HomeMy WebLinkAbout1912 13 StFROM FAX NO. Feb:. 2d 2007 02.53P19 P1
,.
CM OF UNFORO PERI' 1T'#"L1CAT1ON
. C E IVE D
Appliestioa 11: ' Jy4, Submittal Date: 2
Job Addrexsr /3�" val„eorwerk; s .> ��(� . •- AR 0 9 2007
Parcel [D: Z 5' /?3o s'i4 /�d lose) 0 0,7+y 9 C _ ?:oniog: Historic District _
Description of Work: RLPLAC. ILL Vii.! l IN.bo (.:1).1r11t'ee . E .PA) (L, 5gttare Footage• P02CIA too tp
,111 T E D ilk n'1 b G L.Q...; j,().;: F i\J W DD . � . ... 6 C44- POYLC I- :. ........ ........................ .
Permit Type: Building Mom ical 0 Mcchtmical ❑ Plumbing ❑ Firc Sprinklcr/Ahem ❑ Pool ❑ Sign ❑
Eleetrieal: New Service — tt of AMPS AQdition/Altrration ❑ Change of service O Temporary Pole n
Mechanical: Rcsidentia) 0 Non -Residential ❑ Replaoaruant ❑ New ❑ (Dux Layout& Endrgy Calc. R,oquirod)
Ptambir4l New Commercial: k of Fixtures f of Water & Sewer L(nee # ofOas lines
FlombirrENew Residwatial: M of Watts Closets Plumbing Repair —Residential ❑ Cornmcrcial ❑
Oeeuparty Typo: Residential Cortturcreial ❑ Industrw ❑ 0eeupapcy Use Group($): _
ConstructionType: ( N of Stories: 0 yf DwrAint Units: Flood Zone; __ (YLMA fora rcgWrcd )
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YTuperty,0W?le/r: t31��9N ��-f+�tL(� Con trador1 �(! 6316 6 q
J`7 �% /C � �L �% Addresx l D e L -4y- r^ &-1 t ^J N ��rt_
AUAress: u 1
S 4.r.1 `cNt l) 'Fc. 3 Z*7: 3--
P mail: Pb6ttr40?-!jl ,,Z5-3State Litease Nurbber~ C r CUAU 6
Bonding Company: N •A Mortgage Lenders _jam _
Addrowy:
ArchitectlEnginter:
Addrass:
Pisa Review Gatact Ptrann:
Add rasa:
Phone: Fax:
Phooe;
Fax:
_ 1r. -Mail.
Aaplication is Ixrr by made to obtain a paarit tv do tho work card iasAsUatioas as indicrrxd. I certify that no worst or installation has mamwrcod prior to the
is=mco of a parcris and 9at.4 work will be perforntetl W asoet $tandurds Of all lows rcWstiny oonwuctioo In this 1wisdloden. I undcstand that a spay
Pon" must be &cured for ELECTRICAL WORK PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOiURS, HEATERS, TANKS, and
AIR CtNN0111ONF.RS, dc.
nWNE'R'S AFFMAV1T' I cerdV that all o1 the fortWng Inforizzation Is ttcmMe itad drat all work will be daze in camplW= whb all applicable laws rcguiaing
cor&n.oction and 20arV4. WARNING TO OWNER:, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWY'b FOR I.IPROVEMPM TO YOUR PROPERTY, iF YOU tNTRND TO OBTAIN FINANCING; CONSULT W rM YOUR L MER OR AN
ATTORNEY BEFORE RECOiRDWG YOUR NOTICE OF COMA WCEMR-IT.
HS2IIC
An addition loth# roquitowu of this permit, thorn may bo WW4;06el rostriatlou IPPI"blc to this property that may W foand in thio wA is r000rdt of
tlti.s oounty, and there 7uy be a"tkW.W Pmrdls uirod liom othur govwt mlWi enlitiae luoh a4 wu6r ma:mgonw u districts, staff a xtiat, or federal agencies,
Aueatsnw of wrrftoation that I ' aorify the owrw of the pmporty cd the requirwn r of E`kxida Lien (saw, FS 713.
�� D r -07 �—d-?- - 07
Signhaa.ofOwaeT/Abent Date urn otCOnlractor/Agcnt Dwe
Print Owrwr/Ag"'s Nuru
Sti P"# ofNotaryStata of Florida Data
OwncT/Ascm is _ Pcr onwly Known to Mc or
_ Nodwccd 1D
APPROVA1.5: Z9 NRNG: _ UTTL: _ Fu:
Speciol Coodhions:
Rev 02/7007
on tor/ is N
-9"-C�
Signature aC otary-State of Fiocida =rua
6290962011,>oc. Co.
Contractor/Agent is _ Pcr Known to Me or
_ Produced lU �����
f
i
NOTICE OF COMMENCEMENT
Permit No.� • `
Parcel ID: .5
State of Florida
County of Seminole
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.
I IN11111111iiiIla 11111411l11111111111111111111111e11l1111111111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06686 Pg 05841 Q pg i
CLERK" S # E'0070F,8579
RWIRDED 05/08J60007 1E:14:209 PN
RECORDING FEES 10.0
RECORDED BY T Smith
VERSIFIED %ORsE
NNE URT
AIR`! A CIRCUIS CA
.:�\rn11N1X1�/I.OR10
1. Description of property: (legal description of the property and street address if availab
2
Owner Name and address:
a.
a. Interest in property i 41-1 yt� CE/
b. Name and address of fee simple titleholder (if other than Owner)
4. Contractor Name and address:
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
VIM
Z--�/
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is 1 year from
%the date of recording unless a
date is specified)
Signature of Owner
Sworn to (or \a li jjj pli�� d subscribed before me this 7j,- day of KI 1. l , 20 �, by
ersono. z.
'Produced Identification
Type ((3 qq ation I od c
THIS INSTRUMENT /PREEPARED BY.
CD
/
ZZ.hAhiE
Signaturf iy l�zGl` `t€e of Florida ADDR.
CommissulrL��l';���'`Z, /--j . 3 -z-
/