HomeMy WebLinkAbout444 South Elliot StPermit No.:_
Job Address:
Parcel No.
Description of Work:
2 CITY OF SANFORD PERNUT APPLICATION , 1
�I 3� Date: 9'—G `l
Zlth auft cam, L a-zT 1 I
h U dw� (Attach Proof of Ownership & Legal Description)
Type of Construction: I\'�
Valuation of Work: $( ) Occupancy Type: Residential
v �
Number of Stories: --I Number of Dwelling Units: Zoning:
Owner: stC
Address: E
City: State: —A
Phone No.: 320 Fax No.:
Contractor: JgL
Address: I Q 1!5
City:
Phone No.:
Contact Person:
s17a-37100
Title Holder (If other than Owner): b�
Address: l3 / a
Bonding Company: _
Address: c
Mortgage Lender:
Address:
Architect:
Address:
Flood Zone:
Commercial Industrial
Total Square Footage: �+
7� l'
Zip: 327 7
State License No. de(f0274Ba-
Phone No.:
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.
ture of Owner/Agent Date
L4 -1'S 03
of Florida Date
,efO Katherine Martinez
MY commission DD0193M
%a Expires April 19, 2005
Owner/Agent is Personally Known to Me or
Produced ID .I JbAr bZAM 6 CefsZ-;-
APPLICATION APPROVED BY: C_i , • /�
Special Conditions:
-Own
+1ature Date
Contractor/Agent is A Personally Known to Me or
Produced ID
Date:
3
Permit Number
Parcel Identification Number
Prepared by`I j �jrlCA -( iIao
Return lo*P`4 ukx C()l.\�J-17 ((RenIQ
�f'
1� br
�C7
1v.T` L, 37- 0
NOTICE OF COMMENCEMENT
State of`' -
County of li�l
IINIIaMN�NNIINNINIMN�MNNN16N1�NgIIMI
MrTRYWE CLERK OF CIRCUIT COURT
SMINDLE COUNTY
BK 04902 PG 0337
CLERK'S R 2003075346
RECORDED 03/06/2M3 03:19133 PN
RECORDING FEES 6.00
REND BY M Nolden
CERTIFIED COPY
MARYANNE MORSE
CLERK OF CIRCUIT COURT
SEMINOLE COUNTY. FLORIDA
DE;M TV rtFRK
MAY 6.2003
The undersigned hereby gives notice that irr1provement(s) will be made to certain real property,, and in accordanc
with Chapler 713. Florida Statutes, the following information is provided in this Notice of Comrfiencement.
1
1 Description of property (legal Oesr ! lion of the property, and street address if available)
L fq Sp" Z!-�h "CWO-r
-bird -Q, 5,z9f7
2 General des tion of Improvement(s)
Owner information
tJ:1me os�
. Telephone Numb
;� ,,1.es� I �, i�� Fax Number
Dia ro�C.I
�jC� rLl,,_ (•l Interest in Property:
Fee Simple Title Holder (if ether t�lF:r. Owner shewn above)
Name1J i� Telephone Number
address / Fax Number
5 Contractor
�C--`�r���l�i
C��� S � O
6. Surety (if any
Name 1J
ACc:ress
Telephone Number
DI % Fax Number
Telephone Number
Fax Nunlper
Amount of bond $
7 Lender (if any)
Name p/ Telephone Number
AddressFax Numbeer
g Persons wi!hin the State of Florida designated by Owner upon whom notices or other documents may be
served as provi ed by §71..13(1)(a)7_ Florida Statutes. ��� ��0 �—
Name r p Telephone Nu b�er� ^'7
Address I I �Q • Fax Number��. . t��— !�0
9 n addit�cn to o r herself Owner deli nates the following to receive a copy of the Lienor's Notice ;
Thi o. 9
provided in §713.13(1)(b), Florida Statutes.
Name, (,L Telephone Number
AddresP/ jam' Fax Number
10. Expiration((( date of notice of commencement (the expiration date is one year from the date of recordin.
unless a different date is specified):---
Date Signed PUPof Owner [No e: per §713.13(1)(g), .owner
gust sign ...and no one else may be permitted to sign ii
his or her stead."
Sworn to and subscribed before me 1h�-TV ay Pf L 20 03 by
who is _personally known to me OR __�.•.__�Cproduced
as ide--•tification.
Siq ur
"otaryote ial appear below)
yx• K"'Merine Martinez
f
My Commission DD019306
=o,m pc : seo 12100 Icr 19— to 20_ q ^** Expires April 19, 2005
LIMITED POWER OF ATTORNEY
Date
I hereby name and appoint ,Srre11Q1� a-�UGSMI
OfELM'S Cr to be my Lawful attorney
In fact to act for me and apply toCEEfor
a- permit for work to be performed at a location
described as:
Section Township - Range Lot
Block Subdivision
(Address of Job)
(Owner of Property and Address)
and to sign my name and do all things necssary to this appointment.
Jimmy W. Wrye #CCCO27432
(Type or Print name of Certified Contractor, License #)
MVM LU U)VAL
ignature Y Certified Contracibr
Acknowledged:
if
Sworn to and subscribed before me this -t U?bay of
A.D. 20 63 by Jimmy Wayne Wrye who is personAly,icnown to me.
SEAL:
Sidnatare
��►*`IN Katherine Martinez
'7 f My Commission DD019306
�!p tidf Expirn April 19, 2005