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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. e ,) 3' /a Y r ccs, !� j /5ie at f Owner/Agent Date Signature of Contractor/Agent Date LJ �f// = Z 4i O 71 G. F. BOHANNON /� s' / y Prin er/A ent's Name Print Contractor/Agent's Name o quay :►•;* mill I Date Signature of Notary to of Florida Date mac•, a: )UY 3, 2007 i�,•`. BONDED THRU TROY FAIN INSURANCE, INC ! sQi�ir 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,'_ ::L: 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 ,�>« r 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 ioaaAu Pu .c.0 . — -- m -IL'e'L,,