HomeMy WebLinkAbout104 E Jenkins CirHistoric District: Zoning:
Permit Type: Building FW Electrical Mechanical Plumbing Fire Sprinkler/Alarm PoQ1.
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempotiy Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Fnergy Clil- 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 _&,e Commercial Industrial Total Square Footage: 2 uo
Construction Type: wull # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal pDescripttioi Owners
Name & Address: M iA ![ 901 4 V.
Phone:
Contractor
Name &'Address: 00AqA Art, 1 Q `t State
License Number: c L e O Z Z.! // Phone &
Fax: Y0 %• 7 21 '_VV E V7 110 - r%%
Yontact Person: Phone: f fd 7t Z Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer: Z Vrr 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 laws regulating construction
and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR P. ..YING 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. NOTI
E: In addition to the requirements of this permit, there may be additional iestrictions 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. Acceptance
of ermit is verification that I %rill no the owner of the property of the require o orida en Law, F 00
Si,
t O er/ g n Date Si tj of C WEractor/Agent ate 7//
r t ooec,(_ . Print
Own r/ gent's ame ni ntra r .fig t' a i
a N;
Commifssion0 C ate Sienatu o rs Bry-St FLO i DE GRAVE Date or
ndP Expires pg 2004 ' c *
MY COMMISSION N DD 1642M IRES:
November 12, 2006 O
r/Agent is _ Personall% Kn a Con;cioF// «b i°I Kl,t mrytosMe or Produced
ID 'O6P _ Produce" :D APPLICATION
APPROVED BY: Bldg: "Zoning: l:t::::its: FD: tlnitial & ) (
Initial & Dale) Oniiial & Date) (11-k al & Da% siccia!
Conditions:
POWER OF ATTORNEY
Date: 'L ' /Y-V Y
LOG do 6reby authorize ifk
to pull the K-p keg /
Z
permit for JOY J t /Y IKIA,. 4 17, 1 -CY,- - P
type of permit addr
7
1911% Unda A Keeft
My COmmms" CC9M28
OFW ExPves December 09 2004
Notary .
Personally known to me or drivers license #
State of F17id Co unty of /e h, , on day of
2000
r ,
V
erti t o.
State of Florida
County of Seminole
NOTICE OF CoNRYIENCENCCNT
Tax Folio No.
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. gtVIA LD COPY+IIr. c, %iJ'j 1(
1. Description of property: (legal description of the roperty and sIrktreet n dr s i vailablc) X -MARYANNE'MORSE7 ll
IitERK OF CIRCUIT COUII'A; zY.
c_rnN • COUN . FLORIUa
2. General description of improvement: 4let R ' r .•
Owner information ' V i I
a. Name and address Max F... % 0 1 4 l J O y I: ILA,c,A C —.
of q
b. Interest in property vpykA i,'
c. Nanic and address of fec simple titleholder (if otlicr than Owner)
4. Contractor
a. Namcandaddress &IurzK 6ag+yc eti% ay,
b. Phone number V 4 ] = 2 - 5-rj"Ir Fax number T ( O 7' • o — y.I •J
911111111110111311UUIDIiUltd11 _ 5. Surety 11111111111111i
a. Nameand address MQpYtUWE
h10RBE• r9 F_RK OF CIRCUIT COURT b.
Phone number Fax nun't£E1fINOLE COUNTY c.
Amount of bond BK 05201 pis 6.
Lender CC
RE(
INDkD 02119/P004 11 23:27 RM a.
Namc and address _ n/ u. EB 9 AAA uiivFEc.A sw• b.
Phone number Fax nun cr 7.
Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided
by Section 713.13(1)(a)7., Florida Statutes: a.
Name and address b. .
Phone number Fax number of
S.
In addition to himself or herself, Owner designates to
receive a copy of the Lienor's Notice as provided in Section 713.
13(1)(b), Florida Statutes.' 9.
a.
Phone number Fax number Expiration
date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date
is specified) u
Signature
of Ow cr x
Sworn to for affirmed) ai subscribed before me this— clay of 20 by In
GL p'
orLinda A Personally
Known OR Produced Identification . MyCommismonc 5 za Type
of Identification Produced / 0 ' c ^ T _ a"P1°se^/w