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HomeMy WebLinkAbout1516 E 2 StPermit No.: ()2 -$ 1 O Job Address: Parcel No.: 5O — t g . I CITY OF SAINFORD PERMIT APPLICATION il to j"i '2,rV.1 Date: Q I5O (Attach Proof of Ownership & Legal Description) Description of Work— __'Z_ fiGy7 Type of Construction: Valuation of Work: $ 1 q O ©— Occupancy Type: Number of Stories: Number of Dwelling Units: Owner: q residential Flood Zone: Commercial Industrial Zoning: Total Square Footage: Address: I D n El 5 City: rf—, State: F"I Phone No.: \ Fax No.: Contractor: s Address: ep City: L rngc- t.4700 Phone No.:. t--1 U'i - 3 a q -- Contact Person "— Title Holder (If other than Address: Bonding Company: Address: Mortgage Lender: Address: Architect: Address: Zip: _ 3-'a--1_7 State: Pl Zip: 3 a-15 State License No.: It/ 1 g Fax No.. — Phone No.: LJJ1 r'/O aZ C 5W 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: 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/ Agent is _ Produced ID Personally Known to Me or APPLICATION APPROVED BY: r 4 " va Special Conditions: a of Co*ractor/Agent 1 4 tra or/Agent's Name / of Notary -State brFlorida Date Contractor/ Agent is Personally Known to Me or Produced ID Date: ! 3 Z ru II ttl Page No. of Pages PILCHER ROOFING, INC. P.O. Box 520177 Longwood, Florida 32752-0177 407) 324-1419 State Certified - Lic. # CCC039833 PROPOSAL SUBMITTED TO PHONE DATE I j[- STREET C / q JOB NAME it \ / • Sv el CITY. STATE AND ZIPCODE\ JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for PC r1 FLAT (ZaUr- 7L/2CH - Pl ' Cv tea VF w CGun.-TC'R. F119S/fit/U6 3cc SoQTyF5TMlu- c FL /f Sr At frapOfit hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: SEE ABOVE dollars ($ Payment to be made as follows: PAID UPON COMPLETION -- PAID UPON COMPLETION MI material is guaranteed to be as specified . All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica Authorized tans involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance Note. This proposal may be 3 Our workers are fully covered by Workmen's Compensation Insurance withdrawn by us if not accepted within 1, days. Araptme of f roposal —The above prices, specifications and conditions are satisfactory and are hereby accepted You are author zed to do the work as specified. Payment will be made as outlined above Date of Acceptance: Signature POWER OF ATTORNEY DATE: 3-12-02 1, Steve A. Barnes II, do here by authorize Nancy A Barnes to pull permits for PILCHER ROOFING, INC, description), 30-19-31-504-0500-m130 100 N Summerland teve A. Barnes II 1/10ary Personally known to me (X) or drivers license # State of Florida, County of _Seminole day of March , 2002. on 12th Mr CWW&Wm CCO74M Expires January t9. 2= MAR-12-2002 12:01 HTA ORLANDO of Sanford, Fjo . G u rtd P.O. Bar i788. 32M-ilea Telephone (407) s3o-MM Fax (407) 330- M Department of Engineering, Planning and Zoning November 19, 1999 Edward and Catharine Bossert 1516 E. V Street Sanford, Florida 32771 Re: Tax Parcel Number 30-1 "ll -504-0500-0130 100 N. Summertin Avenue Dear Mr.and Mrs. Bossert: 4073901830 P.02iO3 In order to correct an addressing irregularity on the above referenced property it will be necessary to readdress the property in accordance with Seminole County's E-911 standards. Please note the following change In address on your property: Current Address 1516 E. V Street New Address 100 N. Summerlin Avenue The City will notify the applicable government agencies and utilities of the address change including the U.S. Post Office. Althougn, the postal service will forward mail up to one year following the address change, it will be necessary for you to contact all business and personal correspondents. If this is rental property, it will be necessary for you to notify each tenant of the addressing change. The new address shall be posted within thirty (30) days of this notification and the change will be effective as of January 1, 2000, Thank you for your cooperation. Sincerely, CITY OF SANFORD Eileen McDowell, Land Development Inspector Department of Engineering and Planning Attachment location map Cc: Distribution List Address File The Friendly City"