HomeMy WebLinkAbout1305 W 2 St+: r
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Job Address: i30 �! W • �'d` �`
CITY Or SANFORD PEU-NIVI AITLLUAI IUVI r .
S ,
Date:
Description of Work: ��� V 00 (:�' I q S t '�- Mb Df `F
Historic District: Zoning: Valtic of Work: S
Permit Typc: Building I Icc(rical Mechanical Plumbing; hire Sprinkler/Alarm
Electrical: New Service — if orAMPS Addition/Altcrntion Change oCScrvicc Tcmpoc:iry Pole _,;.___•
Mcclianical: Residential _ Non'Rcsidential Repl:tccrt;crit Nev., (Duct Layout & energy C:;1C.Required)
Plutnbil)r/ New Conunercial: It of rixtures !1 of V,r:,ter & Sewer Lincs i! of Gas Lincs
Plumbing/Nciv i<csiticutial: If of Fater Closets I'luntbinr I'.cpair— Rcsidcnlial or Commercial
Occupancy Typc: Residential Commercial _ lndliStri;tl Total Squarc T'oolarc:
Construction Type: _ if of sinries: 11 of Dwellinr Units: Flood Zonc: (whirl fora, rcquircci fornttler C11 11 ".
Pared /h (Attach Proorof O::•n rship S, Legalcscripliot,)
1Wl 2Li • GZ L�S i �B-,n�
Otvncrs Name &•Address: 3oS � j
`1077- 3-Zl — QC)7h-_.
Conlraclor N:unc C"Address: _ n /�
SO ID C-ZL (y '(_ -- A J C S � D 1� _ C I 3z7_% L/�slate Licc11-C Nunn er: Gl�t1 o zz/arj
ConlnctVerson:-x-rr`..'(� CSO _I'honc: i%-3ZZ���✓g
rhonc c rax: — -- --
ITnndin, Compalt}t- ............
Address:
A-
Addres5:
_s. _._._..._.......__..........
.Arch itect/I:n�inccr; l_� � 1'honc: _._._....._.......... ....__..
I
Fax: __.......
Address.___._...._._._....:......_ ........_
Application is hereby made to obtain a permit to do the uorT:and installations :Is indic;llcd. i cerify that no wort: or in'tallation has contrrtcnced Prior to the
issuartce of a permit and that all -work will be performed to ,,eel standards or all laws rcphling consinrction in this jurisdiction. I understand that a Sep. - Ic
permit most be secured for ELL•CTRiCAL WORK. PLUMBING, SiGNS, WELT S, POOLS, r•UMACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S ArrIDAV l•1•: i ecrlify that all oC the foregoing inrorntalion is accurate and that all wor'r. will Uc done in compliance with all npplrc thh:. la:a rt.i;ulating
constn,clion and zoning. WARNING'r0 OWNER: YOUR rAiLUi%E *r0 RECORD A NOTICE OFCOMMENCE1vfENTMAY RESULT la !YOM: I'AYfNG
TWICE FOR TMPRQVEM,EN'iS TO_YOUR i'Rom7i:1'Y._IF YOU iN•rliND TO OBTAIN FINANCING, CONSUI-r %VITh1 YOUR LENDL•R OR AN
AT"i'ORNEY BrrOI,T REC01'-1)1NG YOUR NOTICE OF COM.mc-NCEMEN'r.
In addilion to lire rcquirenu.nt:: or this permil. Ihcrc ntay he addilinnal i,;:;triclions ;Ipplicable to Illi; propuly (h a It ,) I)e fo,nIII i,i Thr• public rccordi of
this county, and There maybe additional permit:: r'Ccguired from udtcr r; tvcrnlnenl;Ii cnlilic:; such us .vatcr managcntenl dt.,t,'icts, stat.. ,,j;cnr.iC::, pr federal agi-rtcie•.
AceeplancC of permitis verification that 1 ::•iii notify;hc onater o.r I opcl, of the rcduirei r- ,f i lot
ell hnv, r5 "
� '�—
Signature of U,:7ter/A utt Ua; it ' it • 1*,(' ntrtctor/ %rCI uc
i'ril Urn •r/Agent's ante ou���Z
'Nb� _' S�
it Ire I'Nowry talc r I-lori a — D:ue' St .n;nurc of i�.+::try.State of t•londa Date
„ ,,,�„. :a ” DEBBIE BLANTON
Nb AR PUeuCPAFNEY AYE �AopCOCK „
MY Co lo�uon to nE Sip #
f�lll,( R �,�R,;i(�QB;, to \ or C c,tt tel l �FEa Y A1C DD M91
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:\I'I'LIC:\PION
APPRO
I:U\ i..l) BY: Illdl
I Int;ial ?:: 1).at) !initial 0.11C)ilni:tal ,r< Dail) V (In+Ual
Jpeci:Il C,?nililion:::
POWER OF ATTORNEY
Date: 4 `1, D 6
I,
Andrew J. (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit for 0�. Li (. ov C> .
(type of permit) (address)
aa�,�wu�i DAFNEY FAYE-ADCOCK
NOTARY PUBLIC, STATE OF FLORIDA
' MY Comm. EXPIres DEC. 2, 2008 `
G, COMM, # DD376609
Stamp
Personally know o me or driver license # , of State of Florida, County of
day of ; =884.
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
AFFIDAVIT
COMPANY: LICENSE N0: l�C C� AZO
PROJECT INFORMATION
SUBDIVISION: ADDRESS: ( _IUG!
PERMIT NO: LOT:
I�-7t
o G/ ,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
beeii installed in accordance with all applicable codes and standards.
CONTRACTOR: A�G>1. qLac.,�_j
,,,(Printed n e)
L /
L -'/(Signa reV
STATE OF FLORIDA
COUNTY OF S&Y�LL4-oLQ__
This instrument was acknowledged before me this day of "Zbo S , by the above referenced
individual, �, L oC� ,who acknowledged that h hehe iicensed contractor with
&C- r~ L 0 rZ_� r� A , and who acknowledged that he/she was authorized to execute this document. He/she is
either known to me ✓ or produced as valid identification.
WITNESS my hand and official seal this day of _ Z6
DAFNEY FAYE ADCOCK Notary P blic
s+?` NOTARY PUBLIC, STATE OF FLORIDA
' MY Comm. Expires DEC. 2, 2008 Printed Name:
k, ,, COMM, 0 0037M My Commission Expires: +z1Z, -Z,co
p , Y�Oeod�6_ NOTICE OF COMMENCEMENT
State of Florida County of Seminole
Permit No. Tax Folio No. (PID)
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
S 713, Florida. Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal d crlptoof thqper�ty and street address)
30 ; '2^4 :>A. �
3Z —7-
LtRTW1VD COPY
GENERAL DESCRIPTION OF IMPROVEMENT F'- Oc cv.P4- MARYANNF MORSE
01-FRK OF CIRCUIT COURT
StWIMEE LollNTY. F ORIDA
i
BY tc
OWNER INFORMATION
Name and address
Wl,rzG . � v
o 2 -�� �-, �� 005
Interest in property (Fee Simple, Partnership, etc.) In >.,A yl.n r-*
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER -(IF OTHER THAN OWNER)
CONTRACTOR
Name and address
?'00 -
SURETY (Bonding Company)
Name and address ___
MARYANNF. 141*11:4 CLERK OF CIRCUIT COURT
Amount of Bond SEKIN0)1.E 171014ITY
BK 05712 FIS 1649
M,
LENDER CLERK" S # 2005iVi744t133
Name and address RECLIRIlO Mf[9ei POW iA iMilAR tt
RECCI€ DINE FEES 10-M
RRCODI««RY«L M* K:nleY«««««i«*
Persons within the State of Florida designated by Owner upon whom notice or other documents may -be served -as -provided
by Section 713.13(Ixa)7., Florida Statutes:
Name and address
In addition to himself, Owner designates
provided in Section 713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as
Expiration Date of Notice of Commencement
[She exniration date is I wear from date of recording unless adifferent datet is cnecifrA.1
DAFNEY SAYE AD UK � Q cQ��-SCA 2! s-
�� NAfAAY PUBLIC, OF F ORIDA
MY Comm. Expires L7EC. , 2008 ignature of
OOMMI # DD37 tN-
is Day of ✓o i9 Z eorj
My Commission Expires: rZ Z zvo
Nota u is
LfA_ z„c,
The foregoing instrument was c owledged before me this 1 day of v +9
l� o ✓ G (name of pejon acknowledg ), 01 onall kn to
me or who has produced (type of identification) as icTentification
and who did / did not take an oath>