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HomeMy WebLinkAbout115 Bent Oak CtApplication No: RECEIVED JUL 17 20fl BY: I /- IS43(jp CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ o,aa Job Address: l JL/ 09j 6+ i cfgUAQo, ,F t' Parcel ID: I nu e_,, o • n ; jg Description of Work: PeOP-a piC JA, n j/ . r Historic District: Yes No Zoning: Plan Review Contact Person: A pj n 4 4134 0c. — Title: A Phone: 907 • q- 03a i Fax: L/p 7.330> 3a 3 E-mail: c.deo__4/zo y i '1_ © LPL/South,. W__ Property Owner Information Name tvn4hi& ja 1 rL Phone: UV 7 • 3 d-/ • t;'D V Street: /! 5 13 Gni- Uk./L - • Resident of property? : bLcJi7e City, State Zip: cfCon,4orw. Pt- &x'773 Contractor Information Name t+o L.ta_ Q000cif,44 Phone: V07. 322—• 9S"S-'P Street: S AoEnrA Aw[ Ltit f-v/Lo , C__ Fax: 4497 ' zz 30. City, State Zip: d'a.n t PC- 3.1-77/ State License No.: v2zs`Sa Name: Street: City, St, Zip: Bonding Company: Address: Architect/ Engineer Information Phone: Fax: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: Construction Type: Q1eP200f No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Mechanical ( Duct layout required for new systems) 3k r % 3a dy Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 permit is verification that I will notify the owner ofthe property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy ofthe executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. UfgnaFIgent Date Print Own / s Name gro'e".. to of Florida ate ROBERTRAYADCOCK Notary Public - State of Florida My Comm. Ex i Jun 18, 2013 Com ton A DO 900428 Owner s t IS Vwlq W Me or Produced ID V Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: lam./a,0VJ Signatu 'fContractor/Agent Date W A;3 cac"A - P int Con for/Ag N e iII Zk, Signature ofNotary -State of Florida Date FMCKIBBIN # DD999Me09. 2014tmag Am= Co. Contractor/ Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: % • / I. - .10 i i I hereby name and appoint: /r q J IDPV C. A0C.,o CJe-- an agent of: AQC ock- P-00 O*A/0 ) e00 sr -e`AG7 x-A Aral; J;R4 (-m" P. Name of Company) 11 3.--% Z to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): I? All permits and applications submitted by this contractor. The specific permit and application for work located at: street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: 2, /y O P-60 j C - State License Number: UGC d Z c U 1 Signature of License Holder: STATE OF FLORIDA COUNTY OF The foregoing in trument was acknowledged before me this 12-" day of a Zoll , by Mew .Y • A 4 c,5c.tc_ who i 1 know to me or ? who has produced 4 (( ---- as identification and who did (di4'not) ke an gl- Notary Seal) ror. CEMCKIBBINMYcoAe IsSI0N HDD99990t1©PIRES, h: t,. G9, n114 14Oa34=AAY t Aaoa Ca Rev. 3/ 27/07) Signature t TJfUwpt Fjc2 Jcal MtiLt 3c3i:J Print or type name Notary Public - State of FGoa. & Commission No. U a (9 9 oc, My Commission Expires:-) uNc€ 9 , '-O 1 q ti w State Certification K- No. CCCO22501UNXPC ROOFING AND SHEET METAL 800 S. French Ave. • Sanford, Florida 32771 407) 322-9558 June 29, 2011 www.adcockroofing.com ESTIMATE Name: Cynthia Taylor Address: 115 Bent Oak Ct. 5 Phone: (407) 221-5504 Mobile: (407) City: Sanford, FL 32773 Fax: email: ctaylor279@cfl.rr.com SCOPE OF WORK: Reroof Estimate 1. Remove old roof on complete house. 2. Re -nail decking as per code. 3. Install new 30 year architectural shingles over new 15# felt. 4. Install new drip edge. 5. Install new flashings in all valleys. 6. Replace all vents & stacks. 7. Clean up & haul away debris. Labor & Materials; $6,500.00 EXTRA: Any bad wood or flashing; Time & Material Warranty: 30 Year on Materials from Manufacture 5 Years on Workmanship Andy Adcock, Owner Since 1963 6t11lRIN1NIIlil I1111Nf11Nlgp1IfMINIM 11111 Permit No. Tax Folio No. l/- e20—,->d -S-6 'OQao - U 330 NOTICE OF COMMENCEMENT - State of Florida ppyaht.O A y County of Seminole A A0'lao 'J • A°COck-, 9-00 PARYA14W MORSE, CLERK OF CIRCUI7 MIN01- E COUNTY 99 0751A Pg 1948; (1pg) CLERK' S It 2`011073507 RECCiM 07/12/2011 036866 PH RECMING FEES 10.00 MDE" Y, T.SqJ# 1-_9 L 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 the property, and street address if available) COURT 3d` 7-7 / 2. General description of improvement. 3. Owner information: Name: C it 4 G_ a o Address: // S EEn7' N-14 G-n ocnQ ie-- C 1u 7 3 b. Interest in property: 0 W" t n tqx C. Name and address of fee simple titleholder (if other than Owner): Name: CEKI " ORSG Address: 4. Contractor Name: / o Phone number: 0E F 0 c. Address: `3a77/ 5. Surety Name Address: pUtY b. Amount of bond: $ SA_AIenriar• Name - Address: b. Lender's phone number: Ta. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: Name: A rlrirecc 8. a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor' s Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COM1 IENT.'--) natur wner o er's A rued Officer irector/Partner/Manager Signatory's Title/Office The for going i ment was acknowledged before me this 2 d y (name of person) as (type of authority, . officer, trustee, attorney in „ name o party on beh { ho 'nstrument was executed) . RO1311RAYA8cr + ° Notary Public -State of Florida t ; pdy) Comm. Expires Jun 18, 2013 tgnat of Notary Public Commission # DO 900428 Personally Known OR Produced I n Ication Produced Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts s Ad n ' are t rhe -pest of my knowledge and belief. ign r a ra Pers Signing Above - Rev. dad 3/2008 V 1 IL 0