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2852 Gale Pl
QTY OF SANFORD PERMIT APPLICATION Application #: 09 — 3 / a Job Address: 2852 G A l e P1 Parcel: 06-20-31 -505-OE00-0280 Zoning: Submittal Date: _ Value of Work: 3.780.00 Historic District: Description of Work: Reroof Sgl to Sgl Square Footage: 2100 ....................................................................................................... 0.......... 0..... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑ 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 ❑ Commercial ❑ Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required) ........................................................................................................................ Property Owner: John or Frances Jones Contractor: Pilcher Roofing,Inc Address: 2582 Gale P1 Address: P.O. Box 520177 Sanford, F1 32773 Longwood, FL 32752 Phone: E-mail: Phone. 3 2 4 -1 41 9 State License NumberCCC CCC039833 Bonding Company: " Mortgage Lender. Address:' Address: Architect/Engineer: Address: Plan Review Contact Person: 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 IMPROVEN ENTS 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 of this permit, there may be additional restrictions applicable to this this county, and there may be additional permits required from other governmental entities suc+ water man Acceptance of permit is verification that.I will notify the owner of the property of the Id `Sj-- gnature of Owner/Agent Date rraA Ce.5 N .:3v�i c s PrinLOwner/Aeent's Name ignature of Nota Owner/Agent is _ — Produced ID APPROVALS: ZONING: _ Special Conditions: Rev 02/2007 J "Ti......� y_ .................. toATRICIAtv J. COLE e �prvp ` Commil DD0396567 • meq ' Expir" 2115*009 •®% Bonded thru (800)432d2543 0 Florida Notary Asan MC S.u..a..uuuHu.0................n....i ✓Personally Known to Me or of may be found in the public records of icts, state agencies, or federal agencies. FS 713. !/�/o� Date Print�ent's Signature of Notary -State of Florida Date Mr MISSION # DD629096 EXPI OF Flo RES: February 25, 2011 I -8W -3 -NOTARY FI. N Contractor/Age i Id& Produced ID UTIL: FD: ENG: BLDG: LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ?i2001 I hereby name and appoint: Nancy A Barnes an agent of: Pilcher Roof in (Name of Company) 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: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Steve A Barnes Signature of License Holder: CCC039833 STATE OF FLORIDA COUNTY OF Se -A -i n °L -- The foregoing instrument was acknowledged before me this a;+qday of AL -01 osa- , 200 '-/ , by -'Sk VL 1A2avexc.5, who is 24personally known to me or o who has produced as identification and who did (did not take an oath. (Notary Seal) ,ease ........................................� PZRICIA J. COLEMAN = C.OMM# OD0396567 fto"�Y 1r, E)gros 2115/20092 7 Bonded thio (600),43242551: Florida Notary Assn., Inc = too .................... 0 ....... 0 .............. (Rev. 3/27/07) Signature V PC44 r i N K 'IT. 6:Ae.k. crt Print or type name Notary Public - State of FwYi, C-- Commission No. D) U 3 G 56 7 My Commission Expires: I yl—Loo q kAAreu: . - This 1nslrumenrP ared by. Nancy Bames ( Pilcher. Roofing, Inc) Am"w P.O. Bax 520177 Longwood, FI 32752 Prwdv A9 24ars Pard+ (dprdiikawn (fool reurntsero). SPACE AWVE TKUINE FOR PROCESSWO,?ATA T Iloll 111111111111IN11111118111 No I W 111111111111 All I loll MMYi1NN- Nt Hl .,E, Cl -I --1K OF CIRCUIT CIDJRT SENIN_ILE CNIINTY 11K 06809 Pq 1499; t 1 pq I CLERK' S tl 2007128947 RECORDED 09105r.-.007 12:33123 PN RSCi?FtOING FEES 10.(kl PY Kfil klk'0 8Y T Co©pSle — SPACE ABOVE MS UN£ FOA. A"RWD14fflp1 u C1R� Pel'rrr`tNo. NOTICE OF COMMENQEMENT C1ER� Cr OC C State of Florida County of The undersigned hereby gives notice that improvements will be made to certain real property, ared In ace"dance'�� th�se� on 4 MIS of the Flarida 5lah*m. the fnllnwina inftmminn io r,mvitiPti in lhic NnTIr:F of rnumFw,,FuPNT Lsaepi tIncrotion of property (Inclgde Street Address, if svellable) _ 06-20-31-505-Oe00-0280 5 FO D FL 32,773 t OMM de=lwiption of Improvements Reoof Ow r Addren . _2582 GALE PIL SAN_FORQ,FL �2 71 Owner'& interest In site of the Improvenisnt Owner Fee Simple Title holder Of other than owner) Name Address 0 Contrae1or ilc r Roofi Inc Address LP.O. Box 520177 Longwood, FI 32752 !W41ty - Addroas Any parson ma iding s loan for the construction of the improvements, nwird of h nhal % (same sd*M Parton 1 tthln the State of fir rldn degignatod by owner upon whom noticss or other documents mey be served as PrnVIdad by Pax- lon 711 13(f)(oy�.. F164do Sta tit". Nana Address In addition to himself, owner designates Of to recon a copy of thea Usnor s. Mort((& SSLpr0Vjded to Section Florida Statutes. EVratton date of Notice of Commencement (the e*raatton date is t year from the dote of recording an1loss a diffelrreno d1ate, Is specified). ✓�, -t' � J P, ;. -a,) r es . H Orr CS Signs}ureet rr Prerfed5gnstYre.aeQrwrR riOTApY gwp6Eii SrAr'AN 5¢A4 8 • N •................... N N N• NONN�N.... PATRICIA J. COLEMAN i �1►P, ConunA 000396ft? E4wft 2/1512009 BWWW Swu (600)432-4264 rur Flenide NO" Awn., W4 i1N1N•��NONINNNN•►N•N u•N•NHnui 1 hsve rdW upon the following idrutiGeation of liar Affiant - Swnia to and tuhrrrilml Imfuse. nie thus• y oZ $ _. of ly 1 "? '�a-f-r 1 L l dt. rW �./yt�► - 14iptcd Nneq Si�atvre