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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 _.- _ ... ._ _. - ._... __ --- Pruduce�TD •.•"•i. rot y f� = ATION'APPRO� ED BY Bldg:, Qt _._ �m r _. __Zonings- (Initial .& Date !Initial do Date) Utilities (Ini tial -&. Date) (Liitial Date) huocis: I � a 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 � � � �''° 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