HomeMy WebLinkAbout309 Dogwood Dr (2)Job Address: -770� ;)0SOD
Description of Wot-la 1 �i✓ 2oa F
Historic District: 'bolting: _
CITY OF SANFOUT) 1'I;tulil'I• Al'1'I,I(.:A 1. WIN!. •• s ,
... i,.
D'itc:
les S1 f
Value of Work: S —J a ZZ) -
t
Permit Type: Building Electrical Mechanical PluntUing Fire Sprinkler/Alarm Po41•_.___
Electrical: New Service — ff of MAPS Addition/Alteration Change of service Tcrnpoc,iry Polc
Mechanical: Residential'_ Non -'Residential Replacement New (Duel Layout S rncrgy Ch1G, Required)
Plumbing/ New COltttliet•eial: 11 of FiXtUm'. 11 of Water & Sewer Lincs fl of Gas Lincs
Plumbinr/Nciv Residential: i! of W,,atcr Closets PlnntUing ltcpair— I:csidcntial or Commercial _ ,_�_
Occupancy Type: Residential Commercial — Industrial 'l'otal Square Footare:
Construction Tyne: — /f of Stories: fl of Divellinr Uni(s; Mood Zone: (FT NfA form required for other thzn X)
Pnrccl f/: �/j y,� (Alcach 1'r•oof of owllcrsiri� I_c; al Dc C111) toil /t
Owncrs Nanic & Address: A �— �E ✓` 2D�����b o���~ ��-�-•j(�s
L�l o -7 -
—r�z—I--I �i 1/ �J rlt�t,�: _T 3 Z 3 — --50-
Contractor Name S -`Address: ^`�� Co CifD 0 r i `�— p _.—.....__......_....._
�o o
P--)F0�� L l -3;Z-7-7L State License
1'hoitc C Fax: 72� D — ��J3 Contact Person: _ V Nom`
Cot✓ _I'l,one:D %-3zZrj �5
Address: - - ---
,lddress:
Architeci/Er inccr: — —
Et
lax: __...-----._.._._.__ ............ .........
Address:
Application is hereby trade to obtain a permit to do the work and installations as indicalcd. 1 ccrify that no work or instalL•uion has corurtencui priui u, the
issuance of a pcmtit and that all work will be perfomicd to meet standards of all laws regulating construction in this jurisdiction. I understand that a scpantc
permit most be secured for ELECTRICAL WOPJ', PLUMBING, SIGNS, WELLS, 11001_S, f•UI:NACr:S. I3011-,1:I'S, HEATf_R.S, TANKS, and
AIR CONDITIONERS, ctc.
OWNER'S AFFIDAVIT'. I certify tli:u all of the fercroing infornt.•ttion is accurate :Ind that all wort: will be done in compliance with all applicable. Ltw. rrl tdaeting
construction and coning. WARNING TO OP/NEI:: YOUi% rAiwmG *('0 RECORD A NOTICE OF COMMENCE1v1ENT IMAY P SU1:r 1:11!'I'M R. PAYMG
TWICE- FOR IMPROVEMENTS'r0 YOUR I'ROI'ERIY. IF YOU INl'IiND'1'O OBTATN FCNANCING, CONsu r WITH YOUR LEND1311 OR AN
ATTORNEY BEFORIi RECORDING YOUP,NOTICE OFCOm.mc-•NCE:VtEN'r.
In addition to the requircnua,is of this pennil, lhcre may be additional ie;tricliuns applicaltle to Illi:: property that ntay be loontl in lhr, public rccordi of
this county, and there may be additional permits required from whcr I; t%,crntnental entities such a:: water maimr.l. :nt tlisu ets; sla(r. al;cncue:, ur ':doral al;c teres.
Acccptancc of perrnil is vcrific:Uion that I ,vitt notify !hc ot:r.cr of Lit propci;y of the rcquircnu•nts Flo a Lien hrn•, F'' 3.
s -z -Or ----�
Si -t tlure o1'Utvttcr/Arent U:uc S t a on elor/Arent/! ` Uatc
/; / / 3
Print U %n cr/A jellt's Namy/
Si!:natire ol'tyotary-Stale 10 I' I'
,���..�•*.,, DAFNEY FgYE ADCOCK
t' NOTARY PUBLIC, $TATE OF FLORIDA
t '� uptY Cotnmca+in�lo to`�? �`
tcctl IU ����' T1�99� •
`1
AV'1'l-WATION API'IiOVI U 11Y: Illdy'.:
tlntU:t! S: IY.:Sei
specia! l oni!itionS:
('rim COnit'aCIOf:\t;cttt':lNan1C r `�
S tat0i'"1 e
DEBBIE BLANTON
MY COMMISSION # DD 188491
l^a EXPIRES: Febmjry?g,
('nn;:acutr/A +%'Joh ex.�!nt�r::on:ai: I•, no wt t 1>'41��
FUNOIcvy Discount Assoc. Co.
(Initial & I.)atei
665`0 - 00 6 -$-q- z/ �'�
(bti;i;tl .: Uatel (Initial &- Uad
--"-7
q
POWER OF A EY
V.11
j
Date- 10 g
r,
Andrew J. (Andy) Adcock
do h6�
?,��',,'�Uthorize
Ruben Birch
II
To pull the Reroof
permit for
0�
op W6 0
(type of permit)
(add - ss)
Signature
I
0
D4NEY FAYE ADCOCK
NOTARY PLISLIC, STATE OF FLORIDA
MY Comm. Expires DEC. 2, 2008
GOMMI 0 DDS76609
(Is
4s
0 tarV
Stamp
Personall o me or driver license#
of tate of Florida, County of
S
day of
AFFIDAVIT
COMPANY: ���� 0 0 1 NG LICENSE N0: CIBC. D `ZZ�b C
PROJECT' INFORMATION
SUBDIVISION:
PERMIT NO:
ADDRESS:
LOT:
j
i
1, affiant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of the foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address/lot has
beentinstalled in accordance with all applicable codes and standards.
CONTRACTOR:
STATE OF FLO A
COUNTY OF Piyvto
This in trument was aqknowledged before me this 4" -day of t Zoe G by the above referenced
individual, ? D (�� who a knowledged that sh is a duly licenseii contractor with
6f4 and who acknowledged that he/she was authorized to execute this document. He/she is
either persona k own to me i/ or produced as valid identification.
WITNESS my hand and official seal this �" day of Z op
`p unurri 4 Notary ub -
,''4 DAFNEY FAYE ADCOCK
�G
NOTARY PUBLIC, STATE OF FLORIDA
MY Comm, Expires DEC. 2, 2008 Printed Name:
COMM. # OD376609 My Commission Expires: i'z. o0
�l NOTICE OF COMMENCEMENT
d al- State of Florida County of Seminole
Qiv� d� hermit No. Tax Folio No. (PID)
T' le undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
` 7 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of thS Woperty and street address)
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
CE FIED COPY
MARYANNE MOMSE
'I
= n -OP CIRCUIT COURT
MIKYLEIG4JUNTY, FLORIDA
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER;(IF OTHER THAN OWNER)
CONTRACTOR
Namfand addres e UO.ie—"
SURETY (Bonding Company)
Name and address
t , .g LLERK_ CIRCUIT C"T
Amount of Bond
BK 05712 FOS 1652
LENDER CLERK'S # :_'tt'ts a 4036
Name and address REWRI) D W0 1 5 09104103 AN
RRIMNI)IN3- FEES'
REC LADED BY L McKinley
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
«*:ssssss*ss«sss«ssss.sssss*sss#ssssssssssssssssssssssssss,�ss.s#ssssssss#s*s«s*s:sssssss**+«
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.
rtrt*#rtrt«s#**#s*s###s#s*s#s##*ss*rts*#**##*s*#ss#«##*rt#s##rt*###*##*««««#««*««««««**«+««««#+s*#*
Expiration Date of Notice of Commencement
(The expiration date is 1 year from date of recordine unlcce a diffemnt dare k crx�if m..)
zd��
DAFNEY FAYE ADCOCK ' Si ature of Owner
�*
NOTARY PUBLIC, STA OF FLORIDA p
MY Com . Expires EC. 2, 2008 N`
S ' d s q'tl gpe thi Day of -1� 1-9` Z�
My Commission Expires: Z Z
20o S
The fore go* instrument was cknowledged bef re me this day of
A t– �b �� � , c� iZ�-�. �� . (name of on acknowledge , w o is personally known to
me or who has prod,}[ ced L-tCr-0D(D- T type of identification) as identification
and who did !did not take an oath -d ) .. 0