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HomeMy WebLinkAbout1690 W Airport Blvd 09-13 RoofPermit # : 09 f /3 Job Address: ) o �N • A l� Description of Work:1311 IG— Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION Date: !o -1 -' GRk,- I�L',l�il�Lgl L� Value of Work: $ �`f , �3 I - �D Permit Type: Building ✓ Electrical Mechanical Plumbing Fire Sprinkler /Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non - Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial a/ Industrial Total Square Footage:S Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: C Q— AID— �7�'�O ^D" C alb - ooDD (Attach Proof of Ownership & Legal Owners Name & Address: _ �G U— r ' aQ'-7n S • Dl� lV (;T:- Phone: "U3 /" �6 Contractor Name & Address: l 1 I- 1 y r 1'i.VV r 1 A) b UV-, "1Al[. - T- V • CON `14 11 b4 MA b State License Number: C. G G 0 Phone & Fax: A Ol— -aft ti4 4O-]— o- 50 Contact Person: VN 1LL1AM RELSD& Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/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 ofthe 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 re u' on Lien w, F Signa re of Owne e tt Date Signature of Contractor /Agent Dat Pnnt ner /Agent's Nam Print Contactor ent's Name S " � r m L /��t(/1 I�/A► Signature otary-State of Florida Date Signature of No -State of Aor da Date Owner /Agent is = Personally Known to Me or _ Produced ID APPLICATION APPROVED BY: Bldg: Special (Initial & Date) iviY i "MISSION # DD 758429 EXPRES: June 13, 2012 Rcod,A Thru Notary Public Underwdters Zoning: Contractor /Agent is /Personally Known to Me or Produced ID (Initial & Date) Utilities: FD: (Initial & Date) ,?4.�-�r'.s,.-, r•�°•w• •.,stir- "+�",�`�'',� Py P14. State of Elnridi r Donna Jean Eckardt °� My Commission DD537879 No ,� no Expires 04/0612010 & Date) LIMITED POWER OF ATTORNEY 1, William H. Nelson, authorize Thomas McCaulley to sign my name or whatever is necessary under my State License #CCC032490 in order to obtain a permit for a re -roof for: William H. Nelson V.P. STATE OF FLORIDA COUNTY OF ORANGE Subscribed and Sworn Before Me This By William H Nelson who is Personally Known to Me and did not take an Oath. 0\ C.k PN�' ;Acrary P.iblic State of Florida r °k, L� Donna. Jean Eckardt ,jiy commission DD537879 9 OF F. Expires 0410612010 Permit # Folio /Parcel I.D. #: 02- 20 -30- 300 -032D -0000 Prepared by: Bill Nelson P.O. Box 941959 Maitland, Fl 32794 Return to: Tip Top Roofing Co., Inc. P.O. Box 941959 Maitland, Fl 32794 NOTICE OF COMMENCEMENT State of Florida, County of Seminole IRE111111111111111111111111111111111111 NIII1110III11111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINULE COUNTY 8K 07072 Fey 01121 t1p4) CLERK' S # 2008111527 RECONDED 10/01k008 01 :x3:11 Pt1 RECORDING FEES 10.(K RECORDED BY L McKinley CERTIFIED COPY MA,'RY 'i',R,JE MORSE CLERK PF CIRCUIT COURT SEIM NO ErCOUNTY, FLOR10.9 BY OCT 0 The undersigned hereby gives notice that improvements(s) 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 property: (legal description of the property, and street address if available) 1690 W. Airport Blvd. LEG SEC 02 TWP 20S RGE 30E N 280 FT OF W 240 FT OF NW 1/4 (LESS RDS) Sanford, FL 32773 2. General description of improvement(s): Re -roof 3. Owner information: MDC 2 LLC 2070 S. Orange Blossom Trl. Sanford, FL 32771 4. Fee Simple Title Holder (if other than above): Contractor: 6. Surety (if any): 7. Lender (if any): Tip Top Roofing Co., Inc. P.O. Box 941959 Maitland, F132794 Tel. #: 407 - 886 -3338 Interest in property: 100% Tel. #: Tel. #: (407) 660 -2212 Tel. #: Amount of bond $ Tel. #: 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by SS713.13(1)(a)7., Florida Statutes.