HomeMy WebLinkAbout885 E 20 St7PermitllqLf
Jol Address: ST
Description of Work: rZ00
Historic District: Zonis
CIIYOFSANFURi) 1'lilJ ll'1'r\l'l'l.11;r\11V1 -r ::r; _ ;Yi, t:.:r::^.,.• ::115!'::'>:i{li! :
Date: ^.:• n. r ....
s4fl) r-o M> 'FI 3Z 71
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V:tluc of Worlt: S 4 2 A S
r.r r
Pcrmit'I'ype: Building Mccirical
Electrical: New Service - it of AMPS
Mechanical: Rcsidcntial Non `Rcsitcntial
Mechanical Ilumbing fircSprinklcr/Alarm Pocil. _
Addition/Altcrntion Chance of Service Temporary Polc
Replacement_cNew (Duct Layout & .energy CalFRequired) Plumbing/
New Commercial: It of Fixture.^. Plumbing/
NewRcsidcntial: II of Vt'alcr Closets 0
of Walcr & Sewer Lines iI of Gas Lines Plumbing
Rep - Rcsidcntial or Commercial Occupancy
Typc: Residential I Commercial industrial •I'otal Square Footage: Construction
Type: 0 of Stories: I/ of Dwelling Units: Flood Zone: (FI:MA for required for other than X) Parcel
It: (Attach
Prooror Ownership `Legal Description) Owners
Name & Address: vt OA MAC SHITt4 926 E ?OY" S O . C7(' 3.2 -7-1 _ i'
ltone: 9l2 - Z93 - (v120_ Contractor
Namc ``Address: `` CO t 20 0 r= __..._._..._..- 00
r2 t>v-1 \A d (;A-N3 FD LQ •C I 3ZT'% L Statc I.iccnse Number. Ce o Z? 14D1
330 333 Contact Person: _ Dh )4'f)CO.f _Phone; 07 3ZZ °1SS , 1
bout `Fax: --- liondin,^,
Company:' — Address:
Mort -
gage Lender', Address:
Architect/
En-Once'": Address:
Application
is hereby made to obtain n permit to do the work and installations as indicated. I ccrify that no work, or installation has corlmcnceri prior to the issuanceofnpermitandthatallworkwillbeperfomudtomeetstandardsofalllawsreLulatinTconstntclioninibisjurisdiction. 1 undcrsland that n scp- permitmustbesecuredforELL•CTIZICAL WOP.K, PLUMBING, SIGNS, WELI-S, POULS, FUI:NACr-S. 0011-1-11S, t1EAITICS, TANKS, and AIR
CONDITiONERS, etc. OWNER'
S AFFIDAVI'-r- 1 certify that nil of the forcgoint; inromintion is accurate and hint all work will be done in compliance with all applicable law:: re.-uthting constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT?,SAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENTSTOYOUR1,R0I'E11nT. iF YOU INTEND TO OL'TAiN FINANCING, CONSULT WITi-I YOUR U?NDER Olt AN ATTORNEY
BEFOi`.E RECORDiNG YOUR NOTICE OF COMI.IL•NCEMENT. N(
Tl li: In addition to the requircov.-iw. of this permit, there may be additioml irstriClions applicable to this property that may be found in the, public records of this
county, and there may be additional permit:: requirctl from other governmental crititie.: such as warier runnLcouatt districts, slate at;cncic::, nY federal agencies. Acceptance
of pc it s verification that I ai11 notify the o::ncr of rite property of the requiremcn •lori .icn i.:I:e, FS ih
V--Sigluityrc of Utwtcr/A;;ent Ua e . ivuturc of Contractor/A•rcnl arc 05
M
Contractor
Agent's Namc Sirnaun•
c ww,
AF[
EY FAYE ADCOCK (r'" 'c't' Ag800yi O:: Ice/Al,cm.is __ I'cr.;, m i t}AA:F PUSUC.
STATE OF FLORIDA I'rud, 1'
nxluccd I1) ^ llxJr-omm. Expires DEC. 2, 2M -- - COMM.
0 DD376609 AITI.
ICA•TION AI'I'ItUVED UY: 111d9: Itnitial,',
I%..tt; !Initial & Dahl Special
C.militions: 1a1C
01 I•torma • DEBBIE
BLANTON MY
COMMi ;SION # DD 188491 EXPIRES:
February 25.2007 tenvt'
l'Y::IN1::lidrell, QllNOanll-lr' 4C• Initial ;
2 Uatc) (hti;tial ` Uat:
bn /-t)(;ovc` NOTICE OF COMMENCEMENT
ODD Fk: 5 hlWV, State of Florida County of Seminole D
Iz(> Permit No. Tax Folio No. (PID) 1 • ?
j2'1 f 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. DESCRIPTION
OF PROPERTY (Legal description of the property and street address) Z
o GENERAL
DESCRIPTION OF IMPROVEMENT nor
COPY ARYANNE
MORSE OWNERINFORMATTON •_MCLERK 0 CIRCUIT COURT Name
and address V(t',A A E Stuqi4 g
E Zoo C t . 3''1 1F LE COUN Y. F ORIUA Interest
in property (Fee Simple, Partnership, etc.) G w N L
R NAME
AND ADDRESS OF FEE SIMPLE TTTLE HOLDER.(IF OTHER THAN OWNER - r 205, CONTRACTOR
l 010
Nameandaddress 1J gC0
Fb Cr-r-->r
F—:(
3a-1`7 r SURETY (
Bonding Company) 1111111111111 one i1 U no 111111111111 A 11111111111 Name
and address MAWA"
Mh a rr roik nr- n,DWIT C"T 1
Amount
of Bond 5ENINULE CUIRRY BK
05581 FAG 0321 LENDER
CLERK' S 0 2005007563 Name
and address ^MIRM _ _ _ _ _ __ ," Pp it
rittr i+1 •r•+#+err+++t++r•rrr+4++++++++++rrit++tit++sir+wWMfl fiYAU Ql rr+rrrr Persons
within the State of Florida designated by Owner upon whom notice or other documents may be served as provided by
Section 713.13(]xa)7., Florida Statutes: Name
and address sssssssrssssssssssssssssssssssssss+
sssssssss+rssssrasssssssssssssssssssarsrsss++srssr++r++rr In
addition to himself, Owner designates of to
receive a copy of the Lienor's Notice as provided
in Section 713.13(l)(b), Florida Statutes. assssss+
rs+sssrssssss*sax+•assssssssassssssssssssssrsssrsssassss+rsss+sssssssss+s+rsrss+iris a
e p m nt . I
py
K dTgg
1'
A rdina unl c a iffeTrnt data is arnriA 1 MY
Comm. Enplras DEC. 2, 2W6 ' COMM.
N DD376609 Signature
of Owner Sworn
a subs 'bed before a this Day of • l a ' My
Commission Expires: 2 0 Nota
P lic fvo
g The
foregoing instrument was acknowledged before me this day o- lf,__ by y
I D A. H A C 4 m i -r t4 (name of person acknowledged), who is personally known to me
or who has produced + (type of identification as identification and
who did / did not take an oath>
Date: Z
I, Andrew T . ( Andy )
To pull the Reroof
type of permit)
Signature
do hereby authorize Ruben Birch
t for Qg r7 Z.a r,'r,
address)
V' Linde A Keeling
My Commossion DD359M
a ti Expires December 09, 2008
Stamp
Perso7nally n to me or driver license # , of State of Florida, County of
t-Zdayof J '`-1 .
Zae S
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
SUBDIVISION:
PERMIT NO:
AFFIDAVTr
LICENSE NO: CCC D Z ZSa I
PROJECT INFORMATION
ADDRESS: T9 `/
1- . Fo TZ.l--> . IV . '9Z7" Y 1
LOT:
I, affiant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit,' that all of the foregoing information is we and accurate, and that the dry -in, flashings at the above referenced address/lot has
been installed in accordance with all applicable codes and standards.
CONTRACTOR: VA1v Dt-
Fri n ed n e
41 (Signature)
STATE OF FLORIDA
II
COUNTY OF M-t -
This instrument was acknowledged before me this 17 day of aµk r 290S by the above referenced
in rvidual, t t7 tom, Dc ewe o , who acknowledged that he/she is a duly licensed contractor with
j-Pp TE D C' PL.v (r-, n A , and who acknowledged that he/sheas authorized to execute this document. He/she is
either personally known to me _ or produced as valid identification.
WITNESS my hand and official seal this day of It.µw7,7
Printed Name: Lt -JT
My Commission Expires:
15
P Linde A Keeling a
aVMy Commission DD3WM Expires
December 09, 2009