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Home My WebLink About702 Briarcliff StCITY OF SANFORD PERMIT APPLICATION Permit # : (.! l/ G/ Date: Job Address: _ bQ ar i t r c.l i - So.l f or d , -' 3a,r 3 Description of Work: l'Y XOO Historic District: Zoning: Value of Work: $ 335 t . oo z7a 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: 1 5. 3 3 sqs . Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: O t Qcl r 3C r 5 C1A ^ k `o C3 — 00 30 (Attach Proof of Ownership & Legal Description) Owners Name & Address: - 4- I tJ Deed l; A- 1 N Qrica.rC.1i fe 'C3+. SON fCorCl, >_ 3a7 3 Phone: -407-- q3-8 "Haag Contractor Name & Address: FNC1 N0_O I'-,ncr I t_ 1 a 1 P-_ N Nf-_} Flr . tv 1J X 1' I.. v—rd Iy ^S,ta'te License Number: l.L S_Q3 —)-In 0—T +pp Phone & Fax: "1 O7' O ` g 1 , $$ 6 3 Contact Person:i..G.iN 1J1 C` 1Vt Phone: 401—S31 ` 1001 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. 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 Acceptance gLpermit is veritica of that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Date Signature of Contractor/Agent Date' to t i `eM al t-i ti a t3;2% ice/ Pri Ow er/Agen/,'s NameA 1X".4 Print Contractor/Agent's Name C, Signature of Nota ate of FIo* MY COMMRSION # DD M54 S' nature Notary -State of Florida PUS to ANlt;1800 DAL"u EXPIRES: June 21, 2008:"• j9OF \ oP Bonded jhiu Budget Notary Services Rr MY COMMISSION # DD 330954 Owner/ Agent is _ Personally Known to Me or fZ 0/7kTt:r 0621.7r•e Contractor/ Agent is _ Personal) EXPIRES: Notary Servces ddoandedProduced ID Produced ID APPLICATION APPROVED BY: Bld((L.ti / ining: Initial & Date) (Initial & Date) Special Conditions: 57 Utilities: FD: Initial & Date) (Initial & Date) a LIMITED POWER OF ATTORNEY Date: I hereby name and appoint G r of DAWCO R.00 INC to be my lawful attorney in fact to act for me and apply to the C-i _ o o d- Building Department for a ROO permit for work to be performed at a location described as: Section _______ J"ownship ----- Range ______ Lot ----- Block ______ Subdivision old------------------------------------- t ------------ -l3---------- Address of Job) IO.x - i _e rnc x - o _ oa _ Y c r c1 ie. rd owner of Property and.Address) And to sign my name and do all things necessary to this appointment. DANIEL BUTCHER CC-0039864 Printedwame of Certified Contractor andficense #) 0 A-- 4, ---- Signature of Certified Contractor) Acknowledged: Sworn to and subscribed before me —,-)ez , this ,)F Day of AD 2.Ov.f-- 0'! P: % FRMNCIM W MW Notary Public, State of Florida *O".".vil MY COMMISSIONODD33 A Seal) EXPIRES: June 21, 2008 Bonded iAru Budget Notary Services My Commission expires: C7v-r 2Go F i Permit No. Parcel ID # 0 - —"0 - 50`1 I 100 `. (30 3 0 Prepared By: r6roi d t;Ak Danco Roofing Iql 1275 Bennett Driiie Unit 145 Longwood, FL 32750 MARYANNE WIRRE, CLERK OF CIRCUIT COURT 5EMINOLE COUNTY BK 05678 PG 0399 CLERK'S # 2*705057351. RECIiRDFD 041071?-Wj Its 13;0b PH RECORDING REED 10.00 RECARDED BY L McKinley CERTIFIED COPY NOTICE OF COMMENCEMENT MARYANNE MORSE CLERK OF PIRCUIT COURT STATE OF FLORIDA SEMINO OUNTY, FLORIDA' COUNTY OF C—, (,vOld BY THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter t3P r a RK Statutes, the following information is provided in this Notice of Commencement. 1. Description Qf property (legal escription of property, and street address if available) of,4 riC tC 11- 5 . ate" c ford ro ment: L. Gene I esc p ton of Improvement: fro a 3. Owner information: a. Name: CY-) X`i N m-r i O c. Telephone No: b. Address: `-I O 4. Fee Simple Title Holder (if other than owner shown above) a. Name: b. Address: 5. Contracto 6. Surety a. Name: b. Address: c. Telephone No: Danco Roofing —1275 Bennett Dr., Suite 145, Longwood, FL 32750 407-834-1887 7. Lender (Name and Address) c. Telephone No: d. Amount of Bond: C. Name: c. Telephone No: d. Address: 8. Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provided by section 713.13 1) (a) 7., Florida Statutes`. (name and address) Danco Roofing -1275 Bennett Dr., Suite 145, Longwood, FL 32750 9. In addition to himself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes: (name and address) 10. Expiration date, of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): Sworn and subscribed before me this 3 /.2-9/ O` by y- de l d — who is personall kWwn to me orproduced Cc r r-L cQ•r-e as identification. Signature of,Notary Public 12,zlzv - /vW DEBORAH GppO SEAL) _ c«,teaoas,ote i SA(Z—= — Em*eaett8WW - Owner Signaturhk- OaAZ` Owner's Name 141, V h 1 l a - Florida Nntan. ems.... PERMIT NO: RE -ROOF DRY -IN AND FLASHING INSPECTION AFFIDAVIT ADDRESS: i0 a So N orcl XL 3a-i-13 SUBDIVISION: DIce.o.,rn dlC- LOT: COMPANY: LICENSE NO.: CC_ CO3CI Lo I, '( , affiant, hereby affirm that 1 am the duty licensed contractor of record for the above referenced permit, that al.l of the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address/lot has/have been installed in accordance with all applicable codes and standards. CONTRACTOR: I IN • Printed name) Signature) STATE OF FLORIDA COUNTY OF.,., This instrument was acknowledged before me this _ day of %i-G4 by the above referenced individual, u , who acknowledged that Ire/she is a duly came _—_-- licensed contractor with. ;iCp/. _C7_ , and who acknowledged that he/she was authorized to execute this document. He/she is eitl er personally known tame or produced as valid identification. WITNESS my hand and official seal this _Zj day of Nota , Pubi o aRY Pu FRANCISM WUAAU MY COMMISSION #E DD 33M EXPIRES: June 21, 2008 NTFOF FI r9OP\OPBonded Thru Budget Notary Services , Printed Name: /, 4 Z;"uv Ufy Commission Expires: 1_ Revised i 1122/04