The URL can be used to link to this page

Home My WebLink About508 Grandview Ave+\ i M CITY bps Permit AN)FOO 1PXRMIT APPLICATION # :1� Job Address: Odate: Description of Work; /2 - Historic District: Zoning: Value of Work- S -72-60, U O rerrnitType- Building�Electrical - M tticaR Plumbing__Electrical: Fit -e Sprinkler/AlarmElectrical: New Service - # of AM)'S °° Addition/Alteration _ Change of Service T empot'aiy Pole Mechanical, Residential Non -Residential -�- -- Replacement New �. (Duct layout & Energy C3lq- Required) Plumbing/ New Commercial: # of Fixtures # of Water &Sewer Line,S # of Gas Lines _ _ 11.1 Plumbing/New Residential: # of Water Closets —___ — Plumbing Repair- Residential or Commercial Occupancy Type: Residential _✓ _ Commercial Industrial Total Square Footage: Construction Tyne: # of Stories: - • # of dwelling Units: _ Flood Zone: (FEMA form required for other than x) Parcel N: X1-19- 3i -$>I -0000 -io Sd —•—•-- (Attach Proof of Ownership &Legal Description) Owners Name & Address:- /--"646l2 _P T �'i2l /,q(� ��o 411A.INVI C ,¢ 1/1t-7 Phone: -167 -321-7VZ"/Z. Contractor Name &" Address: %kAl _/-?O --lA _6 A/ER� �/�� nJ -6 inlC- �i2 5. S_ �l - 6-. o - - — - — ---_.E�L�EiL�.lL 3Z3 State License Number: , !o $ Phone & Fax: 32/_ L, -b Contact Person: M/KF Phone: _32 Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: .address: 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 prior io tltc issuance of a permit and that all work will be performed to meet standards of all laws regulating comstmetion 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 AFFIDAV IT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable i< v: r, rr.7;utating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT• 1N YOB T, PAYIING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WrI'EI YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requirements of this permit, there may be additional restrictidns 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 tranag--meet districts, state agenrs+s, ar Cr(Jeral agencies. AcceptancAign rmit is verificat n a Britt no fy th ne a property of the requirements of Florida len Law, FS 7 i 3- q ure o Own /Age t Date Signature of C. tractor/Agent Date Print OT /Ag nt's N me Print ContractorrAgent`s Name Signature of Notary -State of Florida Date PUrl of Na' at ` load wm, Dp{GAN B. VANDEN BRINK Notary Public - State of Florida E My Commissia- Fps Aug 5,2M 'sg - Commission 0 OD113009 0%vncnAaent is Personal` noon io-NIle or Co:tiracior AL,,: is i'etsona6k Krcw,gg r cgonded By National Notary Assn- Ptoduccd 'MRK 6ErtLt,JSlLI __.__. PIcIJU�+ ,J 4Notary Pjb!irtateof Florida s June 27, 2006\Pi'LIC:\ TION A1'YIZOVI U l31'. 13cL iz1hAII`__.._____FDi:uaa d ate) -(Initial Late) (Irrual S Da,:.. lbnditions: _.._... __...----... 6,% REGARI?ING ROOF DRY -IN AND FLASHINGS INSPECTIONS. ntWmAyt r COMPANY: Gc=.�%t7�r r r��/r i.�T` ��' LICENSE NO: Ile PROJWF INFORMATION St)BD VISION- /So 5�= i- - ; T� ADDRESS: 50 S5 ,j' LOT: %L> r. �: •G/l�%� affiant, hereb affirm that I am tf�e Wit, that an of the for y duty licensed oontraaor e£ record for the above rcfe�rlence foregoing information is uric and accurate, and that the dry -in, ilastiings at the above rued address/tot has been instal ed in accordance with all applicable codes and standards. CONTRACTORae name). STATE OF I-WRIDA COUNTY OF ,,,%h'Id__ ;bis instiumera was acfcnowtedged before me tftis,L) day of 2005 . by the above referenced ir�dvidaal, - ryii� bar f n i �e' , who, adus wkdged #tett to fshe is a duly licensor cowna" with Agw Ab and who actmowkdged that helshe was authorized to execute this document. He/she is Other natty known to of produced _as valid identificatiort and official seal this 2 � �tay of� �lt�� _ . .�4� ,_ _ Nc►t�y tip / j� � Pirated Name. _ n ALato' sir a My Couniussicwn Ex res: MQQAN B. VANDEN BRINK Notary Public - Std d Florida 5 2006 PAY Commission E 'ug g Commission 0 DD113009 '1,Cw Bonded By National Notary Assn. r Permit Number Parcel Identification Number. 31'19'51-X11-6060-1460 Prepared by: (9,�Rlr U)RLL,4e 3�iZ s SArJFo,eZ)Air Return to: NOTICE OF COMMENCEMENT State ofLDILi 17f{......_....... County o' ,5EWj wLE MARYANNE MORSE, CI_ERR OF CIRCUIT COURT SEMINOLE CtIl1I,iTY AK 05732 FIG 114r, CLERK'S #t 2005083302 RECORDED W1912M 81123119 pH RECORDING FEES 1G.* RECORDED BY L McKinley The undersigned hereby gives notice that improvement(s) 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. 1. Description of property (legal desrrintion of the property, and street address if availahla) 31-19-3l-511-oar�a-1D5a SOS ,W"qv�T /67XAru�bmtl 2. General description of improvement(s1 --.............. .... 12�- iZovF, S>-fiN�71.b5 3. Owner Intormatron Name `rQOC7Ei2V.47k'(C/fF DazJe,►fTy 32 / -Z129 Telephone Number Address:509(j(?M10U1&-4) AVE Fax Number qo-4-330' 194G 4. SAtjp6jZtt, FL. 32'771 Interest in Property::, Fee Simple Title Holder (if other than owner shown above) Name Telephone Number Address .: Fax Number 5. Contractor fWL14.(e,4td '?IoCi=r,Jt, Name 4LR0PA 'bV�i11 WAw"r-C),)HJCe 'Ne- Telephone Number SIN' Address.5''112 _S SAhf P09 -b AVE Fax Number yob 302- yds / SAN�o�t�, GL 32.93 Surety (if any) Name Telephone Number Address . Fax Number Amount of bond $ 7. Lender (if any) Name - Telephone Number Address......__ Fax Number CERTIFIED COPY MARYANNE,MORSE CLERK OFIRCUIT COURT SEMINOI,4 RUNTY. FLORIDA — DMIV CLERK 8. Persons within the state of Fiorida designated by Omer upon whom notices or other documents may be served as provided by §713.13(1)(a)7., Florida Statutes, Name Telephone Number Address ... - Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b); Florida Statutes. Name Telephone Number Address. Fax Number ............- ......... .............. ........ ..... ... .. ........ 10. Expiration date of notice of commencement (the iration date is one year from the date f cordina unless a different date is specified): Date Signed "Slgn�a Owner Not . r7 13 § 1 ()(g), ' caner must sign ...and no one else may permitted to sign in his or her stead." Sw917 to and su beere me this day of e by �ridfo , - - p.... — `�' _. who is r as identification. Form Revised: 3/90 to me OR . Signature of Notary ' PIOt-9ry pfl- ?G, Si"ate Of Frn'd My comm, rpires June 27, 2006 GD 129465 seal to appear below) 11M AA] W n9 2005