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HomeMy WebLinkAbout347 Live Oak Blvd (4)CITY OF SANFORD PERMIT APPLICATION Permit #: Job Address: 0 A , , Description of Work: - i t / / 2 Historic District: Zoning: Value of Work: $ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMRS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non- esid ntial lacement New (Duct Layout &Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # a .Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair- Residential or Commercial Occupancy Type: Residential )t Commercial Industrial Total Square Footage: 2 vy Construction Type: A -a 0 # of Stories: - # of Dwelling Units: Flood Zone: (FEMA Form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: & 3 S C n. G c 61 c c5A 16— r t t::74 OF/?, n 3 Contractor Name & Address: 0 L0 So,-,-1 ,4 F3 ei • r 2 © PO4120 9 2 6 LK. goL % 1. J L 7 State License Nu e : W I o g Phone & Fax: '-/6 2 3 2 2 .- -2 D Contact Person:•' D'4" Wwm - Z / ,2803 - 21 S Z Bonding Company: r/'tll4 2nng Address: a k , Mortgage Lender: Address: 11 Architect/ Engineer: / %Z v % G 1 b P-,hon : p Address: % 040 77^, 0"o i R !v, e : d R /a ( C C' 1—r Y f'(: Fax: 3 0 'F3 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. i I NOTICE: hi 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, s e ag' encie s, or federal agencies. Acceptance of pen yitoerific,,ation that I wil fy the owner of the propeo ofhe requiEew.4 of'hm vn Print 0 sa Prin S lureof tary-S on _ LINDA J. RENFRO MY COMMISSION # DID 031312 h EXPIRES: June 10, 2005 Ali ••.. •a; Owner/Agent is Personally o"wt> ;tg Ivlep"ronded Thor NotaryPublic Underwriters nt Produced ID APPLICATION APPROVED BY: Bldg: 3 O Zoning: Initial & Date) (Initial & Date) Special Conditions: i Agent Date sName `/ DS/ tare MTe OFE BLANTON Date MY CCM I ' SIQN # DD 188491 a EXPRE : February 25, 2007 1-800-3- NOTARY POilt iscoun a CT.. ed ED Y. T'It Utiliri ' I / I Initial & Date) (Initial & Date) i7. ..- .iti i f r CRIP''ICIN :!'hR5;" III'; LJC//j7-p- RECORDED IN PLAT 800i( d PAOt(8) /-,p OF THE PUBLIC RECORDS OF sl.uvo C,QtJIYliY l fti0 AM 0We I .PSI :':QQ4 $1• r • moo A r 01 i' Y S _ o s •lit W` b- II iii ,' j.c ', ! w . O N' s t pC. y •" i r- r +; is Ati iu ss. i 1 `rL7 'lf ' a cPePK• ; , c'CmA 0. 4 44 Ar SCALE, r od, rnu' ill EL SWAGGE DATE OF• ' r."! lIfINV1iY• f l,R' 1:,[ M411,1711P1' Y'lOMtt;Glt, L t11 IJt 1RT' AFJD SCJRVEI'+pR . NR,{cPlI0i6. WAG :,,#* . ie GNARY' rr- 87 +w.u,r. ifa aR CY1RN uas.oer w, °P FOUND 87iISCI6.t.146 W. CERTIFIED ICORFIEC7 is ° .. y,..•: P•. 1, - e • f.••• i4 Ham. t.A11u; 5UFI1/I "(ClF ! cl, .. i"—, 0 VNOTICEOFCOIaiENCETMJ.NT State Of Florida County of-V*%-sia 9il .2o-3a m-:s-60 0060 - 0520 Permit No,, k L zpV_ Tax Parcel Number; The UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Cliapter 713, Florida- Statutes*, the following" in f on -nation is provided in this Notice of Commencement. I Description of Property: (Legal description erty, and pionofthestreet address if available) a- 2. Gperal description of improvement: oyher information: N Name and address: J,/ 6 C Oo Interest in property: c. Name and address -of fee simple titleholder (if other than owner): L tractor: Name and address 4,1 C 2 - 3 2- z- - Fax: ja. Phone No. —Y 5,' _, S ety: Name and Address: jc a. Phone No. PQV4 MARVOWNIr m1am N CEW r= 1?0r41?T b. Amount of bond: S 6. Lender: Name and address: LASLRI% 8 BK 05E,73 FOG 14LA3 CLERK' S 4 2005055270 Fhone No. Fax: gFro gp I Ng FFp, RRCONik'D AY L Mt-Kinley 7. Persons within the State of Florida designated y Owner upon whom notices or other do d as provided by Section 713.13(1)(a)7., Florida Statutes: MARYANNE MORSE a. Name and Address: :-GLIERKIF CIRCUIT COURT b. Phone No. Fax: addition to himself, Owner designates of mky)ff UER4 to zive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. 5 2005- a. Phone No. Fax: 01- piration date of Notice of Commencement (the xpiration date is one (1) year from the date of recording less a d;ffene date is specifieJ., -2_ Sigri S Pintname of Owner STATE OFFLOREDA, COUNTY' 0F., Affirmed and subscribed before me this day o —20CS by er—who is personally 32b Jaknownto me or who hqs rod '.ed _(type,of B)) as idt. Si A Name of No q: ofZQta, y. Aubl state o V-h-rae-,T e or mp. y Wyt ari