HomeMy WebLinkAbout134 Lakeside CirCITY OF SANFORD PERMIT APPLICATION
Permit # : Date: -
Job Address:
Description of Work: RE—ROOF
d
Historic District: Zoning: Value of Work: SI%r
Permit Type: Building X 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 of Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage: _` '7//4,
Construction Type: ROOF# of Stories: —I— # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of O-wnership & Legal Description)
Owners Name & Address- Afww r gm --Q L s- c_ i/eto S+—wi
3x�7 7 � ff
Phone:
Contractor Name & Address: J . NORMAN ROOFING L . _L . C. r
Tr ; , �� T F :' ' f, r' r _ ; . � 7 O ' State License Number: CCC 1 325735
Phone & Fax:4 0 7 0— 6 616 / 4 GLV — 8 31 j92 7 7e9ontact Person:. JAMES NORMAN Phone: 4 07-260-6656
Bondino Corn an-:
Address: -
Mortgage Lender:
Address:
Architect/Engineer: 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 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 re ' ent th' rmit, th re may be additional restrictions app!
to this property that may be found in the public records of
this county, and there ma di ' al p its required om other governmental entities such water management districts, state agencies, or federal agencies.
Acceptance of it i icati of the requirement of Florida Lien Law, FS 713.
X
Sie atur o wrier A enf) , Signature o ontractor/Agent Date
Ptiler! gent's Name P ' ontractor Agent's N me
4atf Notary -State of Fiori_dal Date Signat re of Notary-§Mte of FIri a Date
�e�ra A. Dea n
Debra A. Dean$`.' :COMMISSION #DD39 r04
♦ .. �g .� _
A.-pro
MMISSION #D03917=y'.• '�'�EXPIIfS• FEB. O1, 2009
Owner e�gall$GaBdvriitS?vle or Contractor/Agei1},ersona yy �k�no n to Me or
' _Produced [D �`+.n++t WWW,MONNOTAnY.cutn
_ PrOf11.
APPLICATION APPROVED BY: Bldg:
Special Conditions:
i
(Initial & Date)
Zonim�:
(Initial & Date)
Utilities:
FD:
(initial & Date) (Initial & Date)
Date: SL&4 7
1 hereby name and appoint _
Of J. Norman Roofing LLC to be my lawful attorney In fact to act forme and apply
To the
Building Department fora RE -ROOF Permit for work to be performed at a location
described as:
Section Township Range 26) Lot ki_/ Block
Subdivision[/(,[j'
(,')Jkner of Property and Address)
And to sign my name and do all things necessary to this appointment.
JamesNorman/ J. Norman Roofin 7 LLC./ CCC1325735
Type or Print Name o Register or Certified Contractor and Contractor's License Number
S
of Register or Certified Contractor
The foregoing instrument was acknowledged before me this day of/&_2,__2007,
By
Who is personally known to me/who produced
As identification and who did not take oath.
State of Florida
`ce". Notary Public State of Ficrida
Clarinda J Canker
c64 , �,
?,; ;07q"s ion CC38C459
211
Seal
THIS INSTRUMENT PREPARED BY:
Name:
Address:,:lIIC) !Aj%37" 'Te) fed ' i `f
�j , .
State of Florida
SVVNOLE COUNTY
FLORIDA'S NATURAL CHOICE
R..
✓uI 1101 East First Street
Sanford, Florida 32771
County of Seminole
NOTICE OF C®MM NC MENT°
Parcel ID Number (PID)
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.
CRIPTUDN OF PROPERTY Legal dei ription of the property and street address)1� +J� i✓Ie. �� 2C C'
VERA(_. DESCRIPTION OF IMPROVEMENT
MARYANNE MORSkj CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
8K 06705 I?q 0376; t 1 pq )
Rk.*041401,11) Q/84/407 02mlPi36 PM
RECORDING FFFS 10.00
OWNER INFORMATION � RECORDVD BY--�L McKinley
Name and address: i;'A/�/C?Li ..�`---- S n/�/t �j, %'L, 3.y77J
CONTRACTOR
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.
Name and address:
In addition to himself, Owner Designates CERTIFIER COPY
To receive a copy of the Lienor's Notice aMf ggyi,Ncpdd�i MORSE
Section 713.13(1)(b), Florida Statutes. CLERK RF CIRCUIT Co19RT
�fVjT�Y, FLORIDA
Expiration Date of Notice of Commencement SEMI � �
(The expiration date is 1 year from date of recording unless a different�te-i&-specified.) Rv 0
STATE OF FLORIDA
COUNTY OF SEMINOLE
Signatu
sign......
The forgoing instrument was acknowledged before me this
Name of person making statement - -
OR who has produced identification
NIAY 2 4 2007A
I^GTE: Per Florida (g), "owner must
e else may be permitted to sign in his or her stead."
day of t , 20L�
Who is persona( tome
type of identification produced
vcura H. UEan
,COMMISSION #QD391it?4
EXPIRES: FEB, 01,1669
WWW.AAROt4NuTP,F,Y.com Notary Signature