HomeMy WebLinkAbout2001 Hibiscus Ct (3)1 CITY OF SANFORD PERMIT APPLICATION
Permit # : O (o
Job Address: S4G l
Description of Work:
Historic District: Zoning: Value of Work: S rZ . 3-1 O
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Survice 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 \)
E 1,U7 S 54 S f/ SAtt .
1 _
Parcel q: L ` L
Op
s S S ' G` LUG (Attach Proof orOwnership 'Legal Description) Owners
Name & Address: Sd to DYU Cti-fl) ) rL ! L4([ e 00 1 `I-rt t3 CS Ck Ct . Name
Phone &
Fax: ` Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Enginecr: Address:
Z'
1 R'7i/401 we
75 ID O L
lS tc Lic(rtsc `N nber; G C. zs O ry
Contact
Person: 7'K "ry(- Phone: 01 3Z Z t>)S p 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 he performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit
roust 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 Olt AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. a
NOTICE:
In addition to the requirements of this permit, there n:ay be additional restrictions applicable to this properly that may be found in the public records of this
county, and there may be additional permit% required from other governmental entities such as wader management districts, state agencies, or fed 1 agencies. Acceptance
o pe t i verification that I will notify the owner of the property of the requircme f F da Lien •1w, F I . 4- Jc
Date
le
I,t Cldr a P(
Ft n to
Daatetcl
Signature aApNRL
FAY OK 1.
NOTARY ATH OF FLORIDA cr
yg!ll K11110 n o Me or 1'
roduc6 1 DD37 0 APPLICATION
APPROVED BY: Bldg: Special
Conditions: Name
DEBBIE
BLANTON MY
C0:,:.SISSt0t4 # DD 1W91 f"
IREG' F:prur:ry 5.2:07 ContrartoAgenl:ls _ ersonally Known to Me or Produced
FL
1`4617irlp:cowr.l.L:.Oc. moo. S
Coning:
Utilities: FD: Initial &
Date) (lnilial & Date) (Initial & Dale)
AFFIDAVIT
ARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: COUP DNC, License . License #` 0 ZZ goo
Project
Information Owner:
0 Permit #: name '
Subdivision:
ddrcss
4
0 1 30 'Z Z Z (v D Lot #: Phi
i I, '
eo0 !',,, 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 above referenced address or lot has been. installed
in accordance with the applicable codes and standards. I'
Contractor:
printed
name sir,
3
s '
STATE OF FLO 1
COUNTY
OF &A This
instrument was acknowledged before me this above
referenced individual, duly
licensed contractor with V he/
she was authorized to execute this docume t.Ile/she is produced
as valid WITNESS
my hand and seal this 2 Z day of _ DAPNBY
PAYS ADCOCK NOTARY
11 110, OTAT9 OF FLORIDA sMYOOTT. 91Ip1 Ot DEC. 2, 2008 COMM.
0 OD376609 day
of vkt.r 20D6by the who
acknowledged hat he/::he is a and
who acknowledged that ther
personally to me or Notary
J
OD 4state ofFloriaa
NOTICE OF COMMENCEMENT
County oIIf Seminole
D, Permit No. Tax Folio No. (PID)
nle undersigned hereby gives notice that improvement will be made to certain real property, and in accordance
713, Florida Statutes, the following information is provided in this Notice of Commencement.
I
I
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
L-C, cars r44- r SC c:r- s C"e-e Lv/ rc)
GENERAL DESCRIPTION OF IMPROVEMENT P-00
1
E
u
OWNER INFORMATION N
Name and address L1.1. j 2 kT
Interest in property (Fee Simplc, Partnership, ctc.)
M
NAME AND ADDRESS OF FEE SIMPLE TITLE I10LDER•(1F 071-ll3R THAN OWNI
I
1, CONTRACTOR
Name and ad s C. o tiles O O t .
OVji
SURETY (Bonding Company)
Name and address
1
Amount of Bond
LENDER
Name and address
t
t
Persons within the Statc of Florida designated by Owner upon whom notice or other documents may,
by Section 713.13(lxa)7., Florida Statutes:
Name and address
t
In addition to himself, Owncr dcsignatcs 1i
to receive a copy of the Li
provided in Section 713.13(1)(b), Florida Statutes.
Expiration Datc of Notice of Commencement
f rccordine unlc.Gs a iffcrm:n atr• is sm-rifirrt
DAFNEY FAYE ADCOCK "'
f ` NOTARY PUBLIC, STATE OF FLORIDA
MY Comm. Expires DEC. 2, 2008
wncrCOMM. p DD376609 i , ,, t Of
or
My Commission Expires: I
NotTub`fic v
The forein. instrument acknowledged before me this day of
Z) 61. :E W. Lrl C, A.:!::a me of person acknoN4
me or who has produced (type
with Uiaptcr
3 z
1
r, oQv
0
o Pv .
2006 .
served as pro-, :d ,
of
mor's Notice w,
rrrr-+#r it
Ln
scolat:®
g
personally know to
t CRh 1Ca`:On
and who did / did not take an oath>
POWI. R OF ATTORNEY
Date: 2 2 >
Andrew T. (Andy) Acic , lac do hereby authorize-l w
To pull the R c. r Q Q •f -,permit for oo ( 4k r= 1 S t 'C;F
hype of permit) (•i s —
x) M-4=> 3Z 11
Signat 'e
My
DAFNEY FAYE ADCOCK
NOTARY PUBLIC. STATE OF FLORIDAiMYComm. EIIPIns DEC. 2, 2008
COMM. 0 DD370609
Stamp
Personally know to me or drive::' license # , of State of Florida, County of
day of t.,-
Zoo