HomeMy WebLinkAbout2416 S Summerlin Ave (2)CITY OF SANFORD PERMIT APPLICATION /
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Permit #: 0 ('9 - < O ` Date: " fo ^ o b
Job Address: • 11,
Description of Work: - '
Historic District: Zoning: Value of Work: S too IS
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
Phone & Fax: -7 lPr- 57 7' bg 79 Bonding
C mpany: Mechanical
Plumbing Fire Sprinkler/Alann Pool Addition/
Alteration Change of Service Temporary Pole Replacement
New (Duct Layout & Energy Calc. Required) of
Water & Sewer Lines # of Gas Lines Plumbing
Repair— Residential or Commercial _ Industrial
Total Square Footage: of
Dwelling Units: Flood Zone: (FEMA form required for other than X) Address:
1 Mortgage
Lender: Address:
Architect/
Engineer: Address:
Attach
Proof of Ownership & Legal Description) kA
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: 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 FAILUREJTO 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 will the owner of the I openy of the requiremenjs of Florida Lien, F 713. Sig
re of gent Date Signature of C rtia Agent to 19
L":)
I K "W_ 15 X n Print
Owner/Agent's in Print Print Contractor/Ag n ' Name 0U,
ui
INC
U__ ilureoftatofFloridaDate ure of to a Date Mcs A Owne
Agent is Personally Known to Me or I '• Produced
IDqP 1(S l APPLICATION APPROVED
BY: Bid m r
Date) ZoI ing: _ Da Special
Conditions:
y PUB(/
e o ; Contractor./
Agent
is ersonally Known to Me or o Produced ID
SrA F.
Initial & Date)
Utilities: FD:
Initial & Date) (
Initial & Date)
4%4 oa q. Ya a asp gowsgo UI w PI IFOR se W I1.
14ARYME NURSE, CLERK OF CIRCUIT COURT
Permit No.
Parcel 1D #
Prepared By:
SENINOLE Cnt*M
David Longa SK 06107 Pq 1725; apg)
5107 Andrus Ave. CLERK'S 0 t'006018653
Orlando FL 32804 RECORDED 02/03/:005 11t07t03 AN
REMRDIND FEES 10.00
NOTICE OF COMMENCENIENYlt Maley
STATE OF FLRRIDA
COUNTY OF;^ jpN
THE UNDERSIGNED hereby gives notice that improvement 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.
L' Description of property: (legal description of property, and street address if available)
2. General description of improvement: ^
r •'ccL•
3. Owner information:
v
a. Name: {r'_I _-% j r -)) r/ c. Telephone No:1/G
b. Address:,,2;41 , `j. SL1jV+-AMjI'h i1.ve it crtl Y"t—• 'L j
4. Fee Simple Title Holder (if other than owner shown above)
a. Name: c. Telephone No:
6b.
Address:
Contractor: Premiere Roofing & Carpentry, Inc,
SI07AndrusAve., Orlando, FL 32804
6. Surety
a. Name: c. Telephone No:
b. Address: d. Amount of Bond:
7. Lender (Name and Address)
c. Name: c. Telephone No:
d. Address:
CFMFIED COpr
WARYANNE MORSE ' CLE OF CIRCUIT COURT3E .COUNTY, FLORIDA
FEB q 3,2000
8. Persons 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 and address)
Premiere Roofing & Carpentry, Inc, - 5I07Andrus Ave, Orlando, FL 32804
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 1
by 6 ) c11(C, qe-,n n _q, •
who is personally known to me or ro> duced Owner Signature s'i
r .5. P t" `fit Mq-5t,l-f1S
as identification.
Owner's NameG'il r(
Signature of Notary Public
SEAL)
Ot1RY?0
F
EXPIRES: Jlty 2126 0"
W ThM k*0 iz;; SmiW
RIEGARDING ROOF•bRY-IIN AND FLASHINGS INSPECTIONS
Company: PREMIERE ROOFING
SUBDIVISION:
PERMIT:
AFFIDAVIT
Licensing No.: CC-CO57594
PROJECT INFORMATION
ADDRESS: /6 5vwa c J• w
LOT:
I, Michael Morganaffiant, 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, flashmgs at the above referenced address/
lot has been installed in accordance with applicable codes and standards. CONTRACTOR:
Michael Morgan St
re) STATE
OF FLORIDA COUNTY
OF nor a t1 ra v
This
instrument was acknowledged before me this 3 day of Feb 0O by the above referenced
individual, Michael Moron , who acknowledged that he is a duly licensed contractor with PREMIERE ROOFING &
CARPENTRY. Inca who acknowledged that he was authorized to execute this document. He is either persomallv
known in me or produced _ as valid identification. r
a WITNESS
my hand and official seal this day of JESSICAUUES
Notary Public: MY
COMMISSION I DD 453751 EXPIRERaided
TkU S.
W Yt, 2W9U1, MC ommissic y
M&
Premiere Restoration
Ord
POWER OF ATTORNEY
Date: 2,3 - O6
I hereby name and appoint: Mariano Diaz of Premiere Restoration Orlando Inc.
to Oe my lawful a or2ey in fact to act for me and apply to the
Building Department for a Roofing permit for work
to b4 performed at a location described as:
Section Township Range Lot Block
Subdivision: /'
Address of Job: y/ s, Suw„ Ave 5jAWfbotl f 4 3Z7/
Owner of Property and Address: e.
v
0
and to sign my name and do all things necessary at this appointment.
i
Signature of C6Mfied Contractor
The foregoing instrument was acknowledged before me this day of
200_ by Michael A. Morgan, who is PERSONALLY KNOWN TO ME/
who produced as identification an who did not to ce
oath.
Ite of Florida
unty of
ic, OEdngel County, FL SEAL
JESSICA ULES
MY COMMISSION 0 DD 45V51
EXPIRES: Jury 21, 2DD9
FOF R0Bonded 7hru Budget Notary Services- www.
restoreteam.com 5107
Andrus Ave. • Orlando, FL 32804 • Tel (407)292-9744 • Fax (407)292-8425 Lic.
Number CBC056687 9 Lic. Number CCC057594