HomeMy WebLinkAbout2928 Magnolia Ave - BR05-003015 (ROOF) DOCUMENTSi
CITY OF SANFORD PERMIT APPLICATION
Permit x :_ b_ / S
Date:
,lob Address: X28 -MAGNOLIA—AW, _
Description of Work.-13E—ROOF RESIDENTIAL SHINGLE TO SHINGLE NO STRUCTURAT CIiANC'F _
Historic District: Zoning: Value of Work: S_
Permit Type: Building XX_ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical New Service — # of AMPS Additiom',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: 4 of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Types' Residential XX Commercial Industrial Total Square Footage: 2063
Construction Type: - 1 # of Stories: # of Dwelling Units: Flood Zone: (FEMA form rcgn;rcd for other than x;
(Allach P,00f of Owncrship & Leg'al'Description)
Owners Name & Address: T,AURT JO BARKER
2928 MAGNOLIA AVE' SANEMD, EL Phone: 407-324-3951
Contractor Name & Address: A & R ROOFING' M r T TC (` F - BiJHANNW `
3-K5 MOORES STATION ROADS SA RDS FT 37773 State License Number: _=1 326255
Phone & Fax: 407-322-9417 407—a24-1 377 Contact Person: RIrm Phone: 407-324—
Bonding Company: bl/
Address: _.. ... ._
Mortgagc`Lendcr NSA
Address:
Architect En inecr"A Phone:
Address:-
_. F'az
Application is-fiereby rude to obtain'a permit'to do the work and installations as indicated I certtfv that no H ork 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 at[ 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,
NOTICF: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that tnay 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 acencies.
air,,,uot: that i will notify tiro owner of the property
or the requirements of Florida Lien Law, FS 713.
Sig: atir rpf Owner/Agent Date
Signa re of ContractodAgent — Date
ZS 144-
G.F. BOHANNON
Print Own • 'Agent's Name'A
Print Contractor,'Agent's Name
z a
ai bnature of Norary-State of Florida Date
�71nature of Not State of F/])crida Date
Wwz
AUX€
W'm'""
Own'edA ent iti Personal) Known ro Me or
g Y
:.
Contractor/Agent is Personally Known to Me or
Produced ID _.- _ ... ._ _.
- ._...
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=
ATION'APPRO� ED BY Bldg:, Qt
_._
�m r
_. __Zonings-
(Initial .& Date
!Initial do Date) Utilities (Ini tial -&. Date) (Liitial Date)
huocis:
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PREPARED BY:
t. JANICE R. ANDERSON
3905 MOORES' STATION
SANFORD, FL 32773
PERMIT NUMBER
TAX PARCEL NUMBER:
MARYANNE MORSE, CLERK OF CIRCUIT
SENINOLE COUNTY
BK OC 5767 PIG 0295
CLERK% S it 2121105099375
RFCgRD D k�Si151 +�5 fi9:�??: AN
01-20-30-519-0600-0070 RRMRDINS FEES 10k.
_cW "I BY L McKinley
NOTICE OF COMMENCEMENT CERTIFIED COPY,
MARYANNE MORSE
STATE OF FLORIDA -CLERK OF CIRCUIT COURT
COUNTY OF SEMINOLE SEMINOLE C NTY, FLORIDA
,THE UNDERSIGNED hereby gives .notice that the .c.mpn.ovement w,c.Qt be pEPu - _ C. R_K
to eeA-ta,in -ieat pupeA,ty, and .in aceotdanee with Chaptetr. 713, Fton,ida
S.tatutu, ,the 6otEow.i.ng -in6o"iation is ptov.ided in .th.i6 NOTICE OF JUNJ 5 2005
COMMENCEMENT.
1. DescAi.pti..on 06 15Aopelcty 2928 MAGNOLIA AVE. SANFORD, FL
2.
GeneAa. DucAiption o6 ImpAovementRE-ROOF RFSIDENTIAL
SHINGLE TO
3. wne L I n an.ma tu)n:
a. Name. 9 Add tv- 6 : LAURI JO BARKER
2928 MAGNOLIA AVE.
SAD�EDRD, FT. '19773
b. I nt eAet., -t in Prop y : - OWNER -
c.. Name and AddAebb o4 4ee zimp e a eA .. o.t etL
than OwneA: N/A
j�I . Contitac�tou Name 9 Addkezz: n g R R()oFTNc. m INC.
l(/ ' 905 MOC)RES' STATION ROAD
uqANpogDf FT, '32773
5. ScLke ty In6UAmat ion:
a. Name 8 Addtebb N/A
b. Amount o6 Bon N A
5. Lenders Name 8 AddAe,6,5 N/A
7. Peuons within the State o6 FZo)tida de.6ignated by wneA
upon whom noti.ceb oA othetL doeument6 may be beAved ab
p,tov,ided by Section 713.13 (1) (A) 7 F.r?otida Statutu
Name E Addnebb
8. In aYcT�ction to.. izei6, Owne)L designata
"t
a� to Aeeeive a cop ob the LienoA b
Notice
:
a s pAo vti e tin ect4_o n 713.13 (1) (b) FZon,ida S-ta to teb
9. Expaation date o6 Notice 06 Commencement is one yeah
6Aom
m
.the date o6 AecoAd i.ng : w ' ch .ins
a m g.
4
�Mu,�
2 M 3C
OWNERS SIGNATURE 1
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� � �''°
z�o�
TVLe � . g
te.ga- icc .i.rtis:tneiment was a w e e e one me t 2 ay a ,r�
known
20 os-,
Z
X A � Z
bu �-G, V`,
L��� �(� J,/ j/,c✓ who is pem onaUy .to me on. w a
a5 p iogjced
ab iden.t.i6.ication and who DID DID
NOT .tc �e
p
apt oat
- ---
My Commiz6ion Exp- jLa
ZCY
M
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A & B ROOFING OOMPANY, INC. License #: CCC 1326255
3905 MOORES' STATION ROAD
SANFORD, FL 32773
Project Information
Owner:- LAURI JO BARKER Permit #:
name
2928 MAGNOLIA AVE.
address
SANFORD, FL 32773
phone
Subdivision:
Lot #:
I G.F. BOHANNON , 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.
Contracto
signature
G.F. BOHANNON
printed name
STATE OF FLORIDA
COUNTY OF SEMINOLE
This instrument. was acknowledged before me this 13th day of JUNE , 20 05, by the
above referenced individual, G.F. BOHANNON , who acknowledged that he/she is a
duly licensed contractor with STATE OF FLORIDA , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced KNOWN as valid identification.
WITNESS my hand and seal this 13th day of JUNE
Public
20 05
TERESAJOHNSON
MY COMMISSION # DD 343250
EXPIRES: August 12,2W8
BX&d Thm Notary PuW Undanvr tws
A & B ROOFING COMPANY, INC.
3905 MOORE'S STATION ROAD
SANFORD, FLORIDA 32773.6524
(407) 322.9417
FAX (407) 324.1377
LIMITED POWER OF ATTORNEY
I hereby name and appoint JAMES ANDERSON
to apply to CITY OF SANFORD
A & B ROOFING CO.,INC.
for a ROOFING permit._
And to act in my behalf in all matters concerning the same.
Legal Description: 2928 MAGNOLIA AVE. SANFORD, FL
Parcel ID# 01-20-30-519-0600-0070
Owners name & address: LAURI JO BARKER
2928 MAGNOLIA AVE.
Property address: 2928 MAGNOLIA AVE.
SANFORD, F1
G
Rr-nn�242� / CCC1326255
G.F. BOHANNON LICENSE #
The forgoing instrument was acknowledged before me this 26th day
Of APRTT, ,20Lci__. By G.F. BOHANNON who is personally known by me
or has producedas identification and DID ID NOT take an oath.
My Commissiorl s : T7.-
of
N
NOTARY P LIC Ay EXPI2008
3=W T