HomeMy WebLinkAbout2603 S Elm Ave (3)CITA' OF SANFORD PERMIT APPLICATION
Permit k : —
S-5 Date:
Job Address: C
u
Description of Work: otal Square Fb otage ve0 1 .
Historic District: Zoning: Value of Wor : s_ 444Ob AD
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Electrical: New Service — N of AMPS Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: N of Fixtures N of Water & Sewer Lines N of Gas Lines
Plumbing/New Residential: N of Water Closets Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial Industrial _
Construction Type: N of Stories: N of Dwelling Units:
Own N ddress:r ` d Cl k `
ContMlor Name A1Address: d
Phone & Fax—
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Eagineer:
Address:
Flood Zone: (FEMA form required
3 S . C-4-M- {,
Phony 40 -7 (t'-J
11. State License Nu be L ( -r
Contact Person: l Ph ne:
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. 1 understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
55 S."
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 agencies.
Acceptance of ' is
Signature of
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 03/2006
1 will notify the owner of the property of the
121141,
cb
a+nrrvt FA ADCOCKNOTARYoUSTATEt]F FLpJI)AMYCExplreaSEC. 2, 2008
COMM. M DD376609
gewaaallxXnown to Me or
UTIL: FD:
Lien Law..M13.
ri Contractor gent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is
Produced ID _
ENG:
Personally Known to Me or
BLDG:
Lt,ek - NOTICE OF COMMENCEMEN`
State of Florida County of Seminole
In addition to himself, Owner designates
3V Permit No. Tax Folio No. (PID)
S t D 71ic undersigned hereby gives notice that improvement will be made to certain real pror.. z', and in accordance ith Chapter
713, Florida Statutes, the following information is provided in this Notice of Commence ..nt.
DESCRIPTION OF PROPERTY (Legal description of the property andstreet add, c-,$) —
GENERAL DESCRIPTION OF IMPROVEMENT
OWNERINFORMATION
Name d address
Interest in property ee Simple, Partnerihip, etc.)
1
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER (IF OTHER T ---,N OWNER) _•
CONTRACTOR e" 4
N 0and add r ss
0
SURETY (Bonding Company) 111111111111 too 1111111 tin It 1111111111113 0111111111
Name and address
Amount of Bond MAltYNNNt: Mllfril;t 1;1.1:111 CTi1CUT`f tT
SF,t4lNi0.17 130141 Y
LENDER $K Oti:Po p l 1690I (1114)
Name and address r-LER + (106i 977,65
a:bHIIH : nt~ t t : tt:t 1 NN
Persons within the State of Florida designated by Owner upon whom noticc'or other dillMu(iA-Aa ybelseOP ttU Mided
by Section 713.13(l)(a)7., Florida Statutes'
Name and address '
i###+######i###f######################st##*#f########i####+•##-t;######+#######D k######### CERTIFIED.:,COPY
of MARYANNE4' MORSE
to receive a .,oy of the Lienor's Y .,tice as CLER. -OF CIRCUIT, L016RT
Statutes.. S IN E 0 TY FLORIDA
ksss#sssss##s##s##+s##ss+##s+#a•kss##stss+####c•ts#r#+##»+
ement .r
Ftecording unlecc a different date is r, •ifp i) ? EP CL
I DECI.i Y' I
Signature of er
1-4
Y^ kletttt
5wNi ie
to d sub bed he . me this I Day of i 1 4. 00 np
My Commission Ezp%res f
ot ry P l
1 r ZV0
The fore oing i ent was acknowledged before me this t % day of7.,- i'9by 0 `
p tr (name of person acknowq, who ' to of
lion meorwhohasproducetV (type tden I Ion) as x .n tea and who
did / did not take an oath
1 "
Vjr4w
YMINOLf COUNTY E
FIORIDAS NATUM CNDU
i;
r
Limited Power of Attorney r
Date:
hereby narne and appoint w V-
11 (Name)
of -` Co L 200 to be my lawful
Company Name)
attorney in fact to act for me and aPply to Seminole County Building and
Fire Division; for.a 2e 1Loo r permit for
Type of Permit)
work to be performed at the location described as:
Parcel ID#:
Address of job: O S - iL A, &4
Property Owner: — l-1r
I
and to sign my name and do all thin necessary to this appointment.
o
Contractor's Company and Li n e)
Signature contractor)
Acknowledged:
Sworn to arid spbscribed efore me-thiIdy'Of E Notary
Public i ~ WNRY PAYE ADCOCK A16d®
N0. GTATE OF FLORIDA Trmm, Expires DEC. 2, 2M Seal)
COMM, N DD376609 Nry
Commission expires on: _ _Z p.
nc) Co Q
c
MARK ORMAN CONSTRUCTION
Mark Orman, General Contractor, Owner
P.O. Box 151045, Altamonte Springs FL 32715-1045
Phone: 407-629-6640 Fax: 407-209-3560
O?- (0 S(o
E-mail: markjorman@yahoo.com
General Contractor Lic. # CGC 1506674 Roofing Contractor Lic. # CCC1327051
December 28, 2006
PROPERTY ADDRESS: 2531 Ridgewood Avenue, Sanford FL
The roof wasieplaced at the above address. I called for a dry -in inspection, but evidently the
crew had finished the job by the time the inspector got there. The inspector called me and
informed me that since Sanford doesn't have dry in affidavits, I should send a notarized
letter stating what was done. I used 30 # felt underlament, and it was installed to
code. If
you require) any additional information, feel free to contact me anytime. Sincerely
Mark
Orman, I Contractor Notary:
Notary
a,".
y BRANDY L FOSTER MY
COMMISSION M DD 455830 a`
s EXPIRES: November 29, 2009 i
o; BaidW Thru Notary Public VAOrwritan un