HomeMy WebLinkAbout108 Quail Ridge Ct (2)Pcrinit fl : OSi ig
Job Address: 10q ltitdct I -
Description of Work: le- t ' IC_ vU Y
Historic District: Zoning:
Ct[-' or• sA h:ltu rl,lt,u'r,u'rl,t A t tt,t... . .. : •.: ,•;t::3'='":a";=': -•r:•>: : ••.:•!, :.,.
Datc ,
u r ,&c I,oc I l Z
Value of Work: S
Permit Type: Building; Electrical Mcchanical Plumbing; firc Sprinkler/Alarm Pogl•-•__
Electrical: New Service - it of AMPS Addilio!>/Altcrntion Chnng',c oCScrvicc 1'crnpor:iry Pole _,•
1.
Mechanical: Rcsidcntial _ Non-Rcsidcntial Replacement Ncw (Duct Layout .0 l;ncrgy C:ilc, Rcquiral)
Plumbinr/ New Conlmlercial: // of Fixtures it of Watcr .S. Sewer Lines 11 or Gas Lines
Plumbinr/Ncw Residential: it of Water Closcts Plumbing Repair- Rcsidcntial or Commercial
Oecnpall ey'rype: Residential Commercial _ Industrial •I'otal Squarc rootage: Construction
Tyne: _ 11 of Storics: /1 or Dn•ellinr Units: blood Zone: (FEMA form required follotherr thall X) Parcel
It: Attach
Proorof wnership 4: Leal Description) I
hCA 11A I LL 2c O&t CC Otv
crs Name 8c Address: -J 4 " -
9b M-J-> ( 3z-1- i l rhone Contractor
Name fi''Address: 4V-.2 C0 C_Lo I _....._._..._...._ Soo
2 NL-1 d G 1 3Z7'iL Stale I.iecnse,/\umber. Phone .
1, Fax: q0-1- Z7D--C-)?; 3 Contact 1'crson:_ ` "COC _I'honc: -3ZZ 5 J a Ilondin^
Company: - Adtli•
css: Morl;'
a;;c Lcuder: Address:
Architccl/
rn-.inccr: t
Address:
l
I'
hone: Fax: ____.__
w_......... ........ Application
is hereby made to obtain a permit to do the work and installations as indicated. I cenify that no wort: or installation has corurtcncui prior to the issuanceofapermitandlbatallworkwillbeperformedtonettstandardsoral) laws regulating consiniction in this jurisdiction. I understand that a separalc permitmustbesecuredforELECTRICALWORKPLUMBING, SIGNS, WELLS, POOLS, FURNACES. BOILERS, HIIATEI:S, TANKS, and AIR
CONDITIONERS, ctc. OWNER'
S AFFIDAV l'f: 1 certify that all of the forgoing infomL•ttion is accurate and that all wort: will be done in compliance with all applicable lawn rnl.;nlnling constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 1.•fAY RE-SUI-X IN YOUR PA.YMG TWICEFORTMPROVEMENTSTOYOURPROI'1711:1Y. IF YOU INTEND TO OBTAIN I-INANCING. CONSULT WITH YOUR 1..1-sNDEIt Olt AN ATI.
ORNEY BEFOI` : RECORDING YOUR NOTICE OF COMMENCl NIENT. N(
gl_,Irl's: ill nddition to ll!c rcquircnx nt:: of this permit, there may be ad litinn;,l rc:arictiuns applicable to this properly that any be found in Itic public reeonli of ibiscounty, and Ihcre may be additional pcnnil:: re oircd from other 1; tt•crmncotaI cnlitic:: such as water iwnagt:nent (Iisu'icts, stale. al;cncit::, ur fctleral :!t;.+tcits. Acceplance
of unit 'crificalion that I will otify tlic o++•rcr of iiic propct;v of the rcquircnc • of i--lo ' _icn Law. rS 3
Zs°S Siftna •
of Orn!er/Agent Ua c 1ir, attire orContretor/Agent a r. LA
w Prig
wncr/ 'till's nc I'
rin; ContractorAgcnl's Name sire
lure o' 'ot:u -Sl:uc ul' lorida Dat I
Si_:!:alurc or XvwyStale ol• I-'lorida Uatc sip
y e— DAFNF
J,
Y FAYE ADCOCK NOT
PUBLIC, STATE OF"DA 6'
llNllt'II H'DEr7.''1COgr 1
1 11-1 APPLICATION
APPROVED IlY: 111(le `'''- tlmual:; I)•attl 1p
Cia! C'dtrdiliutr::: Inilial &
Dat.) DEBBIE
BL NITON MY
COA!M.I;:SION'V DD 188491 i::
EXr?!EEItrrF iriiAtyh2"l ifu \• • or Ini:
ial :: Uatc) (Irnlial .l Ust: I.
INII 17LL V1+' I:VMlVILt PII:L' 1V1L' iv 1
County of Seminole
r vt7t Y-'v vct--
960 `!] E }
State of Florida
Permit No. Tax Folio No. (PID)
S FO Z-r-:> 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.
DESCRIPT ON OF PROP RTY (Legal descri tion oft property and street address)
ID ce b,t (f>C.— L C'6-r P-0 e:-(Da 1. 3 "Z 7 r IED
COPY AR
AANNE MORSE CLERK f
c IL
00 SEM1Nnt dl OUNT COURT GENERAL
DESCRIPTION
OF IMPROVEMENT UNTY, FLORIDA OWNER INFORMATION
N 2-
8 Name and
ddress 1 YW
t t^o t 'f--' Fa ' (. Interest in
property (Fee Simple, Partnership, etc.) b W NAME AND
ADDRESS OF FEE SIMPLE TITLE HOLDER.(IF OTHER THAN OWNER) CONTRACTOR Name
and
add== g2' SURETY (Bonding
Company) flap N s aN a 11 a a41i as Na l Name and
address Amount of
Bond IT COINiT SENINME caufflVBK05662
Fr6 0355 LENDER CL
E RK' S * 200`.a04 952g Name andaddressFIRWRWIN~ t iEl rrrrrsss+sr••
srs+ss++r+rr+rsrrrs+rrrrrr+rrrsrsssrrrrrsrrrrsss i K*;ihrrsrrrs Persons within
the State of Florida designated by Owner upon whom notice or other documents may be served as provided by Section
713.13(]xa)7., Florida Statutes: Name and
address ssrrrrrrsrsrsrssssssrrsrassrssrsrssss+srsssr+
sssrs+srassssrssrsssssssrssssrrrrsssssrrsr+rrr In addition
to himself, Owner designates of to receive
a copy of the Lienor's Notice as provided in
Section 713.13(1)(b), Florida Statutes. rsssrssrsr•ss++
ssssssssrsssr+sr•rsrssstssssssssssr+sssssssssssrssrss+rrsrsrrsssrsssr+rr•*•r Expiration Date
of Notice of Commencement The expiation
date is ]veer from date of rccordin¢finIms 43riffem.nt riate. in wwriA j 'DAFNEY
FAYE ADCOCK e NOTARY PUBLIC,
STATE OF FLORIDA Sl Of Owner y/ MYYGomm,
E Maplres DEC.
2, 2008 CO M, M DD3a Ir. M e t6 2 of snb briedbefMCommission
Expires: (y IZ I b ota Pu '
c The foregoing
insontment was ackpowledged before the this 24; day ofPof 1L.
0
t9 o S
by yr
e
tl-E e. [ l tV (iY Y. (name of person acknowlo as personally kno
to
me or who
has produced (type identificaU tcation and who did /
did not take an oatlty r--
r7
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: (ficQ CoC(C_ 4Q6o r f_)r, License #:
Owner: `1 e4e-
Project Information
Vt Permit #:
address
Io-- 3zz - og z
phone
Subdivision:
Lot M
I ADftCe— affiant hereby affirm that I am the dui licensedYY
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:
STATE OF FLORIDA
COUNTY OF
This instrument was acknowledged before me this Z` day of "a_ , 20vSeby the above
referenced individual,who acknowledged that he/she is a duly
licensed contractor with F - o 2acknowledged that he/
she was authorized to execute this document. He/she is egin' ersonall to me or produced
as valiication. WITNESS
my hand and seal this 25 DAFNEY
FAYE ADCOCK NOTARY
PUSUC. STATE OF FLORIDA MY
Comm. expires DEC. E, 2006 Z- COMM, 0 D0370M day
of .20 D f;- 0J. ---
Notary
1ublic
POWER OF ATTORNEY
Date:
1, Andrew J . (Andy) Adcock do hereby a
L—Ic
Ruben
BirchTopulltheReroofpermitfor )us
type of permit)- (address)
Signature
DAFNEY FAYE ADMCK
r:• NOTARY PUBLIC, STATE OF FLORIDA
f MY Comm. Expires DEC. 2, 2=
m COMM. N OD374M
Stamp
Personall k to me or driver license # , of State of Florida, County of
day of
Zoo S