HomeMy WebLinkAbout125 Quail Ridge Ct (3)w r
Permit #
Job Address: 1.
Description of Work: _
Historic District: _ Zoning:
Permit Type: Building Electrical
CITY OF SANFORD PERMIT APPLICATION
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Date: .91 '.2
Mechanical Plumbing Fire Sprinkler/Alamo Pool
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Resid tial or Commercial
Industrial Total Square Footage: D.n.
i
of Dwelling Units: Flood Zaire: (FEMA form required for other than X)
Attach Proof of Ownership & Legal Description)
Phone:
Fa::
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 med 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. I
IswOWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable s 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 O
i
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 addili its required firm other governmental entities such as water era ;tdistricts, state agencies, or fedial agencies.
A is v ti that I tify the owner of a property of the requiremen d rem , F
Si atu f Owner Date S o r/A ent Date
ev ir1 c, r- d
int Owner/Agent's Name - - Print actor/Agent' N
Signature of N -St pride ENDA L PETERSON
Notary Public - Stole of Floddo
MyC+orrmmicn80%SeP 12, 2MB
owner/ t is
n
col ' ion if DD 331285
11
Produced ID Assn
APPLICATION APPROVED BY: Bldg:
Special Conditions:
Zoning:
Signa&c of Notary -State of
Florite'
da Date
OFMCM NOTARY SEAL
HELEN R DONAWAY
Contractor/Agent is _Per Mvft &,orrATE OF FLORIDA
Produced ID
y.Ad=" NO. DD091084
MY COMMISSION EXP. MAR-1,2006
Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Maw
02-15-2005 17:22 FIRST STRTE DEVELOPMNI gb(3yb15VW n•n w.a•eoaa•rsart Lrr ar rx
Tye Y.v` eel N _ .....—
rreparcd by: .
1O• 0011-
10
AJiriJnal's name: '
AAdrecs:y 7 YG
irj%M'>• rL '9 NOTICE OF COMMENCEMENT
713.0
slate nr Florida
County or—.. ..
ORYANNE NORSE, CLERK OF CIRCUIT COURT
SMINOLE COMITY
BK 0562B PG 0994
CLERK' S # 2005032897
RECORDED 02/2UM5 11t39i53 AN
RECORDING FEES 1& *
RECORDED BY L McKinley
The undersigned hereby gives notice that improvements) will be made U, certain real property, and in accnrdance wiN Cbapla 713, Florida Statutes, the following inG
is provided in this Notice or commenccmrnt.
eSS -i-h a 5c.t'tt^ 3 - •For Yore{ of e va c a y 0XI Repwt1. Legal description of prvperry: ,
and street addres., if available) (ZeCCD-e- eA i n P\oc} book j0 qe S ) - a $ G f bile Yt c ord
O t Se yh,ri0e. CctA niy , Fl oe-,•c(o_ .
2. (enemi Jese:riplion of improvement(s): t`Oaf .
3. Owner: Name: KSY I R Rvdsorl
Address: la 7 Q ^
G n O.' ) r I. +_i ) 7 7 I
Fax: Phone:
3191- r.1@$-9(P6fIR
a. Intcm%t in property:
b. Name and address or he simple titleholder (if other then owner) Phone:
A. Con AMC:Ne ICE)/nGn4 Address:
t.5 to R N id 11,
a-\. , 1. 33 R, Fax:
4071 - 3 1(, - 15 110 rnunc: 5.
Surely: Name and Address: Phone:
VIM Fax
6.
Lender. Name and Addreas: phone:
Fax:
CERTIFIED
COPY MARYANNE
MORSE CLERK
OF CIRCUIT CO RT SEMI
OLE COU T FLO DA BPU
rXRK
FEB 2
5 2005 7. Pasa
s within the State of Florida dc.ipraled by Owns upon whom rrWces or other documents may he saved as provWod by Seetiomn 713.1)(1 )::• +• ids Statutes: (Name,
address. phone number, and fax number). g, In
addition to himself, Owner dcsi 8bm the following persem(s) to mccivc a copy of the Licnor's Notice as provides! in Section 713.13(lXb). Florida Statut (Name, address. phone
number, and fax number). F,xpimtin
atc o ' li v - ,mcnccmcnt (the expiration dale is one (1) year fmm the date orrecording unless a diffcrenl date is speciGcd.) i' alu '
or as ore: ection 713.13(t )g, Florida Statutes e — (Print Owner's Name) Owner must
sign...and no (me else may be permitted to sign in his or her stead.") State of
F ertd_Cvuntyof Ina V _+n It_/
A) The foregoing
instrument was acknowlc WA before me this r a of P• by (lam Who _ is
personally known to me or J tas produced C n os identif cation, an0 did lake
an oath did not take un oath. . County Certification
Notary signature:
I- A11mieco"It 'AJ Print name:
LUVENIA DUNKLO
Notay h0
t: - Snots of Commission * DD
M41" On deal
By NoNortcA hlotaryAn
Feb 17 05 10:32a City of Sanford Building 407 328 3859
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company 25 ,tC \ -V t?, License #: C C 0D (0M 4 a' Project
Information Owner.
Aelv; l
name ,
Q
61 P-
9G Phone
Permit #:
Subdivision:
Ad-,4. Lot #:
134 L
9j Al Pf is , affiant, hereby affirm that I am the duly licensed contractor
of recor 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 vYith the applicable codes and standards. STATE
OF FLORIDA COUNTY
OF This
instrument was acknowledWdbefore ime this day of , 20d!by the above
referenced individual, 0 4 , who acknowledged th he is a duly
licensed contractor with 'f e liewho acknowledged that he/she
was authorized to execute this documen he is ei y known to me or produced as
valid identification. VInTNESS my
hand and seal this _!Z. day ofje Notary
Public
OFFICIAL NOTARY
SEAL HELEN R
DONAWAY NOTM.' 1"
WUr. v7ATE OF FLORIDA t':;V;`
viI3S:OV NO. DD091084 MY COMMISSION
EXP. MAR.1,2M P.l
02-17-
2005 10:29 FIRST STATE DEVELOPMENT 4073961590 PAGE1