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Home My WebLink About126 Lake Side Cir• "M CITY OF SANFORD PERMIT APPLICATION // l (� Permit # : lJ n + 1 Date: Job Address: U Description of Work: V` rC,h Historic District: Zoning: Value of Work: $t, 00 Permit Type: Building 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 - ResidentialorCommercial Occupancy Type: Residential V Commercial Industrial Total Square Footage: J Construction Type: 4'4& # of Stories: y� # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: u _ oau — c-n� l — Owners Name & Address: W \ VU Contractor Name & Address: Phone & Fax: LA V I' d-!\ Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: 00 3 .m 6 !WC1b� 'Q—«P `i0'1—AW\— (Attach Proof of Ownership & Legal Description) kur Phone: aJ License Number: r C U Phone: 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 separate pen -nit 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 infonnation 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 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 pen -nit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Print Owner/Agent's Name Signature of Notary -State of Florida Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Dat Date Signatu of Contra or/Agent Date )YI Pri Co n' cto gent's Name Signature of Notary -State of Florida Date Connector/Agent is Personally Known to Me or Produced ID Zoning: (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) Permit #: Job Address: /012 Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: 1 C)I 11)_1un-S:>_ 51A CIL. `5, eZ, ICC � _->7 7_7,- Zoning Value of Work: rno Permit Type: Building 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 or Commercial Occupancy Type: Residential ,/ Commercial Industrial Total Square Footage: Construction Type:_ # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) /�j('`� — �t (Attach Proof of Ownership & Legal Description) Owners Name &Address: r' /�V�/� /� I��124(a/nGI/Ii+;��1�6 FL'Phone:L;b?._ jy%d Contractor Name & Address: IGC ROOFING Inc. 417 Magnolia St Altamonte Springs, FL 32701 State License Number: # CCC057644 Phone & Fax: PH: 407-265-2116 Fax: 407-265-2122 Contact Person: Bonding Company: Address: Mortgage Lender: G--,— Address: /LAddress: Architect/Engineer: Phone: �` /• Address: Fax: V� 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 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. Accept nce f permit is verifica n that I wil oti the owner of the property of the r qu' ements of Florida L' aw, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date CLL Pn Owner/Age ' 'Nam r ontractor/Agent's N C re o of Florida Date at e of Notary- at o Id to O er/Agen i _ Personally Known to Me or Co ractor/Agent is nally Known to Me or Produced ID i Produced ID APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD (Initial & Date) (Initial & Date) (Initial & Date (Initial & Date) Special Conditions: r�-..:.__...-_ ................... 4.09 JENNIFER J. MROSKO iJENNIFER J. MROSKO ax4u1rtiyr Commit DDo450121 Vpry Commp DD0450121 3ol 00 00 Expires 711212009 : aQ/E}]Tr,� Expires 7/12/2009 L�„diM•d�D Bonded thru (800)4324254: a�+" Florida Notary Assn., Inc .....,........ uunuunuu•....•.......•..........i Date: El 417 Magnolia Street, Altamonte Springs - Florida 32701 I, Isaac M. Garvin, as President of IGC Roofing, Inc., give Power of Attorney to: to be my lawful attorney-in-fact to act for me in applying for a Commercial/Residential permit enabling work to be performed in the State of Florida at the property located at: City/FL ISAAC M. GARVIN Zip Witness Witness Sworn to and subscribed before me this day of 2005 by ISAAC M. GARVIN, who is personally known to me. State: FLORIDA Phone: (407) 265-2700 ?44.60664 ................................ JENNIFER J. MROSKO "gyp°y pGR Comm# 000450121 1 : �? Expires 7/12/2009 2 s �p�oo° Bonded tnru (800)432-42540 '`��.a;i�"�� Florida Notary Assn., InC i•...•.....................................••i Website:IGCROOFING.com Fax: (407) 265-2122 Jacksonville: (904) 764-0164 "' Permit Number Parcel Identification Number Prepared By: P�no\4.�C pv'Y�s- L141 IS, a+. \-bkl F7 Return to: )CIL 2 ktL .. -s r NOTICE OF COMMEN&MENT State of .\ C L— County of-yQ<,V MARYANNE MORSE, CLERK OF CIRCUIT CWRT SEMINOLE COUNTY BK 0595I) rtG 18 11 CLERK'S #t 200-51782&1 RECORDED 1@/14/21@5 AM RECORDING FEES 10. RFCF3R> O BY L kK%nley WTIFIED COPY MARYANNE MORSE CL+ OF CIRCUIT COURT SE I OLE COUNTY. FLORIDA ex - OCT J 4 2005 The undersigned hereby gives notice that improvement(s) 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 ,,desccSription of property, and street address if available) � � Q d `'` 3(A 1 2. General description of improvement(s) 3. Owner Information Name r Telephone Number e-107— '90Z-- + S-10 Address �"T v7 Fax Number C 7>Interest in Property 4. ._-.Fee Simple Title Holder (if other than owner shown above) Naive Telephone Number Address G` Fax Number 5. .Contractor 0 i Name // Telephone Number' �✓ Address z1`-7 Go% Fax Number Liorl_ -awl�- 6. Surety (if any)cam' J' v FC- 5 2— -7 -7I Name Telephone Number Address Fax Number i Amount of bond $ 7. Lender (if any) Name G ' Telephone Number Address Fax Number 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(a)7., Florida Statutes. Name Telephone Number Address rA Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. . Name \ Telephone Number Address \ Fax Number 10. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): X01 t� Date Signed Sign ature of Owner [Note: per Section 713.13(1)(9), `owner must sign ...and no one else may be permitted to sign in his or her stesd.`j Sworn to and subscribe4 before me this Q day of 0C''Cbp-A , 20 CG by who is personally known to me OR as identification. uoaaa�.� JENNI EKO !I C�p' corntnd D00450121 _ Expires 7/12/2009 •. -' Bonded thru (800>432-4254: _ •a n-�,` Flnrida NCL,.,-/ Assn:. Inc ............................................i tvl I