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Home My WebLink About1102 Locust AveCITY OF SANFORD PERMIT APPLICATION Permit #: (2 (0 — 9 (P Date: VIGIO& Job Address: - LoCoi94 J+- Description of Work; Re. - R.• Historic District: Zoning: Value of Work: $ H !q 4 O Permit Type: Building A 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 X— Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: I& O P — 0O 0 0 (Attach Proof of Ownership & Legal Description) Owners Name & Address: U; Yo, Ltw,/ Grww S->< nix+. S (Aa w 14411 NW 11 h'1" S. Phone: Contractor Name&Address: AANN ft4u %= Aaa46%1na. &403 U State License Number: Phone & Fax: 4,31- `1L- h'11 Contact Person: Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: 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: 1 certify that all ofthe 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 ofthis 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 t . ssQ dfcation that 1 wi notify the owner of the pi nature of Owner/Agent / Date Jmeia- Pri t caner/Agent's a . , n t 7 Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bld : Zoning: Imtial & D e) y of the requirements of Florida t' Lawj6711— 0& —"N %/--7 06 Signature of Contractor/Agent Date i10mCL5 i-tit') /ew- Print C n ractor/Agent' e Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) Special Conditions: NOTARY PUBLIC -STATE OF FLORIDA Rose SIDith NOTARY PIfBllC•ST?,TE OF FLORIDA Commission;DD411199 Rose SIDl l Expires; bL4R. 24, 2009 Commission iDD411199 coded T ,ru 02n,ic Bondir , :o.. lac. ExDireS' MR, 24, 2009 Boaded T7: a :ula :tic Bonding Co., 1::.. Power Of Attorney Date: Zo b I herby name and appoint -Tu A; o y;l of Advantage Roofing Inc. To be my lawful attorney in fact to act for me and apply to the C;:h oll- Svc,.-- -,A for a roofing for work to be performed at a location described as: ParcellD#: Legal Description: (.-- 1 -931 K 1- Address of Job: I I o 2 L oCV 4 Av, Owner of Property and Address: .); x.,,. LCAVtt--n-` 144 71 NW 1-141+ k 1- And to sign my name and do all necessary to this appointment. Contractors Name: Typed: Thomas Ringler. Advantage Roofing, Inc. State License#: CCCO52477 Signature of Certified Contractor: Acknowledged before me this J—e—aay of Jan Zdo (- By Thomas Ringler ID Or Personally know to Me Notary Signature: seal My Commission Expires: • d ' Dc NOTARY PLBUC.ST.TE OF FLORID' Rose Smith COMMisslon fi DD411, " ? L. ENP,;res: ALAR. 24 utttic Bonding Co., ,.,,. AFFIDAVIT REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS Company: AAyw.X t., L.•y,,b License M GU.os a ywi-) Project Information Owner: Permit M name Itoi I_ot-v4 Ay+- Subdivision: address Lot #: phone 1, Su s-L.L d R; ),L j , 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. Contractor: I1 0 signature printed name STATE OF FLORIDA COUNTY OF This instrument was acknowl ged before me this day of Jam__ , 2001"y the above referenced individual,CA 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 WITNESS my hand and seal this as valid identification. day of , 20 ry Publics_ w D2 -8B11= etANT N 3. Fabre & UD 16uSgt 11111 is Ile 11 eel II p1 U oil 11 IN 111111111 N1 g1III 0 1111111111 Iasi Permi^^ Number Parcel Identification Number 1 4t- Prepared by: 7TU 541'N, a c I'c.V Return to: ( vi 0 A IN, NOTICE OF COMMENCEMENT State of f=19,: AV\ County of se nnolst- MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 06075 PG 1377 CLERK' S # 2006004354 RECORDED 01/10/2006 11i:21t36 AM RECORDIND FEES 10.00 RECORDED BY D Thosas CERTIFIED CONY MARYANNE MORSE CLERK OF C r, nolr IT COURT CThe 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) La - I 1 1`31 k 13 SHly 2. General description of improvement(s) Fez - Rw-A'- 3. Owner ' formation — OO NameI i' i u Sty h C? n Telephone Number Address q 4-7/ M W. I -jq'4'5 1 Fax Number - C 0 (d S -f-/ S 3 Micc1> 76, FL, 5 30 5 Interest in Property. 4. Fee Simple Title Holder (if other than owner shows above) Name Telephone Number Address Fax Number Z5. Contractor Aav-I-,,,, 9Av9-t,'ny T-&, Name Telephone Number Address GKo- 3 P., fin,- Fax Number 6. Surety ( if any) Name Telephone . Number Address Fax Number Amount of bond $ _ 7. Lender ( if any Name Address Telephone Number 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)7, Florida Statutes. , Name Telephone Number Address Fax Number 1 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. Name Telephone Number Address Fax Number 10. Expiration date of notice of commencement (if expiration date is one year from the date of recording unless different date is specified): Date digned Signature of Owner (Note: er 713.13(1)(g), "owner must sign ... and no one else may be permitted to sign in his or her stead." to and subscribed before me this 7 rh day of C,n , 20 4 by O LiGZ 6 1-t en 5 who is personally known to me OR `% produced as identification. NOTARY '" ' iC- STATE OF FLOR1DA Signature of Notary..WELRose Smith Commission = DD411199 Expires: ! LkR. 24, 2009 Sunded Tluu .`.:: a.:tic R::: ii ; Co., Inc. 23-20 ( 9ro4)