HomeMy WebLinkAbout113 Candlewick CtM1
CITY OF SANFORD PERMIT APPLICATION
Permit #: 0_�— ` '95—&P Date:
Job Address: 113 Candlewick Court Sanford FL 32771
Description of work: Re -roof - shingle ( Hurricane damage)
Historic District: Zoning: Value of Work: S 4, 445.00
Permit Type: Building X Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS AdditionJAlteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential X Commercial Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parce14: 33-19-30-509-0000-1007 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Schultz, John T., Terry L & Pamela S., 113 Candlewick Court,
Sanford, FL 32771 Phone: 407/330-3124
Contractor Name & Address: Florida Universal Roofing, Inc., 1808 Acme Street, nr1 ands
FL 32805 State License Number: CC C057272
Phone & Fax: 407/648-8009 / 648-1070 Contact Person: Wi 11 i amu7.a Phone: 407/648-8009
Bonding Company:
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 COMMENCEMEN'1- 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 of this permit, there may be additional restrictions ,tpp ble 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 w er management districts, state agencies, or federal agencies.
Acceptance of i is verification that I w notify the owner f the property of the requirements of FI r'dAne
T to 0
4
Sign re of Owner/Agent ate Sign ContraD e
®Hw %YGr�z SGHaGTZ . 'Print Ojee�t's Name Print Contr
Signatotary-State of Florida ate Signator ary-State of Florida Date
Owner/Agent is = Personally Known to Me or
Produced ID
Contractor/Agent is X Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bid : la ! I Z -on oa'iIq Utilities:
Initial & Date) (Initial & Date)
Special Conditions:
ZUE
Neil Patrick Chen
i Commission #DD296570
Expires: Mar 04, 2008
Bonded Thm
Atlantic Bonding Co., Inc.
FD:
(Initial & Date) (Initial & Date)
JOHN A. TUCKER
MY COMMISSION # DD 164968
a EXPIRES: November 14, 2006
H
��pF �;,�• Bonded Thru Notary Public Underwriters
POWER OF ATTORNEY
Company Name: Florida Universal Roofing, Inc.
Qualifier Name: William Touza
License Number: CC C05 72 72
I hereby authorize the City of Sanford Building Department to issue permits
to: Jenica Merrill
( X ) This authorization is good for the job(s) at:
113 Candlewick Court, Sanford, FL 32771
- or -
( ) Any and all permits until further notice.
The permit must be signed in front of the building official or his
representative. I understand that I remain fully responsible for all acts
performed under said permits.
October 28, 2004
Date Authorized Signat e
STATE OF FLORIDA
COUNTY OF ORANGE
The foregoing instrument was acknowledged before me on October 28, 2004, by William Touza.
Personally/professionally known X
-or- produced identification
type of ID produced
No
tafy'Signature
s01 �' JOHN A. TUCKER
Y MY COMMISSION # DD 164968
Rftea'' BondedREruNotaryPubk nd..rtters
State of Florida
County of Seminole
NOTICE OF COMMENCEMENT
Permit Number: Tax Parcel Number: 33-19-30-509-000-1007
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.
1. Description of Property: (Legal description of the property, and street address if available.)
LEG Lot 1007 Mayfair Meadows PH 2 PB 32 PGS 55 to 58
113 Candlewick Court Sanford, FL 32771
2. General description of improvement: Roof Replacement/Shingle Prepared By and Return to:
Julie Touza
Florida Universal Roofing, Inc.
3. Owner information: 1808 Acme Street
a. Name and address -John T, Pamela S & Terry L Schultz Orlando, FL 32805
113 Candlewick Court Sanford, FL 32771
b. Interest in property- Owner
c. Name and address of fee and simple titleholder (if other than the owner) -
4. Contractor (Name and address): Florida Universal Roofing, Inc.
1808 Acme Street
Orlando, FL 32805
b. Phone Number: (407) 648-8000 c. Fax Number: (407) 648-1070
5. Surety (name and address): N/A
b. Phone Number: c. Fax Number:
6. Lender (name and address): N/A
b. Phone Number: c. Fax Number:
N/A CERTIFIED COPY
MARYANNE MORSE
CLERK CIRCA . T COURp
LORUM
UFRCI
9 8004
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(1)(a)7., Florida Statutes:
a. Name and address:
b. Phone Number: c. Fax Number:
8. In addition to himself, Owner designates of to receive a copy
of the Lienor's Notice as provided in Section 713.13 (1)(b), Florida Statutes.
a. Phone Number: c. Fax Number:
9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless
a different date is specified)
ignature of Owner Printed Name of Owner
STAT�-D FEGRJ.DA, COUNTY OF SEMINOLE DAB
Affrm d ar°.d@st(bscr)bed before me this y day of A.ug"st, 2004, by c/off•✓ T �GtivGTZ , who is
persoafaliy known '
t'
b'
� or has produced &V (Type of ID) as identification.
Z)
Signature of o Pitblid State of Florida (SEAL)Neil Patrick Chen
Commission #DD296510
.� �.pites�'. Mar 043 2008
. nded Ttuu
Neil Patric"- �' �����„�� Ai�BbCo.
Commission #DD290) iU
Y 9
A.: Expires: Mar 04, 2008
Bonded Tltru
Adantic Bonding Co., Inc.
"RR1WNE MORSE, CLERK OF CIRCUIT COURT
CLERK OF SEMINOLE COUNTY
BK 05499 PG 0732
FILE NUM 20CJ4167873
RECORDED 10/29/2-00440c:14:13 PN
KCORDING FEES
p"RDED SY S 01011ey
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