HomeMy WebLinkAbout130 Woodridge Trl 05-1043 roof1,%'4
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Job Address:
CITYovski%b:URD1'1i1:1vl1'1'i\l'1'I,IIA't1Vt:- ..::4r ". y;;r!:iai'Y=:^•°??+`:!y''>:+::i;i':'„ M1
Oy Date: Yv r
00'7 n_ _
Description of Work: '• IK r C- u r
Historic District: Zoning: Value of Work: S t
Permit Type: Buildingg Electrical Mechanical !'lambing fire Sprinkler/Alarm - POW.. __
Elect -ical: New Service - It of AMPS Addition/Alteration Chnngc of Scrvicc TemporaryPDIC _,;__• y ];
crgy Cii1C. Required) Mechanical: Rcsidcntinl Non -Residential Rcpinccmcnt w Duct Layout & C Nc. ,n Plumbing/
New Commercinl: it of FixtureS 0 of Watcr &. Sewer Lincs t/ of Gas Lines Piumbillg/
New Residential: tt of Nk ntcrClosctg rulmuur,; l\c1nu,—,wa.v......... Occupancy
Type: Residential Commercial Industrial 'Total Square footnge: Construction
Tyne: tt of Storics: t/ of Dlvelling Units: irlood Zone: (rmyu, form required for other tltill X) Parcel
0: (Attach \
ProororOwnership & Lcgnl Description) Cam+
Owners
Name & Address: D K- l (. (?7 0 Woo Pei! L" +' `'%vz F
T7—i_i /i
n 1'
Itonc: 40-7- 3z10 - 0V25 — Contractor
Name &"Address: Af7 Do r tJ 6 ^....._.._......... Roo
tvCAA A-f%3 F0 L I R- '7 State Lice nse Nu mber: 1'
1 onc.0 fax: 01 330 3`t 3 contact Verson: snt.o_I'hgnc: v
handing
Company: --- Address:
Nlortga;
a Lender: Address
Architect/
I:n-.inecr: Address:
1-
Application
is hereby made to obtain a permit to do the work and installations as indicated. I cenify that no work or installation has corlmencui prior to the issuanceofapermitandthatallworkwillbeperformedtonettstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that n sepantc permitmustbesecuredforELECTRICALWORT', PLUMBING. SIGNS, WELLS, POUTS, FURNACES. BOILERS. l-IEATEI'S, TANKS, and AIR
CONDITIONL•R.S, ctc. OWNER'
S AFFIDAVt'f: 1 ceuiify that all of the forcgoing information is accurate and that all wort: will be done in compliance with all applicable, laws rep; dating constructionandzoning. WARNING TO OWNER: YOUR FAII.UstE TO RECORD A NOTICE OF COMMENCEMENT!.SAY RESULT 11,I YOUM PAYING TWICE
FOR IMPROVEMENTS TO YOUR 1'ROl'ER1'Y. 1F YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR Ll'NDE•R OR AN ATTORNEY
BEFORE RECORI)ING YOUR NOTICE OPCOMMENCEMr:14T. Nt •
I LQf—.: In addition to the retptircmcnL•: of This permit, there may br ati'lititInal r':;:frictions applit.:tble to uhi:: property that ma)• he found in the public recordi of thiscounty, anti there may be additional permit:: required from other governmental entities such as water imnagctnent districts, state al;enr..ic::, or faleral aetncies. Acceptance
of pcnnil is verification that 1 will notify the ot:r. r orliie prupct:y of the rcquiretrn:n' Mori icn I asv, F jiml
05 l nature
of O ter/1)"Pff Date irr aturc u ontnelor/Arent Ualc Print
ontractor-:\rcnt':: Name / Public -
Stole of Florida r11mI0f1t:
41 ioan
ut k;c ur UI,tItaw _ Rbllt!Q• AI'
I'I_ICATION APPROVED BY: 111dg: f
Initial &. D%Xel Conditions:
V /-/
y-0 Si+:
rat tote o F orida 1 ttc DEBBIE
BLANTON MY
COt iMI:;SION k DD 188491 E,
ry 25, 2 pIRES-. Februa1107 Cow.:
t or/ O A• FR r— Pcttt?vtAl IsowM (»itt tl2 rain%:
Initial &
1)310 Initial t)ate) (h);t131 D_t: 1
c rvti%n `-%vt-VIa
00 -ret-hoA Wig State of Florida
NOTICE OF COMMENCEMENT
County of Seminole
Ae r-o To
F1.32-n(
Permit No. Tax Folio No. (PID)
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.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
Ilg Woor>lurab- 'f11Li S0,WF0fi''0 'Ft. 3217 -
GENERAL DESCRIPTION OF IMPROVEMENTS t moo F- CERTIFIED COPY
MARYQ>`lnrr RSE
Ct FRK nr 1`IDn nT COURT
OWNER INFORMATION n qy, - l
Name and ddress v f- 1'-' I- R-'
1,40 000rzcp Ai L, o 9::7(. VA
interest in property (Fee Simple, Partnership, etc.) b
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER.9F OTHER THAN OWNER) JAN 14-2005
CONTRACTOR
O _ J42Neandaddress C:C o o r. N
SURETY (Bonding Company)
1illt 0{ 8i 11811i111 it 81iI 11U M tll 11 it U LI 1 W I (1
Name and address
iRARYiatV E HOME- Cl MI rMIT CIIURT
Amount of Bond SENINULE COW
BK (65581 PS 0322
LENDER CLERK
01' #
c0185iti07564
Name and address
E]k INd Fk`E ttt. afl1
AN
REWNDU BY t holden
iittittiitti#/ititt/i••tiit#/iti##t#tiiti#s/ittt#tti iiiiitiii•#ittti##ti#itit#i#ttiif##i#i#4
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
ti#titst##i#4t#ti#/iiit###iii#i/f#t#iis#lift#/ttttiiiiittififiittMtifittisi#iits#ii#iti##it •
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. l
tssitsti#i##ts##s#ti/tifi/stti#ttiiitstit#stti#i#sti#ttii/i#iiiitttts#ii/#iittl!itsisisst##it
Expiration Date of Notice of Commencement
The expiration date is l Year from date of recording unless a differrnt date is mv-rifirrl i
A :i.,
Signature o
y DA A cNm PEACOCK
0 0 ` INv v * t; - aob of Florida
wornto and b=i,Ltbis d 8OO Commison #
DOM748 My
Commission Expires: 0vIlps-19 i NallmuAmn. Notady
Public -WNW e
fore oimg ' t acknowledged before me this 1 : da f by name
of on acknowledged), wh is ovally known to me
or who has produce (type of identiftca ) as identification and
who did / did not takeln oath>
POWER OF ATTORNEY
Date: I 11 b r,
1, Andrew T . (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof _permit for jd LOCMOCOC"it C
type of permit) (address)
7i Z7 `T
ShVature
41Linda
A Keeling My
Commission DD35MO Vo,
V Expires December 09.2008 Stamp
ersonally
known to a or driver license # , of State of Florida, County of day
of Zov
5
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
COMPANY: &Wks o Dr -I M 6
SUBDIVISION:
PERMTT NO:
AFFIDAVIT
LICENSE NO: ew D
PROJECT INFORMATION
ADDRESS: D _IV oovACA oe r- l t ,
S A'" fro tz.r . G l V71-11
LOT:
1, Aw 9tn eo G , afEant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of the foregoing information is we and accurate, and that the dry -in, flashings at the above referenced address/lot has
been installed in accordance with all applicable codes and standards.
CONTRACTOR: AK)O M 4-r>ne4l,
Printed name)
naturc)
STATE OF FLO A ( ,,
COUNTY OF &w t ul o `Il
This instpment was acknowledged before me this ;ILO of w- 700 S , by the above referenced
individual, i 0, ` CDC1L , who acknowledged that he/she is a duly licensed contractor with
iTOri G o G F-" 2 tr> -A , and who acknowledged that he/she was authorized to execute this document. He/she is
either personally known to me or produced as valid identification.
WITNESS my hand and official seal this day of 0
Printed Name: L / N to A. Ae CL i1V G
My Commission Expires: /z .1 9 y/
d_
Uri e A Keeling
My Commission DD359m
In Expim D w D6. YDDa