HomeMy WebLinkAbout1722 Pear StPcrinit It:
Job Address: i1 ZZ
Description of Work
Historic District: _
cTl' or• sA l 0l:u P1aLmu r Ar, I,tl A'1 wt.
Datc•
2 S s N G"o Zp 7
200 I sn S I2 zS R23TAte S+--
loving: Value of Work: S '
Permit Type: Building Mccirical Mechanical Plumbing Fire Sprinkler/Alann P0Ql• _
Electrical: New Service -11of AMPS Addilion/Altcration ChangcofScrvicc Tcn,por:iry Pole
Mechanical: Rcsidcntial Non-Rcsidcntial Replacement New (Duct Layout .0 rncrgy 0iI...Rcquin:d)
Plumbing/ Ncw Cotnntercinl: 9 of Fixture:: II of Watcr F< Sewer Lines 11 of Gas Lines
Plun,bing/New Residcutial:ll of Vdalcr Closets Plumbing Repair- Rcsidcntial orCommcrcial_______
Occupancy Typc: Residential I Commercial _ Industrial Total Square Footage.
Construction Type: — 1/ of Storics: 11 of Divelling Units: Flood Zonc: (FI;MA form required for other than X)
Parcel 0: (
Attach Prooror ownership fi Legal Description)
Owncrs Namc & Address: 1_7ZZ E ` ' Ktz ZT:>
3Z•Z M - $ 53
Contractor Name .."Address: /
t`
A C( 1-L>D t-•.•-•_.._.-.._
00 17ZL L2 ifs ram/ C 1 3Z-7 L Sate LiccnscS^umc ber: O 1'
honc.. Fax: qp-1 2i?7d '3?" Contact Person:_r`-'` 1`C_I'honct-377-95rJ'9 l,
ondin.- Company: Address: - ---
mortga;
c Lender: - — Address:
Architect/
tin-.inccr: Address:
Application
is hereby made to obtain a permit to do the Mork and installations as indicated. 1 ccriry that no work or installation has commencui prior to the issuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permitmustbesecuredforELECTRICAL \CORK, PLUMBING. SIGNS, WELLS, POUIS, FURNACES. BOILIEI:S, 1-IE4\TFMS, TANKS, and AIR
CONDITIONL•RS, ctc. OWNER'
S AFFIDAVIT: 1 cerlify that all of the foregoing inforn ation is accurate and that all work. will be done in compliance with alt applicable laws rr-githting constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCr--MC•NT 1AY RESUI:r 11-' YOUR PAYING TWICEFORIMPROVEMENTSTOYOURI'R01'f:RIY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR IXINDER 011. AN ATTORNEY
BEFOIU: PT;CORDING your, NOTIcr; OF commr•.NCr;M1iN•r. Ng1-;
I(,ai: In addition to the rcquircnN.nis of this permil, there miry be additional n::arietions applicable to rhi; prrperty that may be found in thr, public rceonli of thiscounty, and there may be additional permit:: required from other Ian•crn nC11WI rntitie : such as n•ater mvtagcment district;, stale :q enctex, or federal nuencies. Acceptance
of perni t is verification that 1 t i11 notify the o+ .cr orlite proper;y of the rcqu ire f ori•lo a 1-icn l.:m% F' 3. i^
nature of owncr/Agent OVExA
CAAW) o Prin
vi Agent's Na tc 2
lyj Sigt
aurrc tl NWary-St tc of orith I)a A
Ot
r/Arent i; __ Pcrsnnall\• g NIC ur Q I'
ruduccd IU I . . _.Q,Q_ L _ I j- • p DAFNEY
FAYE AD0000 " -; Date', NOTARY
PUBLIC, STATE OF FLORIDA MY
Comm. Expires DEC. 2.2000 of
Q'ontnctor/A,ren pare
AW-
3NOOTARly COMM -
SION # DD iww91EXPIRES: February25,2007 1F
Notary Discount Assoc. Co. nn:::rl'
IUr A.::::i:`,'t i'`.IS1T^.751•-t nt>• C Ur Initial fi
1)at.l • Initial .. D_t;
POWER OF ATTORNEY
Date: 2
1, Andrew T. (Andy) Adcock do hereby authorize' Ruben Birch
To pull the R r o o f _permit for 1 —12 2- E - type
of permit) (address) K.
r—b z -C> -7 1 -32-771 Signature
Stamp
DAFNEY
FAYE ADCOCK s '
NOTARY PUBLIC, STATE OF FLORIDA MY
Comm. Expires DEC. 2, HN Personally
wn to me or driver license # , of State of Florida, County of day
of 1,4- (z 266. 2
as 5
C" r
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
COMPANY: l7COC
SUBDIVISION:
AFFIDAVIT
LICENSE NO:
PROJECT INFORMATION
CCCazz Sa
ADDRESS: 1117Z-L/-,fZ' '
2'-
sA,r-Z Inv M-T>
PERMIT NO: LOT:
I,A Ac ED affrant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of tfie foregoing information is true and accurate, and that the dry -in, flashings at the above referenced address/lot has
beeninstalled in accordance with all applicable codes and standards.
CONTRACTOR
STATE OF FLORIDA
rioted n e)
Signature)
COUNTY OF Er'l I Q OU 1,7
This instrument was acknowledged before me this day of . ?.00 by the above referenced
individual, tit>y T7 _OC , who ac owledged t t he/she is a duly licensed contractor with
TA<. — OF and who acknowledged that he/she was authorized to execute this document. He/she is
cier personally known to me or produced _ as valid identification. WITNESS
my hand and official seal this q tday of DAFNEY
FAYE ADCOCK 1
NOTARY PNSUC, STATE OF FLORIDA i
MY
Comm. Expires DEC. 2, 2005 COMM.
M D0370M 700
G Notary
Printed
Name: My
Commission Expires: Iz z z. •
NOTICE OF COMMENCEMENT
State of FloridaDDRE.IJ '( County o[ Seminole
Permit No. Tax Folio No. (PID)
FD1rf--*hie 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 addres)
I'1zZ. `PEA W- t .sASN F"Ue t
GENERAL DESCRIMON OF IMPROVEMENT -742% F_ 42, c O
OWNER INFORMATION
Name and address (,
1'122 - A. •
Interest in property (Fee Simple, Partnership, etc.) a 10.-j iu e- Q'f
NAME AND ADDRESS OF FEE SIMPLE TITLE SOLDER.OF OTHER THAN OWNER)
CONTRACTOR
Name and address .
xi•/f,
SURETY (Bonding Company) .
Name and address 1 rGpTIFIED COPY
WY-ANNJE MORSEAmountofBond
CLERK OF CIRCUIT Cl' 1 1
LENDER + . SEMINOLE OUNTY. I'
Name and address
T 0 e) f=I
UN CLEi'K
oo
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as providedbySection713.13(lxa)7., Florida Statutes:
Name and address
sss++ss+ssssssssrsss+sssssssssssssssasss+srsssssssssssssrs+sssssss*+s+++s*+s+ssss+s+s++
In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as
provided in Section 713.13(I)(b), Florida Statutes. z, s C) tO En-3s++s++++gssassssssssss+++ss•s++p+ss++sat+as+sss+s+qsss++++asstiq++ss+ss+ssr+s+++++ n c-i C" X 3
Expiration Date of Noticewent mtis m v
1
O zitatihis p r 0' recording unlerm a differew date is wwrifird i rnr"- d x Ln rm m
NOTARY PUBLIC, STATE OF FLORIDA
3MYComm. Expires DEC. 2, 2008 -n ru In o a,
COMM. M DD376609 Signature of Owner " , Erm
a...
rruutt
NG j +
and an scribed bef re me this Day of1:& o cam„ 00 1...
CL
My Commission E=pirrs- ~ O L"
oZnN (i
tryublic p, L>t
o U1
The foregoin instrument was acknowledged before me this day of C IP S
by 3> CNn cDCa1i3I` 6 2f (name of n aclmowledg , who is personally known to -+ me or who has du ^. 7FI. L . - (0 0 - I S - (type of identification) as identification
and who did / di not take an oath> 2