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HomeMy WebLinkAbout1000 Stonebrook Dr 05-1296 (reroof)CITY OF SANFORD PERMIT APPLICATION Permit #: Is — \ W Date: Job Address: % 00,�i0^ Sk e \ brooit� r. � `j Description of Work: c— o p0(� h i 1(1tgQ7.-7 C: f J VCLIPI Historic District: Zoning: Value of Work: $ pU 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 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 Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: -cqo ` - 61 . O Q-o I — d 000 (Attach Proof of Ownership & Legal Description) Owners Name & Add rreessss:� � �i��.% iZ����"'1LJ��® L -mil .rPh-one: Contractor Name &Address: 4'ti , y--(<QJI, lrie Phone & Fax: Bonding Company: Address: Mortgage Lender: " Address: Architect/Engineer Address: State License 'Nu—mbeer:rt—C cg- k*- ©S_ 7(Q Conta ePhone: 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. Acce e of pe it is verification that [ will notify the owner of the property -of thelof Florida Li F l3. �/ wr a nature of Owner/Agent Date of Contra Lie, f Date t Owner/Agent's Name Print Contractor/Agent's Name 5 JILL L. YAMNITZ nature of Notary,61,ak of Flori& Date gnature of Nota - tate of Fl i a Gary Public, State of Florida JILL L. AMNITZ My comm. exp. Aug. 18, 2006 Notary Public, State of Florida Comm. No. DD 143132 My comm. exp.QWgd,40pe2006— Personally Known t4 Me or Comm. NO.-WP1Vj1VD r. APPLICATION APPROVED BY: Bide: -diZoning: (Initi I & Date) (Initial & Date) Special Conditions: Contractor/Agent is v Personally Known to Me or _ Produced ID Utilities: F D: (Initial & Date) (Initial & Date) , 6 POWER OF ATTORNEY Date: I hereby name and`point sga Brigham to be my lawful attorney in fact to act for me and apply to the lil: rd Building Department for a re -roof permit for work to be performed Nt a location described as: Parcel ID Number: c) !`J O— CJ l '` �-� — C-) Q) c) C) Subdivision: S,' 4-c5Y�.�r-o � Y1 Address of Job: t 000 3- pnC bCb O h V r (G� Owner of Property and Address: A "-M CO Q./G �e Loth c,Pne (. 5O C..(b and to sign my name and do all things`ne'es�a�iy to this appom menty b Type or Print Name of Certified Contractor: Richard L. Haines Signature of Certified Contractor The foregoing instrument was acknowledged before me this C�day of , 20 05 bay k�'t�� `t s o is ersonally known to me / who produced as identification and who did not take an oath. State of Florida County of Orange Signature of Notary Printed name of No a Commission No./Expiration: % 3 / 3 2- Seal: JILL L. YAMNITZ Notary Public, State of Florida My comm. exp. Aug. 18, 2006 Comm. No. DD 143132 This instrument Prepared y: Name: Susan Brigham Address: 2235 Mercator Dr. Orlando, FL 32807 . Permit No. STATE OF Florida COUNTY OF Seminole Ililt illlil®li EmilioINIOREilmaimi nicill i MARYANNE MORSEL CLERK Of CIRCUIT COURT SEMINOLE COUNTY BK 05600 FAG 0644 CLERK'S # 20105017854 ' RECORDED I2/K'*/aM N:57a53 AM RECORDINS FEES 10.00 RECORDED BY L McKinley i 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. 1. Description of property: (legal description of property, and street address if available) 1000 Stonebrook Dr. Sanford Florida 32773 2. General description of improvement: Re roof Building #9 3. Owner information a. Name and address: Aimco Placid Lake LP .. �rf:QTIFIED."COPY 5550 LBJ Freeway Mailbox 28, Dallas TX 75240 b Interest in property: M-ARYANNE=M'ORSE = CLERK OF CIRCUIT COURT c. Name and address of fee simple titleholder (if other than owner): 8EMIN0! OUNTY.`FLORIDA 4. Contractor: BY a. Name and address: R L Haines Construction, Inc., o cL tc 2235 Mercator Dr. Orlando, FL 32807 t Phone number: 407-384-1908 c. Fax number (optional, if service by fax is acceptable): 407-384-1909 FEB` C/O Deloitte Touche LLP 5. Surety a. Name and address: b. Amount of bond $ c: Phone number: d. Fax number (optional, if service by fax is acceptable): 6. Lender a. Name and address: b: Phone number: C. Fax number (optional, if service by fax is acceptable): 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: 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) 1 - Sworn to and subscribed before me by Chales C• Rk55re 1 ( Signature of Owner/ Agen who is personally known to me or produced FG V IN UCL as id�tification, and who did take Owners Name: Aimco Placid Lake LP an oath, this _day of 6ruo- , 20 o5 • Owners Address: C/O Deloitte Touche LLP JILL L. YAMNITZ 5550 LBJ Freeway Notary Public, State of Florida Mailbox 28,Dallas TX 75240 Signature of Notary My comm. exp. Aug. 18, 2006 Printed name of No -J11L 1, Vh,, rz %- --- Comm. No. DD 143132 Commission No./Expiration: D0 44-413 Z- t53IV 6 Seal: ALL INFORMATION MUST BE TYPED OR PRINTED LEGIBLY TO COMPLY WITH RECORDING REQUIREMENTS AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: ,LLLiVV ((�Ia License #:�- Project Information Owner: ` cq 'k k cake LP , �--jVressAr Lxkl " —'L �.: phone Permit #: V 5 Subdivision: ' h C� Lot #: I, IiY:uv�- affiant, hereby affirm that I am the duly licensed contractor of record for the above referenced permit, that all the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address or lot has been installed in accordance with the applicable codes and standards. Contractor: printed name STATE OF FLORIDA COUNTY This instrument was acknowledged before me this J day of , 20L by the above referenced individual, _ , who acknowledged that he/she is a duly licensed contractor with `,;� 1,� , and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced %L� \oas '1b\ _\,o3_ �8b--0 as valid identification. WITNESS my hand and seal this day of d� ublic FLORENCE A. DE GRAVE * MY COMMISSION # DD 164280 EXPIRES: November 12, 2006 'rg ,F`o�° Bonded Thru Budget Notary Services