HomeMy WebLinkAbout1501 Valencia St. L i
CITY OF SANFORD PERMIT APPLICATION
Permit # : C 6,— 9. 69 Date:
Job Address: 1501 VALENCIA STREET
Description of Work: RE -ROOF SHINGLE & MODIFIED BITUMEN HOT MOP ' ROOF SYSTEM NO STRUCTURAL CHANGE
Historic District: Zoning: Value of Work: s 7.324.00
Permit Type: BuildinjXX 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 XXX Commercial Industrial Total Square Footage: 40 Squares
Construction Type: 1 # of Stories: 1 # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel tt: 31-19-31-5070800-0010 (Attach Proof of Ownership & Legal Description)
Owners Name & AddressMARGARET R 9 HORNE
1501 VALENCIA STREET!' SANFORD Phone: 407-322-6686
Contractor Name & Address: – A & B ROOFTNC. (nMPANY, INC G F BOHANNON
3905 MOORES' sTATION._R An SANFY)RD, FT. i � State License Number: („'((' 1126259
Phone & F.. 407-322-9417 407=324-1377 Contact PersoiRUTH _Phone: 322-9417
Bonding Compan}': N/A
Address:
Mortgage Lender: N/A
Address:
Architect/Engineer: N/A Phone:
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 ELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc_
OWNER'S AFFIDAVIT: I certify that all ofthe 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 additiotf 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 verificat on that I will notify the owner of the property of the requirements Florida Lien Law, FS 713.
WRMITAg
n Date Signature o ontractor/Agent Date
ar.
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v O
Cn
IC C -a h/e- & G.F. BOHANNON
Leri ent's Name Print Contractor/Agent's Name
of Notary- ate of Florida ateignature o�tary-of Florida Date
ter/Agent is Personally Known to Me or
Produced 1D
Contractor./Agent is ._XX Personally Known to Me or
Produced ID
APPROVED BY. BI Zoning:
(Initial & Date) (initial & Date)
Special Conditions:
Utilities:
FD:
(Initial & Date) (initial & Date)
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PtiaWAN" putt_._, kUM OF i:; K 1:'r UfURC
- -- INILE CUM
1t t ? 1Pq 0118. UpgA)
CLERK'S :0 ia0,6,08'_+3 R 5 2
Ct41tll'D I1&NJs'`aM «'.00SA M
NOT CE Or COM NIENCETY11"Awatowm: Ft_=t-�a wares
RK:t#S -1) BY t Iu Likert
Shatz of Florida
County of : SEMINOLE
TAX FOLIO fl (C,'omplete'llarcel 11) A)
The undersigned hereby infontls all concemed that improvements will be made to certain rcaI property, and in nccordaitcc with Section
713.13 of the hloridu Statutes, the following inl'ormation is stated. in this NOTICE OF COMMENCEMENT.
Description of property; LEG LOT 1 BLK 8 SAN LANTA PB 3 PG 80 PAD 1501 VALENCIA ST
Geilernl rlcrtcrinti0n ofirnprovement : -ROOF RESIDEN'T'IAL SHINCLE & MODIFIED BITUMEN NO STRUCTURAL CHANGE
Owner:. . MARGARET B. HORNE
Address, 1501 VALENCIA STREET SANFORD, FL 32771
Owner's Jnterost in site of the improvement:
.... - .r..rit,tn t:t1PY:
1'ea Simple Title holder: (iFoiher than owner) Nnmo: NSA MARMOR
,urR�
l rntlRt
Address;
xontrnctor, A & B ROOFING COMPANY, INC. HY---ARK t,
`Aftdress: 3905 MOORES' STATION ROAD SANFORD, FL 32773 52006
Surety: (Ifany) N/A --��
Address:
Name of person within the State of rlodda desiEnatcd by owner upon whom notices or other documents may be served:
Name:
i -
Addr"s:
to addition to himself, owner designates the following person to ►•cceivo n,copy of the Lionor's Notice as provided in Section 713.13(1)(.17),
Florida Statues. (hill in at owner's Option) I
Nnmc:_ ._
Address
Expiration date o[Noltice ofCommeneement ([lie expiration date is I yenr From the date of recording unless n differont.¢ztte is speei0ed,)
This instrument prepared by: ( Owner)
NaJANICE Sworn to find subscribed before me this, ,�.9 �" (lnyof
nta: R. ANDERSON
Address: 3905 MOORES' STATION ROAD
SANFORD, FL 32773
i t lGthe 2 (1� , bY�. a'
LYho iS/nrG )erS )i ly ICnOw11 to nie rjr has/h ve proVicle(l
(`I`ypeoflil�:ntilicali „
,�0"A V TERESA JOHNSON
?.. MY COMMISSION k DD 343250
L `C C L1 Lcr j� ;
Nol'iry 111]lIC (l:pI111111SS10 , of , yPLtB Undewriters
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company. A & B ROOFING COMPANY, INC.
3905 MOORES! STATION ROAD
SANFORD, FL 32773
License #: CCC 1326255
Project Information
Owner: MARC -MET B. HORNE Permit #:
name `
1501 VALENCIA STREET
address
407-322-6686
phone
Subdivision: SAN L ANTA
Lot #: 1 BLK 8
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.
Contract
signature
G.F. BOHANNON,
printed name
STATE OF FLORIDA
COUNTY OF SEMINOLE
This instrument was acknowledged before me this 29 day of MARCH , 2006 , by the
above referenced individual, G_F_ pmANNnN , who acknowledged that he/she is a
duly licensed contractor with STATE OF FLORIDA , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced KNOW as valid identification.
WITNESS my hand and seal this 29th
Ll
day of MARCH . ,.20 06.
Q
Notary Public
ti'ti''••. TERESAJOHNSON
.; MY COMMISSION # DD 343250
EXPIRES: August 12, 2008
WNW Thru Notary Public underwriters
I
A & B ROOFING COMPANY, INC.
3905 MOORE'S STATION ROAD
SANFORD, FLORIDA 32773.6524
(407) 322.9417 '
FAX (407) 324.1377
I hereby name and appoint JAMES ANDERSON of A & B ROOFING COMPANY, INC.
to apply to CITY OF SANFORD for a gnnF permit..
And to act in MY behalf in all matters concerning the same.
Legal Description:'
Parcel ID# 31-19-31-507-0800-0010
Owners name & address: MARGARET B. HORNE
1501 VALENCIA STREET
SANFORQ, FL 32771
Property address: 1501 VALENCIA STREET
SANFORD, FL 32771
G.F. BOHANNON LICENSE #
The forgoing instrument was acknowledged before me this 29th day
of MARCH ,20 06
Lit
IERESAJOHNSON
My Conuniss Y�LOEXPIRES: August 12, 2008NOTARY PUBLICBonded 7hru Notary Public UrMerwrlters