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
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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.