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HomeMy WebLinkAbout223 W 19 St'Y/ �1 •!rr Y1 � atC: r PCrit, tt 1E Job Address• Dcscriiltiorl of Work: d0 Yaluc of Work: S historic District: T..ouing: l t lire S )rinlcicr//Mann C'crmlt'I'ypc: [3uilding lill:cliical Mechanical l lumbin(;—�— 1 Aduiliott/Altcra[ion ChnnreofScrv,cc Tcmpor'.1ryPolc x+ Clectricat:;NcwScrvicc-11'o[AMPS IRc aired r'�NewC l;ncrzy CaIF;;., q ) .ViVi�Cl11r11Ca17Rgsidcntral— i`1oil %cs1dcnli:tl RCQJnccrncnl ____ (Ducti.ayoul Plilmli[tig/ New, ContrTrcrcial: U uCPix(ures f1 of Willer Sc Sewer Lincs 11 of Ge: [,fines 1'LumUirig/hlcty ResldentiM.,11 OrV+!; - -.::��'17FMICUITIMURT, 5514It+0 4C9DI.NJT BK IG 0849 v, CLERK" CLERK' S # 20041647.03 ., FI-)(�) � I i,TOTZC):: OF GO��i.��i.1�L�C�:;x�T1rl`1"5E[�RDED 14/25/ Q8=S8ea7 AN ' -AWWWREES 10.00 -77 RECORDED BY S D' Kelley C,oli11C� O�.S:CI111110.1� � ', • �lac'uzac(cr;;i�lac�I llcrcby �i��c:: aaoticc •lliat itnprovcu�cn� ll be ill:�cic co ccr�aiil ;c;,l nr•nt�c>,•Cy, aiid iz�•accord:uRcc Walk Clalhtcr %13, )'lorid�l St;lult-c;, clic l;ollowiu� illloll:�aCion i:; hro:•iciccl in dit:icc o1 CUA11111Ct1CCt11Ci1C, 1..DcsciipCiou of prohcily: (lural do cri >lioza of clic hrohcrly ;,ncl sl'icc�2� �1� ;t�'ciilabk=) 2. Gczlcrat dcscripdoll oJ; izl�l>ro�; cmc►lt: _� _(�;� �/� �� j Owiicr'llifoz•in;lti0ll �. 1,`la►i�c .uad adcltcs;: ��- i� ��` 1-�. —' b. LitcrcSt W lu'ol?crty C. N:1111C :1t1C1 ;iddt•c:,s o� fcc �il:ahlc CiClcholcJcr (if al'.11cr da;:it O�encr) trzictor _:. b. Pllouc n u t llb cr ' S. 5urcCy _y -__..------ :l. 1�1:1111C alld addl•C:i.� /�/ j_/� ?`�...�.^--�, ---- '�-J, — " 1,_., tilllllbCr GUERK Of CIkCUIT CO b, Plaolic ►lumboTY-- --- • 6. kende!• • a, rf;lmc ;uld acicll'c ;:; _„�_._�(_-�------------------- --• -- �.'' a�nbcz' b; T11011C u"Al1bct' — •�• . �• �idliz� tllc SCaCc: ol" 1:`loz'icla dc:;i[;u: Ccc1 by 01�, ut:r upon ti•rllcll�l iloticcs or oe>ac:r docliznclars za�ay bc served a>. 7. S'c�.,o1i� �ti b+ •Scclion'/1?,�13(1)(a)"!., T�IoCzcla Slal'utcs: hrovidcd y a, .-Namcand bor ill 1w J. E....�tt addiGoll to �liitixsclf or hct ,elf, Oar: tic� <lcsi�uatcs ,x — to z'cc copy of tlac X.iclaor's l�loticc as l�ovxdccl xiit SccCiou )'loCida S't ;.totes.' ) ;lx uumbcr ». Phone rlltlubct' ; lc. of,,- roc zclin� lilaicss a diflcrcu� 9, r✓f �11i1t1011 Clat'C o): 110C1cC oC Gon1111t%11cc111CI1C (lhc �%�1711'aC1011 claCc i:; 1 yc;u• 1;ron1•rhe�" d:1Ca is fpcciricd) _ iz,c OLOwticr 20 , by Svdoril t or ;lfl"iriticcl) anc.l ;tibsciibcd bc�orBrIartne L. BOW c y Commission #OD240939 g 13 2007 11 =d:� Expires: Aug ,� Cno�,il Oi`l'.ioduccd 1dcuCiticltio _•.Bonded Pasollall� 1 �';;°;��►�� A cgptxtin$Co..lOc. Zd Wd20:OT VBBZ TE 22260222 -Ob : 'ON EINOHd T.too�1 >jcoopdiacupansuj-6ui j; aA : WOdd POWER OF ATTORNEY Date: l0 2 z I, Anrlrew J.(Andy) Adcock do hereby authorize Ruben Birch To pull the Reroof permit for 223 t; (type of permit) (address) o41" 041$ 1 Linda A Keeling ko s My Commission CC985428 %7Kd; Expires December 09 2000 Stamp (PeDrsonallyn to me or driver license # , of State of Florida, County of ,2� w8 day of C—T-& )2004.