HomeMy WebLinkAbout282 Live Oak Blvdr'0111t o : r/J `- • • ••
Job Addresr. , zia'Z „_ E t !C. "'l..i,
Descrilltion of Work: „ Q ' 200 Zs "' SL 7—
F[istoric District: —
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ouin Value of Work: S 7 F'''" • —
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Permit Type. Duilding Mcclrical Mcchallical Plumbiril; Firc SprinklcdAlanrl
Electrical: New Service - it of AMPS ^_ Addilion/Alteraliun Chance of Service •Tempot':iry Pole
Mccltanleat:.Rcsidrntial NorNRacidcmbl Rcplaccnu,u 1.'cw (Duct Layout /[: fincrgy C1t; Rcquirctl)
Plumbing/ No%y Cotuntcrcial: it of Fixture: 0 of Water S: Sewer Lines o of Gas Lines
PlurnbiuglNew Resiticutial: It of Water Clo.-cm )'lunlbinS Repair — RcsidentiAl nr Colrnnercial
Oeeupaaey Type Residential Comrncocial industrial 'Total Square f'nolaFc.
Construction Type: f1 of Stories: fl of Dtt'emor, Units: Clood 'Lolls: (FLmA form requil•cd fol' othertban X)
Parcel it:
Owatrs Name dt Address:
Attach 1'00(aC l ncrsGip at Legal
Ll, i c
Phnne:
16
Colitractor Namc S'Addrers:tA` CO 0 D l N •— ------
0 2 N( , d StiriJ E ( 17 •G 1 - -7 ( Stale License Numb";
01.
g 7- _... _
1Q.,,p r7C0 Alone:-32Z95 g
Phene A Fax: yD-i f l fl 3 Contact Person: `
06.4100„ company:
ilddiress• _ I -A, .
Mlorupv Lender.
ArehilceUSn;inecr:
Atlllress
Applilation Is hereby nude to obtain a pr:rndt to do the Work, and insullation; as indicated. 1 codify that no work Of imlanalion ha, eolnoncneat prior la Ibej=Anm ora penitit attd that all work will be perfonned to meet standard; of all laws rcguhlinS construction in this jurisdiction, I llnderidalld that a scparitcpermitmostbesecuredforCJX--CTRICAL% OM PLUMBING, SiGNS. WCL1.S. POOLS, FURNACES. BOILERS, HEATERS, TANKS. and
AiR CONOITiONV%S, cte.
ONVNEICS AF •IDAV rr: i certify that all or the rerecoinE infonlution is accurate and Brat all work will be done in eoingiliaace with all applicable I-mv; m4paUingctinshwlionandzoning. WARNING TO OWNER: YOUR FAIi.URC TO IWCORD A NOTICE Ov COtiMCNCemis•NT MAY itLSIIi.T IN Tour, PAYING
TWiCS FOR 1MPROVCMiRM TO YOUR PROPGRiY. ".'YOU INTCNO TO OBTAIN IWANCNG, CONSULT WM4 YOUR LUNDER OR AN
ATTORNEY BF-CORLI RECORDING YOUR NO•I'ICE Ov' COHML•NCUMENT.
N CI Ip adthUlwl lV tIW Impo rcnlcnls of Ihit (trrnlil, there 111>y IK :llplilil+ml a 00C inn., applicmble to this prapcoy 01a1 n1.y be fuund in oat: pabuc neank of
this CttYllly. and lherc nl ly be adtlili011a1 permits required from uthet I;V1 Cnullental CIIIiIiCS `SIK I+ Dix P: al 0113rc11icl1t di l.icm, mir, arelleim in' redarad atpxim
Aaepwrltx o omit is verifiealia that 1 ++;11 notify the ol:ner of tiW p'u,ftny 0(Ihe rcQuire o(i1a+ n Ia
nat • of Uhler/A$ti11 l)arc Si aulnC Of Comtycl /Agcnl .
Prild Ownca
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tnrc or
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DD263267
APPLICATION AITKOV1:t) IIY: Ill
11rin C WIClur•Alcllt's Namc
tiila:alure of i+:arySlat. ul' 10106:3 Aatt
DEBBIE BLANTON
Div coatktsaddtt'+1* ovIt ea9it
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I-900•a-WTARY r:t rmdy Discount Assoc. do.
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POWER OF ATTORNEY
Date:
1, Andrew J. (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit for o?Sa Li E l AA< Bi-
type of permit) odress 7j Z-
71l01
Z
DAFNEY FAYE ADCOCK
NOTARY PUBLIC, STATE OF FLORIDA
MY Comm. Explree DEC. 2, 200o
COMM, 0 DD370600
Notary Stamp
Personally k n to me or driver license # , of State of Florida, County of
Z 1,1
day of a, e C
z os
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: g6raQ 6:2 License #: eee 0 ZZ S l
dAoub rzew_44 .
Ct
Project Information
II
Owner: EAkN N L L
n me
2`b2 L(
7A-t,,) P-C; r2—, z-1-1 1
address
Permit #:
Subdivision:
4,9 7- 6-71- 1-7 D U Lot M
phone
I, & , 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.
Contractor: 1 X c4x
signature
A&
printed Arne
STATE OF FLORIDA
COUNTY OF :2e M lyL 0 L This
instrument was acknowledg9d before me this day of a_vC - , 20 5, by the above
referenced individual, PL- i AC>000 lL , who acknowledged that he/she is a duly
licensed contractor with 171 A iP- a r- F71-ow-c- r-> A• , and who acknowledged that he/she
was authorized to execute this document. He/she is eithe rsona own to me or produced as
valid identi ica ion. WITNESS my
hand and seal this Z day of f , 20,* DAFNEY FAYE
ADCOCK Notary Pub ;c NOTARY PUBLIC,
STATE OF FLORIDA MY Comm.
Expires DEC. 2, 2008 COMM, 0
DD370009
t.-t4o
3hte of Florida
Pernnit No.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
The undersigned hereby gives notice that imprownent will be made to certain real property, and in swordanco with Chapter
7 • 713, Florida Statutes. the foilowina intomration is provided in this Notice of Commmneemcat.
DESCRIPTION OF PROPXRTX (Legal description of the property and street address)
CERTIFIED Cop',
2 -R— E ) _'DA.em `S L.sb . Fcat.`+sue—ate •/ 4ARYANNI= MORSE
G ARK OF CIRCUIT COURT
GIENERAL DIESCRIlY lON OF ROROVEMENT _ C _e SEMIN L(0^NTY, FLORIDA
OWNER INFORMATION
lur.'
Nome and addmn t, t_ L1kNAB As
Interest in propem (Fee simple, Pattnerswx Cie.)
NAME AND ADDRESS OF FEE W4FLE TITLE BOLDER{IF OTHER THAN OWNER)
CONTRACTOR
Moe and adcress
SURE MondiogCompany) ' INpI1111NpIN N A MINN INe r11 11 1
Noate and address
HNIANNE MRSE4 MERE 11F CIRCUIT CIRMT
Amount of Bond 9EMINpi.E COlM
BK 05662 P6 0354
LENDER
Name aced addtess
CLERK'S 0 2905049528
704 AN
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Persons within the State of Florida derigoaud by Owoer upon whom notice or other documents may be served as provided
by Sortim 713.13(lxa)7 Florida StattW.
Name and address
In addition to hitmselt Owner dwigaatr s of
to restive a copy of the I.ienor'a Notice as
provided in Soetion 713.13(l)(b), Florida Statutes.
w.••.•••••••.••••••..•.•.•.•••.••........
Expiration Date of Notice of Cotmmeneeaaent
CU wtpiration date is 1 veer Dam date of recording unl different dare: is s.;r f-q•)
sig4wre 6 Owner
CHARLE3 E BREWV
Sworn to and a ed before we this Day of c r Notary Public - Sfofe of
mlbibrt6 Metplov,
M Commission Expires• commmaaior, a e
ary Public BOndPdBVNWWno1Ptni.
The foregoing iostnrmwt was ad wlodgt:d before me this _ 23 day of 1`(1 a,r 6, , #rl 2 sw -
2a. l 1 (name of person adotowledged). who is personally known to
me yr who has produced (type of identification) as identifcation
and who did / did not take an oath>
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