HomeMy WebLinkAbout424 Virginia AvePermit ff
Job Addre3s: r-t e
Dcscription of Worlc:
Historic District:
C1IY0FSANF.URDVE,IaNIrI'AITI,IUX1IUIN
Date:
Zoning: Value of Work: S / 1'V b d
Permit Type: nuilcling Electrical Mechanical Plumbing Fire Sprinkler/Alann
r
POQI- - _
Electrical: New Service —11 of AMPS Addition/Alteration Chnngc of Service Tempot:iry Pole--
Mccltanical: Residential Non-Rcsidcnlial Rcplaccmcnt New (Duct Layout & Energy 01G,.Required)
Plumbing/ New Commercial: ii of Fixture.^. (i of W.1tcr ,% Sewer Lines ii of Gas Lines
PlumUing/Ncm\' Residential: i! of Walcr Closets 1•u1lnullj i.eha„ —,a J1V 11\1P1 • - _._. ____—_
Oecupnncy Type: Residential I Commercial industrial 'Total Square Footage:
Construction Tyoc: ii of Stories: i/ of DNvclling Units: Flood Zonc: (FrytA form required for other than X)
Parcel It:
Owners Name & Address:
r( . ':7,7---7`7 (
Z"—ice. P-
Contractor Name &,"Address:
Soo r2-
I'ltonefi Fax: 07 3j
lTonding Company:
Address:
Marh•at•e Lender:
Address:
Architect/F.n-.inecr:
Address:
tM
ttach Proof of Ownership BSc Leal Description)
2Gf ti 1 4, 144 fz:z
Ar7;VCOC1:: (Z00 t'-Z C2 _....._._..._...._
GgA-f,3 Co ?={2 L 1 32'i''> State License Kumber: ZZ r7-QJ--_..__.
Contact Person:_ Phone.
Application is hereby made to obtain n permit to do the work and installations as indicated. 1 certify that no work, or installation has eommencv! prior to the
issuance or., permit and that all work will be performed to rnect standards of all laws regulating construction in this jurisdiction. I understand that a separatepermitmustbesecuredforELECTRICALWORl', PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOiLERS. l-iE)%TERS, TANKS, and
Air, CONDITIONL•R.S, ctc.
OWNER'S AFFIDAVIT: i certify that -all mllortheforegoinginforation is accurate and thni all work will he done in compliance with all applicable r(I-I,nl:ling
construction and zoning. WARNING TO OWi.IER: YOUR wwitE'r0 RECORD A Nona OF COMMENCEMENT?.SAY RESUi T 1N ),OUR PAY(NG
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. iF YOU INTEND TO Oi -WN, FINANCING, CONSULT WITi-1 YOUR LENDER OR AN
ATTORNEY BEFOi'.E RECORDING YOUR NOTICE 017 COMMENCEMENT.
N(Zrl(;li: In addition to 111e requirenmene: of this. peranit, there may be :101litionat re:arietions applicable to this: property that ncky be found io the public rcconls of
this county, anti there may be additional permits required from other governmental cnlilicr such a:: walcr nunagcmcnt districts, sl:ne al;cnrics, or federal al;encies.
Acceptance of pcnnil is verification that 1 will notify the owner of the propc,ty of the requircmcn Flo ' a Licn
is lure ol'Utwrcr/Agent )ate Signautrc or( ontractor/A!;cnt
Tit.NE C• WiN J _
Print QwncrA\gent's Na,ty.•. Print Contractor Agent's Name y
o q;'' •"' 7 lOYligV PXftWd'6YATE OF FLONDA
a MY Comm. Expires DEC. 2, 2W8
t +° COMM, N DD376609
Otwrcr>;cn al:. • ,.
APPLICATION APPROVED BY: IlIdg:
tlni;ial : I)att;
Lkr7 r/_ /
y- v
ate tii_:naturc of NoaryState or I lorida Date
DEBBIE BLANTQN
r/ ' iL'0lAMIS'It!%i',•' 1 ttxsseh t 1\•Ic or
e,: Ir`1(P1BES:.EoDraeryPS; 200Y ---
14W-3-NOTARY FLNoa"ascwmAssoo.Co.
Initial : gat l (Initial :: Dale) (Mittel .l' D2tc
7 DD i, '
State of Florida
A
71`5 `u Permit No.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
711c 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)
Z f Vt1-e,r t A, ` NF—Dr
PY
GENERAL DESCRIPTION OF IMPROVEMENT yo
0
MARYANNF MORSE
CLER16QF gi CUIT COURT
SFMI- 1 D t`'e OIDAlI1w _
OWNER INFORMATION
VL
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER4" OTHER THAN OWNER)
CONTRACTOR
Name and address 4101
Soo FIZF N-DC t-1
SURETY (Bonding Company)
N
2005
ItlllUqlglUIUUUUgIillUlgqiUlqllUNNIIqU
Name and address
NRYANM IipkS'ti LLLRK U'r CYkWIT UM
Amount of Bond
BK 015581 PG 0319
LENDER
Name and address
CLERK%S R 2005907561
RECfIRDED 01 / 14/i?M 691031 Ali
ti##tilitll4liili»#tillli»i»»l#!»ii»l!»tillittlllift!ltilt#ii»t##it t llitl tilt•#####
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
s is#tlsl»»sss»sslsls»#tsisstslis»slits»sss»lis»#slis»issslsassisl+slss lssi#s llssstl! ssss s
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.
asalasilsi#tiil#s+»»++#t+ls»»•+++»ttswi»s#+is»stl+sslst!!#+arts#sttsst+sltss'ts#itsslstlli#
Date of Notice of Commencement
cordin¢ unle.Cc a different date is vr"tl'mfiril IihtttonDAFNEYFAYEADCOCK
NOTARY PUSUC, STATE OF FLORIDA JMYComm. Expires DEC. 2, 2008
COMM. M DD376609 Signattur of Owner
T 2ooS
Swornjq sny subscri%d Worethis Day of s i't- i9 My
Commission Expires: /,Z - 02 - oZ OD O Notary
ruvuc p I
Zoo i The
fore inshvment acknowledged before me this day of 1 -v.- 10 by J
k.NE C . I J t tJtJ (name o person ac1mowlcdg4, w ersona y own to me
or who has produced (type of identification) as identification and
who did / did not take an oath>
POWER OF ATTORNEY
Date: Lo 5
1, Andrew 1 .(Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof _permit for Vc e&rN r A
type of permit) (address)
Linde A Keeling
My Commission DD359M
OF Expires December09, 2008
Stamp
Personal:Iy:k n o w ri, me or driver license # , of State of Florida, County of
day of a•v w r o ` , 2e64
Zvo S
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
4DW4Z AFFIDAVITCOMPANY: Oo i l (j LICENSE NO:
PROJECT INFORMATION
SUBDIVISION:
PERMIT NO:
ADDRESS: '17Z`I v l Me r .9 r A %AJL
4',-A two 2, l( . V Z -7-1
LOT:
I, A_ `o'+ e OC 14 affiant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of the foregoing information is true and accurate, and that the dry -in, fleshings at the above referenced address/lot has
been installed in accordance with all applicable codes and standards.
CONTRACTOR: t>eoc,,LZ
Print e
Signature)
STATE OF FLORIDA
COUNTY OF 9T--H r iV o L- E
LrL-
This instrument was acrknowledged before me this 17 day of'20 o S , by the above referenced
individual, 4>C o who acknowledged that he/she is a duly licensed contractor with
0 L D V_- v A and who acknowledged that he/she was authorized to execute this document. He/she is
either erg known to me or produced as valid identification.
WITNESS my hand and official seal this day of j N ra r Z o
Pub c
Printed Name:
My Commission Expires: IZ i zoo4s
ores n Keeu,q
My Commission DD359M
OF r. Expires December 09. 20op