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Home My WebLink About144 Academy Ave (3)CITY OF SANFORD PERMIT APPLICATION Permit #: - Date: — s^ 05 Job Address: I L M AC.o.10M A -1- Description of Work: Mr-O 5h,^Xx u S^1AQi t Historic District: Zoning: _--value of Work: $ %--N 061 &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 Construction Type: (-Crop f # of Stories: # of Dwelling Units: Total Square Footage: Flood Zone: (FEMA form required for other than X) Parcel #: 3 U - S S - &6,0v- a a 7v (Attach Proof of Ownership & Legal Description) Owners Name & Address: insle w ro. z 5>^ m>` w -(( f{ c <.r, ( A %.- ; 5.,,-ro r Z 327 % f Phone: "r & 7,33 U' iskS Contractor Name & Address: v7' Phone & Fax: r 8 -6 io - W/ -6 30- 10Y, Bonding Company: 44 Address: Mortgage Lender: Address: H State License Number: C CC- (3a 5-ki br Contact Person: Phone: T O 7—Y6 Architect/Engineer: ¢ Phone: N/ 1Address: 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 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. TICS: 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 verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature ntractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: akc .4W; L9ni. Initial & Date) Special Conditions: Name of Notary -State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) s GS! C iv I e 4oa,1 q 7 3 3 a- S}rFae Sominole Couary Building Permit APPllcatioa - Lien Law TITLE HOLDER pt.O.r L. on.h At71iLSI altSS Ci:y/StrZip R7P51St,Zip Job Address —,,Af cow, Job Name /+/-/' T "T'•5 CiTax Folio (PID) CGuar/ Sta;c Z1P 7? I Boodiaz Company 'c' s City a State Zip Architect ddscss Ciry 5taie Zip Dlottagr Laniiu dddress c t State LP Coarvztw J y .1 .t J License k Appliutioo is hc:eby made to obtaiu a penait w do the wont and iastdlatioas as indicated. I eerify that uo wot'i: or iastalla= ban wtamcac=d pnor to the isS'ywce of a perm:: and that zll work will be performed to rand the staodards of all Irhs r.puladag cansrucdoa :n this jwrsdictiva. 1 undcrrand tk.r a scparutc permit must W socurod for ELECTRICAL WORK, PLUDL;LNG, SIGNS, WELL - POOLS, P'i7HNACES, 80II.ER.T, SF.ATIItS, TANK5 sad AiH CONDMONUS, ETC. O-? 7-6QYT, 4Eti 6F1:7MAVl1: I unify tku all the forcSoia= iltfotmaCaa is acauam and than all work will be dole in wmpliawc with all applicable laws regulating wcuvuction and wuing. T f Cmcn cmsslLMciLb2no^^' On i t+ Pi:, with nc-min. WARNING TO Ow, iM YOUR FAILURE TO RECORD A NOTICE OF COhMMHCZHL`rI' MAY RESULT LN YOUR PAYL,\G TWICE FOR MIrROVE ENTS TO YOUR PROPERTY. iF YOLt UrviID TO Oi3TAIIt FE"NCIri G, CONSULT WITH YOUR LL`tDER OR AN ATTOIi.`tEY D FORE RECORDIIYG YOUR NOTICE OF CONOWCEidENT. GOODSON Sipaaus of OtVucr a Agwt ,r Y artas of Coatacto t t ON Comnl/ FJ0000/ 06>r S iailudia8Coct-actar) Expkn AIMM, Dave: Date: t D S 6atded thin ( e007 Ficirift Holm Ann. Ir Notary as to Conlr== P/ Q My C' M My Ca uSIOa Gtptla. 20" 11M ( C tc of Comptumcy Bolder) Q ytsttariooNo'- F,PPUCATIoN APPROVED BY Permit OMC=',' i POWER OF ATTORNEY / LETTER OF AUTHORIZATION DATE !-d k-o5 I HEREBY NAME AND APPOINT-, OEM. 11e4' OF TEAM K-5 TO BE MY LAWFUL ATTORNEY IN FACT TO ACT AND APPLY TO THE S°'^-ro6cj- BUILDING DEPARTMENT FOR A ROOF PERMIT FOR WORK TO BE PERFORMED AT LOCATION DESCRIBEDAS: OWNER:05T4L^ AS WELL AS TO SIGN MY NAME AND DO ALL OF THE THINGS NECESSARY TO THIS APPOINTMENT. BOYD LIPHAM CCC-1.32581.8 NAME OF CERTIFIED CONTRACTOR LISCENCE NUMBER SIGNATURE OF CER I. TRACTOR THIS FORGOING INSTRUMENT WAS ACKNOWLEDGED BEFORE ME THIS l Oth DAY OF JANUARY, 2005 BY BOYD LIPHAM WI-10 IS PERSO ) KNOWN TO NOTAR SIGNATURE PRINTED NAME OF NOTARY 5/23/2008 MY COMMISSION EXPIRES i k Return to. Name: THD At -Home Services, Inc. d/b/a The Home Depot At -Home Services Address: 3200 Cobb Galleria Pky. Ste. 200, Atlanta, GA 30339 This Instrument Prepared By: T„, Name: Address: Team K5 Const. & Devel 614 E Hwy 50 # 320' Property Appraisers Par bl}MGrAq: FL 34711 Permit No. 1.. MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY . BK 05616 PG 0138 CLERK'S # 2005026256 RECORDED 02/15/2005 12:42:10 PM RECORDING FEES 10.00 RECORDED BY G Harford NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF e_ ew/kZ& P Folio No. The undersigned 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. Legalr r\ include street address, if available: improvement: Ieo, Ib -c2 fFc,deMx 1tio,,or Owner Information — name and address: O STe a.. S ro. b S o. w 4 `1 4 &t ++4 So nrorZ 1= 1 3A 77 Interest in Property: ow n a-r Marne and address of fee simple titleholder (if other than Owner): name ana Services 207 Kelsey Lane, Suite G. Tampa, FL 33619 Phone Number: 813-630-4111 Fax Number. 813-6304112 Surety — name and address: 4ZIA Lender — name and address: Phone Number: 1 Fax Number. Amount of Bond: $ Persons within the State of Florida designated by Owner whom notices of other documents may be served as provided by Section 713.13(1)(a)7., Florida Statues: Name and address: Phone Number: Fax Number: In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b). Florida Statures. (Fill in at Owner's option) Phone Number: Fax Number. Expiration da of Notice of Comm cement (the expiration date is 1 year from the date of recording unless a different date is specified). J - Ino OPYSignatureofownerSignatureofOwner Mo S T CC- Al 131-a, dS ACL W nRY ANN CIRCUIT, Printed Name of Owner 6l-ERK OF CIRCCUIT CPrintedNameofOwnerAUNTY,, Lc1:MI1 A0LE Sworn to and subscribed before me by who is as identification, and who did take an oa Signature of Notary ftinted Name of Notary: Commission No./Expiration: r known to me or produced f' day nf1961C_ 7.0-44 00037190 so r .'SSROOII r Inc i K BLANCHARD Bonded thru (tt00)422-42b4' Florida Notary Assn.. he r 2005-