HomeMy WebLinkAbout2468 Sanford Ave0(0 " 0 CITU OF SANFORD PERMIT APPLICATION
Permit '# - z4fC_ - Date: OG
Job Address: +it/�Gi2D Aee- .5.4,-yA-0,50 GL 3277/
Description of Work: R6 -1-&0Vt Total Square Footage
Historic District: Zoning: Value of Work: S .7-0690
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical- New Service - # of AMPS Addition/Alteration Chaagc of Scrvice TemporaryPole
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 �r-*� Commercial Industrial
Construction Type: &19F # of Stories: # of Dwelling Units: Flood "Lone: (FEMA form required )
Owners Name & Address: 4aw .
9y6ss S,amc- et> A✓c.
Contractor Name & Address: ✓vY�
/ z yc7 A<dole R17A — AG
Roo Fi v4- 501- 1i7_'01-6, /Nc .
Phone & Fax: "(07-32.2-2777— 322 —S'3yZ
Bonding Company:
Address:
Mortgage Lender.
Address:
Architect/Engineer:
Address:
Phone:
ye 7— Y/& -.2 r3 Z
3277 3 State License Number: OCC / 3J 70-7'V"--
Contact Person: A -r JvL//3N O Phone: 5:t1_37_7-
Mortgage
21377-
Phone:
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. 1 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 Utero may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is
Produced ID
1 will notify the owne of property of the%Sipaiure
nts of Florida L"cn w, FS 713.
? � ter-- 7 7 Oto
Date of Contractor/Agent Dat
ItTW PUT*'='Sieb of Fbft
Co mlbtiim Expires Jut 5, 2011
Camwdsalon 0 DD 560313
ndaM Nall ml Notary Apr.
APPROVALS: ZONING: UTIL:
Special Conditions:
Rev 03/2006
Date
EI
1903
- y�c = WO of Florida -
ComnWM Ettpbe Jun 5.2010
Commbsbn N DD 580313
BOrldaONo No" Ape,
Contractor/ gent is r
Produced ID
ENG: BLDG:
AFFIDAVIT
S<REGARDINGG ROOF DRY -IN AND FLASHING INSPECTIONS
Company: Ju 4 /01101' I OOICI ZG SO4-LIV rvS License #: CCC 13 �7 0 7Z
r.c R"'X ' ow -
/ _4 3;e773
Project Information
Owner: Zl�tIX13 L
name
_t5LJ,t1K671e4i AvE. :32 7 Y
address
phone
Permit #: Y6-/� .34"Syz - 0000 -O/SO
Subdivision:
Lot M
I,I tl 0A7� , 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.
Contractor:
4.,
ature
printed name
STATE OF FLORIDA
COUNTY OF 'E X' " f�6UQ
This instrument was acknowled ed before me this�k1" day of , 20 _N by the
above referenced individual, �e C.ASoh , who acknowledged that he/she is a
duly licensed contractor with Se 4m%00. 7_00ftwu &1'.'Kv'+5fdnd who acknowledged that
he/she was authorized to execute this document. He/she is either persoTnAll-Y known to me or
produced as valid identi ication.
WITNESS my hand and seal this
.,e..ret..
KAYDEE DODSON
Notary Public - State of Fbdda
Commission Expires Jun 5. 2010
•ryIa�ld;°� Commission DD 580313
Bonded By National Notary Assn,
day of , , 20 4l.
Notary ublic
i7
Superior Roofing Solutions, Inc.
1290 Tropic Park Drive
Sanford, F132773
Phone (407) 688-6600
To whom it may concern:
Effective immediately, and until further notice, this letter will stand as authorization for
I e'-�—uz kNC) to obtain permits and receive Certificates of
Occupancy in my name and license for the subdivision(s) and lot(s) specified below:
Job: SP" fUC Aver ke Z.77-1 I
Thomas R. Cason
CCC1327027
State of Florida
County of Se— Y -n i t m e—
Sworn to and subscribed before me the —r�k day of _ 20 Q�Q.
Personally known to me or has produced
My commission expires: I
Notary
Stamp.
KAYDEE DOG, ,i,
Notary Public - State of Flonaa
•
COnMnpSion Expires Jun 5, ?QiG'
Commission 0 DD 560313
Bonded Bp NBUMI Notary Assn.
as identification.
State of Florida
Permit No.
NOTICE OF COMMENCEMENT
County of Seminole
Tax Folio No. (PID) -% — 30 -5 12 - ccco - ` Q
The undersigned hereby gives notice that 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.
DESCRIPTION OF PROPERTY (Legal description of the property and street address) ,
LEG LvT 15 ELGE )00ts Pf� 3 PCs G
GENERAL DESCRIPTION OF IMPROVEMENT K C -
OWNER INFORMATION
Interest in property (Fee Simple, Partnership, etc.)
"Vol
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER -(IF OTHER THAN
Name and address
SURETY (Bonding Company) / MARYANNE MORSE, CLERK OF CIRCUIT COURT
Name and address 1.! l A SEMINOLE COUNTY
BK 06313 Pg 0695; Qpg)
Amount of Bond LLERKIS # 2006108093
RECORDED 07/05/2006 02:16:42 PM
RECORDING FEES 10.00
LENDER RECORDED BY H Bailey
Name and address
SpA
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes:
Name and address LavcA L . L,Ak5AS-A Z4 A Sand LW . Saf&l9 EC. 3Z -I -I I
In addition to himself, Owner designates
provided in Section 713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as
Expiration Date of Notice of Commencement
(The ex it ti n date 'se o t of recording unless a different date is specified.)
KAYDEE DODSON
Jj`•F~ °wFt : Notary Public - state of Florida
• Bvyr Commissbn Expires Jun 5, 2010
�=;b �= connnlaelon 0 DO 5603:3 Signature of Owner
�'' •a��Bonded By National Notary Ann.
Sw rn to and subscribed before me this }k�. Day of
C6 ai a(:)\ My Commission Expires:
of ry u lic
2C")a
m
0
W
W p%
N c
i—. z
The foregoing instrument was acknowledged before me this A\"day of -� V _ Z"`; 15 by
(name of person acknowledged), w o is personally known to
me or who has produced (type of identification) as identification
and who did / did not take an oath>