HomeMy WebLinkAbout70 Keyes Ct (2)R
Permit # : o -7,,
Job Address:
Description of Work: jlk6
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Y&T Go c,XT
Zoning: Value of Work:
Date:
CA1,Or Permit
Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical:
New Service — # of AMPS ddition/Alteration Change of Service Temporary Pole Mechanical:
Residential Non -Residential 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 Industrial Total Square Footage: Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x) Parcel #:
Owners
Name & Address: Contractor
Name & Address: L r Phone &
Fax: 3 N Contact Person: Bonding
Company: Address:
Mortgage
Lender: Address:
Architect(
Engineer: Address:
i
Proof of Ownership & Legal Description) A/
C - Phone:
Z-O `7 '3Z2 /'[ 3,0 x /Q State
Licensee yNumber: 61Z tad f o H—
PAl z / Phone - 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 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. 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 as water management districts, state agencies, or federal agencies. Acceptance
of permit is verification that I will notify the owner of the property of the requirements of Florida U w, 13. Signature
of Owner/Agent Date Signa o r/Agent Date Print
Owner/Agent's Name Print Contractor/ gent's Name Signature
of Notary -State of Florida Date Owner/
Agent is _ Personally Known to Me or Produced
ID APPLICATION
APPROVED BY: Bldg: Zoning: halInitial & Date) of
DEBBIE
BLANTON y
CC-'OP,41t3SION # DD 188491 FXPIRC'
S: February 25, 20 ry
PeR91 'o tK Assoc. Co. Utilities:
FD: Initial &
Date) Initial & Date) Special
Conditions:
r 1
cn
a
N
C2. General description of improvement: 261v. 4 _1 j-cA [-O c LAA1, , r
w
Q o 3. Owner information
z Q a. Name and address
1RttYRNNE h1UR5E-i CLERk(, ii
SEMINOLE COUNTY
BK 05664 PG 112103 A
NOTICE OF COMMENCES€RKI S # 2005050697
RECORDED 03/29/2005 12a11.12 DM zvPermitNo. RW>1JDR'966 l0.00 `F
St ite of Florida RECORDED BY t holden
County of SeminoleTI. v
e undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with
CI apter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
I
1. Description of property: (legal description of the property and street address if available)°:
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
a.
Ze
and address Lt v G 4(
02 J'At r b.
Phone number 40 7 32- 5.
Surety A.
Name and address b.
Phone number c.
Amount of bond 6.
Lender a.
Name and address GEc
r!L/ C_ jam/ c 0
Fax number c-(07 .32/ f4'9' 2— Fax
number b.
Phone number Fax number 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided
by Section 713.13(1)(a)7., Florida Statutes: a.
Name and address b.
Phone number 8.
In addition to himself or herself, Owner designates Fax
number of
to
receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida Statutes. a.
Phone number Fax number 9.
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date
is specified) Swo
to or affirmed) an subscribed before me thisc, day o Personally
Known V OR Produced Identification T
of Identification Produced Signature
of Owner f
1 q f d% rt , 20 0 `; , by Signature
of Notary Public, State of Florida A THERESA M. BOO'THCommission Expires:MYCOMMISSION # DD 058178 EXPIRES;
September18,200SRY FLNotService & Bonding Inc CERTIFIED
COPY MARYANNE-
MORSE CER( ¢
IRCUIT COU,RT MI
L UNTI, FL RIDF 2
9 2005
Mar 25 05 03:27p Td Kracht 407732.0008 p.1
FROM :LIUE ELECTRIC INC FAX N0. :4073211492 Mar. 25 2005 08:11RM P1
Live lcct rxc Inc® Ebo`TIMAT p.
0. Box 4020 Date 3/23/2005 Sanford,
FL 32772 OFFICE
407-321-6960 FAX 407-321-1492 Estimate # 1975 LICENSE #
BR13012" Nome
I AdOress I<
EmCO INDUSTRIES INC " y
7t)
KEYES CT SANFORD,
FL 32773 Project
ary
Description Rabe
Tate) INSTALL
ABOR
AND MATERIAL PER YOUR REQUEST: TO SUBPANEL3PHASE200AMPFOREXISTINGNEW
AIC UNIT &FUTURE TWO 3 PHASE A/C UNITS BY 6,266,00 6,266.00 SPEC &
WIRE NEW PHASE PANEL
WILL BE D ROM GE A/
C AND HEAT. NEW PANEL
BOARD IN WAREHOUSE
PRICE INCLUDES PERMIT FFES. 6
PRICE
VALID FOR 30 DAYS Acceptance
Signature Total
1 $6,266.00 PAYMENT
DUE UPON COMP1--ETION