HomeMy WebLinkAbout606 E 14 StPermit # : /
Job Address: e-S
Description of Work: kc- t
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: D tl - r-g
S dN)-rn-2 7 1 --
Value of Work:
190/` /
Permit Type: Building X 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 Total Square Footage:
Construction Type: # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X)
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Owners Name & Address: .0
Contractor Name & Address: At L
N S .`/_L; A)S /I YkI _ Ci_ - 7_LP0C_
Proof of Ownership &
Phone: 3d / ^ .S % % "
V b /_ V, .- f rY- -6-13/ C_
State License Number: CCe 0SSS976> Phone &
Fax: (/197 - 6 C/IP- / 2,;;'0 Contact Person: L fit hone: O/— s-) 9 - Bonding
Company: A-)1 A Address:
Mortgage
Lender: Address:
Architect/
Engineer: Phone: Address:
Fax: Application
is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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: 1 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 property that may be found in the public records of this
county, and there may be additional permits required from other governmental entities such Is water management district tate agencies, or federal agencies. Acceptance
o it is verificatioonn Si
aturLf of Owner/Aga M
per/
ent's Name of
Notary -State of notif
the owner of the property of the f --
Owner/
Agent is X Personally Known to Me or Produced
ID Date
o% /
1 %'S_ 1b
MY
Commission DE Expires
September lire
ents of Florida en La S 713. i
ature of tontractorAgent Prin
Contr /A is Name sign
pre of Notary -State of Florida 2008
ontractor/
Agent is 4 Personally Produced
ID APPLICATION
APPROVED BY: Bld&CJB d b a I d-1 4 Zoning: Initial &
Date) (Initial & Date) Special
Conditions: Utilities:
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ate
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Meroelo Boosts MY
Commission DD356M wn
to Me or 0r EXPIM Sep1ember.21, 20M FD:
Initial &
Date) (Initial & Date)
J lNS1RUMEN Q
e
MARYANNE HORSE, CLERK OF CIRCUIT CART
THPM 4- C
r ICE OF COMMENCEMENTNOLE601GYG 0421N ;
L K'* # 2005019183
Permit NoNDDR `0R , am d ..
State of Florida t
2189 m
County of ole
RECORDING FEES 10, 00
RECORDED BY L McKinley
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.
1. Description of property: (legal description of the property and street address if avail
Lt= G &ors l + -2 -P, r X <Ati Ca Al TA T;;1 %t; Rn
2. General description of improvement:
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3. Owner information p
a. Name and address AAM S (C crkc inl
6-0r,P e-ds7-- I S/- - 7-
b. Interest in property (e.iV 17a L
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
a. Name and address L- L
1,5 S • eL 7 14 1-7 — c
b. Phone number O 7 - 6 9/ F- 7 7.2 Fax number /O 7 -
5. Surety /n
a. Name and address A) ><-t
b. Phone number Fax number
c. Amount of bond
6. Lender n / ) tA- a. Name and address .
h
b. Phone number Fax number
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., FloriI a Statutes:
a. Name and address n
b. Phone number
8. In addition to himself or herself, Owner designates
number
f of
to 'receive
I
copy of the Lienor's Notice as provided in Section
713.13(I)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year fro
date is specified)
el-
nn
SwornAo (or affirmed) and subscribefore me this CPA#- day of Personally
Known OR Produced Identification Type
of ldicati Produced Notary
Public; St Expires:
q - a ( b
Ufa i
Y corruniSSM DD356M Go
Expires SePtember 21, 2W9 date
of recording unless a different' Signature
of Owner 20
DS , by t
CL
IFIED L,Cfl,PY MARYANNE
IsJORSVE CLERK
OF CIRCUR COURT SEMINOLE
LINTY. FLORIDA CL
R FER.
0 2 2005