HomeMy WebLinkAbout700 W 25 StCITY OF SANFORD PERMIT APPLICATION
o-a_ Permit # : Date:
Job Address: 700 WEST 25TH STREET SANFIORD, FL 32771
Description of Work: RE —ROOF OFFIC-F BUILDING SHINGLE TO SHINGLE NO STRUCTURAL CHANGE
Historic District: Zoning: Value of Work: S 7,916.00
Permit Type: Building P/ 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 Cale. 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 XX Industrial Total Square Footage: 37 10 Wo,+
Construction Type: # of Stories: I # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 36 19 30 524 1300 0180 (Attach Proof of Ownership & Legal Description)
Owners Name & AddresH. CLIFFORD - . 'MILLER 700 WEST 25th Street
SANFXM, FL 32771 Phone: 407-322-5142
Contractor Name & Address: —A —& R ROWING COMAJNY, INC3,9(15—MfXII{ES I STATION ROAD SANFORD, FL State
License Number: CCC 1326255 Phone &
Fax: 407-322-91417 324-1377 Contact Person: RUTH Phone: 407-322-9417 Bonding
Company: N/, Address:
Mortgage
Lender: N/A Address:
Architect/
Engineer: NIA 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. 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 qjditional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance
of r C5t on 'tt notif ! caner of the property of the requirements.o rider Lien law, FS 713. a'I
2
8 a iature
of Owner g Dat ignature of Contractor/Agent Date IMRD .
MILLER G.F. BOHANNON t
Owner/Agents Name Print Contractor/Agent's Name 2
8/a J±&,l,o -41 iature
of Nota PlIate
of Florida Date Signature of NotarlyStatc of Florida Date Ter/
Agent is !/Personally Known to Me or Contractor/Agent is?.QL_ Personally Known to Me or Produced
ID Produced ID APPROVED
BY: Blj—/V/ Zoning: Utilities: Initial &
ate) (initial & Date) Special
Conditions: FD:
Initial &
Date) (Initial & Date)
NOTICE, OF COMMENCEMENT
Stag of Florida
Counry of Seminole
TAX FOLIO /I (C.nmplete'Purccl 1P H) 36-19-30-524-1300-0180
The unclersibncd hereby informs nil concerned that improvernults will be made to certain real property, and in accordance with Section
713.13 of the 1 loridu Statutes, the following inl'onnation is stated. in this NOTICE OF COMNLEN.CEMF.N•r.
De ;cription of property: LDG LOTS 18 19 + 20 BLK 13 3RD wSEC DREAMWOLD PB 4 PG 70
PAD: 700 W 25th ST
G2ne1'aI do:xription of improvements: RE —ROOF OFFICE BUILDING SHINGLE TO SHINGLE NO STRUCTURAL CHANGE
O tr nc rH - CLIFFORD , MILLER (H. CLIFFORD MILLER)
Addrcss 700 WEST 25th STREET' SANFORD, FL 32771
Owner's Interest in site of the improvement:
Fee Simplc Title huider: (ifolt ei'(han owner) Nnmo: N/A
Address:
Contractor; A & B ROOFING COMPANY, INC.
Address: 3905 MOORES' STATION ROAD -- SANFORD, FL 32773w... .
Surety: (Ifany) N/A
Address:
11111111111111111Nil IINIIIIN11111111111111IN911111111 MARYANNE
HORSE, CLERK OF CIRCUIT COURT SEMINOLE
COUNTY BK
06118 Pg 18331 (lpg) CLERKIS #
2006023284 RECORDED
02/13/2006 09141127 AN RECORDING
FEES 10.00 Qr RECORDED
BY H Bai lay V
0 vet lP \,C Nano
of Person within the State of 17-lorlda designated by owner upon Whom notices or other documents may be served; Name:
MV Address: '
In
addition to himself, owner designates the following person to receive n,copy of the Licnor's Notice as provided in Section 713.13(1)(F), Florida
Statutes. (hill in w Owner's Option) I Nnmc:
Address
Expiration
date ol•No6co of Commencement (tllc expiration dilte is I yenr from f recordin unless n diff nt. elute is specified,) This
instrument prepared by: (0 c r
JANICE R. ANDERSON Sworn
to find subscribed before me this 8th piny of I
rnc: (H. CLIFFORD MILLER) FEQRUARY _
2 006 , by CLIFFORD H. MILLER Address:
3905 MOORES STATION ROAD f_
who is/nre personally known to me or Ins/have provided SANFORD,
FL 32773 Type
or.1dentili l
PfZe O &i)
MY
COMA MESS ONN DDD3343260 Z,Mu,
2xwe8No nryPIlie (Cornnlissionite
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: A & B ROOFING COMPANY, INC.
3905 MOORES' STATION ROAD
SANFORD, FL 32773
License #: CM 1326255
Project Information
Owner: CL'IFFORD H • MILLER i Permit #:
name
700.WEST 25TH STREET
atiaras
407-322-5142
phone
Subdivision:
Lot #: 18,19 + 20
FORTWr"T. MR
1,
G.F. BOHANNON ,
affiant, hereby affirm that I am the duly licensed
contractor of record foi the above referenced permit, that all the foregoing information is true
and accuratei and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractoa,,
siYnaNrc
G.F. BOHANNON
printed name
STATE OF FLORIDA
COUNTY OF SEMINOLE
This instrument was acknowledged before me this 07 day of FEBRUARY , 20 06 by the
above referenced individual, G.F. BOHANNON , who acknowledged that he/she is a
duly licensed contractor with STATE OF FLORIDA , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally ]mown to me or
produced KNOWN as valid identification.
WITNESS my hand and seal this 07 day of FEBRUARY _2W6 .
Z
Notary Public
Ss 7ERESAJOHNSON
y: MY COMMISSION t DD 343250
za EXPIRES: August 12, 2006
BM" Thu NG" pV* ftWfflNn
A-t
A & B ROOFING COMPANY, INC.
3905 MOORE'S STATION ROAD
SANFORD, FLORIDA 32773.6524
407) 322.9417
FAX (407) 324.1377
I hereby name and appoint JAMES ANDER.SON
to apply to CITY OF SANFORD
of A & B ROOFING COMPANY, INC.
for a RmF permit. -
And to act in my behalf in all 'natters concerning the same.
LDG LOTS 18 19 + 20 BLK 13 3RD SEC DREAMWOLD
Legal Description: PB 4 PG 70 PAD 700 W 25th Sr
Parcel ID# 36-19-30-524-1300-0180
Owners name & address: CLIFFORD H MILLER
700 WEST 25th STREET
SANFORD, FL 32771-4232
Property address: 700 WEST 25TH STREET
SANFORD, FL 32773
G.F. BOHANNON
y
LICENSE #
The forgoing instrument was acknowledged before me this 07 day
of FEBRUARY , 20 06
My Commission Expires: 8-12-08
NOTARY PUBAC
TERESq
MY COMMISSION DDEXPIRES: August 12 2006
n