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Home My WebLink About123 Wax Myrtle DrPermit #: Job Address:(��j�i��< Description of Work: .? Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION Value of Work: Date: Z 1Z 0-1 Permit Type: Building - ,/— 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 V_ Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x) Parcel #: (Attach`ofProotfof Ownership & Legal Description) Owners Name & Address: �1 iJ�� 1 AY) `\n1(1 �� V�) �.�t m( yr T tQ 4 11'wo , 01Nn _p_Y . P . Contractor Name & Phone& Fax: Z)Q- t••1`•11 - Contact Person:�b L.0-n\CLr Phone6-D- 1LAVZ3CX Bonding Company: /V 1A Address: Mortgage Lender: /ry 1p, Address: ,,^^ Architect/Engineer: �Y"l Phone: Address: 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 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 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 t-haf I w' I notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signatu e f Cont to /Agent Print O ter/Agent's NAme Print C ctor/ s ame Sig re of Notary -State of Florida Date Si re of Notary -State of Florida Owner/Agent is I ZPersonally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Special Date Date Contractor/Agent is I,/ Personally Known to Me or Produced ID Zoning: (Initial & D e)j (Initial & Date) ,RDONA _. Utilities: FD: (Initial & Date). (Initial & Date)^+� .,n„o rnonntJA y U Public State 01 r1w— - Notary 17, 2010 ` �'a�ZyGP"Notary Public State Of Florida ommissixiresSep 'z°=ton #DD 595759 _My Commission[xpires Sep 17,2010 Comtnt AssnCommission # DD 595759 Bonded BY NationalNotary FOF'N_ Bonder By „ National Notary Assn. POWER OF ATTORNEY I JACK DOUGLAS LANIER, the "principal," of COLLIS ROOFING INC., P.O. BOX 520668 Longwood, FL 32752, herewith appoints Andrew McCloud as their attorney in fact, to act in place and stead and described herein; THIS IS A DURABLE POWER OF ATTORNEY THE RIGHTS HEREIN SHALL CONTINUE DESPITE THE INCAPACITY OR DISABILITY OF THE PRINCIPAL To act for me in the regard to the following: OBTAIN PERMITS AT THE BUILDING DEPARTMENTS �Ob GZ)CNM-55 U—\ x AA r Q,13ritit2 This power of attorney shall be in effect from 1/1/07 through 12/31/07 LANIER, JA% WfU)GLAS, As Principal STATE OF FLORIDA COUNTY OF: Seminole Sworn to and subscribed before me this day of ELYUQ4 2007 by J.DouQlas Lanier as President of Collis Roofing, Inc. a corporation, on behalf of the corporation. He/she is personally known to me X_ or has produced driver license(s) as identification My commission expires: MIGUEL CARDONA PubliC - State of Florida ;2.» •�� : Notary My Commission Exp' fres Sep 17, 2010 •• - OD 595759 ;sem. • oma; Commission # Assn. ed BY National Notary Bond /rinterNarne: Notary Public Serial Number: Permit Number. Parcel Identification Numbery -m- --so— -00- ()-L-P,2!"i This Instrument Prepared By: Address NOTICE OF COMMENCEMENT STATE OF Florida Collis Roofing P.O. Box 520668 Longwood, FL 32752-0668 COUNTY OFLt�n Ct, FOR AUR AJOWN11111111111616111111111111111111 MARYANNE MORSE, CLERK OF CIRCUIT I SEMINOLE COUNTY BK 06596 Pg 07621 U pg) CLERK'S # 2007024288 RECORDED 02/15/2007 12:55:31 RM RECORDING FEES 10.00 RECORDED BY J Eokont��-IFIED COPY MARYANNE MORSE CLERK OF VR,CUIT COURT \ d VACnTY CLERK THE UNDERSIGNED herby givesnotice 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 I . Description of property: (legal description of property, including address if available). L01V � z z L01<C. `iia ,` IJC 1�" r` 1,C'i.. i'�`Y(L, 2. General description of improvement: REROOF 3. Owner information: a. Name ' Telephone Number UZIIA6-7-�' Address r ' 2< {� l: ' �'n\n— Fax Number bC3,-n1 C_,+{-rAI} -- -- iZ.; j`1� b. Interest in property: 4 Fee Simple Title Holder(If other than owner shown above) Name N/A Telephone Number Address of fee simple titleholder (if other than owner) Fax Number 7. Lender: (If Any) Telephone Number Fax Number Telephone Number_ Fax Number _ a. Amount of bond S Name N/A Telephone Number Address Fax Number 8. Persons within the state of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 ( I ) (a) 7., Florida Statutes: Name N/A Telephone Number Address Fax Number 9. In addition to himself, owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes: Name N/A Telephone Number Address Fax Number 10. Expiration date of notice of commencement (the expiration date is (1) year from the date of recording unless a different date is specified) SWORN to and subscribed before me this Who is personally known to me or_ "� )--11.0'1 Date Signed �W--�)-o- o -13 -YO o day of _-CL YU 200-1 by CLYtkC� WQA�h •oduced as identification Signature of Owner(Note: per713.13(1 must sign ...and no one else may be pe in his or her stead". Signature of Notary — MIGUEL CARDONA Notary Public - State of Florida Ay Commission Expires Sep 17, 2010 Commission # DD 595759 Bonded By National Notary Assn. Collis Roofing S.Contractor P.O, Box 520668 Name Longwood, FL 32752-0668 Address 6. Surety (If Any) Name N/A Address 7. Lender: (If Any) Telephone Number Fax Number Telephone Number_ Fax Number _ a. Amount of bond S Name N/A Telephone Number Address Fax Number 8. Persons within the state of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 ( I ) (a) 7., Florida Statutes: Name N/A Telephone Number Address Fax Number 9. In addition to himself, owner designates the following person (s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes: Name N/A Telephone Number Address Fax Number 10. Expiration date of notice of commencement (the expiration date is (1) year from the date of recording unless a different date is specified) SWORN to and subscribed before me this Who is personally known to me or_ "� )--11.0'1 Date Signed �W--�)-o- o -13 -YO o day of _-CL YU 200-1 by CLYtkC� WQA�h •oduced as identification Signature of Owner(Note: per713.13(1 must sign ...and no one else may be pe in his or her stead". Signature of Notary — MIGUEL CARDONA Notary Public - State of Florida Ay Commission Expires Sep 17, 2010 Commission # DD 595759 Bonded By National Notary Assn.