HomeMy WebLinkAbout116 Kelly CirCITY OF SANFORD PERMIT APPLICATION
Permit #: ()(0' 919 Date. 1 -1 1 - 0 6
Job Address: 116 Kelly Cir Sanford, FL 32773
Description of Work: RProof
Historic District: Zoning: Value of Work: S 4,400.00
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:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:1 2— 2 0— 3 0— 51 1— 0 0 0 0— 0 5 7 0 (Attach Proof of Ownership & Legal Description)
Owners Name & Address. Danny nardner
116 Kelly Cir Sanford, FT. 32773 Phone:
Contractor Name&Address: PUCer Roofing Tne P
n BOX 520177 Longwood, E!J 32752 State License Number: QC0 398 3 3 Phone &
Far. 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. 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. 1 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 th will notify the owner of the property of the 7I1 /
oe Sig
re of Owner/Agent 0 Date I
Z Pc. do Lryll name
Owner/Agent's Q
1 —
T/ r n... n ' />livtt I— 5tgnature
of Notary-Wte otr011(YaPATRICIA J. GOtisJI11IO1e C,,
Wa 000390507 a9
r :
aaaev
9005rd m Owner/
Agent is _ Personlllg3o Produced
ID 41/• R••. • ' APPLICATION
APPROVED BY: Bld Zoning: initial &
ate) •. . Special
Conditions: of
Florida Lien Law,73 713. Date
prnc
Signature
of Not State of FI rida PATRICIA DatiIOLEMAN Comma
D00395567 vrr
r E)pms 2/15/2009 f % =
Bonded
thru (9o0)492-42. : Contractor/
Agent is ers 1 to a Notary Assn., I-! Produced
ID f......................................... Initial &
Date) Utilities:
FD: initial &
Date) (Initial & Date) .
11a1Y111 V: (tlnGrVYtl AtlrYOYVtliitlu >.n,ytlu tl....,vV.r 1 .._..__ _ --....i_F _ _..._... ••• n $ 'mall it sat U ael at all at Ila is lal rr laa I Iai1
Name: FS 713.13
r
MARYANNE NURSE, CLERK OF CIRCUIT COURT
Address: = SEMINOLE COUNTY
e BK 06077 PG 1310
CLERK'S # 2006005197ThisInstrumentPreparedby: NAncy BArnes + RECORDED 01/11/8006 11:07:11 AM
Address:
P.O. BOX 520177 RECORDING FEES 10.00
Longwood, FL 32752 RECORDED BY D Thomasc
Property Appraisers Parcel Identification (Folio) Number(s): r
SPACE ABOVE THIS LINE FOR PROCESSING DATA SPACE ABOVE THIS LINE FOR RECORDING DATA
Permit No. NOTICE OF COMMENCEMENT
State of Florida
County of Seminole j
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, If available) 1 2- 2 0- 3 0- 51 1- 0 0 0 0- 0 5 2 0
General description of Improvements REROOF E}C1't : ,
Owner Danny Gardner
Address 116 Kelly Cir S
Owner's Interest In site of the improvement
Fee Simple Title holder (if other than owner)
Name
Address
Contractor Pilcher Roofing., Inc
Address P n RnX 570177 T o acjwod-,--:pLL 3 2 7 5'
Surety
Address Amount of bond $
Any person making a loan 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 addition to himself, owner designates
Il
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
Expiration date of Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different
date Is specified).
t npyq /0
Signature of Owner Q Printed Signatu a of Owner
NOTARY RUBBER STAMP SEAL
1 have re on the following ide tification of the AlGantlieu
MAN
z
PATRICIA J 567
V'1 Expr•s 2115a009
BorWed thru (600)43-
Sworn to and subscribed before me this J I +N day of JGintJGlry
POWER OF ATTORNEY
DATE: 1-1 1-06
I, Steve A. Barnes II, do here by authorize Nancy Barnes
to pull permits for PILCHER ROOFING, INC, (description)
11-6 Kelly Cir Sanford, FL 32773
0011,
Steve A. Barnes II
Notary
PATRICIA J. COLg
Comm$ DD0396567
v,r C,;msy15r2009
C• si 41ru (600)432A25i'
Personally known to me (X) or drivers license #
State of Florida, County of _Seminole on 1 1 th
day of January 2006
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: Pilcher Roofing. _Inc License#: CCC039833
P.O. BOX 520177
Lonawood _ FL _3.2 7 r-, 2
Project Information
Owner: ' Judi Randolph _ Permit #:
name
116 Kelly-Cir_ _
address
Subdivision: Monroe Meadows
Los g: 52
1, Steve A Barnes _ _ , affiant, hereby affirm that I am the duly licensed
contractor of record for the above rei orenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flas ings at the above referenced address or lot has been
installed in accordance with the appl ,.-able codes and standards.
PATR... • -. COLEMAN
Contractor: s ,,-nmo
signatt,re —
Expires?/1S/200 ®`d
e«wed tnn, (e0r 42.t: Florida
NoUly Assn., Inc S. ±
RvP A BArneS TT i................................ ............. pnmed
name STATE
OF FLORIDA COUNTY
OF This
instrument u,as acknowledged b:!fore me this 11 day -of January 2006 by the above
referenced individual, Steve A Barnes . , who acknowledged that he/she is a duly
licensed contractor «with Pilcher Roofinq,Inc and who acknowledged that he/
she was authorized to execute this document. He/she is eithe ersonally kno to me or produced
as id luciatification. WITNESS
my hand and seal t'iis 11 th day of JAnuary 2006 io-,
At Notary
Public PATRICIA
J. COLEMAN Canon
000396567 W
Vwu (00)43 9
6pedsd
Ihn1(ODOr{22-4254; wp
Florida Notary Assn.. Inc = i••.•...........••............................