HomeMy WebLinkAbout2426 Yale Ave (2)r'
I
CITY OF SANFORD PERMIT APPLICATION II
Application #: ' ' Submittal Date:off- l o�-g Ly 7
Job Address:
2 -E a -LD l oOc Avg— Value of Work: $ �05U��
Parcel ID: J l' ���s �W� C�'�S� Zoning: Historic District:
Description of Work: �—�'' Square Footage:
........................................................................................................................
Permit Type: Building,, Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Lavout & Enerev Calc. Reauired)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
................................................................................._........................................
Property Owner: No.�(1(,1.�J1RZ(J11Q,(� Contractor: CZA S ��yuT1 A Q TA0—
Address: aLk�LO N(QQ.�AQL Address: %`V 0 e)OX 'S�D 1tp (o $
l orsVwooa 3
Phone: E-mail: Phone: 3'D144QftState License Number: C_CCZ'&T0
Bonding Company: N kN Mortgage Lender: N k {,
Address: Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Phone: Fax:
Phone:
Fax:
E-mail:
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 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 1 will notify the
Signature of 0?1r/Agent
lQ a(\C,C4 SK
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
No" p" . 8t le of Floft
1C W&*nb0WAg29,20
ComnlW o 0 DD 380032
of the property of the requirements of Florida Lien I,aw, FS 713.
Date Signature of
Date
UTIL: FD:
3- V-0'!
Date
las L
No" Public - ft* of Floft
' ComffA ott Ey#ftAup 29,20
Coen 0 Da 380032
ENG:
BLDG:
0
POWER OF ATTORNEY
I JACK DOUGLAS LANIER, the "principal," of COLLIS
ROOFING INC., P.O. BOX 520668 Longwood, FL 32771, herewith
appoints Andrew McCloud of 435 Green Springs Cr Winter Springs Fl
32708 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
This power of attorney shall be in effect from 1/1/07 through 12/31/07
LANIER, JA D UGLAS, As Principal
STATE OF FLORIDA
COUNTY OF: Seminole
The foregoing instrument was acknowledged this 8�k day of
MurL� , 20Q9 by , who is
personally known to me or has produ ed (type of
identification) as identification.
oo� Karr w� �
rdo q v+ac - $a d A"
Canon &vWAQ 2k 2W
Con dow ! W 590032
Si nature of N ary Public, State of Florida °� WWW A
Print, Type, or Stamp Commissioned Name of Notary Public
Permit Number
Parcel Identification Number3l-1'x-31-'SIQ-('xj�_
oa so
This Instrument Prepared ByZjc��c Ww-44n A I I
Address
V101 SlAo u ?
�-ot-qwood , (ZL as-Im
NOTICE OF COMMENCEMENT
STATE OF Florida
COUNTY OF 'jQrV)t riCjkj�
I AR 11& hii 11 H1 G IF 11111 It ill If ill Ii 11111 Iii it ill 11 Ili I Ilii
FOR OFFICIAL USE ONLY
MARYANf K i , CLERK OF CIRCUIf
SEMINCU WUNTY
SK 06616 PV 1228, ( I p9 )
t! LERK' S # 2007035824
RECURi1 03,`/08/2007 s; l:tl AM
RECURD06 if S I0.00
RECORDED W i Smith
THE UNDERSIGNED herby 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
I. Description of proPPe : (legal description of property, including address if available).
1p -t QsP►rlilli (s 'rerre.c��y � Ca NO -1,7- Ave-
2.
ve-
2. General description of improvement: /
REROOF
3. Owner information:
a. Name NQfICU'She P1trd Telephone Number_
Address"N ;* y i e 'Ailt 'AilFax Number _
-50J ' OrdFit Z. 37>'1i k - 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
5.Contractor
Name (SAI(is � ,�nC . Telephone Number Sal X41 a3c�
Address (�3. e3at W (oB LnWood, r4L�3a-7,�6 Fax Number 3ai
6. Surety (If Any)
Name N/A
Address
7. Lender: (If Any)
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 ( l ) (a) 7., Florida Statutes:
Name N/A Telephone Number p
Address Fax Number CERTIFIED -
9. In addition to himself, owner designates the following person (s) to receive a copy of MARY ANNE OIT ,� RT
K 0 RIl
the Lienor's Notice as provided in Section 713.13 ( l ) (b), Florida Statutes: C iy FLORIDA
Name N/A Telephone Number SE A OLE
Address Fax Number
BYt `�
DEP c
10. Expiration date of notice of commencement (the expiration date is (I ) year from the date r0 20
of recording unless a different date is specified)
SWORN to and subscribed beforene this 31 day of e10tr1L1C�.fl t ,2001 by MQ,Ir Q -L4 g1�1e, Phwcc
Who is personally known to me_ or produced as i
WEATH .
Date Signed Si nature t Owner Note. er7 y .13(1)(g), " wner� s, # 590M
� P o ComntlOoM�t # 00 580113
must sig ` .and no one else may be permitted to Sig' ' Off% Bow RV Nail Nwt IIB�t
in his or her stead".
Signature of Nota