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HomeMy WebLinkAbout1602 Wynne Wood Dra Nov 08 04 11:04a Pity of Sanford Building 407 326 3859 P.I CITY OF SANFORD PEILNUT APPLICATION Permit # : V S I M J f - fDataz s V - OS' Job AddresUK' Description of Work: HislePieJdct Zoning: thFaloe of i VurilaT . Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS AdditiontAlmrazion Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: is of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/ New Residential: # of Water Closets Plumbing Repair— Residential r C roatercial Occupancy Type* Commerc' I Industrial Tpfal Square Footage Coashvetioa Ty t+CotSitaeiett , # of Dwelling Units: Flood Zone. fire required for viberteas X) Application is hereby made to obtain a permit to do 16 worst and installations as indicated. I cenify dal no work or installation has commenced prior To the issuanceofapermitandthatallworkwillbeperformed :o mat staodards of at I laws regulating rnnstruction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES. BOILERS, HEATERS, TANKS, and AIRCONDITIONERS, etc. OWNER' S AFFIDAVIT: 1 terrify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating coostnactiooandroping. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCDIEA r MAY RESULT IN YOUR PAYrzG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. NOTICE: to addition to The requirements of this permit. there maybe additional restrictions a this county, and there may be additional permits required from other governmeaW enntir ^.h a-c Acceptance of pe t is • ficadoo I will notify the owner of the property of The re.._, 3 tare of Ag Date 14 Priru Owner/A em;fNamc 1 I. i Signature of arySW-c of Florida Date pmperry be found in the public records of sgen. r c state agencies, or federal agencies. Ltgt, k.dw, FS 713. Date Date 6:/ Owner/ Agent is _ PyadiitlICr enathhbWt>r Contracmr/Agent is _ PersooWly Known to Me or ProducedID _ P uaad 1DTma M West a 7 issron DD363339 Tor r tr' Expires October 17 2008 My Commission D0363339 APPLICATION APPROVED BY: B io ing: 'o itidwres October 17 2008FD: 1 D w) (Initial & Date) (hricia0 do Dow) (Initial d Date) Special Conditions. R- AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: A G/r t f' R00 .t I 5 36 ° r v1' <v & 1144/ Rc License #: G C C O J 46 -r9Z- Project Information Owner: C 4 r A / [ice; Permit #: ame l6o t cJ41-y e k/ooW 0t address phone Subdivision: Lot M I, , 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. si azure printed name STATE OF FLORID COUNTY OF J This instrument was acknowledged before me this a2 3 day of %YI r , 2P S , by the above referenced individual, , who acknowledged that he/she is a duly licensed contractor with , and who acknowledged that he/she was authorized to execute this document. He/she is either personally known to me or produced as valid identification. WITNESS my hand and seal this a day of 6/K , 20 Notary Public POWER OF ATTORNEY Date: t-I Z ?- Z /—& S I hereby name and appoint of mLh, kok417 to be my lawful attorney in fact to act for me and apply to the p Building Department for a permit for work to be performed at a location described as: Section Township Range Lot Block Subdivision 1601 4/0 ooi 0/? . Address of Job) Owner of Property and Address) and to sign my name and do all things necessary to this appointment. Type or Print Name of Contractor's License Number Certified Contractor The foregoing instrument was acknowledged before me this IQ day rt by who is personally known to me/who produced as identification and who did not take oath. State of Florida County of _ Not ub ic, ange County, Florida 4PW Tina M West My COMMIssion DD363339 rya r. Expires OCtober 17 2008 1 Permit Number Z p 40 d Parcel identification Number-5, (-1 isaQ 4_ 111 II Itl#Nt1111f1f 1fI IN I III I INi 1 a repa{ed b) Rebecca Austin, Permit Department Andrews Roofing 3601 Vineland Road, Suite 14 Retum to: Orlando, FL 32811 NOTICE OF COMMENCEMENT State of F1 on da County of MARYANNE HORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 05659 PG 0769 CLERK'S I 2005048181 REMRDFD 03M/RM 18122tt4O AN REMIN6 FEES 18.10 RECORDED BY L McKinley CERTIFIED COPY MARYANNE MORSE CLERK CIRCUIT COURT SEM1NO COU . FLORIDA DEPU CLERK MAR 2 3 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 description of the property, and street address if available) 2. General description of improvement(s) ReroofW/6 7- 3.. Owner informa;,A.! Name Telephone Number 3a/- 377 - 03 Q9 Address /iti Fax NumberDOS- 1 V, 4. FeeSimpleTitl Holder (if other than owner shown ab6v7e Name N/A Telephone Number . Address Fax Number S. Contractor Name Andrew' s Roofing Telephone Number (407) 898-0855 Address 3601 Vineland Road Suite 14 Fax Number (407) 648-5548 Orlando, FL 32811 6. Surety (if any) Name N/A . Telephone Number Address Fax Number N/ A Amount of bond S7.. Lender (if any) Name N/A 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. §713.13(1)(a)% Florida Statutes. Name Telephone Number N/ A Address Fax Number 9. In addition to himself, Owner designates the following to receive a copy of the Uenor's Notice as provided in §713.13( 1)(b), Florida Statutes, Name Telephone Number Address N/A Fax Number o• QlTdtl0 + date of notica of commencement (ime expiration dats.is one year -from the azte of recording unless a differeht date is specified): J Ap — e Date Signed . Sig attire of f&fier/ X1 Driver's License _ ( ( dam- Swom to and subscribed b foe me. Otis U day of 11[/-% . }9 by who is personally known to me OR roduced as identification. _ or ,y Tina M West My Commission DD363339 Signa ure of Notary (notarial seal to appear below) pf Forth Revlset WN ' oi r. Expires October 17 2008