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Home My WebLink About2005 Hibiscus Ct(n Q CITY OF SANFORD PERMIT APPLICATION Permit # : 1 Date: ' Job Address: 2005 HIBTSCTIS (70_1JRT SANFORD-, FL 32771 Description of Work: RE—ROOF RESIDENTIAL SINGLE PLY MODIFIED BITUMEN HOT MOP Historic District: N.1 A Zoning: Value of Work: $ a Leg t - Permit Type: Building X3— 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: Construction Type: # of Stories: _ 1 # of Dwelling Units: 1 Flood Zone: (FEMA form required for other than X) Parcel #: 31 —19-31 —511 —0000-0560 (Attach Proof of Ownership & Legal Description) Owners Name & Address: WANDA JUNE COLLINS 2005 HIBISCUS COURT SANFORD, FL 32771 Phone: 407-324-8502 Contractor Name & Address: A & B ROOFING COMPANY,. INC _ 3 9 0 5 MOORES ' STATION ROAD State License Number: CCC 13 2 6 2 5 5 Phone &Fax: 407-322-9417 324-1377 Contact Person: RUTH Phone: 407-324-1377 Bonding Company: N / A Address: Mortgage Lender: NIA Address: Architect/Engineer Address: Phone: Fax: 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 requiremen of Florida Lien Law, FS 713. -Signature of Owner AggeV Date Signature of Contractor/Agent ! Date `1 WANDA J TNR COLLINS Print Owner/Agent's Name x n Signature of Notarytate of Florida Date � 0 M 2rnr9. XtoUSrn c z Owner/Agent is _ Personally Known to Me or " o Z Produced ID FZIPZ - cro� IV w Z TPgIC ION APPROVED BY: Bldg: Zoning: (Initial & Date) Special Conditions: G_F_ BOHANNON Print Contractor/Agent's Name Signature of No -State of Florida Date Contractor/Agent ism Personally Known to Me or Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) 12 CJ ; O co ca �o �z a5552a CC MLU M¢jE U X W N01,10E OF coMMEI NCEMrNI., • (rR'lFi�� cti�r• iMARYANNE- ngORSE or Florida C K OF CIRCUIT COURT SEMINOLE _� E UNTY, FLORIDq FOLIO if (Cnmplefe Ptrrccl Jl) 11)"' 31-19-31-511-0000-0560 i !w un41signcd hereby irlforins nll concerned that improvements will be made to certnill real prcptriy, and ut'nccor far L ; ?. , o 1."IoriJ13 Stawtest 1116 following inlonllation is smwd,in this NOTICC' OF COMN1.1"NCEM17,N'I'• ` 200.5 -HIBISCUS COURT SANFORD, FL p cr,'r ! dcs�ription ofimprovcnlents RE—ROOF RESIDENTIAL SINGLE PLY HOT MOP MODIFIED SYSTEM WANDA JUNE COLLINS- 2.0-05, OL•LINS 2.005 HIB .T1,S nITRT SANFOD, FL 32771��.�______„�_ _-- tinor'sintcrestinsiteoi'theimprovcnlent;' fla1111fi#1lioff 4iCli111�oil !lIilkt�i9ltik161111i �lilBiil{fII1�J r<c S mplc Titlt holder: (iFoihcr than owner) Nnmo; ^ N/A h1C#t7yr]RtA1G Atr7Aci ` rt ERK OF GiRGUIT n8LIliT _ St MINOLE COUNTY CLERK'S # 2006091718 L/ :P1 , 1,pr�— --rs +,Rrm�u tiQivi�ruiin �tS id.�ts MR t 3905 MOORES' - STATION ROAD RE,Ct1RU1NG FI=1.ti 10.60 :fur s --- --KKUMP17W UY L PICIAMIL4V N/A ---- ---- no of Gerson wiihili iha Staleof Florida designated by owner uporrwhom notices or other docnnlants may be served ,rn N/A� additian to himself, owner deslgnutcs the following person to receive n, copy of the Lianor's Not Ice as provlded In Sectfpn 7 f 3. f 3(1)(p), :'!o:'id. Stett,tes. (Fill in ut Owner's Option) ;nc: , C:xpimlioil date of Nodcc of Commencement (tete expiration dote is l year From the date of recording unicss a difforcnt, dutc is spcciFiicd_) T •i; ic,trument prepared by, (Owner) Sworn to rind subscribed before me this /U L _ dnyof JANICE-.•R. -ANDERSON X905 MOORES" STATION ROAD SANFORD, FL 32773 by-WANDA JUNE COLL-INS who is/are rsounliy known to me or hav'lnvc providi;d (Typo ofJdcn'tilicnlirnt) __ n Notary 11tibllc C0111i !ss ' i"' ' TERESA JOHNSON MY COMMISSION # DD 343250 EXPIRES: August 12, 2008 Bonded Thru Notary Pudic Underwriters , A & B ROOFING COMPANY, INC. 3905 MOORE'S STATION ROAD SANFORD, FLORIDA 32773.6524 (407) 322.9417 ' FAX (407) 324.1377 LIMITED POWER OF ATIC'Y I hereby name and appoint JAMES ANDERSON of A & B ROOFING COMPANY, INC. to apply to CITY OF SANFORD for a gMF permit. And to act in 'MY behalf in all matters concerning the same. Legal Description: - Parcel ID# 31 -19-31 -51 1 -0000-0560 Owners name & address: WANDA JUNE COLLINS 2009 NTRISMIS COURT SANFORDP FT 32771 Property address: 2005 HIBISCUS COURT SANFORD FL 32771 G.F. BOHANNON CYY 1 3 .h 55 LICENSE # The forgoing instrument was acknowledged before me this 4 day of MAY 120 06 My Commission Expires: AUG . 1 2 , 2 0 0 8 NOTARY PUAIC 1 EF1SsA JDHNsoN 'ErU� MY COMMISSION I DD 343250 EXPIRE$; August 12,2008 P somm Tnru Notary Public Underwriters AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company:A & B ROOFING COMPANY, INC. License #: CCC 1326255 '10nr, MM=Q' cmAnn7nm DnAn SANFORD, FL 3277 3 Owner: WANDA JUNE COLLINS name 2005 HIBISCUS COURT address 407-324-8502 phone Project Information Permit #: Subdivision: Lot #: 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 tete 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:-�-� signature G.F. BOHANNON printed name STATE OF FLORIDA COUNTY OF SEMINOLE This instrument was acknowledged before me this day of , 20D� by the above referenced individual, G.F. BOHANNON , 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 MOWN as valid identification. WITNESS my hand and seal this day of 02F "FrTAM 200(. 1�*"'•, TERESAJOHNSON *; MY COMMISSION # DD 343250 o? /J(,( EXPIRES: August 12, 2008 Bonded Thru Notary public Underwriters 02F "FrTAM 200(.