HomeMy WebLinkAbout707 Briarcliff Aved
CITY OF SANVORD PERNHT APPLICATION
Permit No.: L/ 10� / Date:
Job Address: 20'7 d Rj,C tt-G l e eir ALL - s�✓G� �+ . Fl
Permit Type:
Description of Work:
Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Additional Information for Electrical & Plumbing Permits
Electrical: _Addition/Alteration _Change of Service Temporary Pole _New AMP 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: Value of Work:
m
Type of Construction: Flood Zone: Number of Stories:_ Number of Dwelling Units-,
Parcel No.: l ` Z t of 10 " YO z/- 1300 - O Z Z 0 � (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: y eC kcz 1,;21z i FiG �v - fi9�vl�utii�
Contractor/Address/Phone:/zNPl / 1,1rP �r - lec,
p�
l , Z 7Z 3— State License Number: ee- e 'O J 6eD y /
Contact Person: /z`Nl _ Phone & Fax Number:
Title Holder (If other than Owner):
Address:
Bonding Company: _
Address:
Mortgage Lender:
Address:
. —C.1 cc� Er gia r
Address:
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.
Signature of Owner/Ager Date Signature of Nnt-ra—ctjWA—gent Date
Agent'
S
of Notary -State
MY COMMISSION # DD 120767
EXPIRES: May 23, 2006
BorW Thru Notary Rt* Underwriter
Owner/Agent is
Produced ID
Print 's Name - -
�
03 2�
to ature of Notary -State of Florida Date
os Yp�a ; Melissa Dunklin
Commission #DD 163723
!J.oe Expires: Dec 20, 2005
•0FR OBonded Thru
Atlantic Bonding Co., Ina ^_
or Contractor/Agent is Personally Known to Me or:
Produced ID
APPLICATION APPROVED BY: � Date:
Special, Conditions:
/C."VCS 1 > 1. /, c —
�o�r� f', rNd�sT SAL On.
UN�Tl�
p. �. , VZ,, --3z 7,1-:3.
SEIVUNOLE COUNITY
FLORIoA►S NATURAL CHCHCE
MARYMNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 04633 PIS 1334
CLERK'S # 20 03066460
NOTICE OF COMMENCEMEN7R 05/21/2003 12:41:07 POO
RECORDING FEES 6.00
RECORDED BY M Nolden
State of Florida County of Seminole
Permit No.
Tax Folio No. (PID) /0 - 2 0 --3 O -5-o i - )30- -02 7--0
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
713, Florida Statutes, the folling information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address) -e-
GENERAL DESCRIPTION OF IMPROVEMENT ;C i"
COPY
N D /i -d jY
NMOR +ice
Interest in property (Fee Simple, Partnership, etc.) C�L� �ly�� E KOFCIRCUIT COUl"
MMNOLE COUNTY, FLORID&
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER THAN OWNER);
Y 21 2003
CONTRACTOR
Name and address �/�–��� ✓ �.vP z — ���U lam• J ��1 ��e orf C/� – �� i
SURETY (Bonding Company)
Name and address
Amount of Bond /
LENDER
Name and address ,
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes:
Name and address
In addition to himsOwner designates of
elf
to receive a copy of the Lienors Notice as
provided in Section 713(1)(b), Florida Statutes.
]Expiration Date of Notice of Commencement
(The expiration date is 1 year from date of recording unless different date is specified.)
ANSIEDAD ORTIZ��
Signature of Owner
COMMISSION H DD 120767 .
EXPIRES' y 2006 �(� a n , e �', Z C c:lc
t Day of 20.
My Commission Expires: 23 2-6 L3
Public
G
The foregoing instsume� was acf knowledged before me this r o f qday of �v�20 by
�h n'►P_ P S2-CckLi (name of person acknowledged), who is personally known to
me -v" produced�. �c (type of identification) as inentification
and who di d not take an oath.
ACCEPTED x aiurvr, i vn�
DATE ,SIGNATURE°
��®®
`��U��5'�� SENEZ:
I'
j0ROPOSALSUBMITTEDTO: DATE:
Roofing/Builder.;
"STATE
• ;
t IAt_ r e 1�=
NAAAE:
CERTIFIED#CBCO21066'
7
# CC C056801
STREET:
FULLY LICENSED,& INSURED
CALL (386) 774=4950: • FAX.(386)
775-3338
CITY:
1060 E. INDUSTRIAL DR.
PHONE:
ORANGE CITY' FLORIDA 32763,
lf'/
d
WEHEREBYSUBMITSPECIFICATIONSANDESTIMATESFOR
ACCEPTED x aiurvr, i vn�
DATE ,SIGNATURE°