HomeMy WebLinkAbout105 Garden Ct (2)A,
Pcrilllt /l : O S.' of O./
Job Address: rj 4/ AZI
Description of Work:
Historic District:
CITY OF SrlNFO1.U) 1'Iau\ll't' Al'1'I.IUX1,1U1% : - .. ^.; :••u+l: r i;t +'•.^.• a :t::7 ',:r ^':•n }.:.•'
IJ CGS 2 I w • ..... .K`.. •.
lv6C .. .
Zoning: Value of 1Vork: S
Permit Type: BuildinE Mcctrical Mechanical I'lumbing Fire Sprinkler/Alarm Paul• . _
Electric. New Service —11 of AMPS Addilion/Altcration Change of Scrvicc Tcmpor;iry Pole _,r —
Mcchanical: Rcsidcntial Non-Rcsitcntial Rcpinccmcnt Ncw (Duct Layout .0 l;ncrgy Cil Rcquired)
Plunlbinl;/ New Commercial: ll of FixturesIl of Water & Sewer Lines It of Gas Lines
Plumbi ipjMw Residential: tl of W*atcr Closcls Plumbing I`.epair—Rcsidcntial or Commercial
Oecnpancy'17y1e: Residential Commercial _ Industrial •I'otal Square roota(e:
Construction Tyne: i/ ofstorics: t/ orD„'elliilr Units: Flood Zone: (myM. rorm required forotherthank)
Pnrccl q:
Nancc S: Address:
3;Z- -7 I
R7
Altach Prooror O»•ncrship .0 Lcgal Dcscrip(ion)
LZQU-&) 0 u-ZT '7 -') FG VZs
1'Itoltc L40-7— 321- 2-1 1 Z
Contractor Name &Address: ` r2 60
oo 12,,
rr
1yl r-1 % G 52 O •G I 3zi7 L $:ate Liecnse/•nmhcr: GCiy o ZZ-7-0_
io— 7D—G%33J L Y'IDCrOC _rhonc:-3ZZ95r b
1'honc.0 Fax: Contact 1'crson:_
w
liondinCompany: Address: -
Address:
Architect/
Engineer: Address' —
Ins:
Application
is hcrieby made to obtain a permit to do the work and installations as indicated. I ccriry that no wort: or installation has conimenmi prior I,1 the issuanceor., permit and that all work will be perfonncd to ima standards or all laws rcrulatinp conslniciion in this jurisdiction. 1 understand that a separate permitmustbesecuredforI.LL•CT DUCAL WORI., PLUMB INC. SIGNS, WELLS, POOLS, ruRNACF_S. DOILIiI'.S, I•Ir:ATEILS, TANKS, and AIR
CONDITIONERS, etc. OWNER'
S AFFIDAV I;l: i ccrliry lhnt all of the rercgoinl; inrom,ation is accurntc and that all wort: will be done in coinpliancc with all applicable laws rrt)tltting constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 1'.ESUI:r Uq 1''OUI.I'A.1'INC TWICEFORIMPROVEMENTSTOYOUR1'ROl'r:I:TY. IF YOU INTEND TO OL'•1'AIN FINANCING, COI.'sULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMI UNCf_MENT. NC1
ll li: h addition to the requirement.,: or IhiY permit, there nlay be addilinnal n::ar:chun ::Ip;dlCatllC to thi:. property Illat 111:1y be fuund in IN: public rcconli or thiscounty, and there may be additional permits required Ilium other g1mrtuty ntal entities such as water nunaccnmm districts, slab. al;encies, or fcdclal agencies. Acceptance
of permit is verification Ihnt .:ill notif• the o::ncr of rite prupcl;y of the rcquircmcl Mori . cn I ;I:r, FS 3
Zu o Sis
nature of ,utter/A';ant I)at Si; nature of Contnclor/A,rcnt arc ru
tit N Print \%
nici-LAgelil's ante S •
rn uu c» • Notary-ti arc l landa DAFNEY
F AD COCK ru..
7ARY PU S TATHu-Il.-0MI , \•It or AI'
I'I_IC'ATION AI'I'ROVED BY: 111d ;: Specia!
colittlilion::: IInitial &
1)atti Conlnclor.
A'Vnt'a Nance Itiita:
anue of ti.:aryStatc of I lorida Date DEBBIE
BLANTON nn:
rlel r/ - is .1dY tl1il)b's ibiJSV'iSBi I°r 1'
n dot__EYPIBES:Fe6ruar rP5:-E66F--••— ' 1-
800•3-NOTARY FL Notary Discount Assoc Co. Initi•
tI '• 1)atcl (Ini:ial :: t)at) (In ttal fi Da:
POWER OF ATTORNEY
Date: / ,7q b J
I, Andrew J. (And}) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit for D Q,r ou-.' `_ k- a C>
type of perinit) (address)
3:Z-7 1 I
DAFNEY FAYE ADCOCK
r \ NOTARY PUBLIC, STATE OF FLORIDA
1 MY Comm. Expina DEC. 2, 2M
COMM. N DD376609
Stamp
Personally kn to me or driver license # , of State of Florida, County of
2't'day of 4--, 22004.
Zoo S
AFFIDAVIT
REGARDING ROO F DRY -IN AND FLASHING INSPECTIONS
Company: ADeoc4l' License M V e d 0 Z b
Project Information
Owner: Q t JeA,
name
0 lP e EoJ C K,Ql
7 -7
ya 7 — -3 z, l` - z -7-7 2—
phone
Permit M
Subdivision:
Lot M
I, 4_/V AV06e,', affiant, hereby affirm that I am the duly licensed
contractor of record for the above referenced permit, that all the foregoing information is true
and accurate, and that the dry -in, flashings at the above referenced address or lot has been
installed in accordance with the applicable codes and standards.
Contractor: rx4 Z
tsignaturemb" Al)&6k.
prinled name
STATE OF FLORIDA
COUNTY O)
This instrument was acknowledged before me this Z day of MA 02?-' 4 , 20 L'5 by the
above referenced individual, r j D , who ackriowledged that he/she is a
duly licensed contractor with -rA4 i r-_7 n c-.c:k , and who acknowledged that
he/she was authorized to execute this document. He/she is gither ersona to me or
produced as valid identi ica io .
WITNESS my hand and seal this z day of
DAFNEY FAYE ADCOCK
ITARY PUBLIC. STATE OF FLORIDA
emm.' Expires DEC. 2, 2008
O M M. M DD3766ce
ON9UCSTATECKNOTARY
OA
2008
NOTICE OF COMMENCEMENT
D QEN ri .State of Florida County of Seminole
Q-' Permit No. Tax Folio No. (PID)
Tire undersigned hereby gives notice that improvement will be made to certain teal property, and in accordance with Chapter
713, Florida Statutes, the following information is provided in this Notice of CommencemenL
ir.; fir( f;!1„ DESCRIPTION OF PROPERTY (dal description of the property and street address) „ _ _ Y
lO i %A17 iV C014.2T 1,4lyt r7P (• Z'1`7 f ,. ,.•. _._.._,,-`
v# wm:ull COURT
rgrCOUNTY. FLORID,
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
Name and address
Interest in property (Fee Simple, Partnership, etc.)
DIC
NAME AND ADDRESS OF FEE SIMPLE TITLE BOLDER.UF OTHER THAN OWNER)
CONTRACTOR
e C J / /
Name and address j`'-'C t` j•` O D F—I IV
SURETY (Bonding Company)
Name and address
Amount of Bond SE:MINOLE COUNTY - ---
BK 05662 P6 0353
LENDER CLERK' S It 2005049527
Name and address -- M MIMEM Mg?,;; M
REM
11pp{{Essry,ypr
p}{}nII N FEES tTu0.jjMt i;tuff;#iiiitRif##i###i#Riiifi#ttf#•ififi##sii#ftifitiiifii#iiiitiiiiiiSii tiiitti iiii
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(lxa)7., Florida Statutes:
Name and address
ttafiiifi;;fit##ii#iif#fif#iiiti##ii•itsi#tiiififtii4lffittifff#;fftittiiitiiiiitititRfiiitt
in addition to himself Owner designates Of
provided in Section 713.13(I)(b), Florida Statutes.
to receive a copy of the Lienor's Notice as
tti;t;s#ifii#f#ftii#####•iitiii#iiifiif##iifRR#iiiiftiiiit#iiiitiftititii;iftiiiiiiiR;iRRii
Expiration Date of Notice of Commencement
rdina_ unlees a different dam ie wvv ifiird 1
DAFNEY FAYE ADCOTgK
NOTARY PUBLIC, STATE OF FL
MY Comm. Expires DEC. 2,
COMM. M D 37660 Signature of ,,//
d s scribed fore mDay of ti VL 1 o My
Commission Expires: The
foregoing instrument was acknowledged before me this day of*ide;
nti=on t9
by MA-. O—/ M C N E A (name of n aclmowly to me or
who has produ d (type as t en tcatton and who
did / did not take an oath>