102 Garden Ct - BR08-001174 (REROOF) DOCUMENTSCITY OF SANFORD PERMIT APPLICATION
Application #L, % Submittal Date'
Job Address: .1o.2 4 .t /r C / -7- ,
t
Value of Work:
Parcel ID: Zoning: Historic District: {G
Description of Work: 1-h 6 P fg Aa J Square Footage:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Sign
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 Commercial 0
Occupancy Type: Residential Ef Commercial Industrial Occupancy Use Group(s):
Construction Type: 0 d I # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Property Owner: '74 14 ;1Contractor: r Contractor:
Address: J62 ili6fc(A 4 (%r,
Address: Ygo G
S,AH fake=/,. .2 2 y 71 , raA J- or/,
Phone: E-mail: Phoney ,T21 9.fStstate License Number:
Bonding Company: it /
IV
Address:
Architect/Engineer:
Address:
Mortgage Lender:
Address:
Phone:
Fax:
Plan Review Contact Person: Phone: Fax: E-mail:
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, eta
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. 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 RECORDING YOUR
NOTICEOF 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 n
G-
lr'WA
gna re of
Owner1), a(Arte
Print Owner/Agent's Name
i ature of Notary-Statt o
is verification that IMAM notify the owner of the prop t ;uirement.oFlorida Lien v, FS 713.
Da --tet ignature of Contractor/Agent Date
De-, vl;l,OA) 3 ` % t ..tttlllll/l1r,.
Owner/Agent is Perso all Known to Me or
Produced ID
APPROVALS: ZONING: UTIL:
Special Conditions:
Rev 07.07
Print Conor/Agent's Nart a° " le , Utz
l
9' 1
DattyVONNEHOWELL Signatu of Notary-State f'Flori;J3 o3'y 76 ',PaY'rsy
Notary Public - State of Florida
Commission Expires Oct 23, 2009 (
n
d
Commission; # DD 471991
Contractor/Agent is
Produced ID
FD: ENG: BLDG:
ii69?.o6
r
LIMITED POWER OF ATTORNEY
Altamonte Springs, CasselberrY, ,Lake Mary, Longwood, Sanford
Seminole County, Winter Springs
Date:'' • 0
I hereby. name and appoint: V ¢ ! k'6 4
an agent of,
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):
All permits and applications submitted by this contractor.
The specific permit and app lication for work,1 Gated a
JJI G c c ,rah )ate/ /' 'Tz >>
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name h all, -i F r o,
State License Number: (' (' O Z 2f O
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF 64.41 i /JdlEi
The foregoing instrume t was ac owledged before me this % day of 7;2t--,;.
200 , by L'4 C DC/E' who is o personally known
to me or c who has prod ced 0-e rESa y-)ct / N Kr) (juin as
identification and who did (did not) take an oath.
Notary Seal)
1p.•+4. T
ss les ,.
YVONNE HOWELL
Ndary Public - State of Florida
i 1y t.c imission Expires Oct 23, 2009
Commission # DD 471991
Rev. 3/27/07)
Print or type name
Notary Public - State of r-rTC%
Commission No.
My Commission Expires: 10'Z3--0 9
THIS i RUMENT PREPARE BY: MARYANNE NURSE,LLEitlt UP CXkCUt f GUtJit7
Name: <o G — ro wJ SEIINSLE CixlNir'
Address: 0695 2 Pg k"1871 Qpg)
7.SEMINOLE COUN E RK 1 S # 208031309
State Of FIorI & FLORIDA'S NAT URAL CHOI 00 03//812008 10S24ta AN
RDING FEES 10.tu3
REl~'iRDED BY r Seith
NOTICE OF COMMENCEMENT
Permit Number Parcel ID Number (PID) -3- F-
The. undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 7' Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPER (Legal description, of the property and street address if available) Ut`MED=:COP1
EYANNE .MORS..
CL tC :I Ci tltT e0
SE, 0 C t
GENERAL DESCRIPTION OF IMPROVEMENTS s
OWNER INFORMATION
Name and address:."..x. 1%.v My ,A/ % 7,
2Z)-7
CONTRACTOR
rr
Name and address: GGD N Yd
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as providedbySection713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes. ro receive a copy of the Lienor's Notice as Provided in
Expiration Date of Notice of Commencement:
The expiration date is 1 year from date of recording unless a different date is specified.
of
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE 0COMMENCEMENTARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.1, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS TO YOUR PROPERTY., NOTICE OF COMMENCEMENT. MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRSINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT.
ST E OF FLORIDA
COUNTY OF SEMINOLE
c t t'r le 17 Q el t A)i S c N RS SIGNA E OWNERS PRINTED NAMENOTE: Per FI ri a Statute 713.13(1) (g), owner must sign...... and no one else may be permitted to sign in his or her stead."
The foregoing instrument was acknowledged before me this day of 20G)
r
byh 2 Who is personally known to meNameofpersonmakingstatement
OR who has produced identific tion ± type of identification produced
PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN ITARETRUETOTHEBESTOFMYKNOWLEDGEANDBELIEF.
L_CXLkr-0, o len Yl tibor
SIGNATURE OF NATURAL PERSON SIGNING ABOVE o
P"" YVONNE HOWELL
Notary Public - State of Florida
My Commission Expires Oct 23, 2009
Commission # 0 471991
RE; Permit # 0-
Inspection Affidavit
I,licensed as a(n)ConW68 r* /Engineer/Architect,
please print name and circle Lic. Type) FSBuilding Inspector*
License #; C( C U Z 21' d
On or about
Date & time)
deck nailing and/or secondary water barrier
circle one)
T T. Saz, / 1/0 y/ / , ? Z 7 7
I did personally inspect the roo
work at a 7i v/'!%W /.. ,
Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigatio etrofit Manual'(Based on 553.844 F.S.)
Signatu
STATE OF FLORIDA
COUNTY OF f no fir
Sworn to and subscribed before me this day of Pj 200
ByLr)44 Aal C o G
YVO NE HOWELL tary Public, Stat of Florida
Jan.° : Notary Public - State of Florida
ar My Commission Expires Oct 23, 2009 OO/lWe—
gF F qa Commission # DD 471991 (Print, type or stamp name)
CommisslonNo..
Personally known or
Produced Identification .
Type of identification produced.
General, Building, Residential, or Roofing. Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit* or address # clearly shown marked on the
deck for each inspection.
RE: Permit # 0 - It 74
Inspection Affidavit
I C*' - / elca& I ,licensed as a(n) Conact r* /Engineer/Architect,
please print name and circle Lic. Type) FS 468 Building Inspector*
License #; (!(CO -7 2 l d/
On or about -./% 2` , I did personally inspect the roof_.
Date & time)
deck nailing andlor secondary water barrier work at ? L
circle one) / (Job Site Address)
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigatio etrofit Manual (Based on 553.844 F.S.)
Signa
STATE OF FLORIDA
COUNTY OF e-)0
Sworn to and subscribed before me this day of 200Y
B f c 0 c/6By
Public, Stat of Floridaai• s•• YVO NE HOWELL
Nota Public - State of Florida '
My Commission Expires Oct 23, 2009
OF Commission # DD 471991 Pnnt, type or stamp name) /
Commission No.:
Personally knownor
Produced Identification
Type of identification produced.
General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection.
i