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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 M r..Utr� 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 13 BL -K P 9s99- BL -K T BLL U' _ DAYID JOHmsom CTA, ASA 0g0q 21 14 - r - 14 1 PROPERTY -22Ln 1.196„'C'i,, D� E F s APPRAISER 22 7 GIH a Ir SEMINOLE ODUNTY FL. 5� 121 J 9000- �'7 I 1 K 0 (I rAd L4 J J_�� 1101 E. FIRST 5T _-1.17 � rrTTr”' D � ,.,� SANFORD , FL 327"71-146845 2771-146@,�-� 407-665-7508 � 5.A 44.A 45.A24 23 G i1 'I7�yII1'J 0 1.A F � 22.9 44.9 30 a 2 ;r 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 http://www.sunbiz.org/scripts/cordet.exe?a1=DETFIL&n 1=AO 1003&n2=NAMFWD&n3=... 9/28/2005 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 Previous Filing Return to List J i Next Filing View Events No Name History Information Document Images Listed below are the images available for this filing. are available for this Page 2 of 2 THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT http://www. sunbiz.org/scripts/cordet. exe?a 1=DETFIL&n 1=AO 1003 &n2=NAMF WD&n3=... 9/28/2005 �� 'tee_...,... wr5,:,. ,.» (,r - r�:�5! a:'i Jf`ti .,, :;: ,... 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 http://www.sunbiz.org/scripts/cordet.exe?al=DETFIL&n 1=NO0495 &n2=NAMFWD&n3=... 9/28/2005 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 Previous Filing Return to List I Next Filing View Events No Name History Information Document Images Listed below are the images available for this filing. 01/26/2005 -- ANN REP/UNIFORM BUS REP 07/07/2004 -- ANN REP/UNIFORM BUS REP 01/13/2003 -- COR - ANN REP/UNIFORM BUS REP 03/25/2002 -- COR - ANN REP/UNIFORM BUS REP 02/01/2001 -- ANN REP/UNIFORM BUS REP 05/23/2000 -- ANN REP/UNIFORM BUS REP 03/08/1999 -- ANNUAL REPORT 02/16/1998 -- ANNUAL REPORT 01/31/1997 -- ANNUAL REPORT 02/13/1996 -- 1996 ANNUAL REPORT Page 2 of 2 THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT a., Co�rp�rafi'��s �qulry t� CarVortioris. Help http://www. sunbiz.org/scripts/cordet.exe?al =DETFIL&nl=NO0495 &n2=NAMFWD&n3=... 9/28/2005 Report Year Filed Date 2003 01/13/2003 2004 07/07/2004 2005 01 /26/2005 Previous Filing Return to List I Next Filing View Events No Name History Information Document Images Listed below are the images available for this filing. 01/26/2005 -- ANN REP/UNIFORM BUS REP 07/07/2004 -- ANN REP/UNIFORM BUS REP 01/13/2003 -- COR - ANN REP/UNIFORM BUS REP 03/25/2002 -- COR - ANN REP/UNIFORM BUS REP 02/01/2001 -- ANN REP/UNIFORM BUS REP 05/23/2000 -- ANN REP/UNIFORM BUS REP 03/08/1999 -- ANNUAL REPORT 02/16/1998 -- ANNUAL REPORT 01/31/1997 -- ANNUAL REPORT 02/13/1996 -- 1996 ANNUAL REPORT Page 2 of 2 THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT a., Co�rp�rafi'��s �qulry t� CarVortioris. Help http://www. sunbiz.org/scripts/cordet.exe?al =DETFIL&nl=NO0495 &n2=NAMFWD&n3=... 9/28/2005