HomeMy WebLinkAbout704 Cypress Ave (2)Permit # : C) J
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Date: l 0 (O l ( T
nub vl�inini-d. 13,91-Itii
Zoning: Value of Work: $ 6 !I CO I a)
Permit Type: Building V 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 V Commercial Industrial Total Square Footage: 1,7,sq
Construction Type: # of Stories: I # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Address: a /�1
Mortgage Lender: 7V //7
Address: /n
Architect/Engineer: A 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 Tfrmit Iverificatioot I will notify the owner of the property of the requirements of Florida Lien S 713
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Signature ofOwner/Agent Date Signature of Contractor/Agent Date
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Print Owner/Agent's N
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Signature of NotEAg cd%orida� � Date
Notary PUblio, Stato 9f
my gom v �wpv�Ow er/Agent is r on e o43
Produced ID
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APPLICATION APPROVED.BY: Bldg: OL I V I oning:
(Initial & Date)
Special Conditions:
Print Co racto gent's Name PI
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Signature o ,- tate of Florida Date
RT
REBECCA S. StateEotEFlorida
Nota P
Contractor/AW,P �aj mm ,2a'A2006 or
Produce
Utilities:
(Initial & Date)
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(Initial & Date) (Initial & Date)
This Instrument Prepared by:
Beckey Hebert
Record & Return to:
Beckey Hebert
National HomeCraft of Central Florida Inc.
800 Harold Avenue
Winter Park, Fl. 32789
Tax Folio No. 25-19-30-5AG-090A-0020
I IN N III I III H 90101119i III It 119 It III IR"If 911911 III I toll
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05475 FIG 1447
CLERK'S # x'00- 4155522
RECORDED 10/01/2M W4:15:$7 PN
RECORDING FEES 10.00
RECORDED BY L McKinley
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF Seminole
THE UNDERSIGNED hereby give 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:
704 Cypress Avenue Sanford, Florida 32771
Leg Lot 2 Blk 9 Tr A Town of Sanford PB 1 PG 56
MFIED 1OPI
2. General description of improvement: �RoA CTWORN
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Metal Re -Roof 1 6IDtwx
3. Owner information:
a. Fee Simple Titleholder -7
b: Name:Frankie & Willie Williams
Address:704 Cypress Avenue Sanford Florida 32771
4. Contractor: OCT �7 VA
National HomeCraft of Central Florida, Inc.
800 Harold Avenue
Winter Park, Florida 32789
5. Surety: Not Applicable
6. Lender:
a. Name and Address:
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:
8. In addition to himself, Owner designates the following person(s) to receive a copy of
the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statues:
9. Expiration date of notice of commencement , , 2004.
(Signature)
(Signature)
Owner ame: Frankie & Willie Williams
Address:704 Cypress Avenue Sanford Florida
32771
Sworn to and subscribed before me by Frankie & Willie Williams who
prod c driver's license as i efitfflj tion and who did not take an oath, this
day of A 2004.
Notary Public:
Printed Name:
Commission r
Commission F
GERALD VV. MCKINNEy li
Nnlary Public, State of Florida
Niy COMM. expNov. 11, 2047
Come t4o� 00 236748
SEAL