HomeMy WebLinkAbout105 N Mellonville Ave (3)CITY OF SANFORD PERMIT APPLICATION
Permit No.: 07 --5qll ,.,.. r% Date: December 19,2001
Job Address: 105 North Mellonville Ave. Sanford
Permit Type: X Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: Removing existing roofing (flat roof only) down to sheathing.
Dry roof in with base sheet,Install Single Ply Modified Bitumin Roof System.Torch Grade
Additional Information for Electrical & Plumbing Permits
Electrical: —Addition/Alteration _Change of Service _Temporary Pole New AND Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: X Residential _Commercial _ Industrial Total Sq Ftg: Value of Work: S 3, 324.00
Type of Construction: Reroof Flood Zone: Number of Stories: 1 Number of Dwelling Units: 1
Parcel No.: 30-19-31-504-0100-0070 Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: Frank & Karen Normand 1-713-896-1953
12203 Taylor Road Houston,Texas 77041
Contractor/Address/Phone: A & B Roofing Company,Inc. / G.F Bohannon 407-322-9417
3905 Moores Station Road Sanford,FL 32773 State License Number: RC0032423
Contact Person: RUTH ANDERSON Phone & Fax Number: 407-322-9417 Fax # 407-324-1377
Title Holder (If other than Owner):
Address:
Bonding Company: N/A
Address'
Mortgage Lender:
Address:
Architect/Engineer
Address:
N/A
N/A
Phone No.:
Fax No..
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: 1 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 maybe additional restrictions applicable to this property that maybe
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.
ATce of permit ' verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Signkure of Contractor/Agent
Print Owner/Agent's Name
1- II-09
JANICE NORSWORM
MY COMMISSION EXPIRES
July 12, 2003
Owner/Agent is X— Personally Known to Me or
Produced ID
APPLICATION APPROVED BY:
F. Bohannon
Print Contractor/Agent's Name
Z !9 0/
gnature of tary-State of Florida Ddie
TERESA JOHNSON
MY COMMISSION M CC rA680
4 ;+: EXPIRES: August 12, 2004ax' ' Bonded TAru Notary Pobk UnderwrrtM
Contractor gent to Me or
Produced ID
Date:
Special Conditions:
PREPARED BY:
Ruth Anderson
3905 Moores Station Rd.
Sanford^ 32771
f
PERMIT NUMBER
TAX PARCEL NUMBER: 30-19-31-564-0100-0070
1 _ M • •,ylyl7l Ma NI,\iY
STATE OF FLORIDA
COUNTY OF SEMIMLE
THE UNDERSIGNED hereby gives notice that the improvement will be made
to certain real property, and in accordance with Chapter 713, Florida
Statutes, the following information is provided in this Notice OF
COMMENCEMENT. NORTH M iR iR r W I N
1. Description of Property.- 105 Mellonville Ave.-
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2. General Description of Improvement ; LA
Single Ply Modified Bitumin'Roof System Torch Grade v
3. Owner Information: a '
CM ftl o a)
a. Name & Address: Frank & Karen Normand = — ro w
12203 Taylor Road Lo O° t
Houston.Texas 77041
b. Interest in Property: N
c. Name and Address of fee simple titleholder (other it W
than owner:
4
Contractors Name & Address : A & R Ronf i ncl rn„ r Tnr_ / [- E gjbannnn
3405 Mmrc-G Statbnn Rnac3
Sanfard p FT. 32773
Surety Information:
a. Name & Address
b. Amount of Bond
Lenders Name & Address
7. Persons within the State of Florida designated by Owner
upon whom notices'or other documents may be served as
provided by Section 713.13 (1) (A)7 Florida Statutes:
Name & Address
i
8. In addition to itself, Owner designates
of to receive•a copy of Lienor's Notice i
as provided in Section 713.13 (1) (b) Florida Statutes
9. Expiration date of Notice of Commencement is one year from
the date of reco ng: yhiclis OWNERS
SIGNATURE TheforegoinginsttwascknobY' /`
Qrlk Norman who as
an '
oath. I
I
ledged
before me this_U'V%day of TqA&UWw , 200 7 , is
personally known to me or who has roduced identification
and who DID NOT take CERTIFIED COPY MARYANNE
MORS@ XA.-
ri JMIGE
ORSWOM y CLERK OF CIRCUff COURT MYCOMMISSIMEXPIRES
SEMINOLE COUNTY. FLORIDAJuly 1Z20M , 9'
DEPUTY
CLERK My
commission Expires_-L"7 )BAN 2 4 2002
I•
LIMITED POWER OF ATTORNEY
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I hereby name and appointJames Anderson of A & B Roofing Co.,Inc.
to apply to City of Sanford fora roof permit,
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And to act in my behalf in all matters concerning the same.
Legal Description:
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Parcel # 30-19-31-504-0100-0070
Owners name & address: Frank & Karen Norman
9
F 12203 Taylor Road Houston,Texxas 77041
Property address:. 105 North Mellonville Ave. 'i'Sanford
1
RC- 0032423
r G .Bohannon
V.
License #
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The foregoing instrument was acknowledged before.me this 14th day
of January 2®2 }
tt `«My Commission Expires:8-12-04
otary lic
s TERESAJOHNSON
MY COMMISSION M CC 959680
f = EXPIRES: August 12, M7.°f „ `• 90oded T?uu Notary Public Underwriprs1;
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