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HomeMy WebLinkAbout1501-1508 Northlake Dr 08-1805 (reroof)CITY OF SANFORD PERMIT APPLICATION Application # :� — b �.^ Submittal Date: Job Address: V16- Value of Work: $ 7 Parcel ID: t47�� ��tr1 t Zoning: `=7�). n'6 Historic District: ��• Description of Work: �� `11' � CCT ( IUt '7___1() Iti2 =a7)\,NYl' square Footage: oc) .............. ............................... .. ..............................: ........... ............................... Permit Type: Building -W Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑ Mechanical: Residential ❑ Non - Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines `Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Type: Residential 5L Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: g ( required) "���.,� # of Stories: # of Dwelling Units: Flood Zone: FEMA form re aired ............................... ... ............. ........................................................................... Property Owner: i a_i1hn `yy) C- R,:) -r kA-a . Contractor: Address: 00- on Address: � a t `_7c Phone: ����o� C('.7i -mail: Phone : �f ' State License Number: Bonding Company: Mortgage Lender: - 10, Address: Arch itect/Engineer: Address: Phone: Address: ` �, , Fax: _ Plan Review Contact Person: L C).� \�� lA'�1 Phone:C_���i1Fax yX��1a `� E -mail: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 govemrr}ental entities such as water management districts, state agencies, or federal agencies. � //�� ��h1 dt e�tipeFriiit istvec�fic�t on a wr notrfy the owner of the property of the requirements of Florida Lien Law, FS 713. \ _ ,; Signature ofOwner /Agent a e Signature of Contractor /Ag nt y 0 �Z Print Owner /Agent's Name Print Contractor /Ageat'ts Name - qa 3 okFE 1tn Signature of y nS�a , ^'cm m Date ixo't i1.ts Signature ofNotarryy-Stat of Florida Date maa, ° onlnl# ocugneacaa _5 ea oil cuo auucosu;pa2a 2 e anurrr Gomm#. Dilim i .1i;el Navy isn.,lt►G '° ; ._ Iic X110,' 0� n o �fl1l 15 � 9F'A04C0car9N00© Owner /Ag art �cubm P '9`�}lo to Me or _ f'. p� ` t,. .A C:T! ry Cont°A.c fL' g�t�i'is '# is�trd krrowri'to Me or °''E.�..�Q��n..:: z�oao..a�:cs Producedddiii °�i' APPROVALS: ZONING: UTIL: FD: ENG: BLDG: Special Conditions: Rev 07.07 POWER OF ATTORNEY I JACK DOUGLAS LANIER.) the "principal," of COLLIS ROOFING INC., P.O. BOX 520668 Longwood, FL 32752, herewith appoints Andrew McCloud as their attorney in fact, to act in place and stead and described herein; THIS IS A DURABLE POWER OF ATTORNEY THE RIGHTS HEREIN SHALL CONTINUE DESPITE THE INCAPACITY OR DISABILITY OF THE PRINCIPAL To act for me in the regard to the following: OBTAIN PERMITS AT THE BUILDING DEPARTMENTS This power of attorney shall be in effect from 1/1/08 through 12/31/08 LANIER, JACK DOUGLAS, As Principal STATE OF FLORIDA COUNTY OF: Seminole Sworn to and subscribed before me this day of j lCf . , 2008 by J.Dou2las Lanier as President of Collis Roofing, Inc. a corporation, on behalf of the corporation. He /she is personally known to me X or has produced driver license(s) as identification My commission expires: a gga¢aaSa9ap9�g 6aapo�(¢�¢�6p5aepe ai a99e r. e�iagq¢ga88¢C¢aO yUrEl` 5 a7�i'�oxs �u;tlrrrn. Comm #DE-107 5e550 r ', 1� � \`y '•��f1aAC�'. �'IJUJ Inc; Printed N me: Notary Public Serial Number: -11':IS INSTRUMENT PREPARED BY: Name: UTO CQ t_ f" \1 ► Address UOIIIS 1 oo mg P.O. Box 5201168 SEMINOLE COUNTY State of RoAldwood,FL 32752.0668 FLORIDAS NATURAL CHOICE I Jill a 11111 li 111 II /1111111 II Hi li HI ii III if III II Ili III ill 11111 MARYftNNE MOR!i�j CLERK W CIRCUIT COURT SEeMINOLE COUNTY 6K 07004 Pg 0363; llpq) CLERK'S # 2008063985 RE W10:1) 0610,'Sfi_00E3 AM RZL ;01?011N(3 l 'liw 10.00 RE3C;flR01---b BY L MoKinley NOTICE OF COMMENCEMENT Permit Number Parcel ID Number (PID) 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. DESCRIPTION OF PROPERTY (Legal description of the property and street address if available).( QC). A) -- ,`X4 -� "q\\ \FVAG. Corn .I 'I=an, ",`I 7c-, '-rr� —,-e,>, 1-3 �nr GENERAL DESCRIPTION OF IMPROVEMENT N7Cf- -7cn P CLERK OF CIRCUIT DOUBT OWNER INFORMATION Name and address: CONTRACTOR Name and address: 3 20}8 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name and address: In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. 1-o receive a copy of the Lienor's Notice as Provided in of