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HomeMy WebLinkAbout118 Mayfair Ct (2)u RK1 t Y •. r ._ CITY OF SANFORD PERMIT APPLICATION NMIffilr Permit #: 0J — I L0 Date: 2 - 5 - 0 5. rob Address: 118 Mayfair Ct Sanford Description of Work: REROOF SHINGLES TO SHINGLES Historic District: Zoning: Value of Work: S 4,200.00 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Altemlion 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) Parcel3 3 -19 - 3 0 - 5 0 5 - 0 0 0 0 - 010 0 (Attach Proof of Ownership & Legal Description) Owners Name & Address: _ Melvin W Russell P.O. BOX 2466 Sanford, F1 32772 Phone: Contractor Name & Address: Pilcher Roof incf, Inc P.O. BOX 520177 Long 'wood, F1 32752 State License Number: CCC')'39833 Phone & Fax: 3 2 4 -1 41 9 330-7RO9 Contact Person: NAncy A BArne s Phone: --,._ 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. 1 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. Acceptance of permit is verification that I wi I notify the,9-7-0 of the property of the requir en s of Florida Lien Law, 713. r - or Signature of Owner/Agent Date Sena re orContr ct r/Agent Date Owner/Agent is ,i Personally Known to Me or . Produced ID APPLICATION APPROVED BY: BI 6 a JM1 tog: Initial & Date) Special Conditions: of Notary -State of FloriV Date Contractor/Agent is L Personally Known to Me or Produced I D Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) r r °4 Notary Public State of Florida Johnnie L Malen CL fvly Commission DD390896 Expires 01/30/2009 i Mtwn to: (encoss s Bad•adoressee sumped srrsels") Nsers: . PILCNER ROOFING INC. 1d0' P.O. BOX 52007 LONGVVOOD, U. 32752 This Instrument Prepared tW,' 407-324-1419 Aodrea: NP ('— J I r ( PropetN Aasrelsera Parsel Idorldkalbn IFotlol NurnarISY NOTICE OF COMMENCEMENT RAMCO POM soe Fe 713.11 p 14idtYAfM NORM, CLERK OF CIRCUIT COURT t SEMINOLE COUN" EIK 05605 FCC 1994 j CLE RKe S d RECORDED W107112M 61 t 15:1® P" REMINS FEES 1060 RECOFM By D Them% u iPADi ABOVE THIS LINE FOR ROCESSNG DATA SPACE ABOVE TNIS LINE FOR RECORDING DATA' Permit No. NOTICE OF COMMENCEMENT State of Florida t County of Seminole The undersigned hereby gives notice that improvements will be made to certain real property. and in accordance with section 713.13 of the Florida Statutes, the following Information is provided in this NOTICE OF COMMENCEMENT. Legal description of property (Include Street Address, It available) 118 Mayfair Ct Lea Lot 10 Mayfair Villas PS 22 PGS_9-10 33-19-30-505-0000-0160 Carteret description of Improvements Owner Melvin Russell Address P.O. BOX 2466 SO 174 N Owner's Interest In alto of the Improvement - Fee Simple Title holder (If other then owner) Name -,a`l • Address ' Contractor AILCHRR RAnFTNOP TNC vxv Address O BOX 520177 Lengwr%p$e Ft 19752 Surety Address Amount of bond S Any person making a ban for the construction of the improvements: Name Address Person 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. Name' Address In sdditkln to himself, owner designates Of to receive a copy of the Ltenor'a Notice as provid n Section 713.13(1)(b), Florida Statutes. Expiration date of Notice of Commenceme e e Iratlon date Is 1 year from the dote of recording unless a different date Is specified). Me lv i/i w , au-sscll SiBnuuns or P1InIed fopnalwe of Owner NOTARY RER STAMP SEAL 4 FL - DI 1haverelieduponthefIlowinidenliAfratnty Nwom to and subscribed before me ibis day of C EE BARB MIS A SMq'JMI L „ tMY COMMISSIONr 'EXPIRES: May 16ended TWNotary. Public Nrsry I — inld Nsrerysiirsrwe r POWER OF ATTORNEY DATE 2-7-05 I, Steve A. Barnes II, do her by authorize Nancy A Barnes to pull permits for PILCHER ROOFING, INC. description) 1 1 8 Mayfair Ct Sanford teve A. Barnes H po PC" Notary Public State of Florida Johnnie L Malen My Commission DD390896NovaExpires0113012009 Personally known to me (X) or drivers license # State of Florida, County of Seminole on 7 th day of February 2005. AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS p Company: X ( ,1 \' D4 fie -License #: lc-yn s w oc)d F( 39--? 5 a Project Information Owner: \0\L> 1( -1 o '(mot 355,5—:. Permit #: name aTess phone Subdivision: Pk_\ 1. 12, NIS 11 Lot #: / I, 1 & C , affiant, hereby affirm that I am the duly licensed contras or of rec rd 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 accoy4ance with the applicable codes and standards. name STATE OF FLORIDA COUNTY OF trn nD le - This instrument was acknowledged before me this _2 above referenced individual, duly licensed contractor with Lt he/she was authorized to execute this document. He/she i produced as v day of , 20 by the who acknowledged that he/she is a rand-who-acknowledwed that WITNESS my hand and seal this _ day of e-6 , 20 . POW Public DEBBIE BLANTON MY COMMISSION S DD 188491 EXPIRES: February 25, 2007 1-000-%WTARY FL Notary Discount Assoc. Co.