HomeMy WebLinkAbout143 Andrews Rd (2)CITY OF SANFORD PERMIT APPLICATION
Permit #
Job Address:
Description of Work: I dy "% - W VA 0. W_ 417°e "IN "L k_v(:6 b %:) ®- 4- IDDI Q
Historic District: Zoning: Value of Work:
Permit Type: Building 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)
Parcel #:
Owners Name & d
Contractor ame &
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:.
Architect/Engineer:
Attach Proof of Ownership & Legal Description)
Phone: 0
State License Number.
Contact Person:
Phone:
Address: 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: 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 as water management districts, state agencies, or federal agencies.
Acceptance of ' veriftcatio t 1 fy the owner of the property of the requi ments of Florida Lien Law, FS 713.
Z' -6 fpXgnaofOeAi- Date SIA660triof Contactor gent Date
Print Owner/Agent's Name riot Contrector/
i
nt e - /
1p
t4ig u'd r of Notary -State of Florida Date Signature of Notary -State of Florida DebW Dwe 910>rNr
DWO Dierw Brown !
f •
My CommMNoe 00361503
fr MgpD3s51ne eat is Persona II Known to Me or Contractor/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: Zoning:
Initial & Date)
Special Conditions:
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
VQWF,A, Or..' —ATTORNEY'.;,'
Date., %0 [.a
I hereby name and appoint
of to be -my lawful attorney',
in fact to act for-r$9 ain!d'apply to the
Building Departmebb.for-,a permit
for work to be performed at a location cribed as;
Section: Township Range Lot Block
Subdivision
Address of Job
owner' of Property and ndress)
and to sign my name. a6d..'do',all things-.P.ecessary to this appointunent
Type or-, Print name of Certified ,,Contractor
Signat7ute
I
fled Contiactor
1 II
The foregoing i trumeA was acknowledged.1be-f ore me this
A
by - W I - - . 5— . . . V Q - who is personally nbwn to me/who.produced-.-
a s i &-efication o na andtake oath-.-. State
of cQ r-, County of Commission #
My
commission ry)
DdAft
DWO BMW Expk"
November 19. 2000 A'
Ir
Z701 D Cornwall Road RTLRS Phone: (407) 833-7988
Sanford, FL 32773 FENCEWORKS, Inc. oi Fax: (407) 833-7990
1310(
930047
Name %L Attn:
Address
o "0L , Hom h ne LLo —440.0, — City
State Zip 32721 Business Phone Job
Site / Subd. I Site
Phone Fax ,. I
SPECIFICATIONS:
All Chain Link posts°set in concrete. WOOD FENCE SPECS CHAINLINK
No. of Feet /l q T
Total
Height Posts
Spaced Style
Fence Gauge
O Residential Wire
D Commercial QUANTITY
LUMP
SUM TOTAL _ ' Less
Deposit Balance
Due TERMS:
AMOUNT
DUE UPON COMPLETION 1
1/2%. INTEREST CHARGE ON ALL PAST DUE ACCOUNTS
il 1
NOT
RESPONSIBLE FOR BROKEN IRRIGATION LINES
THAT ARE NOT LOCATED! r
I Ril
op a .............. O.D. Line Post ...............
O.D. End Post ..............
O.D. Corner Post............
O.D. Walk Gate.
Post ......... O.D. Drive Gate
Posts ........ O.D. Gate Frames ...........
O.D. Height te
SE i Wood , A -
r pr Style d,
O. B. 08'',a 8 W. Gate
Z- ii2// i— ag1/ Dr. Gate
Concrete ` 6'
ok aoy Rails A
X 3 Pickets ya"
SKETCH All
work
will be performed in accordance with fencing industry standard practice. Wood application
v ries due to slight imperfgctiop nd movement in wood products At t1. _
98 1 +-
7 --
b- Customer Signatu -
Salesman Sales
Manager
Height te
SE i Wood , A -
r pr Style d,
O. B. 08'',a 8 W. Gate
Z- ii2// i— ag1/ Dr. Gate
Concrete ` 6'
ok aoy Rails A
X 3 Pickets ya"
SKETCH All
work
will be performed in accordance with fencing industry standard practice. Wood application
v ries due to slight imperfgctiop nd movement in wood products At t1. _
98 1 +-
7 --
b- Customer Signatu -
Salesman Sales
Manager
U.l U.;'_ uo .u..,., 1,,' .,ou oU, .+quo 'LIL, ULL—..n QUL4
Feb. 2. 2006 2:28PM BUSINESS ARCHIVES 407 254 0890 N o - 6 6 3 8 P- 2
FINAL SURVE:"''
TRACT 'A
RETENTION POND
DRAINAGE EASEMENT)
LEGAL DESCRIPTION:
LOT 47, ROSE HILL, ACCORDING TO THE PLAT THEREOF AS
RECORDED IN PLAT BOOK 54 , PAGES 41 AND 42, OF THE
PUBUC RECORDS OF SFaIINOLE COUNTY, FLORIDA.
GENERAL NOTES:
1, BEARINGS ARE BASED ON RECORD PLAT,
2 THIS SURVEY LS NOT INTENDED TO LOCATE ANY
UNDERGROUND UTILITIES.
3. 9ASED ON THE NATIONAL FLOOD INSURANCE PROGRAM FIRM
MAP CONMUNITY_.N0.12117C, PANEL N0.0045E DATED APRIL
17, 1095. THE ABOVE DESCRIBED PROPERTY IS NOT LOCATED
WTHIN A SPECIAL FLOOD HAZARD AREA FLOOD ZONE 'X',
CLIENT; SARA <LEIN
PRJ No 9602-47 1 SCA E 1' = 30' ATE: 2-23-86 I
CER11F1CATICN TO: _CAP IT2HOS1_CO P,lRA CN NOTE: FINISH
FLOOR
ELEVATION ON THIS ENGINEERED SUBDIVISION PLAN MEETS
SECTION 6-7 CITY OF SANFORD CODE. LEGEND: com
LINE
ROAD —$— C%r- w:E STOP LDT LINE
ASPHALT PAR" LU ADJACENT LOT
LWE UGHT POLE LF EA &ENT
LINE TMZPCONE PEDESTAL 0 SET Sle
IRON NCO • CABLE TY, BOX Ty. B IX FND S[/!
WON ROD TRAh9ORW14 TH S. FWD GONG,
NONUMQ(T • FiRE "ANT 4 I PANT OF
CURYATDRE • PC VA.4L POINT OF
TANGNCY . PT SPOT MATION POST CF
UT =oN , DaHNG D(KADKjS qpi
p ORANALEFLOW Z' UAW
CURB I HERESY
CERTIFY THAT THIS SURVEY VAS MADE UNDER MY RESPONSIBLE CHARGE AND BOARDEOFSTHE
MINIXUMPROFESSIONAL TECHNICAL SURVEYORS
INSTANDARDS
AS
SET FTH CHAPTER 6D1GR17-6,
YTHE F ORIDA
FLORIDA A MINISTRATIVE CODE,
PURSUANT
TO SECTION 472,027, FLORIDA STATUES, I KtV' THIS SURVEY
HAS BEEN
PREPARED FIR THE EXCLUSIVE USE OF THE
PERSON, PEF SONS OR ORGANIZATION IDENTIFIED A80VE
A qD IT'! CERTIFICATION IS NON-TRANSFERAB'
E. AN CCPY HEREOF, TD BE
CONSIDERED VAUO, MUST 6E EMBOSSED WITH
THE SEAL OF A RHGISTERED SURVEYOR, PREPARED BY;
1 MERWAN
NAIME L.
S. #2498 10823
HARKWOOD BLVD. TOMMIE L v YOR
FLORIDA ORLANDO, FLORIDA 32817 PRDFESSIDN ` D S FL
32001 C407) 649-3114 (407) 671-9669 629_3 E. CHURCH
STR_ET DRL
A
IIN111111ItIItlto1UNrn C9at NIllaitlltE Illtl
NOTICE OF CONINIENCENIEWyANNE w)Rml CLERK OF CIRCUIT WJRT
Permit No. 1TDeaD+n Y -
State of Florida 8K 06109 Pg 1631; Qpg)
County of Seminole CLERK'S # 2006019476
RECORDED W06/A006 WOWS PH
The undersigned hereby gives notice that improvement will be made to certai FWR*W6pWrtA ;W(kt accordance with
Chapter 713, Florida Statutes, the following information is provided in this WBIRO NAmUnWielAt.
1
2.
3. (
1
4. Contractor
a. Name and address
b. Phone number _
5. Surety
a. Name and address,
b. Phone number '
c. Amount of bond _
6. Lender
a. Name and address
7.
R
Fax
Fax number 1N+pI MTlf l' n Ta WF
9.nt-rarsxs^t_.
SEMINOtL QWNR, FLORIDA
b. Phone number Fax number "ram "' .
Persons within the State of Florida designated by Owner upon whom notices or other documents ma Abbe served as
provided by Section 713.13(1)(a)7., Florida Statutes: WEB .0 .6
a. Name and address
b. Phone number Fax number
8 In addition to himself or herself Owner designates 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 fro
date is specified) 7
Sworn (or affirmed) and subscribed before me this 3" day of
Personally Known OR Produced Identifi Brown
Type of Identifi 'on Produced,, s
a 6KW6G November 19. 2009
he{late of rec less a different
5ARA -L. KLEiN
20 0 (0 , by
THIS INSTRUMENT PREPARED BY:
Signature of Notary Public, State of Florida NAME AEF Y 0, OPOCOW
Commission Expires: ADDR. f1n,,ur, 1U- 20
n rl as 773