The URL can be used to link to this page

Home My WebLink About221 Woodmere BlvdCITY OF SANFORD PERMIT APPLICATION Application #: � l0 / Submittal Date: Job Address: azo Gd/o0 /1�E2� . Value of Work: $ 365Z5!' Parcel ID' -o45-0(0 `6//0 Zoning: Historic District: Description of Work: �L /200 Square Footage: 127V ........................................................................................................................ Permit Type: Building X Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ Electrical: New Service - # of AIMPS 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 Plumbing/New Residential: # of Water Closets Occupancy Type: Residentiah Commercial ❑ industrial ❑ # of Gas Lines Plumbing Repair -Residential ❑ Commercial ❑ Occupancy Use Group(s): Construction Type: # of Stories: / # of Dwelling Units: Flood Zone: (FEMA form required ) ........................................................................................................................ '-.71- �7 PropertyOwner: ORAISO A -- Contractor: �nuf� Address:27-1 2 7-1 Gt�c�4D/✓I � �� Address: /b/,Z �S�Nl��k 0/z .5 77K. Phone: (�'o)jl3Z2--?ReE-mail: Phone&, % - State License Number: Bonding Company: Mortgage Lender: Address Arch itect/Engineer: Address: Plan Review Contact Person: Address: Phone: Fax: Phone: Fax: E-mail: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. 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 federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requir ents of Florida Lien Law, FS 713. /1-c� SiignaaiuureofOwner/Agent Date Signature �� offContractor/Agent Date Print Owner/Agent's Name /7 p Print Conti jacttoor/AAggent,'s Name(� Date k; Notary Public state Of Florida Michael Paul Thom MV Commission X94657 OF n as Ekpiros 0 7129/20 1 1 Owner/Agent is _ Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 Personally Known to Me or UTIL: FD: of IY COMMISSION # DD629u911 EXPIRES: February 25, 2011 Ft. Notary Discount Assoc. C' Contractor/Agent is_ Personally Known to Me 700041 ` \\ / _ Produced ID �� L -6,y / vr« / ` ENG: BLDG: _ JrA 5E;�R�V,�IC E ROOFING - SHEET METAL • WATERPROOFING SKYLIGHTS • VENTILATION www.firstqualityroofing.com PAGE _ OF _ PAGES THOMAS BROS. IND., INC. License No. CCC1326691 INSURED STATE CERTIFIED ROOFING CONTRACTOR WORKERS COMPENSATION Business. Office: 1019 Shadick Drive C Orange City, FL 32763 9 FAX (386) 775-1877 Orange ,& Seminole Co. West Volusia Co.3State of Florida 407-774-4155 386-774-4155 1-300-393-4155 CUSTOMER --�O lW-6 D V HOME PHONE DATE STREET WORK PHONE CELL PHONE Z t CITY, STATE, ZIP P FAX ESTIMATOR JOB SPECIFICATIONS 01€�li f.�?� : n✓.21 : Cx Fi �� r %i c r ri f r - f X'C Z"_C e ZsY.. ;' 6, �i�C SAf 3 G .: cr.+�,�i"i� l'c.,� c,i' �� ,� ✓ r � �r � � .h' i .{1r�ic/ �r':rc:1T> w��n f�. iii ✓ % �r'f S' ,t;sr�'r=l ��'%ccs .j SPECIAL INSTRUCTIONS: JOB DETAILS` . 'ALL WORK PERFORMED AND SUPERVISED BY OUR OWN EMPLOYEES WE PROPOSE TO FURNISH LABOR AND/OR MATERIAL IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS PAYMENT TO BE MADE AS FOLLOWS: METHOD OF PAYMENT: (PLEASE CHECK ONE) O CASH ❑ CHECK ❑ CREDIT CARD (MC, VS, AE, DS) THIS PROPOSAL MAY BE WITHDRAWN BY US IF FINANCING AVAILABLE rfC� NOT ACCEPTED WITHIN ` DAYS. TOTAL: I IN THE EVENT IT BECOMES NECESSARY TO PLACE THE ACCOUNT WITH AN ATTORNEY OR AGENCY FOR COLLECTION WE AGREE TO PAY ALL COSTS OF COLLECTION INCLUDING REASONABLE DEPOSIT: CUSTOMERi SIGNATURE AND WORK AUTHORIZATION DATE ATTORNEY'S FEE. CUSTOMER AGREES TO ALL TERMS AND CONDITIONS 1.5% interest per month will be charged on Past Due Accounts. LISTED ON THE FRONT AND REAR OF THIS FORM. BALANCE: CHAMBER OF COMMERCE MEMBER I have read, understand and agree to the Terms and Initials Date Conditions listed on the backside or this contract. .W+.N BETTER BUSINESS BUREAU OF CENTRAL FLORIDA oo�iNe (DS CONTRACT F�V 407-621-3300 COMPANY AUTHORIZED SIGNATURE �'e f eA Z 4' S' .r 'ALL WORK PERFORMED AND SUPERVISED BY OUR OWN EMPLOYEES WE PROPOSE TO FURNISH LABOR AND/OR MATERIAL IN ACCORDANCE WITH THE ABOVE SPECIFICATIONS PAYMENT TO BE MADE AS FOLLOWS: METHOD OF PAYMENT: (PLEASE CHECK ONE) O CASH ❑ CHECK ❑ CREDIT CARD (MC, VS, AE, DS) THIS PROPOSAL MAY BE WITHDRAWN BY US IF FINANCING AVAILABLE rfC� NOT ACCEPTED WITHIN ` DAYS. TOTAL: I IN THE EVENT IT BECOMES NECESSARY TO PLACE THE ACCOUNT WITH AN ATTORNEY OR AGENCY FOR COLLECTION WE AGREE TO PAY ALL COSTS OF COLLECTION INCLUDING REASONABLE DEPOSIT: CUSTOMERi SIGNATURE AND WORK AUTHORIZATION DATE ATTORNEY'S FEE. CUSTOMER AGREES TO ALL TERMS AND CONDITIONS 1.5% interest per month will be charged on Past Due Accounts. LISTED ON THE FRONT AND REAR OF THIS FORM. BALANCE: CHAMBER OF COMMERCE MEMBER I have read, understand and agree to the Terms and Initials Date Conditions listed on the backside or this contract. .W+.N BETTER BUSINESS BUREAU OF CENTRAL FLORIDA oo�iNe (DS CONTRACT F�V 407-621-3300 COMPANY AUTHORIZED SIGNATURE �'e f THIS INSTRUMENT PREPARED BY: NAME Michelle Thomas ADDR. 1019 Shadick Drive Orange City, FL 32763 .i IR�i i� Eli � ��E IE ani II I�� 81 Iii �� I!i f� iii �{ ili irl !I� li 91i i I�fii MAItYiINNV MIJN(sI w CLERK or CiRCul-f GULINT SE:MIN111E COLiNfY HK 06815 Pq 11051 Opp) CLERK' S # 2007132120 RECURDED 09/11/2007 02:13:16 pM RECONDINU RES 10.00 RECORDED AY H DeVore OF COMMENCEMENT TAX FOLIO NO. 06-20-31-505-0E00-0110 PERMIT NO. STATE OF FLORIDA COUNTY OF SEMINOLE The UNDERSIGNED hereby gives notice that improvement will be made to certain and 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 and street address) LEG LOT 11 BLK E WOODMERE PARK 2ND REPLAT PB 13/PG73 General Description of Improvement REROOF W/ SHINGLES OWNER INFORMATION Name and Address JOHNSON, MARCELENE Interest in Property (Fee Simple, Partnership, etc.) CERTIFIED COPY MARYANNE MORgE CLERK OF CIRCUIT COiIRT SEh I�111 RIDA BYE DMIIUTYC11-U K SEP 12001 NAME AND ADDRESS OF FEE SIMPLE TITLEHOLDER (if other than owner) FIRST QUALITY SERVICE, 1019 SHADICK DRIVE, ORANGE CITY, 32763 (Name and Address) SURETY (Bonding Company) Name and Address Amount of Bond LENDER Name and Address 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), (a) 7., Florida Statutes. (Name and Address) In addition to himself, Owner designates or 713.13(2), (b), Florida Statutes. Expiration Date of Notice of Commencement to receive a copy of Lienors Notice as provided in Section (The expiration date is 1 year from date of recording unless a different date is specified.) Signature of Owner! Sworn to and subscribed before me this day of _5-4ff7— 1 �% ° Notary Public State of Florida Michael Paul Thoma; i?a M1 Plremy ea 07129/201mission Up094857 Notary Public My Commission Expi I I The foregoing instrument was acknowledged before me this day of , �v-0 -7, by %� ice' l -c7 (name of person acknowledged), who is personally known to me or who has produced (type of identification) as identification and who did (did not) take an oath. r29� o iv,6 A chi 15� -rj