of Address of Job: Lj Additional Comments: 7" 6 A ,, Yrt•en���r/�'�y�.'t Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Pu is Works Acknowledgement A Sidewalk Closing Street Use/Closing 1. Walkways —Protection —Width 2. Barricades —Protection Width 3. Fencing — Protection — Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd ControUSecurity Utility Department Acknowledgement A. Water, Sewer — Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues r O� Address of Job: !_/ � � Additional Comments: 7" d Building Division Acknowledgement A. Permit Application B. State Forms C. State Statutes/Contractor Licensing Public Works Acknowledgement A. Sidewalk Closing B. Street Use/Closing 1. Walkways - Protection - Width 2. Barricades - Protection - Width 3. Fencing - Protection - Width - Height 4. Curb Protection/Sidewalk Protection/Street 5. Storm Sewer Protection C. Dust Control Police Department Acknowledgement A. Traffic Control B. Crowd Control/Security k ility Department Acknowledgement Water, Sewer - Capped off, Sealed B. Water for Dust Control (Meter) Engineering & Planning Acknowledgement A. Historic District B. Zoning Issues Address of Job: t - Additional Comments: T" (- j I A:-' S J ✓ r"'l" <-w j M