HomeMy WebLinkAbout906 W 20 StCI11' UI Srl\I UIa) I'lAUNII.1• Al'I•I, UAI IUI% s _ .. . ;: :a; :..; :r• +c;^.,•: t •;,: •',*:;:;^::!•,z:; ;.,:
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Job Address: llu t 0n
i [Zoo r 4Z N l'o Description
of WOI•Ic: 12 I•
Iistoric District: zoning: Valuc of 1Vorlr. S---•--- tcevnz.—.,
amts i'
ermit'I'ypc: (;uiktinr rlcetrical Mechanical Plumbing Fire Sprinkler/Alarm r
Podl• _
Electrical:
New Service - IlofAlvil'S Acid ition/Alterntion Chan cofScrvicc 1'cmpottiryPolc_;—_ Mechanical:
Rcsicicntial Non=Residential y I;ncrry C. .Required) l:
cplaccnunt New Duct Layout C • - Plumbinr/
NctY Commercial: 9 of Fixtures I/ of Walcr .c. Sewer Lines II of Gas Lines PlumbinPJNc«'
Rcsicicntial: f1 of V.'atcr Closcls Plumbing Repair- I:csidcntial or Commercial Ocettpnncy'
I'ype: Residential Commercial Industrial 'Total Square Footage: Construction
Type: fl of stories: ll of Divellinr Units: Flootl Zone: (I I:ivfA form rcquircci for other thzm X) Pared
II: (Allach Proof of Ownership & Lcra1 Description) r^+-
1 t 1 *-t j M ivr,A4T L17 bJ. Z • - _-- - -- O//
w,,nAAcrss N__ ame & Address: `& 40<
1,z D rril i / 3Z%
1 1'honc:,_0—j 7iZc-f-J•.,r[— Contractor \'
ame&•'Address: `Atf7CDC (OO rt It-3 C2^ C^'...-.-..-_•--•._
20
o j: NcAA1,4J G (;A-f-3 Fo C 1 3Z•%l L Stalc Liccnsc -Nunthrr: if
1 Zj?j( -33 Contact Person:r%1 `COC _Phone:-3ZZ95SQ Phone .
0 Fax: 11trt,
din,^• Company: - Address:
N•
lort; age Lender: Address:
A
rcIiitccI1I' n-.incur: I -'
as: Atldress•
Application
is hereby made to obtain a permit to do the work -Ind installations as indicated. 1 ccrify that no t,ror . or installation has cotnmcncr<i prior u, the issuanceora, pcmiii and that all work will be perfonmcd to meet standards of all laws rcrulating conslntction in this jurisdiction. I understand that a separate permit mustbesecureclforELECTRICALWORI', PLUN40ING, SIGNS, \YELLS, POUTS, FUI:NACES, BOILERS. 1• ZATEILS, TANKS, and AiR CONDITIONERS,
ctc. OWNER'S
AFFIDAV 1'1,: 1 ccrtify that all of the forcCoing inromtation is nceuralc and that all wort: will be done in compliance with all applic:tbll; lava. rt•g1thting construction andzoning. WARNING TO OWNER: YOUR FA i.mn'r0 RECORD A NOTICE 01" COMMENCEMENT 114AY RESULT UPI YOUR PAV040 I VICEFORTMPROVEMENTS 'TO YOUR PROPEI:IY. IF YOU INTEND TO OU TAIN FrNANCING. CONSULT WITH YOUR LENDER Ol: AN ATI'ORNEY
BEFORE RECORIANG YOUR NOTICE OF COMMENCEMENT. t. v %.
NfZPI(,ai:
In addition to the requirement:: of thi• lienttit, there stay be mmilirntal rr.:arictions applicable to thin properly Thal stay be rtunttl in the public mconk or this county,
and there play be additional permits required from ulhcr govcrmncntal erotic:: such a:: water nunaLcnu:nt di:nricts, stale agencies, ur fetter l a •7tcies. Aeccpl c
of permit is v t calian I tat 1 will notify the owner of rite propet;y of the rcquircntc • ;f i to ' .ien I tw, Fti 71 j 1
b5
Niftnalurcor0wi •'Rent
a a Sit•;nature o Contactorlf%i ent :Date Print sic
r {
ypy,( 1&TATEOFFLOii1DA MY Colgm.
Explroe DEC. 2, 2006 CQW N
DD376M Owner run
is crsnnatly 1 nottn m evie ur OZ3— 11
APPLICATION AI'
1'I',UIrEI) BY: I11t11;: C 11
Prim: tlr:
tc or :\gcnt's Nam tii_a:
aanc DateJ DEBBIE BLANTON
MY
COMMISSION # DD
188491 nn:: teut /Wt.-
E(PrtSlfteHrpogtt91t2t1b4ur I'rttt ARY
FL Noter•
D;acq,p(g,.,,`q., Initial : D310 Fu•
hti:ial ::
Date) (
lottial .l' D_I:
POWER OF ATTORNEY
Date: 3 /o orj
1, Andrew J. (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit for %bto K)• 20 `;kN ro z;->
type of permit) (address) 377 —7
Signature
Notary
a) DAFNEY FAYE AD
NOTARY PUBLIC. STATE OF FUONIDA
MY Comm. Erpira DEC. 2, 2W9
COMM. N DD876M
Stamp
ersonally 1 , wn to me or driver license # , of State of Florida, County of
D day of 2%4•
20PS
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
AFFIDAVIT
4eoo+-*' COMPANY: Pv I N LICENSE NO: CCLll ZZSO l
PROJECT INFORMATION
SUBDIVISION:
PERMTT NO:
ADDRESS: Zo 1.
4fJ D W—C>
i
1. 3z
LOT:
I, 4k., V" pC: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
beentinstalled in accordance with all applicable codes and standards.
CONTRACTOR: AKjt>4-'
Printed name
nature)
STATE OF FLORIDA
I
COUNTY OF /Q-v%A- L vL v
This instrument was acknowledged before me this JO day of Zso v5, , by the above referenced
individual, 'Acl—r>, who acknowledged that he/she is a duly licensed contractor with
r,4cTF_ of- rLo Rz,r:> A--- . and who acknowledged that he/she was 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 Zoo
Notary ublic
FNEY FAYE ADCOCK
NOTARY PUBLIC, STATE OF FLORIQA
MY Comm. EKPIna DEC. 2, 2008 Printed Name: c N be o
COMM, p DD376M My Commission Expires: - Z z.o
C D NOTICE OF COMMENCEMENT
SVVt, State of Florida County of Seminole
Permit No. Tax Folio No. (PID)
71ie 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)
nn
COPY
GENERAL DESCRIPTION OF IMPROVEMENT RE K00 MARYANNE MORSE
CLERK Ut'gUIT COURT
OWNER INFORMATION
Interest in property (Fee Simple, Partnership, etc.)
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER.(IF OTHER THAN OWNER)
CONTRACTORAName aid adIi OC I 0 0 i N S
0 0 =f r t ,,. A-1. Yurvo s__ 52005
SURETY (
Bonding Company) I on 111111111 ago guts me 01 no 111111 Name
and address IT
COURT AmountofBondSMINDLE
COUNTY BK
185647 PG L504 LENDERName
and address CLERK'S N 2005042463 09440
FQSCW/7j2m-
AN
s#*############
t#####s#Yr'rForwa is•R"ii###t• 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 ss•
ssss#ssssssss*assssssssssssssssssssssssssssssssassss sssss#sssssssssssssssss•••••s##sis In
addition to himself, Owner designates of provided
in Section 713.13(I)(b), Florida Statutes. to
receive a copy of the Lienor's Notice as ssssssss#
ss s#ssss assss s•sassssss ssss s ssss ssssssssss s#ss ss•sass s•ss•##•#••• Expiration
Date of Notice of Commencement Sworn
Notary
r
oorj . ra
a a,Pp 8, z•
5 The
foregoingent was acknowledged before use this day of a ot" 1.9! by 1 4
H f ` OI A4—r A (name of person aclmowled , who is personally known to me or
who has produced f1. •-M t J . Lt _ _ (t emu t n) as identification and who
did / 40 not take an oath> Co' (pa AFNEY FAY/
E A.D K A Y
rP-
11DP1Wa
DEC. 2,200ft N DD37M
J Day of
JA
ow me My CommissionExpires: