HomeMy WebLinkAbout1318 Mellonville Ave6-30-203 11:121dAM FROM
Permit # o 3 - Z -2-a O
Job Address: -n /y jVGl' GA V d1
Description of Work: _ axwi (A_ U py
Historic District: Zoning:
. .. C ;
CITY OF SANFORD PERMIT APPLICATION
Value of Work: $ 10 10 cluxc 01
Permit Typr: building Electrical. ._ Mechanical Plumbing- Fim Sprinkler/A
lawn Pool
Elcctricat: New Service - # of AMPS 41_�'§Addition/AIteration Change of Service +� Tengxw ry Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
PlouobigW New Commercial. if of Fixtures -_ # of Water & Sewer Lincs # of Gas Lines
Plumbing/New Residential: # of Watel.Closets Plumbing Repair- Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # elf Storax: # of Dwelling Units: Flood Zone: WMA form required for other than X)
parcel R:
Owner* Name
Legal Descriipbos)
2"1 :r?- f'2 Sah W=eose Noasber:Moly?-17-
novae
Q0014i-3Lphone a Fax: l - -3 - 3Y¢�eat.a Penna: a
BoadltrK Company:
Addrew
Mortgage Leader:
Addreswl. o -v0
Arthitaet/Ettgiaosr: "Mac.
Addrew Fa;
Application n hereby made to obtain o perp it so do the work and irntallatione in indicated. I eenify drat ao work or installation law commenced Peron so the
issuance of a pexin and that all work win be perfor aed to travel. standods of all haws regulating eonswetion in this jurisdiction l uedusosnd a m a sryarare
permit must be scoured for ELECTRICAL WORK, PLUMBING. SIGNS. WELLS. POOLS, FURNACES, BOILERS. HEATERS. TANKS, and
AIR CONDITIONERS, etc.
- NER'S AFFIDAVIT: I certify that all of the foregoing information is accurate aid that all work will be done io compliance with all applicable laws regulating
coramuction and cooing. 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
ATTORNFY BEFORF, RXODRDiNG YOUR NOTICE OF COMMENCEMENT.
NOTICE.; In addition a* tba requiretaen u of this permit, tbcre may be additional restrictions
the county, and dare may be additional pomits repwrred from ober governmental endues s
Acceptance a It verification the will non the owner of the property of the
r� CeiLr�t�'t�
Signtute of OumarfARent Dote
P 'at OwaeAAgent• �� I
itna if Date
EXPIRES: November 12, 2006
a r`V eadad Tnu Btadprt Warn
tialViOrr
Q�k
nerlAga►t is P Ily Known to Me or
I`rpdaeed IUe- $ .
APPLICATION APPROVED BY: Bldg!
(initial & Dste)
Spacial Condition+:
that may be found in the public records of
districts, nista agtncicat, or federal agencies,
_)7�c-
!NCE A DE
Be'*iiV 5UW WM Sawkrs
Contractor/Agent iorally Known w Me or
-VPruduccd ID
Zoning: „ Utilities: FD:
(Initial & Rttc) (Initial & Oetc) (Initial s: Date)
• 'NOTICE.OF-COUNICENCEMENT , r`
Permit No. Tax Folio No.
State of Florida
County of Seminole
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.
1. Description of pr (leg�l desc on of the property and street address if available)
• �i C rvi t
32-77 1
2. General description
3. Owner information AAAA
a. Name and address
/0 l t¢ M"' Sn%1 c
-a;; Ito COPi
MNNE M
Of CIRCUIT��
b. Interest in property i .
C. Narne and address of fee simple titleholder (if other than Owner) fill
\
ontractor �.{ 'JUL O '.
Name d a dress IAX d'1e fIt. Cs 64Ic,
b Phone nv ber 67 - 8 1 -.J74 7 _ FaxnumbNjjjtMI IIO
S. Surety
a. Name and address
• 6.
b. Phone number
c. Amowtt of bond
Lender
a. Name and addre:
"-f Lit)
Fax
RECORDED 07/91/M3 02105109 PN
b. Phone number `1 U•7 -V 7L —U Zu'7 Fax number W7
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
b. Phone number Fax number
In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
a. Phone number Fax number
Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a differem
date_ is specified)
Signature of'Owner
L�
Sworn to (or affirmed) and subscribed before me this _ 1day of 20 0 J by
Personally Known OR Prod u d Identification
Type of Identiftcati Produced �(�_
THIS•INSTRUWNT PR
rignaturc of Notary Publictate of Florida J ob,r}
NAME
Commission Expires: /��
+pw'p•`;�e FLORENCEADEWyE ADDR. 1U. / 0-K SeVtZ `I
:►AM* MY COMMISSION I DO 164260
EXPIRES; November 12, 2006