HomeMy WebLinkAbout2522 Oak AvePermit # : Oj
Job Address: L
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPWCATION
Date: Z _/ —65
Permit Type: Building V000, Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS AdditionlAltimWon Change of Service Temporary Pole _
Mecbaoical: Residential Non -Residential Replacement New (Duct layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plombing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: ResidentialVol Commercial Industrial Total Sgaars Footage 2_6q Z
Construction Type: # of stories: __L # of Dwelling Units Flood zonr. ("MA Frres.gored Nrauft Onto x)
A . M ''1 I/ _I /
S - 110 0 irl V E
II tK y
Attscb Proof of Ownersbip & Legal Description)
Pbone:
Address:
y Mortgage Leader. N rT
Address:
ArrbkeetrEngfaeer Pima:
Address: Fax:
V3
Application is hereby made to obtain a permit to do the wort and imWlabo s as indceled. 1 certify do no, wort or iosmllabon bus —ed prior b the
isvaoce of a pamII and that all wort will be performed to meet standards of all laws regulating oaWn+ctioo is this jurisdiction. ,I understood that a separate
permit mesa& be seeumd fw E1.WMCAL WORK, PLUMBING. SIGNS. WELLS.. POOLS, FURNACES,. BO1LE R& HEATERS, TANKS. and
AIR CONDITIONERS, etc.
OWNER'S AFF1DAVI T: I certify that all of the Ugpiog isWrrrmtion is monde scat that all wort- wit he d wk- in eomoiarns witle all om)hN: A-. Taws rv+Lui oo
aoadn+cbmandmoing WARNINGTOOWNYOURFAtLURL'TORECOVDANOT1CBOtrCOMML7F' NCLMENI' SAYRL'SUCYINYUURFAYING
TWICE FOR MPIRDVEMENTS TO YOUR PROPERTY. IF YOU INTEND10013TAW FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTOR7&Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition. b the requirements of tbis permit, tbem may be additioml restrictions appGcabit 1D tha property tbat may be fond m the F"k rPro r I of
this amity, and tbae may be additional permits required from other goverranenW entities such as water man joenwnt Jtiiirxl, sia.c aegmies, w ir3er4; 4tx i4:ti,
Aereptanw of t the owtta of the property of the requirements of Flo ides Lieu Law, F 13.
7_Mfj1_'07!.P-.2 2 0ofA Sigmtmeoft oatracmod Date
Arin
Print Ownarr s Rane Prim—GAgmt's IYsme r
0 e a /U,
ofNotsf Da Dale
O3oWAvmd is Kmwn Me err
kL_ fto sed ID YI IJw/ U t
APPLICATION APPROVED BY: Bldg d ,a14.
loitni R Date) Initial B Date)
JANINE A. FARUN
MY COMMISSION # DD 147452
EXPIRES: September 4, 2006
eor dld Thru NOW Pudic Underwriters t
1 DEBBIE BLANTON
I MY COMMISSI N #
1
ruary 25. 2oJ7
v... acoum Aum. Co.
Utz F11
initial 8 Date) (Initial a Dame)
REGARDING ROOF DRY -IN AND FLASHINGS INSPECTIONS
AFFIDAVIT
COMPANY: on-C kpAmc-Lrnv LICENSE NO..
PROJECT INFORMATION
Q,, ,
I.eGI m D I ( ADDRESS: !-J Z-Z l G l 1- .
SUBDIVISION•
PERMIT NO:
LOT: 2 Z
b'y affirm t>t I am duty licensed contractor of
I' that all of the fre&mg infommtton is true and mate, and that therecordfortheabovereferencedpest, bow installed m a000rda me with all applicabledry -in, flashings at the above refeenood
codes and standards.
CONTRACTOR. C
Printed name)
gam)
STATE OF FLCOUNTYOFnLm9a
This instnm ent was achwledgodbefip me __L__ day of v
who acamowiedged that helshe is a duly
by the above referenced
i ..
and who admo that he/she was
licensed With
lmown m mme -Orproduced' authorised
to execute this d unn nent stye is either ' Y as
valid identification. and
official seal this day of T— vvlTrrEssmyhand -- THIS
AFFIDAVrT MUST BE POSTED
AT JOB SITE WITH THE
yELLOW VgSPECnON CARD. Printed Name: MY
CommissioNN nTres: Dorit
Levy CanMISSigaomosum
3
1' I o
Bsp1M Sep. 24. Z0M - Bo[
ld.,aid..Thm 0ii
i i ffi!bC B"•""`b CCI JE
POWER OF ATTORNEY
Date: y
I hereby name and appoint
of q/ %'e J hp HtMe I, m ey'O UG rn e 1 I to be my lawful attorney
in fact to act for me and apply to the CL
Building Department fora ROVA permit
for work to be performed at a location described as:
Section Township Range Lot lock
Subdivision)y w IA/ D
Address of Job)
and to sign my name and do all things necessary to this appointment.
e -1 v )) -e r o C
Type or Print Name of Certified
0
and Contractor's License Number
Signature of Certified Contractor
The foregoing instrument was acknowledged before me this
by
who is personally known to me/who produced
as identification and who did not take oath.
State of Florida
UW
Notary Public, OrAnge County, Florida
day of 20
pdal Dorit Levyv "Y PV.O i
Eqi= 24, Z003BaddThm
I
I oq'b
s.
U7
v 0% .,
n
CL
m
ua.M
2 % cn
tn
19W 0-
4 CO
U tJrlNOUCE
OF COMMENCENWNT State
of Florida I
County
of Seminoel p Permit
No. Tax Folio No. (PID) 1 ' .0 — .-1 '/( CJZDO —0 Z 1 O The
undersigned hereby 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. address
Fee
Simple; 9- =-
MAMI CA NAME
AND ADDRESS OF FEE SIMPLE TITLE BOLDER -OF OTHER THAN OWNER) 2761
Name
and address N--:t— t r . /! ` . ,. i 1\• In
addition to. himself; Owner designates N--cf:— of to
receive a copy of the Lienor's Notice as provided
in Section 713.13(l)ft Florida Statutes. ssssssssss»»
r»»»s»sss»»s»»s»ssssss»s+ssssssssssssssssssssss»s»ssrss»ssssssasas»»ssss ss»sss Expiration
Date of Notice of Commenoeawt The
expiration date is l Year Born date of recording unlegs :. L
of
Owner Sworn
to and subscribed before we this _ Day of DE13BIE BLAWON MY
CO. MION # DD 18MI My
Commission Expirrm EXPIRES:
February 25, 2107 Notary
Public co.
The
foregoing instrument was ackmowledged before me this r' day of Fee ' M 1
by
E
1 i a-r C v,9-1 (F (name of person acknowledged), who is personally known to me
or who hF/
notd
V ' a) . Uo (type of idemification) as identification, and
who did' oath>e
yv _