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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. m� 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) 0 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