HomeMy WebLinkAbout819 E 1 St (3)CITY OF SANFORD PERMIT APPLICATION
Permit # : Date: JULY 1 r 2005
Joh Address: 819 EAST FIRST STREET SUITE 9 SANFORD
TEAR OFF EXISTING ROOFING & INSTALL SINGLE PLY MODIFIED BITUMEN
Description of Work: LM A4C)p pl2j= Q3ZQ1=n4
Historic District: Zoning: Value of Work: $ 8,140.00
Permit Type: Building X 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 XX Industrial Total Square Footage:
Construction Type: # of Stories
Parcel #: 30-10-31-528-0000-0090
# of Dwelling Units: Flood Zone: (FEMA form required for other than X)
(Attach Proof of Ownership & Legal Description)
Owners Name&Address: LAKEVIEW PROFESSIONAL CENTER CONDOMINIUM ASSOC.
819 FAST FIRST STREET SUITE 9 RANFM) Phone: 407-772-5120
Contractor Name & Address: A & B ROOFING COMPANY., INC _
3905 MOORES' STATION ROAD SANFORD State License Number: CCC1 326255
Phone & Fax:407-322-9417 324-1377 Contact Person: RUTH Phone: 407-322-9417
Bonding Company: N/A
Address:
Mortgage Lender: N/A
Address:
Architect/Engineer: N/'
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 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.
of is verification Uhat I will notify the owner ofthe ropeerrtyyof the requirements ofFlorida Lien Law, FS 713.
ignature of Owner/Agent Date Signature of Contractor/Agent Date
c�
a"r„••
o C
F G.F. BOHANNON
Print Owner/Agent's Name Print Contractor/Agent's Name
CS
8LU
.s1- q 2L 1 4- — e2 2 /4�
CO
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SignatureCL
of Not -State of Florida ate 'ignature of No -State of Florida Date
p
Z
ik
�,priur
Owner/Agent is Personally Known to Me or Contractor/Agent is XX— Personally Known to Me or
Produced IDG s/— O /g -5 B -0// -0 _ Produced ID
k
APPROVED BY: Bldg:
Special Conditions:
Zoning:
(Initial & Date) (Initial & Date)
Utilities: FD:
(Initial & Date) (Initial & Date)
au r
A & B ROOFING COMPANY, INC.
3905 MOORE'S STATION ROAD
SANFORD, FLORIDA 32773.6524
(407) 322.9417
FAX (407) 324.1377
r r ar •• a• • •• i
I hereby name and appoint JAMES ANDERSON of A & u RWEMG-f.OMPANY� INC
to apply to CITY OF SANFORD for a ROOFING ____permit..
And to act in my behalf in all matters concerning the. same.
Legal Description:
Parcel ID# 30-19-31-528-0000-0090
Owners name & address: GREENBERG DENTAL ASSOCIATES
819 EAST FIRST STREET
SANFORD, FL 32771
Property address: R19 FART FTRST -,TRPW-T STJITE 9
SANFORD, FL 32771
�- CCC 1326255
77
G.F. BOHANNON LICENSE #
The forgoing instrument was acknowledged before me this 20 th. day
of SEPTEMBER ,20 05
r,
TERESAJOHNSON
My CGYiIIilissio gy rOMMISSION # DD 343250
•. a
ERP '
6-
Botkfed iTvu Ndery Polk Underwrhers
PREPARED BY:
JANICE ANDERSON.
3905 MOORES' STATION ROAD
SANFORD, FL 32773
PERMIT NUMBER
TAX PARCEL NUMBER:
in au a Big a ilia a 8111481
MARYANNE MORSE, CLERK OF CIRCUIT
SEMINOLE COUNTY
fitK 05922 PG 0539
CLERWI S 0 2005166444
RECORDED 09/E8/2005 09:12:2I AN
RECORDIN8 PEES 10.00 .
30-19-31-528-0000-0090 RECURDED BY D Thooal k l ititu �I
=1i
MpRYnNV
NOTICE OF COMMENCEMENT CLERK Of CIRCUIT COURT
SEMI% COU
TY. FLORIDA
STATE OF FLORIDA
COUNTY OF SEMINOLE BY uTY:
,THE UNDERSIGNED heAeby gives notice that the improvement wilt be made SEP 2 8 2005
to cv tain :teat phopetc ty, and in aeeo,cdanee with ChapteA 713, F.2otida
Statutes, the 6oUowi.ng in6o"iati.on is provided in this NOTICE OF
COMMENCEMENT.
1. DCA CA i.pt i.o n o rj Pro pU t y LEG UNIT 9 LAEL=W
PROFESSIONAL CENTER CONDO ORB 1552 PG 1002
2. Genera uniption o mpnoveme TEAR OFF .X STING &
INSTALL �INGLE PLY MODIFIED BITUMEN HOT MOP ROOF SYSTEM
3. OwneA In otmatcon:
a. Name. & Addtu s: GREENBERG DENTAL ASSOCIATES
819 EAST FIRST STREET UNIT 9
RD FL 32771
b. In-tc./LUt in Paop y: QWD=
c. Name and Addtuz o ee zimp e a en of en
than Owner: N/A
,I. Contkac tou Name 9 Addkess: A & R gmFTN , m INC
3905 MOORES' STATION ROAD
�v
5. SuAe-ty I n6mmatc:on: sANFnRnr.Fr, 32773
a. Name 9 Addnesb N/A
b. Amount o6 Bon N/A
5. Lendelcs Name 9 A a,5 N/A - --
Peons within the State o6 FZo)Lidadezignatedy wnen
upon whom noti.cu on other. document,5 may be he Lved as
p4ovided by Section 713.13 (1) ' (A) 7 Ftni.da Statutes:
Name 8 Addnea,5
8. In addition tc.on -tu..h izet6, Ownet designata
06 to receive a copy o6 the Lcenon � —Notice
a s provided in eete.o n 713.13 (1) (b) FZon i.da Sta to te.5
9. Expi),Laion date o6 Notice 06 Commencement is one yeah 6nom
the date o6 tecondi.ng : 'ch
a /
OWNERS SIGNATURE
The le.,e40 rra .i.rtis.tA ment was aR—no&edged beWLCme thi Z&Ay o 2065;
bc( ZUJ 6R EW e p who -i s peu onaP.,�y known .t e ri w�p,'coc�kCed
ass identi6ll-'cation and who DID DID NOT .tc,.he
a kid - ---
TERESAJOHNSON
�c�2ro a a� Mc Comm.i s,sion Ex ij
_.. .: MY COMMISSION # DD 343250
� p Is�9u��
'0-tahU PU (-C ggid�dTin Plol�yPuMicurMetvldtas
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A & B ROOFING COMPANY, INC.
3905 MOORES' STATION ROAD
SANFORD, FL 32773
License #: CCC 1326255
Project Information
Owner: GREENBERG DENTAL ASSOCIATES Permit #:
n"
819 EAST FIRST STREET Subdivision:
address
407-772-5120 Lot #:
phone
1, G. F. BOHANNON , affiant, hereby affirm that I am the duly licensed
contractor of record for'the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractors V4
signature
G.F. BOHANNON
printed name
STATE OF FLORIDA
COUNTY OF SEMINOLE
This instrument was acknowledged before me this day of , 20 , by the
above referenced individual, G. F. BOHANNON , who acknowledged that he/she is a
duly licensed contractor with STATE OF FLORIDA , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally known to me or
produced KNOWN as valid identification.
WITNESS my hand and seal this 27 th day of SEPTEMBER ,.20 05.
TERESAJOHNSON
MY COMMISSION # DD 343250EXPIRES: August 12.2008
:.,
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
http://www. sepafl.org/pls/web/re_web. seminole_county_title?parcel=3O 1931528000OOOO... 9/28/2005
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APPRAISER
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SANFORD , FL 327"71-146845
2771-146@,�-�
407-665-7508
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2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 30-19-31-528-0000-0000
Number of Buildings: 0
Owner: LAKEVIEW PROFESSIONAL ASSOC
Depreciated Bldg Value: $0
Own/Addr: LTD
Depreciated EXFT Value: SO
Mailing Address: 819 E IST ST
Land Value (Market): $10
City,State,ZipCode: SANFORD FL 32771
Land Value Ag: $0
Property Address: 819 1 ST ST E SANFORD 32771
Just/Market Value: $10
Facility Name:
Assessed Value (SOH): $10
Tax District: S3-SANFORD-WATERFRONT REDVDST
Exempt Value: $0
Exemptions:
Taxable Value: $10
Dor: N.-INFORMATION/REFERENC
Tax Estimator
2005 Notice of Proposed Property Tax
2004 VALUE SUMMARY
SALES
2004 Tax Bill Amount: $0
Deed Date Book Page Amount Vac/Imp Qualified
2004 Taxable Value: S10
Find Sales within this DOR Code
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LAND
LEGAL DESCRIPTION
Land Assess Frontage Depth Land Unit Land
LEG COMMON AREA LAKEVIEW
Method Units Price Value
PROFESSIONAL CENTER CONDO ORB 1552
LOT 0 0 1.000 10.00 $10
PG 1002
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
*** If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value,
http://www. sepafl.org/pls/web/re_web. seminole_county_title?parcel=3O 1931528000OOOO... 9/28/2005
Division of Corporations
Florida Limited Partnership
LAKEVIEW PROFESSIONAL ASSOCIATES, LTD.
PRINCIPAL ADDRESS
819 E. FIRST ST
SANFORD FL 32771
MAILING ADDRESS
819 E. TIRST, ST .
SANFORD FL" 32771
Document Number FEI Number
A01003 000000000
State
Status
FL
INACTIVE
Last Event
Event Date Filed
REVOCATION
09/09/1985
Actual Contribution
56,800.00
General Partner Detail
Name & "Addres"s
LARGEN, THOMAS L.
819 E. FIRST ST
SANFORD FL
CLONTZ,"FRANLIN•D.,
819 E. FIRST ST
SANFORD FL
SELASSIE, PETER G,,M.D. ,', "
819, E. FIRST ST:
SANFORDFL
Date Filed
07/08/1968
Effective Date
NONE
Event Effective Date
NONE
)ocument
Number
Page 1 of 2
nur lvlr iN' UUIN u
819 E. FIRST ST
SANFORD FL.
BRODRICK, THOMAS
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Division of Corporations
819 E. FIRST ST
SANFORD FL
GOMEZ, JORGE
819 E. FIRST ST
SANFORD FL
Annual Reports
Report Year Filed Date
1982 12/23/1981
1983 01/31/1983
1984 1 01/25/1984
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Division of Corporations
q y
�r�h sew �' � i�-
Page 1 of 2
Florida Non Profit
LAKEVIEW PROFESSIONAL CENTER, CONDOMINIUM ASSOCIATION, INC.
PRINCIPAL ADDRESS
819 E. FIRST STREET
I
SANFORD FL 32771
Changed 05/23/2000
MAILING ADDRESS
819 E. FIRST STREET
I
SANFORD FL 32771
Changed 05/23/2000
Document Number
FEI Number
Date Filed
N00495
592555669
12/20/1983
State
Status
Effective Date
FL
ACTIVE
NONE
Last Event
Event Date Filed
Event Effective Date
AMENDMENT
08/06/1984
NONE
Re istered A ent
Name & Address
CHANDLER, DOROTHY
819 E. FIRST STREET
SANFORD FL 32771
Officer/Director Detail
Name & Address Title
HUAMAN, GONZALO; M.D.
819 E. FIRST STREET SD
SANFORD FL
BR , THOMAS, M.D.
819 E. F I I
819 E. FIRST STREET
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Division of Corporations
SANFORD FL 32771 �I
GREENBURG, ANDREW, M.D.
819 E. FIRST STREET P
SANFORD FL 32771
CLONTZ, FRANKLIN D., M.D
819 E. FIRST STREET D
SANFORD FL
SELASSIE, PETER G
819 E FIRST STREET D
SANFORD FL 32771
Annual Reports
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05/23/2000 -- ANN REP/UNIFORM BUS REP
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02/13/1996 -- 1996 ANNUAL REPORT
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Filed Date
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2004
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2005
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