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HomeMy WebLinkAbout107 Sugar Maple CtCITY OF SANFORD PERMIT APPLICATION Permit # :------ ©- 1_-;_/0_1_1 Date: ------- ---------- -- Job Address: 107 SUGAR MAPLE COURT Description of Work: RE—ROOF RESIDENTIAL SHINGLE TO SHINGLE NO STRUCTURAL CHANGE Historic District: NO Zoning: RESIDENTIAL Value of Work: S_.- 3 800 00 Permit Type: Building XX Electrical Mechanical Plumbing -- Fire Sprinkler/Alarm Pool Electrical: New Service -- # of AAPS Addition/Alteration _ - Change of Service - Temporary Pole -- - Nlechanical 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 ___.__Occupancy Type: Residential XX Commercial Industrial -__- Total Square Footage: 2010 20.10 SQUARES Construction Type: BLK _ # of Stories: 1 # of Dwelling Units: 1 _- Flood Zone: _ (FEMA form required for other- than X) 11-20-30-508-0000-0660 -- -- ------ - (Ati—t- Pmol' 9f ow.+,.: s ip X Owners Name & Address: _-_-SHA GRISSOM 107 SUGAR MAPLE COURT SANFORD, FL 32773 _ Phone: Contractor Name & Address: A & B ROOFING COMPANY, INC. 3905 MOORES t STATION ROAD SANFORD, FL 32773 _ State License Number: CCC 1326255 407-322-9417 324-1377 RUTH 407-324-4423 Phone &Fax: --------_—_--- -Contact Person_ _-- --Phone: _-- ,--------_-__-_.-- Bondiny Company: .- N� _---- - address: Mortgage Lender: _--N/A_- Address: -—_-- Architect/Engineer: _- N/A :address: _- 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. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and :AIF: CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating consin+ction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA't'ING 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. r,jOTIC '_ l.r a-f,{i6nm to @re reauiren:ects of this hermit., 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 verificatio that I will notify the owner of the property of the i a? .Signature of OwneriAgent Date MARS GR SOM Pnnt Ow -Agent 11 t Sign, c of Notary-State of f lur rd Date Owner/Agent is Perso Il Known to Me or Y -- PloducLd IDDM APPLICATION APPROVED BY: Bldg: (Initial & Date) Spcc ,pQr pOm RACHAEL A. MARINO g Notary Public, State of Florida My comm. expires Mar. 6, 20( No. DD 402883 Zoning: equireraents o °I da Lien Law, FS 713. f� Signature of Contractor/Agent arc '/ G.F. BOHANNON Print Contractor/Agent's Name Signature of N ary-State of Florida ate Contractor/Agent is X Personally Known to Me or — Produced ID (Initial & Date) Utilities: _- FD: (Initial & Date) (Initial ,? Date) C N � Z C� z- 0 0 =a t1.+2 X00—p U W S � m T }1iS IiNS=i'RUMENT PREPARED BY: fdamc JANICE R. ANDERSON cdres 81 -STAB -1 -ON -ROAD SANFORD �FL 32773_._ ____._:__._ _ _ SENNOLE COUNTY State of Florida Building & Fire inslection 1101 East First S`r�);�t Sanford. Florida County of Serriinole NOTICE OF COMMENCEMENT -000-0660 Parcel ID Number (PID) The undersigned hereby gives notice.that improvement will be made to certain real property, and in Iccorciaricc: °:- tF. naoter 713, Florida Statutes-, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal description of the property and street address) PAD: 107 SUGAR M TF. CT_ LEG LOT 66 HIDDEN LAKE PH 3 UNIT 4 PB 28 PGS 1 & 2 GENERAL DESCRIPTION OF IMPROVEMENT PESTLiFTJPIAL SHTNIGLFnS TO SHTNGLE NO STRUCTURALCHANGE —__ -- fl'Ait 't�NNE MiiRyE, CLERK OF CIRCUIT COURT N SEMINOLE COLLA Y OWNER INFORMATIO MARSHA GRISSOM 8K cxw PC 1' -- Name and address: 107 SUGAR MAP ,tF G 055/10/2007 08:2-6:2.4 AN RICO 0INC FEES 10,0 CONTRACTOR A & B ROOFING COMPANY,INC. RO;>tl1RD% D BY T Se th 11'arne and address:—. - SANFORD, FL.._32773..: °3905 MOORES'T_ATION ROAD --� -"" 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)(b), Florida Statutes. tame and address: In addition to himself, Owner Designatesed n To receive a copy of the Lienor's Notice as PIEDid 1 Section 713.13(1)(b), Florida Statutes, UARYANNE MORSE ... s . ^ en_e„ er CLERK OF CIRCUIT COURT EXpaai0r, Date 1U� ���c : - 0r (The expiration date Is 1 year from date of recordin unless a different date is specified.) SEMINff ��\ i( 1 lDA STATE OF FLORIDA BY COUNTY OF SEMINOLE oePury ceK 4Y 44 t�l i•� ignature of D0 ner. The foregoing instrument, was acknowledged before me this_„__,___ day of. 20 Q 1 _ ---- by MARSHA GRISSOM Who is personally known to me Name of person maldng statement- :�UC� L �lC type of Identification produced OR who has produced Identification h�A ppmRACHA INO Notary Public. State of Florida My comm. expires Mar. 6, 2009 No. DD 402883 Nota I A & B ROOFING COMPANY, INC. 3905 MOORE'S STATION ROAD SANFORD, FLORIDA 32773.6524 (407) 322.9417 FAX (407) 324.1377 Ireby name d appoint JAS ANDERSON of A & B ROOFING CCNiPANY INC, anM to apply to CITY OF SANFORD for a g00F t' And to act in my behalf in all matters concerning the same. LEG LOT 66 HIDDEN LAKE PH 3 UNIT 4 regal Description: Parcel D# 11-20-30-508-0000-0660 Owners name & address: MARSHA GRISSOM 107 SUGAR MAPLE COURT SANFORD, FL 32773-5629 Property address: 107 SUGAR MAPLE COURT SANFO CCC 1326255._. LICENSE it G.F. BOHANNON instrument was acknowledged before me this 27_. th Y The forgoing who is per MARCH 20 07 BY G F_ BOHANNON ____-- sonally:;known of identification and who DID DID NOT take by me or who has produced KNOWN as an oath•AUG. 12,2008 My� Co�anission Expires: NC7rARY IC TERESA JOHNSON MY COMMISSION 0 DD 343250 EXPIRES; AUQU5112, 2008 Bv4od "ru N=rY Uedbmtftaro