HomeMy WebLinkAbout107 Belgion WayCITY OF SANFORD PEPMT APPLICATION
Permit No.: �� 1 Date:
Job Address:ff
a [�
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: 6
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole New AND Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: /Residential Commercial Industrial Total Sq Ftg: D3_ Value of Work: $ O
CIO
Type of Construction:
Parcel No.:
Owner/Address/Phone:
Contractor/
Flood Zone: Number of Stories:_ . Number of Dwelling Units:
(.Attach Proof of Ownership & Legal Description)
6 - -atiY State License Number:
Contact Person:Phone & Fax Number:
Title Holder (If other than Owner): G�b, .33/ ' 0 7 % �--
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer Phone No.:
Address: Fax No.:
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 that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date afore of Contractor/Agent Date
Print Owner/Agent's Name .
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is _
Produced ID Produced ID .
APPLICATION APPROVED BY: Date:
Special Conditions:
Florida DalEe
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PQ4\ 16 200 961 � ;• S
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STA
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Classic Fence Company
330 Dog Track Rd.
Longwood, Florida 32750
407-331-0765
To:
has my permission tc sign for and
pull a permit for a rence installation.
am Serafine
Date
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AUG -05-2003 TUE 08:2b AM AAA PRODUCT SUPPORT PAX NQ, 407 444 8204
PI U2
PLAN' OF SURVEY
DESCRIPTION; (AS FURNISHED)
LOT 16, BAKERS CROSSING PHASE 1
AS RECORDED IN PLAT BOOK 60, PAGES 27-29, OF TIIE PUDLIC RECORDS OF SE:MINOLE COUNTY, FLORIDA
i
5 50 RIrHT.OT-WAY do
46 ��
CCNTCRUNE OF 86.43 ` �r"J Gg G
�RirlIT-or -wnr wl �,\ •° J6••�
N� n
57.92'1 ' - 30'IN �rT
1
CRARHIC SCAB' 1 S89'7r �1 ,3"E T O
0- 15 JO — — V✓ I `t 1
BELGIAN WAY
TRACT A
TRACT D
�� i17,5. 1 rye L
1
1
1
LUT 16
I
1
I
1
I
1
i
r
6= 4 3'12' 4 3"
R=25,00'
L=18.85'
CB=S67'41'22"E
C=18.41'
LOT 15
CERTIFIED TO AND FOR THE
EXCLUSIVE USE OF: 87
3, 1
D•R,Ff. TITLE CGL+rANY Of ft.ORlOA INC.
FIDELITY NATIONAL 1ITLE INSURANCE COMPANY OF PENNSYLVANIA - "`-------I-
CN MORICACr. COMPANY, 1 , LTO.
NOTE:
1. rROPCRTY CORNCRS SHOWN !IEREON WERC
SET/FOUND ON 04. 28-03, UNLESS OTIIrrMrE
SH O WI4,
2 THE SURVEYOR IIAS NOT AF.;TRACTED TK
LAND Si -[OWN HEnEUN EUN EASEMENTS, RIGHT OF
WAY, RESTRICTIDNS OE RECORD NHICH MAY
AFEF.CT THE TITLE Oil USE. (Ir THE LINO.
J, NO UNDERuI()IJND IMrnOVEMFNTS HAVE BEEN
InrATrn rvrrPT AC 014^Wm
TRACT D
LEGEND
-- — — OVILDINC ;CIRACK UNE. rND NAL ANO DI;C
CCNTERUt< n LD /,1071 (0d/W03)
R16NT Or WAY UNC 51t 1/2- IRON ROD ANTI TAP
AR.7D I,KISIwn rLrVATION U LH 033.1 (0A/71t/ni)
�1 rrwrary CNA CORN(R NOT ACCESSIDI.E
10' UTILITY (AS(uENT
\
-----------------
0
1
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I
1
1
17.5'
21.1' k
,
,
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TORMOOARo tOVNDATION
r
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ELEVATION...O 70
r
{
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1
I
I
; n
1
,
�� i17,5. 1 rye L
1
1
1
LUT 16
I
1
I
1
I
1
i
r
6= 4 3'12' 4 3"
R=25,00'
L=18.85'
CB=S67'41'22"E
C=18.41'
LOT 15
CERTIFIED TO AND FOR THE
EXCLUSIVE USE OF: 87
3, 1
D•R,Ff. TITLE CGL+rANY Of ft.ORlOA INC.
FIDELITY NATIONAL 1ITLE INSURANCE COMPANY OF PENNSYLVANIA - "`-------I-
CN MORICACr. COMPANY, 1 , LTO.
NOTE:
1. rROPCRTY CORNCRS SHOWN !IEREON WERC
SET/FOUND ON 04. 28-03, UNLESS OTIIrrMrE
SH O WI4,
2 THE SURVEYOR IIAS NOT AF.;TRACTED TK
LAND Si -[OWN HEnEUN EUN EASEMENTS, RIGHT OF
WAY, RESTRICTIDNS OE RECORD NHICH MAY
AFEF.CT THE TITLE Oil USE. (Ir THE LINO.
J, NO UNDERuI()IJND IMrnOVEMFNTS HAVE BEEN
InrATrn rvrrPT AC 014^Wm
TRACT D
LEGEND
-- — — OVILDINC ;CIRACK UNE. rND NAL ANO DI;C
CCNTERUt< n LD /,1071 (0d/W03)
R16NT Or WAY UNC 51t 1/2- IRON ROD ANTI TAP
AR.7D I,KISIwn rLrVATION U LH 033.1 (0A/71t/ni)
�1 rrwrary CNA CORN(R NOT ACCESSIDI.E
CLASSIC FEN
CUSTOMER NAME
ADDRESS: /0
LINEAL FEET:
HEIGHT
�4 ❑5
6 ❑8
0
6
BOARD SIZE
❑1/2x4
❑1x4
❑1x6
COUNTY:
OPENING:
TYPE OFFENCE
STYLE
[]Cypress VffpTp
[]Stockade
❑Chain Link PVC
[6D on BD
Ultrawoo
-[:]Picket
❑Shadow Box
It
RAIL SIZE
GOOD SIDE
❑2x3
❑In
❑2x4
❑Out
0
WALK GATES: QTY: __L OPENING:
PROPOSAYCONTRACT 330 Dog Track Road* Longwood, FL 32750
407-331-0765 Ph7o e/ • 407-331-0772 Fax
�– :, DATE: ff�l "'03
— PHONE: HOME ##- 36 6 - 6/ 7 a-
WORK #
FAX #
MAP PAGE: a" aZ MOBILE#3%7
DRIVE GATES: QTY:
OPENING:
LINE POSTS: QTY:
O.D.:
TERMINAL POST: QTY:
O.D.:
TOP RAIL: QTY:
O.D.:
WIRE GAUGE: KK:
KT:
FENCE TO FOLLOW CONTOUR OF GROUND: ❑
FENCE TO BE LEVEL: ❑
REMOVE EXISTING FENCE:
❑ YES
❑ NO
FENCE LINE TO BE CLEARED:
❑ YES
❑ NO
CORNER LOT:
❑ YES
❑ NO
PERMIT NEEDED:
❑ YES
❑ NO
SPECIAL INSTRUCTIONS:
J
HOUSE
FRONT
31
I w
Classic
way guarantee assist
the customel, property pins cannot be located. �hetrestrecommended fence
isthe the erected, but under noer have the property survstances eyed es lassie Fence assume any responsibility conceming property lines or
y.
Classic Fence will assume the responsibility for locating underground cables and utilities, however, Classic Fence is not responsible for any sprinklers or other unmarked buried lines or objects.
Final billing will be based on actual footage of fencing erected. Payment is due at the time of completion of work, and a finance charge of V/2% per month shall be applied to all accounts not paid in full
within 10 day�of completion. All material will remain the property of Classic Fence until payment is received in full. Right of access and removal is granted to Classic Fence in the event of nonpayment
per the terms of this contract. The customer agrees to pay nil interest and any costs incurred in the collection of this debt.
If the Buyer refuses to allow the Seller to begin work or to complete work already begun, or to accept materials contracted for, Buyer agrees to pay Seller liquidated damages of n sum equal to 33'/3% of
entire contract price, plus cost of materials and labor already furnished or in progress.
Customer assumes full responsibility for obtaining homeowners association approval for the type and locationof fence.
NOTICE, TO PURCHASERS OF WOOD FENCES:
Wood fence materials are rough mill cut pieces. Wood fence has a tendency to shrink and warp in hot, humid weather and small gaps will appear between boards. Cracks in the wood are a cununon and
accepted occurrence. Classic Fence will only guarantee the workmanship on wood fences for I year.
I HAVE READ AND UNDERSTANDTHE ABOVE CLAUSE: APPROVED AND ACCEPTED FOR CUSTOMER
CONTRACT AMOUNT:
DOWN PAYMENT:
l'\BALANCE DUE
UPON COMPLETION
Co.
'er Co.
El
one Co.
TEC LED
INSTALLER
DATE STAATED
DATE COMPLETED
LABOR
CUSTOMER
DAT
CUSTOMER DATE
u�
M-
SALEFERSON
QUOTE VALID FOR 30 DAYS
.-f MARW
Permit Number SEMI?
BK
Pare; Identification Number CLE
Wrni
Pre dared by:
HARPER
BUILDING CO!"I iTZACTOR
Return to: 420 W. t:;l-IUFI GH AVE.
LONGWOOD, F=L 32750
(407) 332-743!
NOTICE OF COMMENCEMENT
State of A4
County of 6,"
E MORSE, CLERK OF CIRCUIT COURT
E COUNTY
x981 PG 1080
','S # 2003149872
D 08/26/2003 02051152 PM
NO FEES 6.00
D BY L McKipley
CEPtinto Capt
RARYAN&T P40
WRK OF CIRCUfi Cp
URY
SEMMIA
tE C0t1N
Flo IDA
OFP( Pte.
�.� 2 6
The undersigned hereby gives notice that improvement(s) 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.
1. Description of property (legal description of the property, and street add ess if av ilable)
!��
7, 1 n �
mei- �✓ T� 3 �.o g'
2. Genera description of improvement(s)��'~'• ``�?
.q�J. �; -,,,., • E
3. Owner i formation
Name AAA_j �i?il�: KC�-,l �.�of - Telephone Numberoga'j .j 39> L3S3
Address,/6,( /V. �'il..•o?I- ,d Fax Number
Interest in Property:
4. Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address Fax Number
Contractor�,ey.,s., PA..' 6�',
Name 1 Telephone Number j4P7,w 7—,_7zZ-31
Addressy z,* � -1c IL1'J Fax Number 1{p� �►
LLGGLL...... P-"� 0-72 3 &7
6. Surety (if any)
Name Telephorie'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 rnay be
served as provided by §713.13(1)(a)7., Florida Statutes.
Name Telephone Number
Address Fax Number
In addition to himself or.herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided in §713.13(1)(b), Florida Statutes.
Name Telephone Number
Address Fax Number
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording
unless a different date is specified):
Date Si edgnaCur of Owner (Note: pe 7313(1)(g),
Y"owner
mu!3tslgLi ...and no one else may be permitted to sign in
his or her stead."
SwpM to�d,sub�ribest bel=_rg r=ne this , _____ day of L/ 7� p aod3 by
who Is personally k-iown to me OR Produced
as identification.
Yvonne J Howell
MYCommlaaionD0084389 i ature of 14ota o rial seal to a
at Ares October 23, zoos �' ( appear below)
Form Revistwi- :vwe
_moi'