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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.. �.. . 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 .:.. ;., •.,", 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 J,ethis r�Cr rip— Pf ���N I� Print Owner/Agent's Name Print Contractor/Agent's Name(�m r 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 •. } ESI