HomeMy WebLinkAbout139 Pinecrest Drr..
Pcrinit 1/ : 0 " 1
Job Address: or=-Ce 'e
Description of World,
Historic District: _
CI1YOFSANFURI)1'I;lu\1[t'Al'I'l.Il\lll/r
Date:L-4iTVi^ f
ZnnGMa-Y. t tc gT rt; k < r `
Zoning:
Value of York: Pernmit
Type: Building lilcclrical Mcchanica Plumbing Fire Sprinkler/Alarm r
1'
odl•_ _ Electrical:
New Service - II of AMPS Addilion/Alteration Chnn',e of Service Tcnmpor;iry Polc _;_,• Mcchanlcal:
Rcsiticntial Non=Residential Replaccmcn[ New (DuctL:ryout. );nergyCili:Rcquirr.[I) Plumbing/
New Comm11rercial: II of Fixtures It of Watcr & Sewer Lines n of Gas Lines PlunlbinrjNew
Residential: I/ of VA'alcr Closels Plumbing Repair -Residential or Commercial Occupancy
Type: Residential Commercial _ indusirial 'l'olal Square Footage: Construction
Type: 1l of Stories: II of lltt cuing Units: hlootl Z011c: (FR1v1A form required for other thin X) Parcel
II (A(
taclt Proof or Ownc rap &'Legnt D u'-
Owncrs
Name & Address: T (Tl I M - rTr+' 7 - -
Pk '
Tjz 11Z Phone me%-
1 dann Contractor
Namc &''Address: Arm S
0D 2 tvGt— G S o Z—r El 3z-r7 L stale Liccn$c ttrn)cr: G o zz P1wne,
C Pax: lo' 2i14b-333Contact I'crson: A:COC Phones 3ZZ955. Banding Company:
Address: Nlort,•
nt•
c Lender: - luddress: Architect/
Rrtgtnccr:
k Address;
FaX:
Application
is
hereby made to obtain a permit to do the work and installations as indicated. 1 ccrrify that no work or installation has cormrrtcnced prior Iu the issuance ofapermitandthatallworkwillbeperformedtomeetstandardsofalllawnrcgubtingconstructioninthisjurisdiction. 1 understand that a separate permit mustbesecuredforIiLUCTRICALWORK, PLUMBING. SIGNS, WELLS, POUTS, FURNACES. BOILERS, 1•IEATEILS, TANY-S, and AIR CONDITIONERS,
c(c. OWNER'S
AFFIDAV 1.1. 1 certify that all or the rorcgoing inromL•ttion is accurate and that all work: will be done in compliance with all applicable lavts rrl.ltL:ding construction andzoning. WARNING TO OWNEI': YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMC•NT 111.1AY IU::SUI:r IN YOUR l'AVING TWICE FORIMPROVEMENTSTOYOURI'R01'IiR1Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORl-
RT:COI:DING YOUR NOTICE OF COMMENCEMI's1J'r. N( IU:
In addition to the rcquircnu:nL: of this )t:rmit, there may be additional rt:::trietiuns npplicahlc to thi:; property That ntay be found in the public records of this county, and Ihcrc may be additional permits required Isom utLcr goeernmcnial entities such a:: %valcr nanarcmenl districts, slate at;enctc:;, ut• frdcral ;Tmcics. Acceptance of
Peru it is vcriftcati tat notify the ot:'r:cr or lire pro, cr•ty of the rcquircrncn' 1v Datt
Sifnalure orOtvttcr/
Al, rat Date Sign taro o Contrictor/A,enl es—n —
I'rin;
Conlrt Prin wner/
gent's M t ctor:\gcnt's Name Si n.
tore of taty-tit:ut of 1 and t D;I • Si_a:ature ur tixnrysustc or Florida Date DEBBIE BLANTON
MY COMMISSIIQN #
DD:191 ter/A,
rn cm is Pt:rsnnahv g1jimto \•le or C n; d rr::on • ttvn o \dc ur O V tit naY
355—
b(vlp to
241 — 0 APPLICATION AI'1'I:
OVI-'I) ill': llltl / 1u;; — •— _ L' rinitial : Date; (Initial . Date)
1pecia! Conditions: E3 1
Ini:i•
tl :: Date)
hmdial &' D_te
POWER OF ATTORNEY
Date: 3 Z Z bS
1
I, Andrew J . (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit fbr-l 9
type of permit) (ad ress)
WHY PAYE ADCOCK
rAa PUBLIC, ITATi OF FLONDA
y°r®
MM,NN DD37d8018 DEC,
9
a
0
Persona n to me or driver license # , of State of Florida, County of
Z 70 day
of - = • Z
oo'
AFFIDAVIT
tREGGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: Y-Y J a •o v[` License #: UC'o`ZZSc7
Project Information
Owner:_+;('e,ti
name
1tit-
7-Fa-r`
adires )f . 3`'ZI""7
phone
A A
I, D ,.affiant, hereby affirm that I am the duly licensed
contractor of recor 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 cod Rand standards.
Contractor: a/W"A
Permit #:
Subdivision:
Lot #:
name
STATE OF FLORIDA
COUNTY OF LvW
This instrument was acknowled d before me this d,ay.ofdo"'A' , 200Gby the
above referenced individual, 0Q_4L who acknowledged thptfeDffie is a
duly licensed contractor with 0 F PL-bv--- , and who acknowledged that
fiehe was authorized to execute this document is either personally known to me or
produced C as valid identification. '
WITNESS my hand and seal this Z7 day of
DAFNEY FAYE ADCOCK
NOTARY PUBLIC, STATE OF FLORIDA -
r MY Comm, hFifes OQC, 0; 900E
COMM. 0 DD370609
117
u
Ovo r,e/(f- c State of Florida
SI y
Pctmit No.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
qf71te
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter
w-7 t 713, Florida Statutes, the following information is provided in this Notice of Commencement. .
DES3g IQAi,O PROPERTY awldescriptioy.of theC-torty and COpY
OWNER
INFORMATI,QN Name
and address .V /-- / T7 re,4AI A.. _ V Ed
r mr 4 NAME
AND ADDRESS OF FEE SIMPLE TITLE HOLDER.(IF OTHER THAN OWNER) SURETY (
Bonding Company) 111 plaw aet ww t t tldwissm RON I= Name
and address t11DRvtlh
w mam CLERK CIRCUIT COURT Amount
of Bond S MINOLE COMM BK
05662 P6 0348 LENDER
CLERK'S # 2005049522 Name
and address RRMRDIM 13/2V2M IW704 AM RFt91RD21E1
FEES HL N ii*
si it#*t t**#tR*t#####it*11*#**tsi*i**tti it t##titfKQR0FDiBY#:it"inIVY #
Persons
within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by
Section 713.13(Ixa)7., Florida Statutes: Name
and address ii**
i**.slit#*tits****it********i*i*is*tt**it****#**t*********tt*t**************0********i In
addition to himself, Owner designates . of to
receive a copy of the Lienor's Noticc as provided
in Section 713.13(1)(b), Florida Statutes. i iisiisss#
ss#i#t*sattrsstlttisis*s*#tissis#****s##tast#sst*ss#t sass#sisiiii isrsir/*ts#is Expiration
Date of Notice of Commencement The
expiration date is I Year from date of recording unles.¢ a different date R . Signat»
rc of Ow er DAFNEY
FAYE ADCOCK NOTARY
PUBLIC, STATE OF FLORIDA omm.
Expires DEC. 2, 2008 COMM.
0 DD3766D9 Swo
a sub c bed a this Day of r wC }9 Zj ••® My
Commission Expires: Notalk
PulKic The
forest ing instruct was acknowledged before me this day of W t9by l:
t tZT% 1e CPJ (name of person acknowledg ), who i rsonally known to me
or who to u L.-C::'. LtL . 0(oS-f03- ,-Aqj (type of identification) as identification and
who di ;3 not take an oath> — D