HomeMy WebLinkAbout2805 French AveCITY OF SANFORD PERMIT APPLICATION ,
Permit #: 0
Job Address:
Description of Work:
Historic District:
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Zoning:
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Value of Work: S SHOO
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service —11 of AMPS Additioi /Alteration Cliange of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: N of Fixtures II of Water & Sewer Lines ll 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 N:
Owners Name & Address: _
Z "l
Cont ; for Nan & Address:
Z D. 0.
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: .
Address:
ArclJlect/Engincer:
Address:
Attach Prooforownership &
Phone: 1 D 1—
St to License Nuipber. L-r rer
Contact Person: 0 Phone: LPI)
Phone:
Fax:
1
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. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, ctc.
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
r3 TWICE FOR IMPROVEMENT'S 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 district:;; state agencies, or federal agencies.
Acceptan permit is verificatio hat I will notify the owner of the property of the
1 l j I Dto
gnaUrrc of 'gent 1)a cncr/Ag
S.
Print
S
A nt's Name
I n Eli
Signatur of ary-Statao T londa F, Date
Owner/Agent is v Personally Known to Mc or
NOTARY PUSUC, STATE OF FLORIDA
Wxplfa DEC. 2, 2008
Special Conditions:
Initial & Date)
Law, FS 7
ofNo-slalDp-ILIlgtld3LANTON D
MY CO:•1Mi=14 # DD 1W91UPEX:':RE,S: Februr-ryY5.:':07 AP'
r , r'. N•,tr• 0!''rrt A oe. Co. ent"
isZcrsonaJly Known to Me or luccd
ID Utilities:
FD: initial &
Date) (Initial & Date) I
AFFIDAVIT
NGIRODRY -IN AND FLASHING INSPECTIONS Company:
License #: Project
Information Owner:
Permit M name
vA
SD Subdivision: C -
address ZZ -
2 6 C5 Lot #: phone
I,
4t±C,6ffiant, hereby affirm that I am the duly licensee: contractor
of record for the above referenced permit, that all the foregoing information :s 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. Contractor:
signature
printed
na e STATE
OF FLO A COUNTY
OF A This
instrument was acknowledged before me this day of a.—n 20 D by the above
referenced individual, who acknowledged that he/she is a duly
licensed contractor with 0- MPAand wbn ac owl t;dged that he/
she was authorized to execute this document. e/s a is er persoall kn nmeor produced as
valid iden i ica ion. WITNESS my
hand and seal this day of 44.4 1, 20 O 0 JA
Notary Pu
lie 1, '• r
b
PAVE AN
AgO
C2oo Im
DElITFP DD376509wlRl
POWER OF ATTORNEY
Date: 11110(o
I, ._Andrew 7 . (Andy) Adcock do hereby authorize ew IVAA-' -
To pull the R e o f permit for oi8 D5
typc of permit) (addr s)
Z—I
S
DAFNr%Y FAYE ADCOCK '.
NOTARY PUBLIC, STATE OF FLORIDA
1' MY ComM. Erplres DEC. 2, 2008
COMM. 0 D0376600NII,,,MM 1
Stamp
nowt
l
me or driver license # , of State of Florida, County of
day of 6 4.
NOTICE OF COMMENCEMENT
Ga State of Florida County of Seminole
Permit No. Tax Folio No. (PID) g m
o
T.Otim 7bc undersigned hereby gives notice that improvement will be made to certain real property, and in accordance will] C.iait rji
713, Florida Statutes, the following information is provided in this Notice of Commencement. 9 N m n
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
F2
g m
r 3--rsc Ct+ tr
w9•r 'i
GENERAL DESCRIPTION OF IMPROVEMENT
OD ..
OWNER INFORMATION
Name and address
Interest in properiy (Fee Simple, Partnership, etc.) D tw5 rtE+ I
NAME AND ADDRESS OF FEE SIMPLE TITLE IIOLDER•(1F OTHER T IAN OWNER)
CONTRACTOR
N can ad ess 4V. to 0 D
00 0.. -CERTIFIED COPY
VARYANNE MORSE
SURETY (Bonding Company) CLERK F CIRCUIT COURT
Name and address COU GFLORIDA
Amount of Bond
LENDER
Name and address
AN;IL8 2006
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Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as pro• 'Acd
by Section 713.13(lxa)7., Florida Statutes:
Name and address
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In addition to, himself, Owncr designates of
to receive a copy of the Licnor's Noticc a::
provided in Section 713.13(l)(b), Florida Statutes.
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Expiration Date of Notice of Commencement
The expiration date is 1 year from date of recording cct a difrcrent data it wnrr.ifir d 1
DAFNEY F
NOTARY PUBLI
MY Comm. E
Y E ADCO
STATE OF FL
ire
K
iDA aiUIC Of O vnCiDEC. 2, t;
COMM,
b
DDT 8®
ibcd cfb me his Day of }
My Commission Expi
Nota ub is
The foreP o..ins before me this 6 dayentacknowledged of//y
J ?Lu t LA, name of n acknowledged), who i4mWally to
me or who has produced type of idcntifi lion) as idcntifica: ion
and who did / did not take an oath>