HomeMy WebLinkAbout1722 Hangar Rd (2)reQ -,t:,j U5 11:31a City of Sanford Building 407 328 3859
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Permit # :
j� �] /� /� CITY OF SANFORD PERMIT APPLICATION v 1 rt/`� l!�
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Date:
Job Address: `AN&A (2�
Description of Work: /4'a*7`44 x2ov,c-
Historic District: Zoning: Value of Work: S 6 , 9'60-00
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service -#of AMPS Addition/AlterationChange of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of f=ixtures # of Water &Sewer Lines
# of Gas Lines
P lumbing/Noy Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial V Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone:
(FFD4A form required for other than X)
Parcel,: d v -oZ �` ,31 - z 0-- 0 0 1 0- I y `J O
Owners Name & Address: S 4 A//-:14,0 /4 c,QP�,2�
l.1tc 6rbc-o C -Lave
V'0 S't )
(Attach Proof of Ownership & Legal Description)
/J Phone: 7 -Z. 5%6!
Contractor Name &Address: /4 co/'' -dV�� t /Ytc �?e j ��,��
State License Number: CLI C-
S t{
Phone&Fax:g45,2 o2j�-770& 1/673,Za-`11fX,Conta et Person: 45g /4cj- �-
Bonding Company: 1(1,14 Phone: 3 -�
Address:
Nlortgage Lender: /1114
Address:
Architect/Engineer: it/ 14
Address:
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. I understand that a separare
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT. I cenify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable taws regulating
construction and zoning, WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
'DER OI: AN
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LE
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, orfederal agencies.
Acceptance - �� -
Print
owner of the property of the requirements of Florida Lien Law, FS 113.
Date
Name
"of Florida Date
Conrttt 800813018
E30m 1/31/2010,/
as Bo"4dit1A0 0)!32_9V4sonally Known to Me or
......:��$!4(ba?:d\lW Inc
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Signature of Contractor/Agent Date
Prt tractor/Agent's Nam
Sr nature of Notary-StateofFlorida Dare
.............RICK a POOL.............
Contractor/Agent is Personally Kn t Contort WW13018
Produced ID Exptros 1/31/2010
80MOd tttru (OW)432-4254f
orida Notary Assn, Inc
Utilities: FD: -
Zoning: i..................Fl..........................i
(Initial & Date) (Initial 8t Date) (Initial &Dace)
This in* sir'nient prepared by: Rick Pool
Record & Return to:
Roof -Over America, Inc.
F. 0. Box 1315 Sanford, Florida 32772
II1911 Hill Hill Blum aaIi1ltilNpoll Hill l IN 1111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
AK 06741 Pg 09761 (1pg)
CLERK"S #t 2007094444
RE[,MRDED 06/27/2(*7 02:49:,9 PM
RECORDINS FEES 10.00
REC(IRDED BY T Sahli
Tax Folio Number: 06-20-31-300-0010-1470 IvER71F1ED COPY
RRyo�� CIRCUIT
NOTICE OF COMENCEMENT �c UNTY, Fl_U{t10
5E'Mit, =
STATE OF FLORIDA COUNTY OF: Seminole o Pn,T;- c^LFn�
THE UNDERSIGNL,D hereby gives notice that improvement will be made to certain real property, and 27 LVQ�
accordance with Chrpter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of Property: LEG SEC 06 TWP 20S RGE 31E BLDG 147 SANFORD AIRPORT
2. General description of improvement: Metal Re -Roof
3. Owner Information
a. Fee Simple Titleholder
b. Naive: Sanford Airport Authority / City of Sanford
c. Address: One Red Cleveland Blvd. Sanford, FL. 32773
4. Contractor: Roof -Over America, Inc. U . �%� o f 3 �� '� `� != 31 -2Z
5. Surety: Not Applicable
6. Lender: Not Applicable
7. Persons within the State of Florida designated' by Owner upon whom notices or other documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes:
8. In addition to himself, owner designates the following person(s) to receive a copy of the Lienor's.Notice as provided in
Section 713. 13 (1)(1)), Florida Statutes:
9. Expiration date o otice f Commencement: December 31, 2007
Signator
Owner e: Sanford Airport Authority / City of Sanford
Address: One Red Cleveland Blvd. Sanford, FL. 32773
Sworn to and subscribed before me this -2 G t�__ day of200 7 by
personally known or produced identification
Type of Identification:
`4 RICK A. POCK ;
Notary Signature: 1 (-f" �\ � d'�� CWAWWW1301e
Exam 1131/2010
Bonded thtu (800)432-4254:
a fOF F`�;.�'
Notary Public printed natne: Florid.3 Notary Assn., Inc =
Commission Number: Commission Expiration: