HomeMy WebLinkAbout2845 Empire Pl (2)CITY OF SANFORD PERAIIT APPLICATION
Permit # :
Job Addri
Descriptia
Historic District: Zoning: Value of Work: S
T—
Permit Type: Building DOL-- Electrical e 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 Wa te Closets Plumbing Repair —Residential or Commercial
Occupancy Type: Residentialy Commercial Industrial Total Square Footage: Construction
Type: # of Stories: _ / # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:
L A 0- \ — Owners
Name & Address: dvvnu Contractor
Name & Address: %2<—. ,\Pu r1rCA rt-d onw C c 1 Attach
Proof of Ownership & Legal Description) 3,
fe r? Phone:
QCT"I ' _IN A ` " K0 L Number:
Cal- a1^I 0 Bonding
Company:
Address: Mortgage
Lender:
Address: Architect/
Engincer: [
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: 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 tha will n tify the owner of the property of the requirements o rida F 13. C, y - _
atfoY ignatureofOwne Agent
t Date Signature Contractor/Agent Date 3 a
b b D,4 /Io,v .1.2s-G y c/Pr ,f iGty Print O
er/Aient's Name P ' ractor/A Mnt' Si
nature
of Notary -State of Florida Date Signature of Notary -State bf Florida Date Mamena Salley
Owner/Agent
is Personally Kno MY CommiWen
DD121761 Produced ID
MRXpireS May 30, 2008 APPLICATION APPROVED
BY: Bldg: Zoning: Initial Date)
Special Conditions:
SHERRIE L.
NICHOLSON Contractor/Agent
is Personally vv`t
Knovtlni"(PUblIC, State 01 F10110 Produced ID
Y cumm. exp. Oct. 5, 2007 Comm. No.
DO 255515 Utilities: FD:
Initial & Date) (
Initial & Date) (Initial & Date)
Prepared by
Holly Allison, an employee of
First American Tide Insurance Company
870 Sun Drive, Suite 1072
Lake Mary, Florida 32746
407) 321-5449
Return to: Grantee
File No.: 2022-429040-0716
WARRANTY DEED
Made this ibYUot of 20-0—LL_ by and between
Annarose Wampner, Trustee u/d/1 dated July 12, 2000
whose address is: 9342 Sapphire Cove Drive, West Palm Beach, FL 33411
hereinafter called the "grantor", to
Bobby L. Dalton and Mary F. Dalton
whose post office address is: 2845 Empire Place, Sanford, FL 32773
hereinafter called the "grantee":
Which terms "Grantor" and "Grantee" shall include singular or plural, corporation or Individual, and either sex, and shall Include heirs, legal
representatives, successors and assigns of the same)
Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other
valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens,
remises, releases, conveys and confirms unto the grantee, all that certain land situate in
Seminole County, Florida, to -wit:
Lot 36, Block E, WOODMERE PARK 2ND REPLAT, according to the Plat thereof as recorded in
Plat Book 13, Page 73, of the Public Records of Seminole County, Florida.
Parcel Identification Number: 06-20-31-505-OE00-0360
Subject to all reservations, covenants, conditions, restrictions and easements of record and to all
applicable zoning ordinances and/or restrictions imposed by governmental authorities, if any.
Together with all the tenements, hereditaments and appurtenances thereto belonging or in any way
appertaining.
To Have and to Hold, the same in fee simple forever.
Page 1 of 2
2022 - 429040
111897
L=ED POWER OF ATTORNEY
I hereby name and appoint
of
Date: Q - air) -0L-k
c, r C Cl IV, C to be my lawful attorney
in fact to act for me and apply to C,- _a r U C for
a `ecc, permit for work to be performed
at a location described as: Section Township _ Range
Lot Block_ Subdivision U y-x-Ary\e i 2 oA
Address of Job)
Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
Type or Picot nine of Certified Contractor and LiceSw #)
Acknowledged:
Sworn to and subscribed .
C
beforr
t,t
e1
me thus /,,, /
CQDay oA A.D91M ( Notary
Public, State of Florida SHERRIE L. NICHOL SUN Notary
Pilblic, State of Fignrl.-i Seal) m. eYWC"
0,41a02U—t1 00
m.
N5 My
Commission Exp'
mnmamou umRaab via iibULDUWit.-- Permit
Number_ _ Parcel
Identification Number CU('b-('` ( MO} rLERK OF CIRCUIT CUT Prepared
b t
SE+
AINDLEC 0968 PrePYBK052070
200401a7560 PMWW
By & rAh" TW CLERKS
10133e08 RM RECORDEDpE/Z5/2004 Robert
P. Sag" W.W0IN0 FEES 6.00 P.
O. Box 9608=1 REix WED BY S O'Kelley Return
to: Luke NVYt MOM & 32795-0821 NOTICE
OF COMMENCEMENT ry
ART•r1rv c-«,' SLERic
OF CIRCUIT"I I-T,-;
1' 7- State of
County of
yy,;.c>\e t r•`` f fff
41L
t -;_ The undersigned
hereby gives notice that iNiprovement(s) will be made to certain real, property; and in accordanc. with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement. l 1.
Description
of property (legal description Of the p perty, and street address if available' 2. General
description of Improvement(s) 3. Owner
Information Name 3O \
z mac.\O Telephone Number Address Lm
f \ Fax Number NfliA : L
3;1"-I Interest in Property: S 4. FeeSimpleTitleHolder (if other than owner shown above) Name \ Telephone
Number Address Fax
Number 5. Contractor
Name IZvberA -•
r\l;\(?
v3 %
C`\e" Cc Si' iipelephone nC NumberLAC) )-
3t-(c1 UU ( Address m a,
Fax Number A 3ycl-oo 6. Surety (
if any) } 3a`196c&D I Name Telephone
Number Address ` Fax
Number Amount of
bond $ 7. Lender (
if any) Name ` Telephone
Number Address Fax
Number 8. Persons
within the State of Florida designated by Owner upon whom notices or other documents may be served asprovidbA713.13(1)1)7. Florida Statutes. Name k
ec\ 1 a'keb Cor) Co S TelephoneNumber 3 Li cl - G(3 ( Address' '.0 ( j- 9GO a) Ma (2L Fax Number 3L1 GU 3a7gSoFs - 9. In
addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice provid dIn §713.13 1)(b), Florida Statutes. Name s
E $. , Co Sa Co l nC TelephoneNumber k-l0`l - 3LtS -VU Address O (:5('
2 Fax Number 349 -00-S, a7 So 10. Expirationdateofrtictofcommencement (the expiration date is one year from the date of recordin• unless adifferentdateisspecified): Date Signed
Signature of
O ner [Nott: per §713.13(1)(9), "owner must sign ...
and no one else may be permitted to sign it his or
her stead." Sv/(/ern }
toyand sut cribe/d before me this _ day of —Fe b 2i_L._— b who is
impersonally known to me OR produced as identification.
Sign Lure
of Notary (notarial seal to ppear below) Marcena Batley
0 My
Commission D0121781 Form Revised: 12/00 for 19_ l0 20_ 10i ndo Expires May 30, 2006