2844 Gale Pl 05-488 Roof7 - .
Permit # :
J>,`''
Job Address: ,57y 1,Z41f /
Description of Work: %" d
Historic District: Zoning:
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
CITY OF SANFORD PERMIT APPLICATION
Date: / 1`c2 3 " J aOY
Value of Work: S : 6 x 01
Mechanical Plumbing Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: _( # of Stories: --I— # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Z)4 r,,,W d?/ ' J_4 S' Q 454V ev e2w (Attach Proof of Ownership & Legal Description)
Owners Name &Address: Wit. , V .'o N 4 a f o
Contractor Name & Address:
Phone & Fax: j
Bonding Company:
Address:
Mortgage Lender:
Address:
State License Number:
L/ c
Contact Person: . G Phone: Yid 9 IJi1
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 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.
nd
Acceptance of permit is verifickon i$iat I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
A
APPLIC
Special Conditions:
J
Permit Nuxnb-'-.
Farcel' Jderitifftcstion Nun ber--
6-
Return to:
MARYANNE MWE, CLERK OF CIRCUIT CWRT
SEMINOLE C(MY
BK 05524 PG 0218
CLERK"S 41 2'(W-44160384
RECORDED 11/2212W 19-.4052 PH
RECORDING FEES 10.0.
RECORDED BY L McKinley
NOTICE OF CONITMENCEMENT
oState f
collntyof fSeMl-nCk--
The undersiriA hereby gives notice that impflovcMent(s) will be Tnadc to cenain rcal property, and in accordance
with Chapter 713, Florida Statutes, the following information is provided in this Notice ofCornmercmient,
Description of property (ilesta! description of the property, and street address if available}
d4A AX
W -151- 1 A 63
General description of impravcme.
i
to /?-.o o 1 /
3, Oivner information
Name Telephone Number Id) -39.3 01?YO
Fax Number
Interest in Property:
4, Fee Simple Title Holder (iff-other, tlien the o%mer sho". above)
Dame Telephone Number
Ac dress Fax Nurnbcr
Name, A "V ov Telephone Number
Address 74 Fax Number
6, Surety (if any) 3 zz 77 -3
Name Telephone Numt--r
Address Fax Number
Amount of bond S
x T Lender (if any)
Na.me\16161-V-V1"- Telephone Number PDO 9J,5.1-10 14
Address eD 1 11190 Fax Number
Persons within the State of Florida &-signatc6d by Owner upon whom notices or enter documents may be
served as -.3-rovided by §713.13(l Xa)-, ij.florida- Statutes.
Name i Telephone Number
address Fax Number
9- In addition to himself or bersolf, Cm her designates the folloAing to receive a copy of the Liegor's Notice as
pro,vidcd in 6713. '1 3(l)(b), Florida staIul—
Na-mc Telephone Number
Address Fax Number
C. Expiration date of notice of commencement (the expiration date is one vear from the date of recording
unless a different date- is
specifics'}:
per §711.i3ill(e), "owrier
mtrs lip,...and no one else may be. permi-acd to sign in
his cT her stead."
SCNti to "hd sos!= me this &Y of bm -
v:,ho is ncTausially known to me OR t=:Pruducad NOV .2 2 2004
gigni-ldre of Notary (notarial seal musk Appear
CERTIHED
KATRINA L. BLMANKENBECKLOR
0
m (0) 9RSANNEMNotaryPublic - State of F 0 d MAR" rl a
JV an_nN'1VC0M-n.5S*JnEVrXAQ28'2007 CLERK OF CIRCUIT COURT
M Sion N tR8N
COMM!$Slon A DD 245910 0 UNTY, FLORIDA
P8"rtaed y akxvdedByNationall NotarvAssn.
TTY—CLERK