HomeMy WebLinkAbout412 Editha Cir (2)Historic District: NO Zoning: Value of Work: $ $5,1,168 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 - Nor. -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: ResidentialX_ Commercial Industrial Total Square Footage: 28 25
1_`.oestr. uction Tyne:
_4_
# of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 36-19-30-534-0100-0240 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: T()Y T.- DAIK;HF:RTV
412 FDTTHA TR F Phone: 407-323-0887
Contractor Name & Address: A & B .ROOFING CO., INC. / G. F. BOHANNON
3905 MOORES' STATION ROAD SANFORD, FL 32773 State License Number: CCC1-126255
Phone & Fax: 407-122-9417 407-324-1377 Contact Person:RUTH Phone: 407-324-4423
Bonding Company: —N/A
Address:
Mortgage Lender: _ N/A
-------
_ .-__Address:
Address:
Architect/Engineer: NIIA 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.
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 recor
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal age
les.
Acceptance ofpermit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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/5ie at f Owner/Agent Date Signature of Contractor/Agent Date
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71 G. F. BOHANNON
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Prin er/A ent's Name Print Contractor/Agent's Name
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:►•;* mill I Date Signature of Notary to of Florida Date
mac•, a: )UY 3, 2007
i�,•`. BONDED THRU TROY FAIN INSURANCE, INC
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Owner/Agent is _ Personally Known to Me or Contractor/Agent is _Y Personally Known to Me or
Produced ID LIC474C
V�ZfVEIt- Produced ID
APPLICATION APPROVED BY: BI g s Zoning: Utilities: FD:
(Initial & te) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
A & B ROOFING COMPANY, INC.
3905 MOORE'S STATION ROAD
SANFORD, FLORIDA 32773.6524
(407) 322.9417
FAX (407) 324.1377
ail -514, IN • ••
I hereby name and appoint JAMES ANDERSON
to apply to CITY OF SANFORD
of A & B ROOFING COMPANY, INC.
for a RCAF permit. .
And to act in my behalf in all matters concerning the same.
Legal Description: 412 EDITHA CIRCLE
Parcel ID# 16-19-30-534-0100-0240
Owners name & address: JOY L. DAUGHTERY
412 EDITHA CORCLE
SANFORD FL 32771
Property address: 412 EDITHA CIRCLE
G.F. BOHANNON
LICENSE #
The forgoing instrument was acknowledged before me this 26th day
Of APRTT, r20 n, By G_F= BOHANNON who is personally known
to me or has produced KNOWN as identification and did did no take an oath.
My Commission Expires: 3-12-08
NOTARY PUBLIC'"' " TERE8N JOHN30N
. My COMMISSION # oD 343250
e EXPIRES: August 12, 2008
55
9
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A & B ROOFING COMPANY, INC. License #: CCC 1326255
3905 MOORES' STATION ROAD
SANFORD, FL 32773
Project Information
Owner: JOY L. DAUGT=TY Permit #:
name `
412 EDITHA CIRCLE
address
407-323-0887
phone
Subdivision: HIGHLAND PARK
Lot #
24 + 25
I 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 day of , 20G , by the
above referenced individual, G i F, F) o4� A NO— , who acl&owledged that he/she is a
duly licensed contractor with o4 F/ 0 2 t dg , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced'/U o (A) /J as valid identification.
WITNESS my hand and seal this day of qav,.20 5.
Notary Public
EE,'_
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N
„ . MY 343250
2008
8-ae� I,"
1-REPARED BY:
JANICE R. ANDERSON
3905 MOORES' STATION ROAD
SANFORD, Fl 32773
PERMIT NUMBER
IllypME NORSE, MaK IF CIRCUIT C€ cT
IX 0583E. FSC, g. -)F
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CLERWk 1294 r?
RttxlRIIFD t18f /� KSS tk: a:a AN
RCCC►ltDINS FEES lo. kv
RD✓ D AY t holden
TAX PARCEL NUMBER: 36-19-30-534-0100-0240 �-RTIFIED COPY
VIARYANNL MORSE
NOTICE OF COMMENCEMENT CLER F ,IRCUIT COURT
SEM 0 OU Y; OR DA
STATE OF FLORIDA
COUNTY OF SEMINOLE B pU CLERK
-THE UNDERSIGNED heAeby give% notice .that the impAovement wilt be made AUG 2 20
to ceA.tain ,Lea- pAope.Aty, and in accoAdance with ChapzeA 713, F.2on.i-da
S-tatu,te,6, .the 6oteowi.ng %n6o4mati,on -ins pAovided in .thivs NOTICE OF
COMMENCEMENT,
1. Desni.pti.on o6 15Aopenty LEG LOTS 24 + 25 BLK 1
HIGHLAND PARK PB 4 PG 28 PAD 412 EDITHA CTR
2.
GeneAaX. Ducxiption o6 I mpAoveme
SHINGLE TO SHINGLE NO 9TRUMTjRAT. MANCP
3. OwneA 7n onLma,tion:
a. Name. 9 Addteh�s : JOY L. DAUGHTERTY
412 PnTTRA CIRrrp.
S.FL 32771-4-3-34
b. In..teAu t in PAop y:�-
c. Name and Adduzz o ee .e,cmp e o et of eA
.Than OWneA: N/A
4. ConV ac tou Name 9 AddAe-6s; -A & R RC)C)PTNC, CO_ , INC.
3905 MOORES' STATION ROAD
,ANFmn,, FT, 32773
5. StLke-ty In6oAma Eon:
a. Name 9 Addners N/A
b. Amount o6 Bond --=NA
5. Lenders Name S A e/S5 N/A
7. PeA6ons within the State o6 FZoAida "ign e y wneA
upon whom notices an other documentb may be .served a/s
pn.ovided by Section 713.13 (1) (A) 7 Raida Statute:
Name 9 Address
8. In addition tt.on tU.- Zset4, OwneA duinatu
06 to Aeee c;ve a copy o4 the LienoA � —Notice
as pAovtiHET in SeEZEon 713.13 (1) (b) FZoti.da Statutes
9. Expii ati.on date o6 Notice o6 Commencement -ins one yeah morn
.the date o6 AeeoAdi.ng :whish is
OWNERS SIGNATURE A
The .i.,vs.tA<<ment was acknow e ot met ay o6 M& 2b 05,
b,573lZtLW 27Z who tis peuona.P.e.y known to me oA w o WEV pAocpkced
Jdenti6icati.on and w o DID DID NOT .ta_h
TERESA JOHNSON
MY COMMISSION # DD 343250
My C o mm i z,6io n E xpiA es �� ��fEXPIRES: August 12, 2008
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