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HomeMy WebLinkAbout120 Dresdan Ct 05-433 Roof1 CITY OF SANFORD PERMIT APPLICATION Permit # . J _ q33 h Date: Job Address: Description of Work:.\jL` 5 0,(jl Historic District: Zoning: Value of Work: S —11 C)d Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMP$ 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 osets Plumbing Repair = Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:J t ---P d Attach Proof of Ownership &Legal Description) Owners Name & Address: m ( n r4 ' 1 G V 'I t- n + D b C--T- Phone:"" Contractor Name & Address: L - (N Q S-T' P-- u C-1-7 -i 0 r n D, State License Number. Phone & Fax: _-'-I U Bonding Compan O i) Address: Mortgage Lender: _ Address: ArchitecttEngineer: _ Address: Contact Person: Phone: Phone: Fax: t nc UN 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 theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separatepermitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, 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 mrulatingconstructionandzoning. WARNING TO OWNER: YOUR"FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN VOIRI . PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ANATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. 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 ofthiscounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. lion ti c [will notify the ter of the r/Agent a 4=1 O'CONNELL to of Florlda fv-;995P k6#x4xfresSep l l , 2007 a Commission # DD237102 Bonded BY National NotaryAssn. Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: f the require of,,oAArida L' w, FS 713. yG t © Contractor/Agent is Of Personally Known to Me or V _ Produced ID Zoning: Utilities: FD: initial & Date) (Initial & Date) (Initial & Date) o F1 This instrument Prepared By: Name Address 1 Permit No. 0 STATE OF E 4 COUNTY OF i. 6 + 0)0 I r MARYRNNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 0550E PG 1380 CLERK'S # 2004171483 RECORDED 11/055/204 01:25W PN RECORDINS FEES 10. RECORDED BY L McKinley Tax Folio No. NOTICE OF COMMENCEMENT 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 property, and street address if available) X 2. General description of improvement: n- fit' J i A-z n-h' C 1 r" J 1/1 i 1 j 3. Owner information - < 1 U , a. Name and address: R C vA-- V1b. Interest in property: C . Ir N Z c. Name and address of fee simple titleholder (if other than owner): 4. Contractor: _ a. Name and a dress: t 'h b. Phone number:u c. Fax number (optional, if service by fax is accepta e). 5. Surety a. Name and address: b. Amount of bond $ 1 c: Phone number: d. Fax number (optional, if service by fax is acceptable): 6. Lender a. Name and address: ` b. Phone number: N / A c: Fax number (optional, if service by fax is acceptable): 9 Z ILA CERTIFIED COPY MARYANiNE MORSE CI._ERK OF CIRCUIT COURT SEM E COUNT , FLORI A tEPLIjBYYLRK NOV - 5 2004 7 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided in section 713.13(1)(a)7., Florida Statutes: a. Name and address: b. Phone number: c. Fax number (optional, if service by fax is acceptable): 8. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a. Name and address: b. Phone number: c. Fax number (optional, if service by fax is acceptable): 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) Sworn to and subscribed before me by (j who is personally known tom or pr uc dd} 40, . J as identifWiaion, and who di tt', ke an oath, this day of L11 L Signature of Owner kv h Lv . X Owner's Name Owners Address: Signature of Notary V BRIAN J O'CONNELL o ary Public -State of Florida _ Printed name of Notary ;-- 237 Commission No./Expirat Commission # DD102 ri°F9FF, Seal: ALL INFORMATION MUST BE'TYPED OR PRIN"FED LEGIBLY i'O COMPLY WI1I-1 RECORDING REQUIREMENTS. 1 0 LIMITED POWER OF ATTORNEY Delphini Construction Company General Contractor —Roofing Contractor Date: I hereby name and appoin;KAT1t LLG 5b"ELPHINI CONSTRUCTION to be my lawful attorney in fact to act for me to apply for a roofing permit in the s C rt ANeO for the project titled `ao Cam, and to do all things necessary to this process. Kevin Ohlhues Vice president, Delphini Construction License # CCC 056380 Acknowledged f Sworn and subscribed before me this day of 2004 by Kevin Ohlhues who is personally known to me. P p'CCN Notary Public nun,e of Flortgp, Commission # pp 11'pQj7SeminoleCountyBonq2371pg State of Florida dBYNohono NotprYAssn. Brian J. OConnell (407) 830-7447 'Pager / Voice Mail (407) 974-6295 Please call if you have any questions Fax: (407) 830-7429 845 Sunshine Lane Altamonte Springs, Florida 32752 Licenses # CGC 017860 & CCC 056380