HomeMy WebLinkAbout2617 Iroquios Avev 1L1 A1111t_.r\11 , cri' or ANI ol,l) rh 1
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Pcl utit 1l _.-
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Description of Work 2C,• 2oo C, 71
Historic District: 'honing: Valuc of Work S
Permit Type: Duilding McIctric:II Mechanical 1'lunabing Fire Sprinkler/Alarm
r
Pogl•—____
Electrical: New Service — ll of AMPS Addition/Alteration Change of Service Tcmpot:iry PoleIt
Mccl anical: Residential Non -'Residential Replacement New (Duct Layout & f3ncl'gy Cali, Required)
Plumbing/ New COn111101•ei:ll; // or Fixture;: IF of Watcr sec Sewer Lilies fl of Gas Lines
11111lilbilig Repair— Resid,cllttal or COt11I ierclalPlulltbitig/Nc\Y ReSidetltCll: ll of %`.tltcr_Clo scls
Occelpancy type Residential Comnlcrcial industrial Total Square FOoI t c:
Construction Type: 1l of Spot ics: 1 of Dtt'clling Units: Floott %one: .. _ (rI fA form required rot O([ur thin X)
A(tach Proof of Owlict•slup S. Legal Descriptioii)
Parcel ll'
r/ c-0 t "-, E --'- ••_.—
cOwnctNanic8Address: ar-,
7,—1. Contractor
Name &"Addr`ess: r2 Co CF 00r, f ——....._-............ boo
C—. S moo [ •c 1 32I-7 LState uccilst, go—,
Zj?j—%l?j?j?j Contact l'crson:_1 L r7-1'Itonc: %-3ZZ SSiS Phone &
Fax: 11ondill.
Company: — -- --------__....-_ Address: - - ----
torq;
age Lender: - -- — —,---- Address:
ArchitectIrngincer:
l
Address: --
Application
is hereby made to obtain a permit to do the work and installations as indicated. I ccrify that no work or installation has colnrrtencui prior to the issuanceornpemtitandthatallworkwillbeperfonnedtonlectstandardsofalllawsregulatingconstntctioninthisjurisdiction. I understand that a sepanic permitmustbesecuredforELECTRICALWOP.K, PLUMBING, SIGNS, WELLS, 11001-S, FUI:NACr_S, IIOILE!'.S, 1IEATENS, TANKS, and AIR
CONDITIONERS, ctc. OWNER'
S AFFiDAV t•1•t I certify that :111 of the foregoing infomL-ttion is accurate mid that all work will be done in compliance with :ill applicable. law, rrt;tdaaing constntctionandioning..WARNING TO OWNER: YOU[ FAiLUiZ.E •r0 I: -.CORD A NOTICE OF COMMENCEMENT MAY ,.LSUi:L I.N YOUR 1'A.Y(NG TWICEFORiMIIP.oVEtvtGN•rS'r0:Y0Uil%: PROVE-1 1Y.. iF YOU INTENDTO OBTAiN i I1r`ANCiNG"CONSULT "iT1I l'OURLi:NDGR OR AN AT I.
ORNEY BrLFOiE RT-_CORDiNG YOUP. Nuricr_ OF COMt 4L':1:crna l:N r. In addition
to the requirellictw; of this permit• there nt:ty be aehlitional n::;trictiun:: applicable to Ihi:: properly that nta), be found in ilir• public records of this exnully,
anti there nt;iy beaddilional permit:: required front other I, vcrntncut:ti entitle:: such a:: %valcr ntvtagenu:nt tli::Iricls, slap: a);enrae::, ur i !Ir.ral nl;irtcit Acceptance of
permit is verification that I will notify the owner or lute prorper:y of the requirenu• ',, tl' i-lori( _ten iaty, FS 7 Date l
X
St
naturc of Owner/Agent D:uc Sic t:uurc of ontnctor//•.cent n 1'
rint
Ots cr/Ag il's Nan Cont-•tclor-%-
enI's Nnnv- _ ate Si;;
ti,
it ' ofN :u-y-State tf orida l);uc Si!a:at l DAFNEY
FAYE ADCOCK NOTARY PUBLIC,
STATE OF FLOE o C)
witcr/Ai;cii't`t I„ , on•tl.! d1Y, Comm), EXPIreq DEC.. 2, 20bg 00MM, .M
D.D376609 . inn, . AI'
1'
1_ICATION AITROVI I) BY: I Ini;ia! , (
Initial .'i Dal l DEBBIE BLANTON:,
MY COMMISSION #
DID 188491 ioi t
EXFI H•tfagryaFy,¢pQ7 1e tt i,ii@fpc3
P(rjpA.RY fL,Notary Discount Assoc: Co Initial J:
Date) (Initial fi U_t: 1pccia! l•
onilitiutts:-----------------------•----•-----------._.__.------ ._-------- —• _— J
F.
n,_., _.
i
POWER OF ATTORNEY
Date: ?7 2
r
I,
a 1, Andrew J . (Andy) Adcock do hereby authorize Ruben Birch
To pull the R e r o o f permit for - ( , Y 601 V, 106 E.
type of permit) ddf s)
5 A'V
Sign re
DAFNEY FAYE ADCOCKr •
4
a:?y': NOTARY PUBLIC, STATE OF FLORIDA, '
MY Comm. Expires DEC. 2, 2008
fn°fin COMM. # DD376609
otary Stamp
i
Personally kno 1 to me or driver license # , of State of Florida, County of
g day of
Zoo
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: Aeei_peorl 6 License #: 0 `
ao vt, A Je, ,
OJ V-'_ d :,t t
Project Information
Owner: Ke',O-'V el_f - Permit #:
name
a c , - 3Z" 1`-I ?7 Subdivision:
address
q 0 1 - _"Z I — q4(f':i Lot#:
phone
I, AzD J 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.
h'/" /
Contractor:
4signatureJO.-Ic eo
prints name
h
STATE OF FLORIDA
COUNTY OF G ( IA 0 LX—
This instrument was acknowledged before me his day of a u P%n_ , 200by the' above
referenced individual, [ t. CbC' , who acknowledged that he/she is a duly
licensed contractor with 6-1 A-TG O4- .G-" es-o A, and who acknowledged that he/
she was authorized to execute this document. He/she is eithe ,persona own to me or produced
as valid identification. WITNESS
my hand and seal this day of VA A-,, t , 20LI)
A., DAFNEY
FAYE ADCOCK Notary ublic 1
NOTARY PUBLIC, STATE OF FLORIDA MY
Comm. Expires DEC. 2, 2008 COMM.
0 DD376609
I I
NOTICE OF COMMENCEMENT
State of Florida County of Seminoler `
7YPit ('i ,
e
Permit No. Tax Folio No. (PID) I
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. i
DESCRIPTION OF PROPERTY (Legal description of the roperty and street address)
1 v S - A r F'0 2— 3 t ? .
LrtirIED, COPY
GENERAL DESCRIPTION OF IMPROVEMENTS NIARYANNE MORSE
AULIRIRCUIT.COURTOUNTY; FLORIDA
OWNER INFORMATION Ty CC RK
Name and addresst< tl ET C a
Interest in property (Fee Si plc, Partnership, etc.) d5 --o f-- E 2!:—
IMIARI 29 2005
i NAME AND ADDRESS OF FEE SIMPLE TITTLE HOLDER -OF OTHER TITAN OWNER)
CONTRACTOR
Name and address ° d+/_'a a F- r ,3
SURETY (Bonding Company)
Name and address
NARYAW "BE, CLERK OF CIRCUIT CMW
Amount of Bond . ==emir r rra a "v
AK 05664 FOG 0166
LENDER CLERK'S # ;=.°it 050504 30
Name and address MRDFD W89/2M 49411@6 AN
RIDII WRNSFFEES I&i j
WCORD+* FY L 1##*in**ei.#R#F## 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 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. 1
e 410fin ''s'1 rlil dQlter rdine unlecc a diffcm.ntdate.. is zr a .ifiM ) i
Y UBLI ±beformc
MY
Comm. EC COMM,x [—
Signature of
Owner Swornt and
bscr' eDay of d.V 1.9 Zoorj My Commission Expires: Nvtaiy
libh - The foregoing
instrument acknowled
before me this 0 day of k^' A `, }9_ by K > t (name ofpersonacknowledgea), ona own to me or who has produced (
type of idenu cation) as identification and who did 1 did
not take an oath>