HomeMy WebLinkAbout213 Lochlow Dr.. - CITY UI' SAI\1�Ut:U1'L• LCh1lt n1'1'1, tl.nlivr .....
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PCCiillt It: 7 Date: r:
.rob A: 1-css: Z 13 LD 04 L.D lu `T7� SSA -ns t='o-2(� F 1 3 27'7 �
Description of Work: �� 20o F s
i
Historic District: Zoning: Value of Work: S DO '
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm POQi•^-___-
Electrical: New Service — If of AMPS AdditionlAlteration Change of Service Tempor:lry Pole —,,-.___•
Mechanical: Residential Non -Residential Replacemcnt New (Duct Layout �C rncrEy CiiIG, Required)
Plumbing/ New Contlncrcial: f' of Fixtures ff of Vhter & Sewer Lincs tl of Gas Lines
Plumbing/NewResidential: it of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial industrial 'total Square rootage:
Construction Type: 11 of Stories: i1 of Ulvclling Units: Flood Zone: (Fryf,\ form required for oth.cr (II -.11X)
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Parcel #: (Attach Proof or Ownership & Legal Desct'iPtton)
Owners Name & Address: -
213 LD C,+4 (-D a-' —N? _ 4A'r' C -D FZ0 �_( 3L77 t Phone: 3Z 1— 3 7 7— goo ._._.. --
Contractor \Name &''Addrress:� `Ar%�DCK (?-0 O r t IJ
_ CAO o.. 1 �- Nom` tA J C-- -CI 3271 State License Number:
—
Contact Person:
Phone & Fax:
llonding (
Address:
Nlort ngc
Address:
Architccb
Address:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prim• Io the
I understand that it separate
issuance of a permit and that all work will be performed to nxet standards oCall la:vs regulating constntction in this jurisc!ictionpermit
permit must be secured for ELECTRICAL WORE, PLUM 1.3ING, SIGNS, WELLS, POOLS, FURNACES, BOILE=RS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFfIDAVI_r: 1 certify that all of the foregoing; inforntalion is accurate and that :til work will be done in compliance with :111 applicable. laws ret ulz:ting
construction and zoning. WARNING TO OWNER: YOU R rAiLURE'ro RECO RD A NOTiCG Ol. COMM GNC EM ENT MAY ITSULi 11 11'OUl::1'�,1'TNG
TWICE FOR TMi'ROVEMGNTS TO YOUR PRO1'GR'lY. IF YOU INTEND TO OBTATN FINANCING, CONSULT WITH YOUR LENDER OR AN
Arl'ORNGY BEFORE RECORDING YOUR NOTICE Or COMML'•NCEMEIJ'r.
In addition to the requinanents of this permit, Here maty be adrtition:11 restrictions :Ipplicable to this: property 01:11 111:1y be found in the public records of
this county, and there may be additional permits rcyuircd from other I;ovcrnmcntal entities suds as water manalcmcnt districts, slats. a};cncics, or fcdc.ral agrnctes.
I
Acceptance of permit is verification that i will notify the owner of the property of the rcquiret x• �-L-
Si;;nalurc ofOwncr/Agent D:1tc
Sic•nauncofConttctt/A};cnt D:ulr
Print Owner/ gent's N:lltt Fri Contractor:\!;cnt's Name
4L7 _ Date
Si • a'u't Notary-tiC1tc of I lori(a Dalt Si!n:: tore of No:an-St;ne nl Flonda
� Gladys Yvette Ramos ""� DEBBIE BLANTON
/ � Commission DD039324 0•'IY COI'+t 38SION.# PD 1884091
O:vncr/Ag;ent is _ i'cr>ona I4►, not fryf0.9�elq 04, 2005 -.: a a_r.��ci Yi}liery'L� 2007u i\- or
-- Produced II) --------------_--_-- fl,ikscwttrAssoc.�o -
:\I'i'i_IC:\TION APPROVED ILO\ ID ll 1': Ili(Ig IniiJ11 .l' Dat:
(.11116:11 R.. Dahl (Initial ;; Date)
]pecia! C olldition:;:------------- - ------ ----- --- -...-- --
NOTICE
'c.rialit NO. S2727
hate of Florida
;oullty, orSclllitlolc
:llc undcrsieticcl hereby ;;Iloticc-cltat 1111provC111
;llaptcr %] 3, J'loricl<1 Sl'atutc:, tsar folloN'rinr,; inforniz
1. .Dcscl'iption of proPc>-ty: (lcrel cicscl'iptiola of
Z. Gcticral ticscrilltion oi: illll�rovcnlcnt:
nt gill be :llecic to cct't.tin real property, olid i1l'acc0rdallcc wills
toil is pto;�iciccl in this :�Ioticc of Coltlulcncalncnt.
llroperty asses street :tciclres<: if e�r<tilablc)
Owner 41fol*1113tioal
.1. J`(;1L11C and aciclres: --- - ---- —�-
213
b. IntdcSt 111 pi'OPClty
c. Nanic and ;iddre;s of fcc sllllplc tlticholdcl (if: odlcr tll;'.0 Owner)
4. Contractor
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U. P 11o11 c n a lllb ct' ID- 1z���� CS�i —--------- —
S u rely
-A14NE
O UII( OOLM
un
un
,
5.
ll1I111UCI�f 0+�-f—�'—
`I�9I 11119 I1 ill II 11111 ill li ill li Illi 11 Ill 1111111 III li Ili I lilt
a. A ty1111C alld :lddlCS:. __ _(_/ J MApVrS-�++�n�
r ror v �„
miAMNO
�. p1lolac numbCr BK 05489. P
C. amount ol: bond CLERK'S # 2004162588
6. )ender RECORDED 10).20/.2004 10:44:3 AM
,j.rr;ll,lc asses address ___ %�(- f� — `FtE°MR`M�FrT* 0.00
nr- ..
b. -pilollc wunbcr
�'crsolis """t1lill the State of1,loricle cl;uet
1)roviciccl by Scction'/1' ()(a) �'loricla
a, ,.Rahe incl addrC' .
`•.'110111 110tICCS or otllCI- documcllt� way bC served as
by Or(IaCr 111)Ola
taluses:
1), . �,�11011C 1111111UCf _____ ----
E. Xal addition to llillasclf or 0'.
llcr dcsinatcs
Florida St,,.lutcs:
a. S'llollc laulnbcr
9clat'c ofllotlCc Of CO111111C11GC(11CIll
date is spcciCic(l)
1';l\:111I11bCr of
to receive a copy of lllc J'iclaor's Tloticc as ll>:ovidcd 211 Scctiojt
l�a;; nunlUcr .
1� c111irioll elate is 1 yc;lr frolll-t]lc d'Itc of. rCCO17ding ulllc�ss a cliflcxclat
y 5it�ueturc of Owner
tbscribcd before
VSwocil to (Ol afflrlllcd) al1Cl l` `
crsotlall 1 X11bW'n � 01,E 1'roducccl ldcutit-icetion___.___� .
.N" Gladys Yvette Ramos
WMy Commission DD039324
•� '��or a EXDirPs .juju nw ��
POWER OF ATTORNEY
Date:
I, Andrew J. (Andy) Adcock do hereby authorize Ruben Birch
To pull the R e r o o f permit for Z 3 1,o GP CO w i2 S A-rj 2> �c
(type of permit) (address) -7- l
1
Signat e
�Or Or� Linda A Keeling
. MY Commission CC985428
Of n/ Expires December 09 2004
Notary \ Stamp
<:sonalln to me or driver license # , of State of Florida, County of
r
day of 6>7-0 r3� �12004.