HomeMy WebLinkAbout300 Larkwood Drt ` CITY OF SANFORD PERMIT APPLICATION'
Permit /-
D yDate:
Job Address: 3oo 04r dr% L/Yl Ve
Description of Work: ' i // %V/ r, r 6r
Historic District: Zoning: Value of Work: $y 35, Oa
Permit Type: Building 1L 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 Cla ems Plumbing Repair - Residential or Commercial
O%cupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone:
p (
FEMA form required for other than X)
Parcel #: / 30 'SQ,Z - Q(TOO r70 i't7 (
Attach Proof of Ownership & Legal Description)
Owners Name & Address: -r70 fir/iW d /roil, v /_.ry.._ -1 7 -- / /. /_ )l_ J7 1/ _
op
Contractor Name & Address:
Phone: _%7- 717
d- tit 122- 3.-2707
yLicense Number: D `/ — / 7 / 9 7
P b o n e & Fax: 1/07- 694 7 Contact Persoa: yayr-r/ i Phone
Bonding Company:
Address:
Mortgage Lender:
Address:
Architeet/Engineer:
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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatepermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, 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 regulatingconstructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT.
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 ofthiscounty, and there tray be additional permits required from other govemmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit ' ficatioa that 1 will notify er of the property of the requireme f F o ' ien Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent t
n.t.
Print Owner/Agent's Name-
Ptl t • Strafe of
4U 04 --2 %S3y&-43-3APPLICATIONAPPROVEDBY: Bldg:Zoning:
Special Conditions:
Ko6,4 ? Ayrrl-S
Pn t Contractor/Agent's
i C)
Si of Ntnr-State of t d Date
r F 011-11 E A DE GRAVE
MY COMMISSION # DO 16420
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EXPIRES: November 12, 2006
Co tractor/A ° BBdllall6p I r -
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Produced 1D ap - -k aO V
Initial & Date)
Utilities:
Initial & Date)
FD:
Initial & Date)
1
Improving Home Improvement
INSTALLED SALES FENCE CONTRACT
INST SA-L E$PiC LI
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NUMBER
STORE O.
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CITY C STAT
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MD — State License Number: All Other States — Lowe's Employee Number.
AL CT FL MA MD NV #45450 unlimited. TN #16066, only.
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CONTRACT# 1 1 3 8 4 5 0
CUSTOMER
STREET ADDRESS
ATE ZI
TELEPHT!F , 2- 2— -3
CASH
CARD
LCC AECGE
This is a contract between Lowe's (as defined in the Terms and Conditions) ("Lowe's"), and the above -named Customer for the installation of goods at the
Customer's residential premises (the "Premises") at the following installation address:
STREET ADDRESS , CITY STATE ZIP
Attach copy of Lowe's Vinyl Fence Estimate Sheet and write in contract #.
Fabric Fabric Panel Picket Item #
Height Height __ -_ Style —
Length Length Height
Gates Gates
a
Length --- ----
Estimated Sheet Attached Estimated Sheet Attached Gates
Estimated Sheet Attached U
Additional Specifications: The Environmental Protection Agency (-E—P—A) has- requested that Mat'Is
Lowe's notify installation customers that a lead based paint hazard may exist in dwellings built 4— C;
prior to 1978. See pamphlet EPA 747-K-99-001 for details. Labor
Tax
Total ''
i" ,7 j
Where applicable labor is taxable;
check local tax restrictions.
Responsibility of Buyer: 1. Customer agrees to locate and identify the property line, easements and all underground cables and pipes which mi hataffectthelocationof
the fence hereunder. Customer agrees that Customer is solely responsible for the location of the fence described in this Agreement. Customer will also defend, indemnify
and hold harmless Lowe's for all claims, demands, actions, liabilities, losses, costs and expenses (including, but not limited to, attorneys' fees) incurred by Lowe's in connection
with any claim, alleged or otherwise, made by anyone about the location of said fence. Customer is responsible for any special work described in this Agreement. 2. Customer
agrees to obtain any necessary legal permits for this fence installation, or Customer will provide Lowe's or its subcontractor with a legal description, a copy of the site survey
and any other necessary doc"iimeri[
NOTICE TO CUSTOMER
All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this
contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation necessitated
by defective substructures, superstructure. points of attachment, or the moving of fixtures or appliances to be billed at extra cost to customer.
DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE
REVERSE SIDE OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDER-
STAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS CONTRACT. YOU ARE
ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE.
WITNESS OUR HAND(S) AND SEAL(S) BELOW THAS DAY OF , ---- -- -
Lowe's Home Ce y%nc. ` WITNESS OURHAND(S) AND SEAL(S ELOW
By:^i`C 2a /til/ (Seal)
f 1 (Seal)
THIS INSTRUMENT PR PARED BY:
NAME: R&v& Ho-ITI-5Building &Fire Inspection
ADDRESS: I ov9 SUVNOLE COU;h7y 1101 East 1st Stree
OM-0 z-7 z TWRIMS N MPAt CHOR-7 Sanford, FL 32771
NOTICE OF COMMENCEMENT
State of Florida County of Seminole
Permit No. Tax Folio No. (PID)
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
GENERAL DESCRIPTION OF IMPROVEMENT
dinFtFn M.el
MARYANNF M(
CLERK OF CIRCUIT COUIR
OWNER INFORMATION S E 40U R.ORlDIi!
Name and address -3UD LGr,kwo,d Or, LA —rnjs - - -- -- -5
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER)
CONTRACTOR
Name and address
le. I rn%,.+.ca Co. Fe," 32 -70'7
SURETY (Bonding Company) 1IIIIN 1 1 1®1 If11®®g Ial
Name and address - - -- - - -- - --- - - ---- --- -- ---
trnpvma MDR96 Q" OFGT N;; Gm
4mount of Bond SENIM LE COUNTY
BK 05195 PS 1286
CLERK'S # 2004021621LENDERRMORDED02/ 12/M 09:O5t O1 AN Jame
and address RECORDING FEES LOO RECORDED
BY S O'Kellay ersons
within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section 13.
13(1)(a)7., Florida Statutes: Jame
and address ersons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as mrovided
by Section 713.13(1)(a)7.,Florida Statutes: Jame
and address: a
addition to himself, Owner Designates of To
receive a copy of the Lienor's Notice as rovided
in Section 713.13(1)(b), Florida Statutes. xpiration
Date of Notice of Commencement The
expiration date is 1 year from date of recording unless a different date is specified.) Signature
of Owner worn
t bed before me this t
Day
of / My
Commission Expires: NATRANAt1 Notary
Public, State of Florida My
Comm. expues2006 No. DD173338 ryy
ublic Ashton Agency, Inc. (800)45t 4854 BondedthruAsAheforegoing
instrument was acknowledged before me this % day of Ak. Eby l 1
4r' S &c (Name of person acknowledged), who is personally known to me or who has wodue of
identification), as identification and who di no e nd oath.
PLAT OF SURVEY FOR WILLIAM S. AND PATRICIA G. BUTLER
SEMINOLE COUNTY, FLORIDA
DESCRIPTION -
Lot 4, Block G, IDYLLWILDE OF LOCH ARBOR SECTION-5, according to the Plat
thereof as recorded in Plat Book 19, Page 46, of the Public Records of Seminole
County, Florida.
SURVEYOR'S CERTIFICATE
This is to certify that a Boundary Survey of the above described property
was made under my direction and the Plat hereon is a correct representation of
the same to the best of my knowledge and belief. Also certified to Kampf Title
Guaranty Corporation and Navy Federal Cr.edit. Union.
Y. 14 MAY 91
V.. SMITH, L 65
V. KELLY SMITH & ASSOCIATES, INC.
1801 French Avenue
Sanford, florida
401/321-M 3
NOTE:
Bearings based on the R/W line of Larkwood Drive,
per Plat of Idyllwilde of Loch Arbor Section-5,
PB 19/46, Sem. Co., Fla., as being S.89°48'14"W.
Property is shown in flood zone C, per FIRM.
Street Address: 300 Larkwood Drive.
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