HomeMy WebLinkAbout101 Red Cedar Dr (3)ter
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x CITY OF
pPermit
X
Job Address:
Description o
Date:.
Historic District: Zoning: Value of Work: $ / Q ,,; : ;r.
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Permit Type: Building _ Electrical Mechanical Plumbing Fire Sprinkler/Alarm PoQI. .
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempoi*y Pole ,..
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cali Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial ''
Occupancy Type: Residential Commercial Industrial Total Square Footage: i'i a rl
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
Icy i/
State License Number:
Phone & Fax: Ye 7- T I T • 9.l r1 Contact Person: AUA Phone: f • •T L Z
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: _ _414. Phone:
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certify that no work or installation has commenced prior to tlic
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable htws regulating
construction and zoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
N TI E: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies
w
Acceptance of permit is verimt that wv n ify the owner of the property of the require 0, Lien Law 13. Q
Signature
of er/Agent Date Sign e C na or Age Date A<—%--
X tr, P— Print
ontractor agent's ame cp.tugDAVIS rl '
omm!Q81f# DD0178184 Si tort of N ry-$fate o orida. C
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Expires 1/20/2007 i , : Owner/
Agent is Persona Nand
Bonded through ? Florida
Notary Assn., Inc. o1
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niu fro. is —
Contractor/Ag;-: crsonal Known'to`Me'or Produced
ID 11roducrr::J APPLICATION
APPROVED BY: Bldg: 'Zoning: l t:::::ti: FD: t
Initial & Damp (Initial & Datr) (Initial & Date) (Initial & Dam; Spccia!
Cunditiuns:
J
POWER Or ATTORNEY
Date: 1•G
I, lldk:C&Z 1, IIJGO&k , do heraby authorize
to pull the , kVV permit for Zed cle clFle-
type of pamit ad css
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E*res Cecembar o9 200a
Personally k n to me or drivers license #
orida, County of f gZ0 4-1 on day of
Otter , 200y,
t
NOTICE OF CON2AL-NCEMENT
Tax Folio No.
State of Florida
County of Scininole
The undersigned hereby gives notice that improvement will be made to ccrt<-tin real property, and in -accordance with
Chapter 713, Florida Statutes, the followuig information is provided in this Notice of Commencement.
1. Description of property: (legal description of the property and street address if available
2. General description of improvement: NIHRyAMM
t
Owner
information RK' S # 200401 1627 a.
Name tnd address / RE'
UitDINb FEES- 6.00 b.
Interest in property O'Kelley c.
Nanic and address of fcc simple titleholder (if other than Owncr) OCa
ntractor
r Name
and address c dG 00 h/ e o G a t/ ci2
rr04 ICE 7.2 7 7 / ' b.
Phone number V6 7 Z=,1=d Fax number V0 7- .o y.l J:T `t• `t 5.
Surety a.
Name and address CaJOIEU "Z YANNE
MOIL— b.
Phonc number Fax number OF CIRCUIT ! c.
Amount of bond t
i G.
Lender C15 a.
Name and address _J[y ` UTYVL .,
r,
IF, .\V b. .
Phonc number Fax number 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be sci`vcd as provided
by Section 713.13(1)(a)7., Florida Statutes: a.
Name and address b. .
Phone number Fax number S.
In addition to himself or herself, Owner designates of to
receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida Statutes. a.
Phone number Fax number ,. 9.
Expiration date of notice of commencement (the expiration date is 1 year from the date o£ recording il s a different date
is specified) Si
inatur f n r cif
or
affirmed) and subscribed before me this day of 7-0 Sworn
to f oby XPersonally
Known Z-ORProduced Identification r
Type
of Identification Produced _••••• •• •••• •• •• • • 1 ission
4 DD0178134 Expires
IrM007 Bonded
through Florida
Notary Assn., Inc. 0..........................