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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-