HomeMy WebLinkAbout123 Rabun CtCITY OF SANFORD PERMIT APPLICATION
o- / —_3/5'A Date:
Application #; Submittal
Job Address: 123 RABUN COURT SANFORD Value of Work: $ 41,640 _ 00
Parcel ID: 07-20-31-507-0000-0350 Zoning: Historic District:
Description of Work: RE—ROOF RESIDENTIAL SHINGLE TO SHINGLE Square Footage: 1940
NOSTRUCTURAL , CHANGE...................................
......................................
Permit Type: Building Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑
Sign ❑
s Electrical: New Service — # of AMPS Addition/Alteration ❑ "'" Change of Service ❑ Temporary Pole ❑
I Mechanical: Residential ❑, Non -Residential 13'1.,- Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: #of Fi xtures ±' x "x'° # "of Water &Sewer Lines `# of Gas Lmes`"
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑
Occupancy Type: Residential Commercial ❑ Industrial ❑ Occupancy Use Group(s): '
Construction Type: # of Stories: 1 # of Dwelling Units: Flood Zone: (FEMA form required)
........................................................................................................................
Property Owner: John F. Ward Jr. & Ann L. Ward Contractor: A & B ROOFING COMPANY, INC.
!I
E Address: 123 RABUN COURT Address: 13905 MOORES' STATION ROAD
SANFORD, FL 32773 SANFORD, FL 32773
i
Phone321-363-2249 E-mail: Phone: 322-9417 _, State License Number: CCC 1326255..
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Mortgage Lender:Bonding Company: `N/A
;
Address: "Address:
Architect/Engineer: N/A Phone:
Address: Fax:
Plan Review Contact Person: Phone: Fax: E-mail:
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
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 .:.. ;.,
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NOTICE: In addition to the requirements ofthis permit, there may be additional restrictions applicable to this property thatmay be found in the public
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federZ'm
cm
Acceptance ofpermit is ven iicatio thI will noti the owner of the property of the regpirem is of Florida Lien Law, FS 713.
rSignat6re 'f Owner/Agent Date Signatureo Contractor/Agent s1Date
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Print Owner/Agent's Name Print Contractor/Agent's Name(�m
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Signature of Notary to of Florida Date Signature of No -State of Florida DateZ
D
JPersonally
er/Agent is Personally Known to Me or Contractor/Agent is Known to Me or
Produced IDT1_DL _ Produced lD
APPROVALS: ZONING: UTIL: FD: ENG: BLDG:
Special Conditions:
Rev 02/2007
) E!
4� 113�> II
s
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
I hereby name and appoint: JAMS ANDERSON
A & B ROOFING COMPANY,INC.
an agent of:-------
(Namc of Cumpunp)
to be my lawful attorney -in -Fact to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
The specific permit and application for work located at:
ra,� �Zul� C 0 L SAWf � 3z ��
(Street Address)
Expiration Date for This Limited Power of Attorney:_ �
License Holder Name: G.F. BOHANNON
CCC 1326255
State License Number: — ---
Signature of License Hold =-- --'"
STATE OF FLORIDA
COUNTY OF SEMINOLE
The foregoing instrument was acknowledged before me this 6)? day of , .
200, by G.F. BOHANNON who is ix personally known
to me or o who has produced -
identification and who did (did not) take an oath.
�Y JOHNSON
CMION # DD 343250
z. ,;; •.
EXPIRES: August 12, 2008
Bonded Thru Notary Public Underwriters
(Rev. 3/27/07)
Signature
TERESA JOHNSON
Print or type name
Notary Public - State of FLORIDA
Commission No.DD 343250
My Commission Expires: AUGUST 12, 2008
as
I IN III 1110 til OR li Fill U 11111111 it Ili 111{I 11111 It III 11111
MARYANNE MORSE, CLERK Or CIRCUIT COUNT
THIS INSTRUMENT PREPARED BY: SEMINOLE COUNTY
Name: JANICE R. ANDERSON 8K 06814 P4 1676; (1p4)
Address:3909 MOORES' STATION ROAD CLERK' S # 2'00713,1593
SANFORDFT, 32773 SEWNOLE COUNTY RECORDED 09/11/x'00! 08.-4U:00 AM
State of Florida noiavihs
"$' A' `HC"`1 RECURDINt FEES 10.00
RECORDED by H DeUare
NOTICE OF COMMENCEMENT
Parcel ID Number (PID) 07-20-31-507-0000-0350
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) 123 RABUN COURT
LOT 35, SANORA SOUTH UNIT ONE, ACCORDING TO THE PLAT THEREOF AS TOT PLAT
BOOK 19, PAGES 76 ANIS 77, OF THF PriRTTC RECORDS OF SFMTNOTF C'Oii1\PPY PIORIDA
GENERAL DESCRIPTION OF IMPROVEMENT RE—ROOF RESIDENTIAL SHINGLE TO SHINGLE
OWNER INFORMATION
Name and address:
CONTRACTOR
JOHN F. WARD, JR. & ANN L.
123
A & B ROOFING COMPANY,INC.
•1 ull: � 1► :1:� �►I 1:�
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. N/A
Name and address:
In addition to himself, Owner Designates /) of
To receive a copy of the Lenor's Notice as Provided in
Section 713.13(1)(b), Florida Statutes.
Expiration Date. of Notice of Commencement
(The expiration date is 1 year from date of recording unless a different date is specified.)
STATE OF FLORIDA
COU OSEMINOLE
OWNE S NATUR / OWNERS PRINTED NAME
"(NOT Per Florida Statute 713.13(1) ), owner must sign...... and no one else may be permitted to sign in his or her stead."
The foregoing instrument was acknowledged before me this 07 day of SEPTEMBER , 20 07
by JOHN F. WARD JR. Who is personally known to me
Na ofof person making statement
OR who has produced identification FL/ DL type of identification produced
MY COMMISSION
OQ ISSHNSON
ID 343250
Notary Signature
EXPIRES: August 12, 2008 t _
Bonded Thru Notary Public Underwriters --t Ci'1 (/ti •. }
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