HomeMy WebLinkAbout114 Anderson St (2)Permit #
- 4-ob Address:
CITY OF SANFORD PERMIT APPLICATION
Date: (A—/Z6I(35"
—Description of Work:Fig — �UUF V 5tn� Z.1 e uaVu-sa CS—Vt;11nteC2d 1-6 )/V.
EUstoric District: Zoning: ` Val lTe of Work: S �.�, 020
Permit Type: Buildin9-7�— Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Oras Lines
Plumbing Repair — Residential or Commercial _
Industrial Total Square Footage:
Construction Type: o �# of Stories: I_ # of Dwelling Units: _I Flood Zone: (FEMA form required for other than X)
Parcel #:3 I - 1 -1 - \ - -'5 ?-S - O f� U D 0 "- 0 O �J O (Attach
--Owners Name & Address:
_—Contractor Name & Address: 1 I 1 1C1 -
Date:
C1 -
Proof of Ownership & Legal Description)
1114:: ndPvSnN
Phone:
' 1 ! State License Number: l`�L V :3 1 25 M ` - �L
Phone Fa `-
x: V �p Z- � 5 T `C Contact Person: 1'l U b C Phone: O 3 V
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: 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.
3Z-1-"'
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 permit is verification that I will otify the owner of the property of the requirements of Florida Lien S713.
X G
y vs
Signatu o Owner/A en Dat Signature of Contracto Agen Date
EV Ic De\,j ►tt
Print O er/Agent's N e _ Print Contractor/Agent's Name c�
gnature of No -State dFlorida Date Signature of otary-State of Florida Date
�aY '14, Erik Jason Kantar#an
'P My Commission DD31MOI
Owner/Agent is _ Personally Known to Expires May 12, 2008 ContractoAgent is Personally Known Me or
_ Produced ID _ Protluc j/ / / 6 /
APPLICATION APPROVED BY: Bid 1.EJA 6 JKMO&ing:
(hii6i & Date)
Utilities:
(Initial & Date) (Initial & Date)
Special Conditions:
Gi
FD:
(Initial & Date)
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ft)) C! - rL. 60 ri n U License #: Ce C,059-6-31114
Owner: t 0a AZ Is
name
AndC'vsan Nv �-,
address
�Zz 4_ 631
phone
Project Information
Permit #: V �_ - p Sb Ll
Subdivision:
Lot #:
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.
i
Contractor:
signature
!1-wItt
printed name
STATE OF FLORIDA
COUNTY OF �eYv) t ✓je
This instrument was acknowledged before rn this th day of , 2005, by the
above referenced individual, E�,r) -t�` , who acknowledged that he/she is a
duly licensed contractor with D&� rk 12,e..�, , and who acknowledged that
he/she was authorized to execute this document. He/sh is either personally known to me or
produced as valid identification.
WITNESS my hand and seal this t day of _ (Y\ �c.�,( , 200 V�
Notary Public
MID FLORIDA ROOFING ESTIMATE/SALES ORDER
'I
Lonvs.ft- Mal
Famewood Drive 4575 N. US 1 . Suite 11-N
Longwood, 30 554 Vero Beach, FL 32967
Tel: (407) 830-8554 Tel: (772) 713-0317
< Fax: (407) 682-8554 �� , ,. Cil, Cl
0 .5p) ;,
Fax: (772) 567-0037
Date of Estimate:
9--/ 9 -QS" Sales Rep Name. "6'0A.)
Customer Name: &jkly,CV — %LA0 n„ 1 w,s -Sales Rep Phone #: yo7-83a-s3o6
Job..Address:, / / ,,r4„�dua�,�, � .,,.Qe � . Cust. D
City;:State-;-Zip..-5AAj fed u a77•_,/� i ?' aY Phone ##. a2 �a38'
Cust.jEve.IPhone,1, r l
By signin elow, Customer and Mid Florida Roofing, Inc. hereby agree to the terms and conditions described in this contract:
.:veli .e 6 i4:fti�..J r i";"
.
emove existing roof from above address. r �' ?'} } : '
❑ Two r more layers ori roof to be removed'at $45 per square $45/sq X `` �f s nares = " ` '`
4 $�_ (included to tofat price below)
Remove and replace theJollowing items with like orequivalbrit-ma tenals.t
A. Valley Metal le total linear feet
B. . Plumbing vent pipe boots: 1 Yz inch: r 2 inch: 3 inch:inch
C. Kitchen & Bathroom vents: 4" goose: 6" goose: 10" goo 14; - ; 5 inch:-;
D. Off -set ridge vents (4ft): Color: —se:� — Color:
E. Ridge Vents (loft): Color:
{ {F r�;?, iRe,place eave-drip(excepbehind guers),—
0
1
<
❑
U ti ..S
Replace all en sheeting (if any) at an additional charge of $60 per sheet including installation. Charge is not included in total contract price below.
All re ed wood (including sheathing, fascia, siding, trusses, tails, etc.) will be documented and billetl separately. '
'Ifs '' ��'� �) ?t ,! l +,5..; r 1 1lfl i r !�, -�- ,�•: t-," i ,✓- .!ii e..- r ii, , r ;7ij .^ - �i "J •':
Repl roof underlayment withthe following Ib Felt 0 301b Felt G' ('
� r I i 'a sJ .V n{1!l. �': (> -1(
J 9 i I , r.r i.{_ilY •li� i i iri �"t
t.rt L
Install new roof usiri �( �' ' Year' chitecturla ori Tab. ! ' ` ' ° ?��,/ Y' �r'' I -` `
N > +J rL,vutyfr a9 1 r.r , r ; ty<, .f_ �1 angles Total numberofsquares �1�i'�alor v� 4 % ecko,/
ai i,tt J, 'riitlt t 1 rt 2ts u.=t:i..,g
Man facturer: ,, ;:Notes
gra , } I,HM
L'7Install v1•'tr..?� .r ? �1 r;:t«;i:.,Li.ii4:r"i ,�Y(!1
_ additional 4ft off set ridge vents ($80 each) Total $
� - (included in price below)
❑ Install additional loft ridge vents ($50each) Total:$ i;,il;0fiod qri?,,j uoialnacj, f;
"=fi3i3sP; it i (included in price below) ,
El Replace 2'x 2 .skylight dome(s). Qty: '✓ . ?' -o rT' "W SK `!-i rx y;i
r Tolal $,. ,(included in pricerbelow);
+ ;..
❑, Replace 2'x 4' skylight dome(s): Qty: ,-i Total $ (included in price below),-,..;
l,..,.
t7 Upon completion, Mid Florida Roofing will remove,all job related debris, garbage tand jexcess
staples, simplex, etc. materials from job site.and will use magnet for nails,
❑ Customer requests that Mid Florida Roofing remove,and discard existing solar heating panels prior tocommencementof installation. If this option is
not checked, custom,hr is responsible for removal of solar heating"panels prior to commencement of installation`.` Customer is also responsible for )ri
re -Installation ofsolar heating panels when roofwork'ha"s been'completedi ifthiei iion'i' not checked j.,J•. t!';n; ,lrt;' Eur ? ; .^. nY r ;?i7 yx
SPEC_ IAL INSTRUCTIONS ' ` ' `" ?
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(4 , ,J sWd }ri,.} + ?+r117
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43rsrf'i i tf Y�f �/{//I\// r it f i CiC o f a 1i 3 f rk 11)
M1 /� 1�r/ / 1 ( L U �t ,a ,J t.%.>r �tii t�ti i t ��FK-Ir. }`I( f ton:lif• 'J
f v.1..1:✓ +.:t ,J!,., FJ?ffl li�l ,. C) l.t .f 7!'.It t9 10
,•{hr•..r16''4'1�,..ti� �.•,.!?#.'�?i., t,y,ri'11�..:0 }._7(1 ,f>{:y n., l
If payment is not made under the terms of this contract, Mid Florida Roofing, Inc. reserves the right to place a lien on the above mentioned property and
a finance'charge of'5%per'month: will'b'e`added=tothe, Unpaid accounts:30-days from. -date of agreed_peymenYof this contract:'iShould'collection action
be -necessary, the person on this"contract shall,pay all cougY99§ s, attomeyvfees and appeaLoosts (i(;any):;,This contract is valid for one month from the
date of acceptance and approvaltby Flonda Roofing;,lnc. The.State o(. Florida has a construction, recgyery fu�?d
WARRANTY: Include`, manufacture fnaterial'warranties and fiJe'year of,
warranty unless otherwise s cifie'd in s'ecial instruction's above.
PAYMENT TERMS 'Full payment is due upon completioAlof the work'describ'ed'on'this'contract; unles§'otherwise. greed -upon' inwriting between -+ tic.
customer and Mid Florida Roofing, Inc. -
Accepted:
Approval:
Date: 041— 15-0
Customer S' ure
Date: TOTAL PRICE
Florida Roofing Authorized Signature (Due upon completion)
f/cyv4:5 300,o'd
TH15 INSTRUMENT PREPARED BY:
NAME: Aol�,e_r+ N. Sho >
Building & Fire.inspecti'
ADDRESS: S'G,l SE111NOLE COU F
1101 East 15t Stiff
� s FL 3a-7 ru..»;M.,•, :IURAI <_j,(:)jCr
Sanford, FL 32.
NOTICE OF CO
NCEMENT
State of Florida
County of Seminole
Permit No. Tax Folio
No. (PID)
The undersigned hereby gives notice that improvement will be made to
713, Florida Statutes, the following information is provided in this No
certain
ice
real property, and in accordance with Chapter
Commencement.
iof
DESCRIPTION OF PROPERTY (Legal description of the property 5
and�stre
~�
addres
S-9,1 py
COPY
ARYANNE MOR.Sh
GENERAL DESCRIPTION OF IMPROVEMENT@
Q1RCU1T COURT --
3CEM744
E
OWNER INFORMATION
22 2005
Name and address 0/,7 A
Ave An /A
Interest inro e
p p rty (Fee Simple, Partnership, etc.)
I
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER
(IF
1
OTHER ,THAN OWNER)
CONTRACTOR YID -FLORIDA ROOFING INC,
I ;
ame and address 869 FERNE DIS
LOHGWOOD, FL 32779
l
¢ill+sI'I41IIS;I Ili a: 4 ;1 .:l v .<
SUVETY (Bonding Company)
Name and address
I MRyWE NuRaE, CLERK IF CIRCUIT COURT
j 5Ep1I1�E Ci1�TY
Amount of Bond
JW9:7 F-15 040e
`
CLERK' S 0 2005066425
RECi1RDED 04l621dOM 08157150 A
LENDER
REMIN8 FEES 10.00
-blame and address
i MCIAMD BY t holden
i
Persons within the State of Florida designated by Owner upon whom notice or
Ith I
documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name and address
I
Persons within the State of Florida Designated by Owner upon wh!
m
notice or other documents may be served as
provided by Section 713.13(1)(a)7.,Florida Statutes:
Name and address:
In addition to himself, Owner Designates
i 09
To receive a copy of the Lienor's Notice as
Provided in Section 713.13(1)(b), Florida Statutes.
)Expiration Date of Notice of CommenCEment
//(The expiration date is 1 from date
j
year of recording unless a different
�.r►r Erik Jason KantarOn
X
date is specified.)
t
�
My Commission D0318891
Expires May 12. soon Signature of Own
r
.
Sworn to 210subscribed before me this ��� Day o
j'
j'r'll 6�
My Commission Expires:
Notary Public
The foregoing instrument was acknowledged before me this 1'9
_j
day of,_y
(Name of person acknowledged);
who is personally ]known to me or who has
produced i , l�, (Type of identification),
as identification and who didJdid not take'
� anal oath.
I
Limited Power of Attorney
(with Durable Provision)
............................................ .............................................................. :........ .........................................
NOTICE: THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW
THESE IMPORTANT FACTS. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM
YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE
POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT
ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. YOU MAY SPECIFY THAT THESE POWERS WILL EXIST
EVEN AFTER YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT DOES NOT
AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. IF THERE IS
ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN
IT TO YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO 50.
TO ALL PERSONS, be it known that I,
of 1 d —
as Principal, do hereby make and grant a Iimi d and specific power of attorney to
of Mitt— V-10►-ICLA �dindi�vtdual
X3and appoint and constitute sas my attorney-in-fact.
My named attorney-in-fact shall have full power and authority to undertake, commit and perform only the following acts on
my behalf to the same extent as if I had done so personally; all with full power of substitution and revocation in the presence:
(Describe specific authority)—rU P l t- M V 1 bC6 8s,
' lAl t�'LerSoY) vim,
S a YIiCO iii 1 37--�--,L I a
The authority granted shall include such incidental acts as are reasonably required or necessary to carry out and perform the
specific authorities and duties stated or contemplated herein.
My attorney-in-fact agrees to accept this appointment subject to its terms, and agrees to act and perform in said fiduciary
capacity consistent with my best interests as my attorney-in-fact deems advisable, and I thereupon ratify all acts so carried out.
I agree to reimburse my attorney-in-fact all reasonable costs and expenses incurred in the fulfillment of the duties and respons -
bilities enumerated herein.
Special durable provisions:
This power of attorney shall not be affected by subsequent incapacity of the Principal. This power of attorney may be revoked by
the Principal giving written notice of revocation to the attorney-in-fact, provided that any party relying in good faith upon this
power of attorney shall be protected unless and until said party has either a) actual or constructive notice of revocation, or b)
upon recording of said revocation in the public records where the Principal resides. Furthermore, upon a finding of incompetence
by a court of appropriate jurisdiction, this Pow% of Attorney shall be irrevocable until such a time as said court determines that I
am no longer incompetent.
Other terms:
Page I
vvmvsocraies.com
C 2004, Soames Media LLC
LF240 • Rev. Ni04
Signed under seal this 2 �day of
Signed in the resence of:
Witness:
Principal:
Stat of Florida
Coun y of (IQ C) 0
on—
L( 1ZFSI G before me, Jason Kantarjian
Appeared Robert H. Shoemaker .
Personally Known to me to be the person whose name is subscribed above.
WITNESS my hand and official seal.
Signature: 1�
J®� Erk Jam Kantuftn
•• MY Comm"W D031M1
ExpiM May 12, 2008
20