HomeMy WebLinkAbout605 E 14 St_4
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Permit # : O
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: /
Zoning: Value of Work: S
�ir✓>�--LL f}iy c� C,�IR ,O.p_ •r- �c_'�/�^moo v» p rr/ �
Permit Type: Building Electrical Mechanical Elumbing Fire Sprinkler/Alarm Pool—
Electrical:
ool_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
I
Plumbing/New Residential: # of Waterjoosets Plumbing Repair—Residential or Commercial
Occupancy Type: Residential _� Commercial Industrial Total Square Footage: Z 2 OO
Construction Type-4ld C C # of Stories: / # of Dwelling Units: / Flood Zone:(FEMA form required for other than X)
Parcel #:
Owners Name & Address: Its
Contractor Name & Address: A�o
��yr Scvl1�/ir�5 PAI "cps
Phone & Faz:!!EO
Bonding Company:
Address:
Mortgage Lender:
Address:
(Attach Proof of Ownership & Legal Description)
2� � ar�t�fi/� N//_' t_ Btu G �%�'✓ --
,--L 3277/ Phone: 4/07 336 ^odaPS
7s5r.2ucYicw"� G7—y
a�L 32 �4/Z, State Li�cense Number:C G('. /sd4O %
_ ContactPersoa�yL tsasse-we re—Phone:3 /-.3 %]
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 rel VOtT::. PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER GRAN
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 distri tate agencies, or federal agencies.
Acceptance of permit is verifi on that L_ .II notify er of the property ...._._ P PertY of the requireme of lorida en w, S 713.
r
Signature of Owner/A ent 2
g D e Si a re ofCo�na-actor/Agent Date
Print Owner/Age 's Na P ' Contract gent's me
o
EDUARDO ALA L � I Date Sig lure of Notary -State of Florida Date
NARY PUBLIC • STATE OF FLORID -
COMMISSION #DD097396 `,� JoAnn Robertson
EXPIRES t)3/o5/2006 �`` eG� y Commission DD104404
BowDan rHRu t ties rtoTARY9
Owner/Agent is Personally to Me or Contractor/Agent is Personally Knii e��P Mach 2006
j Produced [D -Q`: Bonded Tbru
/`_ Produced lD 20 1 �l �b s.�
r Atlantic Bonding Co.,Inc.
APPLICATION APPROVED BY: Bldg: Zoning:
( ilial & Da
Special Conditions:
Utilities:
FD:
(Initial & Date) (Initial & Date) (Initial & Date)
1ISM In112%1 :alummnw.c+.:am=.G6•a•�-----___---_.
s�
NOTICE OF COMMENCEM ANNEFCLERK OF CIRCUIT COURT
Permit No. xa�ti.. (6g a.
State of Florida CLERK'S #i 200141495537
County of Seminole RECORDED 09/24/22004 04%31:41 FIA
REEDRDING FEES 10.0
The undersigned hereby gives notice that improvement will be made to certai RPRo&k, aWOMV ccordance 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)4g
/
%��LF RST/L O� LCT 7 AND /�LL fy LmT �, 6lmC,1 4i
/-'l, Y 1_"s
161 lam' 4G6 -t-3 ;�
e 93 0
2. General description of improvement:
.nvve oL d ,qv e wew
emcee 2iev d /NS-rqc
C lVewPeo%oaP OA.ege>,
GsPje /,v -9 yr., Al
3. Owner information
a. Name and address /30/AV,,91%1
-STo,e�
GJi c�ew N�%-���CE� 6261GDF"
ZOS /y- 7 % Sfz
S`61NFoaa ;'L. 3277/
b. Interest in property (e - t>CJit/Cg-L
U17.11
., xtic�x
o
C. Name and address of fee simple titleholder (if other than Owner)
�.r r iw-itrr MIRT
4. Contractor
�Na1 Name and address
41-0 a
b. Phone numb(r X07 - 88y 5jW
Fax number
3SZ
5. Surety
a. Name and address
b. Phone number
Fax number
c. Amount of bond
Lender
a. Name and address e&/% /?G Mo /vi /1He- e -
`fit' C4 S17 Al 6 elz&e1I.viAvo C'/9C , 2 gV o i
b. Phone number 8Aq-- 39 S- /Z 3 V Fax number' 90 i - �/-7 3 - 6 g- 2 �
7. 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
8. 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(l)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless different
date is specified) `
Signature of Owner
Sworn to (or affirmed) and subscribed before me this day of 5P-40- 19 F_ tZ , 200Y. , by
Personally Known OR Produced Identification
Type of Id tificatio roduced L by f IS IN R ARED BY:
NAM 61/
EDUARDO ALVARE�
40TgRYPUBLIG•STATEOFFL FWA ADD
COMMISSION # 00097398
Sign to e lie, State of Florida EXPIRES 03/05Q006 ��,U/✓e�S� e_
BONDED TNRU 1.88540TARYI
Co s: 03�,o 5/ZOOG .