HomeMy WebLinkAbout300 E 18 St (6)Ocq 26 04 08:49a Pity of Sanford Building 407 328 3859 p.2
CITY OF SANFORD PERMIT APPLICATION
Permit#. OS -I 132
lob Address:
Description of work: l . /. e
Historic District: zoning: Value of work: s
a_
Permit Type: Building Eleci ital Mechanical Plumbmg Fite 3pltuWedAlarul Pool
Electrical: New Service — * of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical. Residential Nat -Residential Replacement New (Duct Layout & Energy Calc. Requited)
Plumbing/New Commersisl: p of Fittttues of Water & Sewcr Lines g of Gas Lines
numbing/New Residential: 0 of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential / Commercial Industrial Total Square Footage:
Construction Type: N of Stories: # of Dwelling Units: Flood Zone (MMA torus required for otbor trran X)
Pgroel k:
ftow tit Fa4
Bonding Company:
Address:
Mortgage lender: .
Address:
ArehitecUliagiuecr:
Address:
Plaque:
Fa::
Legal Description)
Application is be -eby made to obtain a permit to do the work and installations as indicated. i certify that no wort or installation has commenced prior to theisstasoeofapermitandthatallwortwillbeperformedtomeetstandardsofalllawsregulatingomsuuWoninthisiorisdictiomIundaaLndthataseparate
permit must be secured for ELECTRICAL WORD PLCMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, oz.
Mi
OWNER'S AFFIDAVIT: r ccrtify that all of the foregoiag information is accurate and that all work will be done in compliance wub all applicable laws regulat.ngconstructionandZoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAY7r G
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OFCOMMENCENE.
NOTICF: In addition to the requirements of this permit, theca may be additional restrictions VPrmbk to dais property that may be found in the public roeords -fddscounty, and ftm may be additional pemiis required' Sum other governme" entities such as water management districts, state agencies, or federal agenc x.
is verifirationAM I will
es
Signature
VFy the owner *film of the
Date
dAgent is _ P 1 to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
CHRISTINE POTIS
bCo M"Wr ElgriaeDec 7,
Commission * DD 377b39
Bonded ®Y Na11or1aE Alhl.
Date
CcaUaewr/Asent is Ao_Pee Wly Known to Me or
Produced ID
Zoning: Utilities. FD:
Initial & Date) (Initial & Date) (Initial & Date)
CHRISTINE POTTS
Notary PublIc - Slate of Florida
a-
ryCcrrlrrllnionElpie t Dec 7, 8ord9d9VNo1omlNokryAwL1
r
POWER OF ATTORNEY
Date: i — I (— oJ—)
l
of
in fact to act for me and apply to the
Building Department for a
for work to be performed at a location described as:
to be my lawful attorney
permit
Section Township a Lot Block
Subdivision
Address of )
4 . 1 S11 K - I,(Jxus V l i 3zr Owner of Pwperty and Address)
and to sign my name and do all WAV necessary to this appointment. A - w
wuaamr .
The foregoing ws was acknowledged before = this l 0
dayq f 20
y — - b hlyl --ZWVi
who is Persy known tom produced as
identification and who did not take oath, State
Oi'FIOriCLa L
CHR
FOTfS: bry +
S1oteof FCOunty
Of+aoac 7,1009 Bar
U—
N ;
Orangc U0011M Florida Scat c
NOTICE OF COMWENCEMENT
Seat of Florida County of Seminole
Permit No. Tax Folio No. (PH))
The undersigned hereby gives notice that improvement vnll be made to, - real property, and in acowtance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Camat.
ntDT111Ep ,2Py
O ERM — MARYANNE ' ORSE
Name and ,d CLERK Of CIRCUIT COURTLOL", f'1" eruuaM 11 C UNTY. FLORIDA
NAME AND ADDRESS OF FU SDVIp'i.E THE HOLMR-M OTHER THAN OWNER) IAKI 20 , 2005
t1
CONTRACTOR
Name and address
lL
SURETY (Bonding Cry)
Name and address -- • o ;i fll l N fllR R®91fl I11U
Amount of Bond
LENDER
Name and address
Persons within the Stare of Florida dead by Owner upon vAu m nodoe or
by Section 713.13(lxa)7, Florida Statatm
Name and address
MRYMW Mal MENt OF CIRCUIT COURT
WRINME COUNTY
PLk 05595 PS
rB4' pe j°vided
ssrsssssssssrsssass•ssssssssstssssssstssasssarssssssssssssssssssssssssssssssssssssssrs••sass
In addition tohimseK Owner desigaites Of
to receive a copy of the L,iCnOe3 Notice as
provided in Section 713.13(l)(b), Florida Statutes.
ss•trrsr+s•tss•sass•saran+s•ass++sssstsssssssassssssss•sssss+ssssesssssasessss••ssssssssssr
O"dion Dane of Notice of Commencement
The expiration date is 1 Year from daft of recording ten a dif rid rlt+tr
AN
JCAAAes V,A,6&n
S4#= of Owner
OV h
to d sa ore me this of W
My Commission Fspirsa:A I—, w
Notary Public o44
before me this day o f9 by
name of person awl ge
me or who has produced — (type
r
t
and who did / did not take an oath> '
Store of Fbrldp
MYCortrt IssrortEt knDec7,2=
Commbsfon Ar DD 377639
r _
Bottled BV Na#orKd NotaYAtttt
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: Af loc-
o jl License #: CG'G
0,
Project Information
Owner: In e c, loor e n
name
address
phone
Permit #: 05113 2—
Subdivision: rS 1 - SrL f' QQ r d
Lot M
I, Q1eev\ nc I '-SL , 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.
MA
STATE OF FLORIDA
COUNTY OF
This instrument was acknowled ed before me this Q) tday of JQ n , 200 by the above
referenced individual, u 1 1-ee. rv,e- 2.r' }uSh , who acknowledged that he/she is a duly licensed
contractor with A 1 -A and who acknowledged that he/she
was authorized to execute this document. He/she is either personally known to me or produced as
valid identification. WITNESS my
hand and seal this c u day of J qn , 20o N' IDDEBBIE BLANTON
MY
CO
VASSION # DD 188491 February 25,
2OD7 t A004-
NOTARY FL Notary Discount Assoc. Co.