HomeMy WebLinkAbout314 Hidden Lake Dr 05-448 RoofCr`[YOrsANholwPlst:htrC,lt•1•LtC;,.,1t,.c ... r2 + _ r
Date. `
Pcrinit /f :
Job Address:
fir 2oa FDescriptionofVYotI(.
Historic District: Lolling: Value of Work: S
Permit Type: Building Electrical Mcchanir-A Plumbing Fire Sprinkler/Alarm Pogl•__^
Electrical:New Service —11 of AMPS Addition%Alteration Change of Service TcmpoO,lry Pole
Mechanical: Residential Non -Residential Replacement New (Duct LayouL C I;nerSy Ca1G_ Require(1)
Plumbinr/ Nciv Commercial: 11 oCFixtures I1 of Vhtcr & Sewer Lincs 11 of Gas Lines
Plumbinr/New Residential: f1 of W.,atcr Closets plumbing 1'.epair— Residential or Commercial __•---__
Occupancy Type: Residential Commercial _ industrial Total Square Footage:
Construction Type: # of Stories: 11 of Dwelling Units: Flood 'Lone: (FEMA form required for outer thsn X)
9GVf1'1.:!!\ S'.:•:'.'_Y CST::.^7N1^!!.'f!.
Pnrcel Ih (
Attach Proof of Owncrship F. Legal Description)
Owners Namc & Address:
p!_ICq -
37
Contractor Namc &'Address: Ar7) 0 0 0
00 C-iz e A J(fk{,3 no l -j27-1 ,L( S::tte Liccns`e N umhr.r.
1'honc & •ax: i L
Y'•
Bonding Company:
Address:
torq a e Lender: _
Address:
Architect/Gnginccr:
Address
Application is hereby made to obtain a permit to do the work and installations as indicated. i certify that no work or installation has commenced1)1-icn- to theissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a SeparatepermitmustbesecuredforELECTRICALWORTC, PLUMBING_,.SIGNS, WELLS. POOLS, FURNACES, BOiLERS. I-IEATERS,1'ANKS, and
AIRCONDITIONERS, etc. OWNER'
S AFFIDAVIT: I certify that all of the foregoing infomvlt on,.is accurate and that all work will be done in complinnce whit all applicahic. laws rrl;r (NG
construction
and zoning. WAP.NING TO OWNER: YOUP, FAILUILE'r0 RECORD A NOTICE OF COMMENCEMENT MAY P.L•SUi:r IN YOUI:.I",'(NG TWICE
FOR IMPROVEMENTS TO YOUR PR0PEItTy. IF YOU INTEND *rO OB'I'ATN FNANCiNG, CONSULT W ITI-I YOUR [.ENDER OR AN A170RNFY
BEFORE RECORDING YOUR NOTICE OF COMI.4ENCEMENT. In-
Idditioll to the requirenu:nt:: of dui:; pennil, there ntay be additional is:ar.ctiunS applicable to dtis property that stay be fount) in lhr, public recordi of this
county, and titer • if ty be additional permits required from other governmCnl;ti cntitic.,; such ;t5 waier management districts, slalc: al;cnr...tea:, m. tixleral ng.olcies. Acceptance
o •petit is ver' at' if ill t i twill notify, the ov r of lire prapct;y of the rcquircmr-n' i'tor ten iaty, FS ` G,
le Si;
nalureo tester/Agent Da;c . / Stc;t ire of Contractor/Aecnl U:ue Print
t r/Agenl•, :title / ff
Print
Contactor :\_;ear's Namc tnaauue
of 'tally late o lorid;t L )arc/ Si!a::nut o ticue c Lf oor ioirl0 ®®ifl 2Ua e MYC
Nltfta 25,2Q9- jp+ --'
Linda eeling EXPIRES: February n
FL Notary Dlaoount A-M15e0'°' My
Commission DD359M 1.800-3-NOTARY Ottner/
A, nt c; Pta'' iaR Rl@iFQ6tcarrtber499 0Q8 C'nn;;acts c:-. ±----- I'er:on:.i :%K11 tv,t to:,\tc or uducaf
ID (G/.. (h" Q% G - IYuduccc •:> :.._..-------...__ ..-•--•------ Al'
I'1_IC'A11ON APIT.OVI I) BY: 111(11;: rini;
ial2:: t) te) Special!
Condition..;: Initial ,'::
Date) n
fni;
i;tl llale) _ (Initial .. Ds! J
F_
1 N LAI `LkV c Uc t`1
C- ( State of Florida
3 ! Permit No.
t
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.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
31y t DE L14K T 2 t FD IZp ,r ( 327) I
COPY
RSEGENERALDESCRIPTIONOFIMPROVEMENTI' E 9Do F "
p
v r,' T COURT1i=Ru nr r o'Vi!r COURT
C6 r
FLORIDAVV1
OWNER INFORMATION
Name and address SL
31a ijt noI
Interest in property (Fee Sim,
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER•(IF OTHER THAN OWNER)
CONTRACTOR
Name and address kp 0 LK oe r[ IN
i ubo F0- ..-14W 1-_ 1z
SURETY (Bonding Company)
Name and address
CLERK
111111111111 11111111111111111110 1111111111 oil 1111111 Ili 11111 i 4HYIaNi ii hlell I,l
ERK t°ti= i•i•pWIT UUURT Amount of Bond SEKIN(II ," tdltlNTY
BK 05518 FIG 1 144 LENDER
CLERK'S # 20041 77G9E, Name
and address Rri.tJl1I)F(
I 13iI /[(M I1:R: Ali 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 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 1 Year
from date of recordine cm dill .nt are. k . ;firri. Signs of Owner Sworn and bsc '
d me this
Day of My Commission Expires: Id, Nota :ublic
The foregoing ins ent
as acknowledged
before me this day of -> Y S (rL (name of person acknowledged),
who is personally known to me or w o has pro
ce -9,41 (type of identification) as identification and who aid of oatli> v /-
O JaY Linda A Keeling A`, My
Commission;DD359999 a d Expires
December 09, 2008
r- .
POWER OF ATTORNEY
Date: ) ) d b
I, Andrew J. (Andy) Adcock do hereby authorize Ruben Birch
To pull the R e r o o f permit for 314 01
type of permit) S
address)
Si.Rnature
a' Linda A Keeling
My Commissidq DD359M
a n Expires December 09, 2008
No ry Stamp4
Personally known me or driver license # , of State of Florida, County of
day of /Ve U-M ,2004.