HomeMy WebLinkAbout1100 Oak Ave 05-495 RoofI-
XCratLv
Job Address:
Description of Work,
le forii: District:
D Ate,
Zoning, Valt;c of ;York: ST—
Permit Type: nuilding 21cc(rical
c Or Service Tcurpor`.try Pole
r,jectetC.,tt: Now Service —6 of AMPS Additioil/Alter'16011 Chan,
I lq 0 1; anical: acsiclentia New &-rncrty
Plumbing/ New Commorchl; I/ of of WVatar LS- Scvnr L;i,,cs_ 8 Of Gas Lille'
plunlblllrNcw Residential- 0 or Vr atcr closcls cSi(
lailti-.11 or Coirancreial i
00upaney'
rype: Resklcntial.2 commercial II)(11I.-'IriAI — 'I'otti of
Stories; / v or Dwelling 'Units:Plood Zone: (rlrlyfA for X) Constructioif
Tyne: 1/0 Parcel
tJ: (mtgot
1'rooror oNynersioi2 t Legal Description) Ic--
kJ /22:> Owners
Name & Addres" cositractor
Ntinsia S4"Addtic": 3Z'
I'T 11
1
hall .
0 It., r.w. Coola0l Per-iols, Bondis
I'". CoMparly: xortan:
e Lenderi A
dams'. I'
livile: L
AddreSS: ......... .
Application
is hereby irodc to obtain a pcon;t to do the Nvork and instl(lition, is indicated. I certify (juit, no work or installation h-A coj jjncnumi prior it, the itsuaiiecofpermitandthatalltVorkWillheiserfornvdtoirtctItIndMISofaftlawsreeulatitigC0,11IMIttion in this jurisdiction. t t:tj&,mt-.nd that I -.cpamtc peftit
trust be seturad for r-UCTMCAL W0IU' . I
PLUMBING, SIGNS, WELLS, POOLS, r-UI-,NACr-S, BOIIAIMS. HTITA'I*rilLS, TANk-'3,%tId AM.
COINOITIONEMS, etc. O\
V'S 11-11 VIT: I certify that all or Forcto;6r. inforn-olion is accurate 1111d that -,III vjotl, %vill be done in compliance wich loll appIlL,11311; lay.!A NI',' I' A.Y NIO 10TICE0i'COMMV-NCj:Mn4T MAY ju-sui,'r t.N YOU rrpplxtiny
CQn*
IiucI;on,and?oninr., WARNING TO OVINLr,: Y01,11Z PAILU' RG TO RECORD A I Twice
mit impizovi-mr.t47's -ro youR iowpr,,jtj'y. Jr. YOU INTEND TO o41',\N r-rNAXCING, CONSULX WITH, so YOUR
1,131 DI:It 0 AN A-
rromny nuou. Rr.cOjtt)jN(j youi-, Noi-iCC- Or CO-M4A,--mCr-,M1D4'r, III
addilioll to the or 111i., pvonll. Illcre 111:1Y 1*!1(.I(I;Ii411Ial I'wnl;clioli i1ppli(";0)lt to thi, lsrojwIV Iit.-It way he roun(l ;is the public: rixordi o(' this counly,
and there svuly 1)Untl(litiotial periolf!; rcqo;rLd 1)0)Le j;0%TI'IIM(:t1UI SOCII it!: ,"IC( t":" lag(: 11Ic t (11. (Axle.: Its verification (
I ill ow y the 0"'Ilcf Of Iiie 11,10I)C11y Of [lie rC(!"nrI.21 L'.'aw,
Acceptance Ot
uitdY, IKI V 1;
Si Of 011trict forinto siv/
cc t -Nat I' 4111 1/vkSig; FLORENCE
A.
DE GRAVE MY COMMISSION #
DO 164280 Is' NIC
a!'I id
RTdgetNota ry Services APPIACATION Al'
I'l(OVI"'D Ily: Illd!;' 7,n,ti ` tl t;,;:i;:.:.<:-----•.,_—___....,, 'I ' __—y, Omvl
Clwal
iblL!) (Im COMMisSionD 1299332 NOWfy
Fubft - Calift)
mia C-.'t4w it v Inya county MY
COMM Bqpims
Apr 1. 2005 Ed Wd00:20
POOE SIE -.100 2226022L0V : *ON 3NOHJ ! joo, l000-pd./aziou'einsu 1 —61-11 1 aa,> : Woad
POWER OF ATTORNEY
Date: I I12Iq 6
I, Andrew J . (Andy) Adcock do hereby authorize Ruben Birch
To pull the R e r o o f permit for ) I 0 0 ShiC F Y S F fz% . 37-7 -i I
type of permit) (address)
0
rar Linda A Keeling
My Commission DD35NN
Expires December09,
No Ary Stamp
CPeonally :kn.wn me or driver lice se # , of State of Florida, County of
c day of a d CM i3E(2, , 2004.
r---.....,....... _ __. ._.__......
KYt IUNt p )R f.. CLERK
68
OF CIKt.11i CWRT
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es'llait fo: - - REglti>aEn HY 9 O'Kelley
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to 11j,11sci•C or IiUr ti; O r;11Lr cl:.ss tlares +,o r` c
to l iclzos"'s I loCicc ;1: pro ya ca xis ScGtio t j Xs ll:
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or ;101t'1,11c(1) :1„c1 ccco MICHELU Commiss' k
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