HomeMy WebLinkAbout1813 Maple Ave - BR05-003347 (ROOF) DOCUMENTS (2)r
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Permit #:
CITY OF SANFORD PERMIT APPLICATION
Date:
Job Address: _1A1 MAPr.>~ A��]FRD, F,, 32771
Description of Work: RE—ROOF RESIDENTIAL SHINGLE TO SHINGLE NO STRUCTURAL CHANGE
Historic District:
Zoning:
Value of Work: $ 6 r 000.00
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 Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of ater Closets Plumbing Repair – Residential or Commercial _
Occupancy Type: Residential Commercial Industrial Total Square Footage: 2 57 L 2 -
Construction
Construction Type: # of Stories: I— # of Dwelling Units: 1 Flood Zone: (FEMA form required for other than X)
Parcel #:36-19-30-521-0000-0350 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: WILLIAM M. & KAREN M. STRICKLAND
18� -4 MAPr.F. AVF SAAMURD,FL 32771 Phone: 407-3975
Contractor Name & Address: A & R RMPTNGCy)MPANy� INC / G F BOHANNON
3905 MOORES' STATION ROAD SANFORD, FL 32773 State License Number: CCC1326255
Phone & Fax: 407-322-2417 324-1377 Contact Person: gJIM Phone: 407-324-4
Bonding Company: N /A
Address:
Mortgage Lender: /A
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
Cn-
Z5
Ng
;rmt is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. �I
ture of Owner/Agent Date Signature of Contractor/Agent Date
S ft [C t %ice- G.F. BOHANNON
Owner/Agent's Name Print Contractor/Agent's Name
Em
of Florida
ier/Agent is Personally Known to Me or
Produced Rol -
2—/Z-bS'
n
Date Signature of No -State of Florida Date
APPROVED BY: Bldg J- Zoning:
(Initial & Date)
Special Conditions:
Contractor/Agent is -XX Personally Known to Me or
Produced ID
Utilities:
FD:
(Initial & Date) (Initial & Date) (Initial & Date)
=11
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A & B ROOFING COMPANY, INC.
3905 MOORES' STATION ROAD
SANFORD, FL 32773
License #: CCC 1326255
Project Information
Owner: WILLIAM M. & KAREN M. STRICKLAND Permit #:
name
1813 MAPLE AVE.
Subdivision:
address
407-322-2975 Lot #:
phone
1 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.
Contractor
signature
G.F. BOHANNON
printed name
STATE OF FLORIDA
COUNTY OF SEMINOLE
This instrument was acknowledged before me this 12th day of JULY , 20 05 by the
above referenced individual, KNOWN 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 12th
EIL
MY COMMISSION W
EXPIRES: August 12,2008
ft&d Tiro Notary Pd* W& w bm
day of JULY ,.20 05 ,
otary Public
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 & appoint JAMES ANDERSON of A & B ROOFING COMPANY,INC.
to apply to CITY OF SANFORD
for a ROOFING permit.
And to act in my behalf in all matters concerning the same.
Legal Description:
Parcel ID #: 36-19-30-521-0000-0350
Owners Name & Address: WILLIAM M. & KAREN M. STRICKLAND
1813 MAPLE AVE
SANFORD, FL 32771
1813 MAPLE AVE.
Property Address:
SANFORD, FL 32771
G.F. BOHANNON
CCC 1326255
LICENSE #
The forgoing instrument was acknowledge before me this j
of 11 20 05 By C._F_ g0hannnn who is personally
WN to me or produced as identification.
My Commission
R MY COMMISSION # DD 343251
7 EXPIRES: August 12, 2008
' eo&a rnv, Molmy Public lir wdteis
_.. _. _.._ _...- .- -...- ..a o .fs --I 1 mID0
Permit No. Tax Fo ��IOP �,,-E
kJ
PREPARED BY:p NNS
pR� rU1� CO ?°
JANICE ANDERSON NOTICE OF CO1!'i11 ENCE11EN'MERK of C R E�OR1D� n
3905 MOORES STATION RD. SEM
SAi c f.lAda32773
County of SEMI Or.F 6y EP's rz
The undersigned hereby gives notice that improvement will be made to certain real Property and in accordance X
with Chapter 713, klorida Statutes, the following information is provided in this Notice of Commencement. 17
1. Legal description of property {include street address, if available): 1813 MAPLE AVE. SANFORD_ , FL
LEG LOT 35 & 36 FIRST ADDITION TO PI T PB__5_RQ 79
2. General description of improvement: RE -ROOF RESIDENTIAL SHINGLE TO SHINGLE
3. Owner information - name and address: WILLIAM M. & KAREN M. STRICKLAND
1813 MAPLE AVE SANFORD, FL 32771
Interest in property: OWNERS
Name and address of fee simple titleholder (if other than Owner): N/A
4. Contractor- name and address: A & B ROOFING COMPANY, INC. / G.F. BOHANNON '
3905 MOORFS' STATION }�jZ, S jy,F'O$i�,F FI,_„�2773
Phone number 40�-322-Q417 Fax number 4n7-- -1377
5. Surety - name and address: N/A r:
h..
Phone number Fax number Amount of bond: $
r�
6. Lender - name and address: N/A �n
twf
h.
Phone number, Fax number. _
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may CD
Ch
be served as provided by Section 713.13(i)(a)7., Florida Statutes (name and address):
Phone number Fax number
8. In addition to himself, Owner designates of
to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Phone number Fax number
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the data of recording
unless a different date is specified).
&' ar���
Signature of Owner
Sworn to and subscribed before me this 12th day of jM , 20 05
Notary Public
My Commission Expkcs: S--12-OS
TERESA JOHNSON
+; ►_ MY COMMISSION k DD 343250
EXPIRES: August 12, 2008
of °` Bonded Thru Notary Public underwriters