HomeMy WebLinkAbout130 W Woodland Dr (2)Permit #: �— 3 Y/
Job Address:
Description of Work:
CITY OF SANFORD PERMIT APPLICATION
vA Date: .b� I l t lar
Historic District: Zoning: Value of Work:
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 Water Closets Plumbing Repair — Residential orr Commercial
Occupancy Type: Residential (�� Commercial Industrial Total Square Footage: 5 J
Construction Type: of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 3LO '" � '_A_�/ �✓
Owners—Name & Address: l e -e J1_0__ ♦ �
Contractor Name & Address:
Phone & Fax:
Bonding Company:�L—
Address:
QD;QAttach Proof of
i _' ( I J-23 . rL,r--')
f
Contact Person:
Phone:
State License Number:
Mortgage Lender: ` C~
Address:
Architect/Engineer: l Phone:
Address:
Fax:
p & Legal Description)
Lo
-�
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 pemrits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of pennit is verification that 1 will notify the owner of the property of the requirements of Florida Lien law, FS 713.
Signature of Owner/Agent Date Signatu Contractor/Agent Date
Print Owner/Agent's Name rint C
n V.
ontractor/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _
Produced ID
Personally Known to Me or
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: BI Zoning: Utilities:
#�(Innal
(Initial & Date)
Special Conditions:
FD:
(Initial & Date) (Initial & Date)
a
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
"6-i
Company: C, kxn
op a +
(k . '&�wQ : F) � 1
License #: L)CC '"0,, -S -74,q j
Project Information
Owner: r t�i�. ( f
name
13O Oa \ o nA -0-
address
phone
Permit #:
Subdivision: 6Vl9
Lot #:
I, 1-50ac �'r u��� , affiant, hereby affirm that I am the duly licensed
contractor of record krAhe 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: �L•L
signat
printed ame
STATE OF FLORIDA
COUNTY OF,
This instrument was acknowledged before me this day of US1{ , 20G6; by the
above referenced individual, ).500-G 0 (U I✓1 , who ackno edged that he/she is a
duly licensed contractor with vio acknowledged that
he/she was authorized to execute is document. e/she is either ersonally own to me or
produced as valid idents ica ion.
WITNESS my hand and seal this day of ��� S , 200< -
VN he
NOTARY PUBLIC -STATE OF FLORIDA
carelliD45108514, 2009*999g Co., Inc.
CITY OF SANFORD PERMIT APPLICATION
Permit #: Date:
Job Address:
Description of Work: i!�— C:�
Historic District:
Zonin
shlh/ -
Value of Work: la I I ( is . ��
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 Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Reside tial ✓ Commercial Industrial Total Square Footage: i X S�
Construction Type: ' # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for
other than X)
Parcel #:1.2 – r Uy Spm C ` CJQa (Attach Proof of
Owners Name & Address: kP/'%e //)/QJ �t/GY C�4hC i
Phone
ership & Legal Description)
Contractor Name & Address: IGC ROOFING Inc. 417 Magnolia St Altamonte Springs, FL 32701
so(J--C-( a.State License Number: # CCC057644
Phone & Fax: PK 407-265-2116 Fax: 407-265-2122 Contact Person: Phone:
Bonding Company: '
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone: N1
Address: Fax:
Z -7G.(�' %
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 permit is verification that 1 will notify the owner of the property of the re irements of Florida Lien Law, FS 713.
ly'%�itzCi y�AY`1
j!J Signature of Owner/Agent Date �—
_
Signature of//Contractor/Agent Da
t.,/�
rI 1
yper/Agen s N ie G 7 %
git
Prin Contractor/Agent's e
ree No[ary-S to of Florida Date
Signature of otary-State lorida Date
Owff Pet/Age.,� A`9 Personally Known to Me or
Contractor/Agent is rsonally Kxiown to Me or
1,roduced IDJ
Produced ID
APPLICATION APPROVED BY Bldg:
Zoning: Utilities: FD
(Initial & Date)
(Initial & Date) (Initial & Date (Initial & Date)
Special Conditions:
NOTARY PUBLIC -STATE OF FLORIDA
*Kinyel Marcarelli
Commission # DD451085
Expires: JULY 14, 2009
Bonded Tbru Atlantic Bonding Co., Inc.
NOTARY PUBLIC -STATE OF FLORIDA
Kinyel Marcarelli
Commission # DD451085
Expires: JULY 14, 2009
Bonded Thru Atlantic Bonding Co., Inc,
TRIS 1NST MENT PREPAR BY:
NAME:�t _
ADDRESS. la K� ~�
q i+' �� S&MINOLE COi h7Y
1 V l�i l L lG. � , f' � ,�j�� � i F�oAinxs K�rtrw�t n-ioir_r
r
NOTICE OF COMMENCEMENT
State of Florida
Permit No. Tax Folio No. (PID)
I
Building & Fire Inspectic .
1101 East 1 st Stn
Sanford, FL 327
County of Seminole
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 ibis Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address):
3 6 7-2! P= -r d G '� a5' -eT d ;:7 L 67ji -
-/ W aun f a 4 F L '; z��3
•CERIaIED CONY
GENERAL DESCRIPTION OF. IMPROVEMENT MARYANNE MORSE
�e— IQ.Ub CLERK OF f IRCUIT COURT
OWNER INFORMATION
Name and address -*fL13,E Le) • 6U U c� I ' T I UJ 'C:'(
32-'773
Interegt, in property (Fee Simple, Partnership, etc.)u �a
NAME ANP ADDRESS OF FEE SIMPLE TITLE HOLDER. (IF OTHER THAN OWNER)
CONTRACTOR
ame and address
SURETY (Bonding Company)
Name and address
ffig ANNE NCR.%, CLERK OF CIRCUIT Ci34lRT
Amount of Bond SEMINOLE COLNTY
AK 05854 PG 1035
LENDER CLERK' S. 11 2005137 173
Name and address REGtiRDED 08/11/2m 11:021,04 PIN
i
�� RiwCMDING' FEES Irk, *
RFMRDED BY L McKinley
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name and address
Persons within the State of Florida Designated by Owner upon whom 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 K\- C -� _ of:
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 year from date of recording unless a different date is specified.)
NOTARY PUBLIC -STATE OF FLORIDA
4,Kinyel Marcarelli
Commission # DD451085'�
xDirw JULY 14, 2009 Signatue of Owner e
— f/10 020 r G -f
�
pd,
worn and subscribed before ane this', Day of
My Commission Exipires:
V
Notary Public "I
The ore oing ' nt was acknowledged before me this day of �"j O Sby
'1 (Name of person acknowledged), who is personally known to me or who has
produced l� D (Type of identification), as identification and who did/did not tape
arid. oath-