HomeMy WebLinkAbout149 Edgewater Cir 05-373 Roofa
Permit #
CITY OF SANFORD PERMIT APPLICATION
Date:
Job Address: 149 Edgewater Circle
Description of Work: Re -roof 27 squares Shingles Hurricane Damage.
Historic District: Zoning: Value of Work: S 4 .7 91 . 0 0
Permit Type: Building X 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 Cale. 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 X Commercial Industrial Total Square Footage: 97 Scf Shingles
Construction Type:rQ_r_QQ f of Stories: I_ # of Dwelling Units: 1 Flood Zone: (FEMA form required for other than X)
Parcel #: 11 — 2 0 — 3 0 — 51 6 — 0 0 0 0 — 01 5 0 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Susan Eastnn 1 49 Edgawatear C1 rCle
S infnrd, FL 32773 Phone: 407-328-1 549
Contractor Name & Address: David Lundberg 1 709 Howell Branch Rd.
Winter Park, FL 32789 State License Number: CCC1325941
Phone & Fax: 4 0 7— 6 7 2— 0 0 01 6 4 7— 9 3 3 2 Contact Person: Phone:
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
Phone: ,
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.
Acceptance of per i[ is verification that I wiil notify the owner of the property of the
require7AOa
lorida Lien aw, FS 7 3.
II
Sign tore of Owner/Agent Date Sip
1
re f o tracctor Agent Date
K_ . CJ..5 °1"Y F 1 % fit-' . !
Prinwrief/Agent's Name
ro ( `
Print Cont ctor/Ag is Name •
i ,lJiJ
Si nature of Nota State of Florida Yap' a
Ll llte E. N ure of Nota S of Florida Dategry-., try! . e' D rY
Commission M
Expires: Oct 10, 2006 WENDY R. BENSON
9•.,.•P Bonded Thru rRgbiiCState of FloridaFV.
Owner/Agent is _Personally Known to Me hn All t[ic Bonding C4 oiiG ctor/Agent is Perso nown to a pj,l 12, 2005
Produced ID _ Produced ID f (;Orrlrrl. exp.. JJUU y
No, DD 041142
APPLICATION APPROVED BY: Bldg: v/i Pp iO*;:
Initial & Date)
Special Conditions:
Initial & Date)
Utilities: FD:.
Initial & Date) (Initial & Date) .
LIMITED POWER OF ATTORNEY
Date: November 3, 2004
I hereby name and appoint Liza Denton
of David Lundberg R» i 1 di mg Roofing to be my lawful attorney in fact to act
for me and apply to City of Sanford for a Re -roof
permit for work to be performed at a location described as: Section: 11
Township: , 2 0 , Range: 3 0 , Lot: 516 ,
Block: 0 0 0 0 , Subdivision: 01 5 0
Address of job: 149 Edgewater Circle., ,ganford
Name and address of owner of property: Susan Easton .
149 Edgewater Circle, Sanford, FL 32773
and to sign my name and do all things necessary to this appointment.
w `
Signature of certified contractor
A'itD G. Lu'"D16, CCC,1:
Print name and license # of certified contractor
STATE OF FLORIDA
COUNTY OF:
The foregoing instrument was acknowledged before me this P,- day of
0 0V£_k OL , 200 , by DA 1-D C-, Ut APDG1 who is personally known
to me ()(), or who presented as identification,
and who did ( ) or did not 0 take an oath. Notary Publ'
c s signature Notary's
stamp: WENDY R.
BENSON Notary Public,
State of Florida My comm.
exp. July 12, 2005 Comm. No.
DD 041742
This Instrum
Name: Sa
Address: 29
Permit No.
Fit Prepared By:'
t Kilkenney
2 Bridgehampton Lane
ndo, FL 32812
MRYW NORM, CLERK OF CIRCUIT CART
SEMINOLE COUNTY
BK 05511 FAG 1135
CLERK'S V L-0041741 11 RECORDED 11/10/2W
11120:12 AM RECORDINS FEES IlLeg RECORDED
BY L McKinley
Tax Folio No. 1
1-20-30-51 6-0000-01 50 NOTICE OF COM:NIENCEA'
IENT STATE OFIFLORIDA, COUNTY OF
JCQaj C
k-e , THE UNDERSIGNED hereby gives
notice that improvement will be made to certain real property, and in accordance with Chapte>j 713,
Florida Statutes, the following information is provided in this Notice of Commencement. 1. Descripti n of
property: (le al descri ion of p perty, at d street address, if available 2. General lescripfton of
improvement: E-ROOF 3. Owner information: a,
Name uid address:
b. Interest in property:
N/A os0.,Vt- m r L 3
a- -
7 Z3 l c. Nae andaddress
of fee simple titleholder (if other than owner): N/A 4. Contractor: (name and
address): 5. Surety' a. Name
and address:
N/A b. Amount of bond: $
N/A 6. Lender: (name and
address): N/A David Lundberg Building & Rooting
Contractor 1709
Howell Branch Road
Winter Park, FL 32789
CBCO 17995; CCC 1325941
CERTIFIED COPY MARYANNE MORSE
CLERK OF
CIRCU11 qOURT
SEMINQLE COUNTY, LORID ANov1020541 7.
Persons within the
State of Florida designed by Owner upon whom notices or other documents may be served as provided in
Section 713.13(l)(a), Florida Statutes: (name and address) N/A 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: (name and address) N/A 9. Expiration date of
Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date
is specified): N/A r Sworn to and
subscribed
before me this - 2 day of 3PI[)\e
be,-- , 2OQ7-1> by (Signature of Owner) c11'sC2Ci b(Lrwho
is personally known to me or ( ) who
produced as identification. Si Notary'
s Star
Notary'
s Cor ALL
INFOR natur,a'
lYotal) Norton
1PA .Pug '. COMM ission #DD157299 pExpires:
Oct 10, 2006 o_
Fronded Thni t tic Bondins4Cu.
mission Expires:
0C4. 0' ZQC6 Owner'
s Printed N to c—
G Owner's Address: TION MUST BE
TYPED OR PRINTED
LEGIBLY TO COMPLY WITH RECORDING REQUIREMENT