HomeMy WebLinkAbout707 E 25 StPermit #
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CITY OF SANFORD PERMIT APPLICATION
Date: MAY 17, 2
Job Address: 707 FAST 25th STREET Sj��
Description of Work: RE—ROOF RESIDENTIAL SHINGLES STORM DAMAGE SHINGLE TO SHINGLE
Historic District: No Zoning:
Value of Work: $ 3.,266-00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential 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: Residential XX Commercial Industrial Total Square Footage: 1630
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 06-20-11—S02-0700-0160 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: OZA M 1 )
707 EAST 25th STREET SANFORD Phone:407-322-4047
Contractor Name & Address: A & B RCOPTNG CnMPANY�_ INC' ! G 1 BOHANNON
3905 MOORES' STATION ROAD SANFORD� FL 32773 State License Number: CY'C'1326255
Phone & Fax: 407-322-9417 324-1377 Contact Person: RUTH Phone: 407-324-4423
Bonding Company: N/A
Address:
Mortgage Lender: N/A
Address:
Architect/Engineer: N/A Phone:
Address: Fax:
Application is hereby made to obtain a pernvt 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 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 notify the owner of the property of the requirements of Florida Lien Law, FS 713.
S—/$ -6S5-17-05
'+''�P1i ature of Owner/Agent Date Signature of Contractor Agent Date g
t Owner/Agent's Name Print Contractor/Agent's Name
5-17-05
M ature of Notary- e of Florida Date ignature of No -State of Florida Date ws w
Zcninccok'oa
DN>xx
Z4 = W
e rowgent is _ Personally Known to Me or Contractor/Agent is X Personally Known to Me or "goy
^� roduced ID _- L Produced ID
APPROVED BY: Bldg: Zoning: Utilities: FD:'
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: ? �O� I� /N G C,,O- • License #: e e 13
Project Information
Owner: r //'d M • 5e-A)7T)J Permit #:
name
address VO 7 - y7
c_p 0q
phone
Subdivision:
Lot #:
I, ts a A) cL Lr_ Sa-i 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: an p��
signature
kvl5n-,J d e- yrs b ,J
printed name
STATE OF FLORIDA
COUNTY OF r-y� ► /J 5 L C_
This instrument was acknowledged before me this day of , 20 , by the
above referenced individual, ,who acknowledged that he/she is a
duly licensed contractor with , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced
as valid identification.
WITNESS my hand and seal this day of
Notary Public
20
I -WARE D BY:
JANICE R. ANDERSON
3905 MOORES' STATION ROAD
SANFORD, FL 32773
PERMIT NUMBER
TAX PARCEL NUMBER:
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05762" PG 0633
CLERK'S # 2005097253
RECRRDFD 06/1312005 09:15:25 AN
06-20-31-502-0700-0160 RECORDING FEES 10.00
REBORDE Y L McKinley
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF SEMINOLE
,THE UNDERSIGNED hereby gives notice that the .i.mpnavement wiU- be made
to ce ttain :,Leat pnopvi ty, and in aceo.,Ldanee with Chapter 713, Hor.ida
Statute,6, the 6otow.i.ng .in6onmatc.on tis provided .in thi6 NOTICE OF
COMMENCEMENT.
Desch i.ption o6 PAopelc ty 707 EAS
.qANMR-
GeneAa. DucAiption o6 ImpAovement-gE-gooF RES,rDENTTAT,
SHINGLE TO SHINGLE NO STRUCTURAL
3. OwneA In armat(An:
a. Name. £ Addte%a : EVA M. BENTON
_707 FAST 25th STRPRT
a4mmml FT, -32771
b. I nteAe/s t in Pro p y: ovum
c. Name and Addre z o6 6ee simp e titZehoZdet .. of eh.
CERTIFIED COPY
than OwneA: N/A
MARYANNE MORSE
CLERK OF CIRCUIT COURT
N�L� OUNTY. FLORIDA
'1. Con- vLac tou Name 9 AddAe-6,6:
3905 MOORES' STATION Rpep.�CLEkK
SANF'(�Rn� FT. 32773
5. Stvicety In6armatc.on:
a. Name £ AddAezz N/A
•, 3 2005
VW
b. Amount 06 Bond N/A
art,
5. Lendeh s Name 9 AddAess N/A
7. Peuom within the State o6 Ho)uda de,6ignated by OwneA
upon whom notices or other doeument6 may. be 6eAved ah
p,tovided by Section 713.13 (1) (A) 7 Haida Statutes:
Name £ AddAes,
8. In aYTZtion tQ--h tis wner deskgnatez
0 6to tece.ive a copy o6 the L.cenoA /s
Notice
as provided in eetcon 713. 13 (1) (b) Fr?or.ida Statutes
9. Expi)Lati.on date o6 Notice o6 Commencement tis one year
6Aom
.the date a 6 recohdi.ng :which is
OWNERS SIGNATURE > I D4" L4e/
- .
7%ce �C.�C.ga%�tC; On.M-oment was ac.now e ge e ore me t�ic,6� ay o 2p DS
bc! EUA M who i.6peuonaUy known_ to me or who W=pnac�tced
L- 'denti6'cation and who DID ID NOT .tc.:he
�Vt U1 O --- --
e MY COMMISSION # DD 343250
- -- My CCminiz6 ion Expo ,: EXPIRES: ►
A & B ROOFING COMPANY, INC.
3905 MOORE'S STATION ROAD
SANFORD, FLORIDA 32773.6524
(407) 322.9417
FAX (407) 324.1377
LIMITED POWER OF ATTORNEY
I hereby name and appoint JAMES ANDERSON of A & B ROOFING COMPANY, INC.
to apply to (-TTY (F gANMRT) for a RnOF permit..
And to act in my behalf in all matters concerning the same.
Legal Description: 707 EAST 25th SR=
Parcel ID# 06-20-31-502-0700-0160
Owners name & address: EVA M. BENTON
Property address: 707 FAST 25th R22PPP
SANFORD,. FT
55
LICENSE #
G.F. BOHANNON
The forgoing instrument was acknowledged before me this day
of ,20_4LS--_. by G. F. BOHANNON who is personally known to me.
or has pro uced KNOWN as identification and who DID IDN take an oath.
a_ r - — My Coanission Expires: 8- 12 - D�
NOTARY PUtKIC
, � `• tik, TERESA JOHNSON
:- MY COMMISSION # DD 343250
Q, EXPIRES: August 12, 2008
BondedThruNotary PubkUnderwrders