HomeMy WebLinkAbout806 E 4 St (2)''� w r p.•< _ Ary .
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t Permit
Job Address: 906
Description of Work: '?c
District:
fir1�QI'3 e,'11tL
b
`CITY OF SANFORD,PERff
_M•APPLICATION , + car . ^�+ exit T7 .t 1
�� O ,. r „ �s•aw�.,r,, i� : Date
c/T� ST , x,t •.
RC.30 T
Zoning:,Value of Work: $ • �O
Permit Type: Building J/ Electrical Mechanical Plumbing Fire Sprinkler/Alan-n Pohl..
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & energy CaiF. 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: 2 oa 0
Construction Type: -- # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel e: 30/c/ 315r/G 0000 O,?;? O (Attach Proofof Ownership & Legal Description)
Owners Name & Address: /le C7'//q '01r.4 (�/�✓�/1/Q�
/l// e,44!//iC S T. Ob/lrED U 1 Fe . 72-7(i 5-- Phone:
Contractor Name &Address: /-'/
yIG�I�
33 t c"C4,jc,o Z>
Phone & Fax: 51b) 33? %Ort
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address:
3 7 SO ��AAState License Number: / 3.7S`
Contact Person: /M rC Phone:
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. 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: l 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 'ts required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of pe it i et "ficatien th notif th owner of the property of the requirements of FloriLien Law, FS 713.
/ 9/s X03
Sign ure of Owner/Ag t Dat Signature of onuactor/Agent Date
1
P nt Owner/Agent' Name Print r _ - ame A
gn ure of Notary -State o I rida Da
�,,oi ll Naomi R Hinds
* *My Commission CC074233
3,r +,t,` Expires October 30,200?
O\�ner gens is a ersonall� Kno��n to Meter
roduced ID
AI'll LR ATION APPROVED BY: Bldg. )k� 7�t°I`3 "Zoning:
tlni ial Date)
Spccia! i'onditions:
0.
2 - Commission #DD163723
Expires: Dec 20, 2005
Bonded Thru
t—Produce" :D _
(Initial & Date)
Date
e or
PD:
(Initial & Date) (11-;lial & Dat.
ONTRACT
AMERICAN ROOFING &
GENERAL MAINTENANCE INC.
633 LAND AVE.
LONGWOOD,FL. 32750
CCC 1325645
PH # (407)-339-7027
ALECIA KAUI
806 E. 4TH ST.
SANFORD,FL
WORK TO BE PERFORMED:
REMOVE EXISTING SHINGLE ROOF SYSTEM. INSTALL 15
POUND FELT UNDERLAYMENT AND 20 YEAR THREE TAB TYPE
ROOF SYSTEM.REPLACE ALL DRIPEDGE, LEAD SOIL STACK
VENTILATION BOOTS, AND VALLEY METAL. INSTALL 60 FEET
OF RIDGE VENTILATION. COST OF JOB TO BE $2950.00. ANY BAD
DECKING WILL BE REPLACED AT AN ADDITIONAL COST OF
MATERIAL PLUS $40.00 PER HOUR. THERE IS A 5 YEAR
WARRENTY ON ALL LABOR AND A 20 YEAR MANUFACTURERS
WARRENTY ON SHINGLES. HAUL AWAY ALL DEBRIS.
MICHAEL J. MACDONALD
.ie CUSTOMER
A&
Permit Number
Parcel Identification Number
Prepared by: W4-1tr-T1r,0j J /200 ,,J C
'K'>A.,D 4L
3 2 7 5 0
Return to:
NOTICE OF COMMENCEMENT
State of Fe
County of
II�NNI��eININrO��liN�ti�r�NO11�1
VIRE NORSE, CLERIC OF CIRCUIT COINIT
IINOLE COUNTY
04808 PS 0133
ERK9S N 2003075286
ORDER 95/46/2f03.Qet5a:59 PN
OWING FEES L96
ORDER BY N Nelden
CERTIF ED COPT
MARYANNE MORSE
CLERK OF CIRCUIT COURT'
SEMINOLE COUNTY. FLORIDA
41V
TWP1 nw el FRIT
r 1.
The 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.
Description of property (legal description of the property, and street address if available)
301 3 3/ 5/0 0000 O P, _-� Q) 8 o& 6- V-,44 s -S o N
2. General description of Improvement(s) TIS
t�C _.7C,o F @ F)G i- e/— s r.
5' A �.1 Fd? l� I FC .
3. Owner information
Name /4 c CZ i q /S/9u F /VIA J Telephone Number (yo
Address /I l/ en vrfc 5'77: Fax Number
O Vr1?j>dI Fc • 3 Z 7 6.57 Interest in Property:
4. Fee Simple Title Holder (if other than the owner shown above)
Name Telephone Number
Address Fax Number
50 Contractor
Name /9 Mc-7rI Cel i�oo Fir✓C�16 C1ve�i1t
Address 633 cA0jt> A%,r
CawC Vec,
6. $urety (if any)
Name
Address
7. Lender (if any)
Name
Address
Al
Telephone Numbei( !/0 7 )
Fax Number
Telephone Number
Fax Number
Amount of bond S_
Telephone Number
Fax Number
3G6 - 3i
3�`j—?0 Z'i
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
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 (the expiration date is one year from the date of recording
unless a different date is specified):
<-6 - OX x
Az 111A. zjtl_��
Date Signed Si ature of Owner [ : per §713.13(1)(g), `owner
must sign —and no one else may be permitted to
sign in his or her stead."
to a%nd subsNibed before jVe this
who is personally known to me OR
as identification.
day of
1 00— OR WA
of Notary (notarial seal must appear
rorm lievised: 4/98 I
j, �„� Neon R Ht � CC87423'J
*IAy Core
Expires pdtOber 30.2003