HomeMy WebLinkAbout448 Honest Oak Ct7CITY OF SANFORD PERMIT APPLICATIONv% -.w.yzty J reµ5 * twf" 6 Al b 'c. `-,
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Permit ,#-., ` ' `-' / 3 Date:
Job Address ; / t ' c Y li ,. . 2 % "7 % __--
y
Description of Work: — GL'' / < 5fr. w.
Historic District: Zoning: Value of Work: $ 0 o t _
Permit Type: Building 4 Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential V Replacement New (Duct Layout & Energy Cale. 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 __V Industrial Total Square Footage: Oe
Construction Type: 't # of Stories: _ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
rshParcel #: r&SO, be(Aac6'79o f rsrP &egal Description) Owners Name &
Address: ; T_ er—' 1,
06(
e AC'(- A I L j (_ /% X/9l [.% Cr Phone: — Contractor
Name &
Address: VN E Phone & Fax:
Bonding Company:
Address: Mortgage
Lender:
Address: Architect/
Engineer:
Address: Contact
Person:
State License
Number: Phone: Fax:
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 lawsregulating 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. NOTICE: In
addition to the requirements of this permit, there may be additional restrictions applicable to this this county,
and there may be additional permits required from other governmental entities such as water man Acceptance of
permit is verification that I will notify the owner of the property of the r ignature
of Owner/AgentDate j,-.,S —?
0//4 C ,rttlllillirr,.- Print
01
Agentdame of Notary -
Stateof Florida Owner/Agent
is _Personally Known Produced ID
APPLICATION APPROVED
BY: Special Conditions:
Pnnt N,
p
0 tE12
2 p..0 s;gn: OD ,P
O • _ g #pD362079
0 • Q Cont Yam.•• .•_- Initial &
DatQ)
that may
befound in Contractor/Agent'
s Name Utilities: 3.
Vpublic
records
of or federal
agencies. gate DEBBIE
BLANTON
MY GOMMISSICN #
DD 168491 EXP!RzS:
February 25, 2007 R f--
Perg9gja,1yy) aP36 i Awbd Ar FD: Initial &
Date) (
Initial & Date) r
tq
1
AN, ll /J
1
r
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: './2" I d c v c- 1rt,', License #:
q44 _;ZJ
Project Information
Owner: w 1,.L Permit M
me
D 99
Subdivision:
gaddress72 " ..1 Lot M
phone
I, lt A , 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 ove referenced address or lot has been
installed in accordance with the aDDlicAle colles.4distandards.
Contractor:
printed name
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this day of , 20 , by the
above referenced individual, , who acknowledged that he/she is a
duly licensed contractor with , 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 day of , 20
Notary Public
NOTICE OF COM ENCEm ENTWtS1
Permit No. CORK OF CIRCUIT
Sflil
o
Cf litT " +'
State of Florida BK
County of Seminole CLERK'S a 042,22g
RHEA GUTS M 08253116 pN
The undersigned hereby gives notice that improvement will be made to lewd in accordance withChapter713, Florida Statutes, the following information is provided in this Notice of Commencement. r `.
1. 13cription of property: (legal description of the property and street address if available) A-seJT / . R/11—iC 2 i. L o i/ --r - — n- - , - - - 2.
General description of i 3.
Owner information a.
Name and address b.
Interest in property U c.
Name and address of fee simple i 4.-•
Contractor r*N i a...
Name and add;es,S l b.
Phone number 5.
Surety a.
Name and address b.
Phone number c.
Amount of bond_ 6.
Lender ' a.
Name and address if
Fax
number Fax
number i-
IUUIQb.
Phone number Fax number 7.
Persons within the State of Florida designated by Own pon whom notices or other documents may be served as provided
by Section 713.13(1)(a 7., Fl%iA Statutes: a.
Name and address _ "7 I X b..
Phone number Fax number 8.
In addition to himself or herself, Owner designates of to
receive a copy of theLienor's Notice as provided in Section r713.13(1)(b), Florida Statutes. f
a. Phone number Fax number t '
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different dateisspecified) Signature
of Owner Sworn
to (or affirmed) and subscribed before me this day of _Frnbryor )( , 20 Q5' , by a'v `.13. l_ )A //,gee • v
Personally
Known OR Produced IdentD 1111j1/ Type
of Identification Produced 2M .. • , ,•LAP i qpznature
0ao_=
THIS
IN T RUPJiEN P 'EPARED Y: of
Lary Public State of Flori$ • ?O7g : * Commission
Expires: ! , •e';A\ AADR.