3301 Sanford Ave 05-476 Roof0
Permit # :
Job Address: 33C>I ' Aoe
Description of Work: aP
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Work: $ 1 Ub 6
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: J—
Construction Type: _ ^ # of Stories: J_ # of Dwelling Units: E Flood Zone: (FEMA form required for other than x)
Pared #:
Owners Name & Address:
Proof of Ownership & Legal Description)
f 7 `I'UGj( 5 1N r71 (JA IC-ft(D I L. (0Wa2 Phone: tylN-L' M -I JLP U,
Contractor Name & Address: 0. %(4 Y,
Qc O 01 Stat4e,LiemseN mbbe'r:'1
12G 1
Phone & Fax: ri (J -J Contact Person: n U sti —Phone: `/i(o 9- 9Yp ) .303
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer. 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. 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 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 additi n 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 re may be additi pe is requi, from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceof is veri6cati that b l fy owner of the property of the require of Florida Lien La FS 713. ptance
i
Si
a of Owne gent ; Date Signature of Contractor/Agee Date Mexamdw
bit t 6r/n1 ` D kn;r ( (1ec harp, Pii
er/Agent's N e Print ntractor/Agent's Name Anature
ofNoidAezalisDateSignatureofNotary-S of Flo da Date My
Commission DD324292-aximberly Neallr OF A/
Expires May 27 2008 s + My C miss D36721 Owner/Agent
is _ / Personally Known to Me or Contractor/ 'erso I 3 n to a or Produced ID _
Producei1 LZ''J
APPLICATION APPROVEDBY: BldAfj 6Lj Zotung Initial & Date) Special
Conditions: Utilities:
Initial & Date) (
Initial &
Date) as FD: Initial &
Date)
NOTICE OF COMMENCEMENT
State of Florida County of Seminole
i
Permit No. Tax Folio No. (PID)
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.
DESCRIPTION OF PROPERTY (Legal descript^n of the property and street address)
f\Q-(A CouPA- oaf tv e 11 1 ` rc4 1 v r rl `I73
GENERAL DESCRIPTION OF IMPROVEMENT ut? )
OWNER INFOR
Name and address
Interest in property (Fee Simple; Partnership, etc.)'.
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER.(IF OTHER THAN OWNER)
CONTRACTOR
v Noe anarrldaddressNe
1 Ji
i-
SURETY (Bonding Company)
Name and address
Amount of Bond
LENDER
Name and address
aim CERTIFIED COPY,
MARYANNE MORSE
CLERK OF CIRCIIIT COURT
S EllY, FLORIDA
R V
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes:
Name and address
DEPUTY ULLKK
2-2;
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E
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to
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mrc
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In addition to himself, Owner designates
provided in Section 713.13(1)(b), Florida Statutes_
f####f#sssssssss«:sssss####*sssss#si«sss;:*
Expiration Date of Notice of Commencement
The expiration date is 1 Year from date of record%trQ a
of
to receive a copy of the Lienor's Notice as
Sworn to and subscribe before me this --f= Day of 2 19
x` Lynne Mera6s
My Commission DD324292
My Commission Ezpi.rrs: a Expires May 27 2008
ota Public
The foregoing instrument was acknowledged before me this 19 day of /%rU _ k""- 'by
name of person acknowledged), who is personally known to
me or who has produced (type of identification) as identification
and who did / did not take an oath>
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
AFFIDAVIT
COMPANY:" Vie I hA I Yl _ LICENSE NO:
PROJECT INFORMATION
L
ADDRESS: , T
C )
SUBDIVISION:Y1'f C,f)I l I :4'I G1I117S(d
an,,Y-d F! 3.27-
PERMIT NO: LOT:
I, )Y11( Y\\e e InQ Yr affiant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address/lot has
been installed in accordance with all applicable codes and standards.
CONTRACTOR: ahn I arilet Nahc'r,
Printed name)
0':L_ pju_
Signature)
STATE OF FLORIDA
COUNTY OF CJ eft 16 61 e
This instrument was acknowledged before me this tb day of 06 V _, by the above referenced
individual, r51A '>w o. ii p i M y , who acknowledged that he/she is a duly licensed contractor with
N_0rjhayyt so Nixe_ , and who acknowledged that he/she was authorized to execute this document. He/she is
either ersa y to4ne or produced as valid identification.
WITNESS my hand and official seal this \GD day of f\()XY06-P—(
Notary Public
oar 24c Kimberly Neely
My Commission DD367212 Printed Name:
Aires October 31Ex , 2008 My Commission Expires: c. s.•`
I
r
SEMINOLE COUNTY
FIORNA'S NATUM CHOICE
I hereby name and appoint:
e
Printed Name of Appointee
I" —Company Name of Appointee
to be my lawful attorney -in -fact to act for me in applying to Seminole County
Government Commercial/Residential Permitting for a permit enabling work to be
performed at the location below -described and to sign my name and do all things
necessary to this appointment:
Section
Township
Range
Subdivision
Block
Lot ,-)
0nnorri koe_ ,J40 o {-
r
Proiect Address 3ha=
rad /fit(? 10U LTD IDWUhbJ4,4)( Owner of Property An C
h iaado L boUX M Owner Address Signed:' t
certified
contractor
signature Date: I-
Certified Contractor:
11 K{h1 IN printed name
Contractor License #:
State of
Florida.•..- County of
L. nu, Qn) In to
and subscribel before me this day of b 1 (name
of person acknowledged) who i ers.nally nown to me
or who haV produced) i ication). Notary Public
Commission expires:
JULIA BLU(
JM YN FORMpower /042501/dv
e= ;Notary Public - State
of s of;. a y _ • ' 1 C0TWrdsonE> M0,_
I28. 2( a V Commission # DD 36 /
002 Bonded ayNationolNotaryAson.