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311 Belle Ave - 08-001032 (2008) REROOFCITY OF SANFORD PERMIT APPLICATION Permit # Date: 2-29-08 Job Address: 311 Belle Ave Sanford Description of Work: REROOF Total Square Footage 2 2 0 0 Historic District: Zoning: Value of Work: S 5, 7 0 0. 0 0 Permit Type: Building Electrical Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/Alteration Change of Service Temporary Pole _ 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 Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA Form required ) Owners Name&Address: Claudette Behrens 306 Lakeview Av LAke MAry, F1 32746 Phone: Contractor Name&Address: PILCHER ROOFING INC P.O. BOX 520177 Longwood, F13252 State License NumberCC C 0 3 9 8 3 3 Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Architect(Engineer: Address: Contact Person: 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 priorto the issuance ofa 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 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 1 will notify the owner of the property of the requirem ofFlorida Li aw, FS 713. ate p o Signature o Owner/Agent Date S na re ctor/Agent Date Claudette Behrens N V n Gt-) 6C r Jl e S PfmtQwner/Agent's Name Signature of Notary-S o Owner/Agent is -le"Perso Produced ID Priontractor/Agent's Name / la PATRICIA J. Signature of Notary-Stat f Find 1 r AD Cmwrj OW396567 a4 0Expros y15/2009 T ow M Bonded thru ( 800k132-42 r4: ®Ti; EVi1M?1ISI2009 o„ of° r _.: ra^!ar Tshit Bonded Mtru (600)432 4254: ahilwn'to Me or Contractor/Agent is Personate .' or,• nda Notary Assn. Inc Produced ID APPROVALS: ZONING: UT3L: FD: Special Conditions: Rev 03/ 2006 ENG: BLDG: r- — THIS INSTEt1.iMENTPREPAARFr) F: Name: t kZ1V Address: BOY, 1 Lonawoo . F1 32752 State of Florida SEMINOLE COUNTY FLORIUA'S NATURAL CHOICE NOTICE OF COMMENCEMENT CERTIFIED CON MARYANN.. MOIL OE .CIR UIT' C D E P 01 Lr_RVI ." FED 2 , ` 2008 Permit Number Parcel ID Number (PID) 2 6 -1 9 - 3 0 - 5 01 - 0 0 0 0 - 01" 2A_ 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 description of the property and street address if available) 311 Belle Ave Sanford, FL 32 /773 GENERAL DESCRIPTION OF IMPROVEMENT REROOF t toot to It to Mal 1t Doi O M N oYi I IN 01 Hill 111111111111111111 MARYANNE MORSF_ C.IERK OF CIRCUIT COURT SFP9INOLE cauNTY OWNER INFORMATION BK 01940 Pq 0269; Qpq) Name and address: Claudette Behrens CLERK'S # 2008023958 06 Lakeview Ave LA e MAry, l208 10:24:34 All 0. 00 CgNTRACTOR RECORDED BY G Harford me and address: PILCHER ROOFING INC P n BOX 5120177 T.ongwood, FL 32752 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(i)(b), Florida Statutes. Name and address: In addition to himself, Owner Designates of 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 i year from date of recording unless a different date is specified. WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713A3, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF SEMINOLE Lj OWNERS SIGNATURE OWNERS PRINTED NAME NOTE: Per Florida Statute 713.13(i) (9). owner must sign...... and no one else may be permitted to sign In his or her stead." The foregoing instrument was acknowledged jbefore me this J/ day of EC c v , e 20 0 9 by L.' Cf V I-/r -H E w G S Who is personally known to me Name of person making statement I type of identification produced ORwhohasproducedidentification [- ttiL..c-c '— , Marguerite In"0116fe My Conxnission DD34063, VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. `1 , Expires AugWt 23, = UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE T UE TO THE BEST OF MY KNOWLEDGE AND BELIEF. SIGNATURE OF NATURAL PERSON SIGNING ABOVE Notary Signature M r _, LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 2-28-08 I hereby name and appoint: NANCY A BARNES an agent of: PILCHER ROOFING, INC Name of Company) to be my lawful attorney -in -fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): ff All permits and applications submitted by this contractor. El The specific permit and application for work located at: Street Address) Expiration Date for This Limited Power of Attorney: 2 _ 2 0 0 9 License Holder Name: Steve A Barnes State License Number: C3 9 8 3 Signature of License Holder:CC0 ' Ic'. STATE OF FLORIDA COUNTY OF Se,,vN 1 et o Lc - The foregoing instrument was acknowledged before me this V day of ' - e,, f , 2009 , by 64-c v-e. A, 6 car .1 S who is 9'personally known to me or who has produced as identification and who did (did not) take an oath. Signature Notary Seal) i-'-ri a J . Cotes-v cin PATRICIA J. COLEM,^ COMM# DDOn-6567 a4 zf+z Expires 2/151Z013 Bonded mru (eoo)4-,2-.A2 aa u Florida Notary Assn , !•r ia...n..wn...........................'.... Print or type name Notary Public - State of F /"(j 6 - Commission No. D D 0 3c1- 6 S[o 7 My Commission Expires: a- 1s a oo q Rev. 3/27/07) J