HomeMy WebLinkAbout3504 Orlando Dr0917/2004 14:46 FAX
Permit#: O %
:fob Addt-w.
Description of World
Historic District: -
SIMON OFFICE 2003
QTY OF SAN MORD PERM T APPUCATION
Date: 0Y
Zoning`s Value of Work:
Permit Type: Building _4,ZElectrieal Mechanical Plumbing Fire Sptinklcr/Alarm Pool
Uectr lcai: New Service - # of AMPS Addition/Alterution Change of Sarvice Temportlry Pole
Mechanical: Residential tion-Residentitil Replacement New (Duct Layout & Energy Cnie. Required)
Pfumbinw New Commercial: # of Fixtures # of Water & Scwcr Lines # of Gas Lincs ..
PlumbinWNew Residential: # of Water Closes Plumbing Repair — Residential or Commercial
Occupancy Type: Residential _ _ _ _ Commercial — f4<"Indt trial Total Square Footage: r500
Constraction Type: txlC # of Stories: --i— # of Dwelling Units; Flood Zone: (FEMA tarm regelred for other than X)
Parcel #: I I .. OW W- ?Oo - Of (Attach Proof of Owaarship & Legal Dexeriptioa) // r�
Owners Name & Address: �r�� P "ja olf'L 1— - v 7 .S, i([ oz, pq Ory v, j ac qe � i'rr�l- Ja?i7,q
Contmetor Name & Address
Phone & Fay 'iC1.i-le �O-aDZ/� � ����% 3'D ` g 3SlS( Contact Peraoa:
Bonding Company.
Address:
Mortgage Lender. ""�--
-19 F64z'-rdv-, bt`,7rA ►+oa F(A3�/o�
Lice„yacNumbtr. ��-C�— U4 0&o44)aA
_ ���hone: 61 T- 7*11333
Address:
ArebitectlEngineer: — Phone:
Address; Fax:
Application is hereby made to obtain a permit to do the work and installations as indica lyd. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of ail laws regulating construction in this jurisdiction. I tmdctsland that a separate
permit must be securcd for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOiI.iRS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
0YE WS VTT: I certify that all of the foregoing iafonoation is aocewato and that all work will be done in compliance with all applicable laws rogalating
construction and zoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COM WCEhSNT MAY RESULT IN YOUR PAYING
'TWICE FOR IMPRO,v'EMENTs TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LSNDER OR AN
ATTORNEY BEFORE RECORDING YOURNOTICE OP COMMENCEMENT.
NOTICE: In additim to tho requirements of this permit, there may be additional restrictions applicable to this property that maybe foemd in the public records of
this county, and there mny be additional permits required Dom other govcmmtntal entities such as wgcct management districts, ddo ascitcicsy or federal agencies.
Acceptant of permit is verification that I will notify the owner of the property of the
Sipatum of Owner/Agent Date
Print Owner/Agent's Name
k'S:713.
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Signature of ofFloridn Date Signa of �S o i (3 Da_re
N,( oyta lk tAwt .
Owocr/Agent is_ Personally Known to Me or Contract .
Produced ID ^ v I6�#M
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APPLICATION APPROVED BY: Bid 1L�a �Jtatt „ 30110W ' A-V
(Initial & Datc) (Initial & Date) (Initial tits Date) (inhiai & Date)
Special Conditions:
�'a3�oo
Instructions for using a PDF fill-in form are on the last page->
THIS INSTRUMENT PREPARED BY:
NAME
ADDR. W -A i✓ t c�tc �►� � s
Permit No.
1loll III111111all IIBEliin III III amolaWuWJVsr-1-Igym
XARYANNE FRSE, CLERK OF CIRCUIT COURT
SMINOLE COUNTY
BK 05461 F+G 1007
CLERK'S ## 20041413015
RECORDED 09/2212M 1E:33i34 PH
RECORDING FEES 10.0
RECORDED BY S O'Kelley
Key No.
NOTICE OF COMMENCEMENT
State of FLORIDA County of 5Ej-n l n0 Lam.
THE UNDERSIGNED herebygives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, -Florida State Statutes, the following information is provided in jhis Notice of
Commencement Prp�)p.�.SS a 35-o14 0/3LAnDD.11)k 5'oZ,5r4n-r-opa) (=(, 3a -7-)I
1. Description of Property: Parcel No_ i a D -3 0- 30 y "' Q I/ A- 0 0 0 U
2. General Description of Improvement
3. Owner information: Name C _nn4 r n LLC.
Address"/. .S� y st - D, 1 y a e
Interest'in rope
Name of Fee Simple e o er other than owner):
Address City State
4. Contractor. Name 61 rn an P_0bY-c m.
Address: Lf A v I - I -4 ,� 6A
Phone No. gal 3o - a0a0
5. Surety: Name
Address city State
Amount of l9ond: one No. Fax No.
6. Lender: Name
Addressstate
Phone No. Fax No.
7. 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)i7), Florida Statutes:
Name Address City. State
Phone No. ax No.
8. In addition to himself Owner designates of
to receive a copy of the Lienor's Notice as provided in Section ,. Florida es.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless a different date' pe ' _)
Signature ofC
State of __ -, jr-rCounty of al e
Swom.to �` ��a subscribed before me this 1`Iday of
�3�w two is ( L,rn
Notary Public:
as
p4.. Christy L Amour
' G ' MY Commission DD265587
or Expires November 09, 2007
13:lwpd2ra\permits\Sfrapp.wpd
-�hta! 20a
nally mown to me or L_j pr
TIFIED 000,1
MARYANNE. MORM
_ MVD1i nt 1%10W%,IJ1r nnii&,n
`'�
Rev. 09/03/02
SINCE 1900
SIMON ROOFING
RE: CERTIFIED ROOFING CONTRACTOR'S LICENSE NO. CCC048202
To Whom It May Concern:
I hereby authorize the following employees of Simon Roofing and Sheet Metal
Corporation to register and obtain Roofing Building Permits for Simon Roofing
and Sheet Metal Corporation in your municipality under my License No.
CCCO48202:
Leonard Jones
Charles C. Raby
Tara Cockrell
Steve Cockrell
Kyle J. Crane
I certify that the above information is true and correct.
e%� /-,--
ALEX
J. SIMO
Executive Vice resident
Simon Roofing and Sheet Metal Corporation
STATE OF OHIO
SS:
COUNTY OF MAHONING
SWORN to before me and SUBSCRIBED in my presence this
9th day of September, 2004.
My Commission Expires:
SCE LYNN NO[),' ry pwU'si
State of on E
My CommissionxpN'es
CORPORATE HEADQUARTERS
September 14, 2004 70 Karago Avenue • Boardman, OH 44512
(800) 523-7714 • Fax (330) 629-7399 • www.simonroofing.com
Serving your national roofing needs with locations throughout the United States
TWO (2) PLY SBS COLD ADHESIVE APPLIED SYSTEM
INSULATED DECK
A
GAF MATERIALS
CORPORATION
GENERAL
Safety: Refer to Section 1.06.
DO NOT BEGIN INSTALLATION
UNTIL THIS INFORMATION IS READ,
UNDERSTOOD AND IMPLEMENTED.
MATERIALS
Material Requirements per 100 sq. ft.:
Insulation (Non-Isocyanurate)
Base Sheet ...........1 ply
Membrane ............1 ply
Adhesive (per ply) ......1'/2 gal. per sq.
(.6 Itrs/m2)
10 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEES
BOTTOM SHEET
SPEC# ATTACHMENT BASE SHEET CAP
1-0-2-20130 (CA) ADHERE TO PERLITE OR FIB.BD RUBEROID® 20 RUBEROID® 30
140.2-20/30 FR (CA) ADHERE TO PERLITE OR FIB.BD RUBEROID 20 RUBEROID 30 FR
15 YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEES
BOTTOM SHEET
SPEC# ATTACHMENT BASE SHEET
1-0-2-20/ MG (CA) ADHERE TO PERLITE OR FIB.BD RUBEROID 20 MOP GRANULE
1-0-2-20/ MGFR (CA) ADHERE TO PERLITE OR FIB.BD RUBEROID 20 MOP170 FR
1-0-2-20/ MGPFR (CA) ADHERE TO PERLITE OR FIB.BD RUBEROID 20 MOP FR
20YEAR DIAMOND PLEDGE AND SYSTEM PLEDGE GUARANTEES
BOTTOM SHEET
SPEC# ATTACHMENT BASE SHEET
1 -0 -2 -MGP (CA) ADHERE TO PERLITE OR FIB.BD MOP SMOOTH
1-0-2-MGPFR (CA) ADHERE TO PERLITE OR FIB.BD MOP SMOOTH
SBS Cold Applied Roofing Systems 67
MOP GRANULE
MOP FR