HomeMy WebLinkAbout109 Dresdan CtPermit #
Job Address:
CITY OF SANFORD PERMIT APPLICATION
Date:
Description of Work: 0
Historic District: 1pr Zoning: Value of Work: $
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 _X_ Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
1"'1tfiVEicense Number:
Person: Phone:
Address: I
n (
Mortgage Lender E'V _ Of" S x LMIA
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: 1 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 of permit is veer ication hat I ill notify the owner of the property of the requirements of Florida Lien Law,
Signature of Ow r/Agent Date Signature of Contractor/Agent Date
l l mof Lj A- 2e,"t,
Print Ow /Agen s Name Print Contractor/Agent's Name
3 3705
ignatur f Notary -State f Florida Date Signature of Notary -State of Florida Date
KELLY C. TYNDALL ,v oems Anita C. Tucker
Notary Public, State of FloridayMy CommissionDD231393 Owner/
Agent is Personally Known to Iv}IVo£omm. exp. Feb. 10, GfoQ&ctor/Agent is Personally Knownr Expires November 04, 2007 Produced
lf ^mm. No. DD 289459—ProducedlD APPLICATION
APPROVED BY: BldOab — Utilities: FD: ng: Initial &
Date) (Initial & Date) (Initial & Date) (Initial & Date) Special
Conditions: T' )
6, . /
i
Company: 2 EE 'S License #:
An s . Bi r.ats
Project Information
Owner: M(-, -- M r'5 . (( YVt Permit #:
name
I (P iGtJil ;, Q r d 1-L Subdivision: ll c Pa I r M e4aDIS
address
A107---M8-g"%&,-Z Lot#:
phone
I, J41/Aap_l k. Ze-n-t , affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor:
signature
Z - Ze
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged befor e this day of , 20 j%Sby the
above referenced individual, , who acknowledged that he/she is a
duly licensed contractor with -Z ' . , and who acknowledged that
he/she was authorized to execute this document. He/she is either persona ly known to me or
produced as valid identification.
WITNESS my hand and seal this day of / / /AA6-A , 200
Notary Pu
KELLY C. fiYNDALL
Notary Public, State of Florida
My comm. exp. Feb.10, 2008
Comm. No. DD 289459
i
NOTICE OF COMMENCEMEIN RjINOLC E
ORSE, CLERK OF CIRCUIT COURT INOLE
COUNTY HK
05662 FAG 1381 Permit
No. CL', b Slo# 2005049775 State
of Florida RECORDED 03/28/2003 12:16:39 PM County
of Seminole RECORDING FEES 10.00 RECORDED
BY t holden The
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with jZChapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. Description
of property: (legal description of the property and street address if available) 0
description
of improvement: DIner
information a..
Name and addre Interest
in property Name
and address Nameaid
address a1
76D s. b.
Phone number Surety
a.
Name and address b.
Phone number, _ c.
Amount of bond Lender
a.
Name and address simple
titleholder (if other than Owner) Fax
number Fax
number CERTIFIED
MARYANNE
n10R'.1_ LE
K 0 CIRCUIT COURT FM
M E CGUNly, FLORIUk b.
Phone number Fax number 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., lorida Statutes: a.
Name and addr 117Sr ,C'In- b.
Phone number (i — — 8. _
In addition to himself or herself, Owner designates Fax
number N
M7 of to
r ceive 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 the date of recording unless a different date
is specified) gnatu
e ot"ner i
mvi !. Sworn to (
or affirmed) and subscribed before me this day of N/( f jt Lk , 20 by des-cr;
riiCA Plat - Personally Known
X OR Produced Identification ` Type of
Identification Produced Leg , s"t I (7S M)'FQ I r Me viaf 4 O
a PB 3a ?G-S 55 - KELLY C.
TYN®ALL Signa fNotary
P ic, State fFlorida Notary Public, State of Florida Commi 'on
Expires: My Comm. exp. Feb. 10, 2008 Comm. No.
DD 289459