HomeMy WebLinkAbout2604 Iroquios AvePcrinit 0
Job Addl•css: Z100 sz
Description of Work: '• IL :lt-
Historic District: 'loltillr:
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tz
Value of Work:
Z I 5•-
3r(--L-> 15kt.51cs
Pcrinit Type: Building Iilcclrical Mechanical I'lumb;ng Fire Sprinkler/Alarm POQI•
Electrical: New Service - II orAIAPS Acid ition/Al tcntion Change of service Tcmpor:iryPolc—,;-- 13ncrry
C 1i;. Rcquirctl) Mechanic1. al: Residential Non=Rcsidcntial l:cplaccmcnt New (Duct L:ryC out . , Plutnbinr/ New
Conrtncrcial: 11 of Fixtures II of Water & Sewer Lines I/ of Gas Lines Plunibing/Ncn'
Residential: f/ of Vhalcr Closets Plumbing Repair - l:csidcnlial or Commercial ____ Occupancy Type:
Residential I Commercial _ industrial 'Total Square Footarc: Construction Type:
it of Storics: 11 of Divellinr Units: blood Zone: (171:,rIA form required for other titan X) Parccl q:
Owncrs Name &
Address: Attach Proorof
Ownership & LcUal Description) Contractor Name &''
Adth css: 4 Co L' _ Zoo o ~ t t-Z O1_..._._._..._..._ 0
01: 1 G SA-{-3rp L2.[ 1 !Z7_% L S:atc i.iccnsc .N*ttnll)rr: _/1! 6 2`
J - 50—.-__..._. Tt'fo"
1
Zi?iD_33j ContactPcrson:_%` ^COC _I'ho»c:-3ZZg5'J 1'honc.t:
Fax: Address: - Jlorh,;a;^,
c
Lender. - — - -- — Address• Architect/Ew.
inccr: _
Fax: _—_.-.____....._.. ........ Address: Application
is
hereby
made to obtain n permit to do the work and installations -is indicated. 1 ccrify that no wort: or install.a lion has commcncui prior In the issuance of apemTitandthatallworkwillbeperformedtonxctstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must besecuretlforELECTRICALWORtc, PLUMBING, SIGNS, WELLS, POOLS. FURNACES. BOILERS,1'IEATEILS, TANKS, and AIR CONDITIONERS, ctc.
OWNER'S AFFIDAVIT':
I certiry that all or the reregoinr inrornintion is accunle and dial all work will be done in compli:ntcc with all applicable hwn: rr.1.?)lhting construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENicEMENT IdAY R1:SULT w 1 our I'A.YING TWICE FOR IMPROVEMENTSTOYOURPROPER -Ty. IF YOU INTEND TO 013'1'ATN FINANCING, CONSULT WITH YOUR LENDER Olk AN ATTORNEY BEFORIi RECORDING
YOUR NOTICE OF COMMENCr.Mr:N'r. NfZI _IC,ai:
In addition lu the rcquircnuatt:: of Ibis permit, there may he adrlitinn;tl re:::triclions ap plicablc lu tilis properly that stay be round in the public reeordi of this county, and
there may be additional Ile snits required lions other I!tt'rrnnucnC,l entities such a:: walcr nunaccmcot district:, stair. al encir.::, ur fnlc,al al;.-+ucits. Acceptance of p
I is ilicali that I tt•ill notify the ot'r,:er of tine prapery of the rcquirc, -or - rides Lien I Fti 713. Signature to/Agent
Date tiit to aof 'ontrnclor/A, U:uc b lti o
a_ Print t ter/
gcnl's N. a Print untncior-Agent's Name 2 G a M'*)
n.r.
aglE$ m1
a)3eo k
DAFNEY FAYE
ADCOCK
EXPIRES:
February 25, 2007 NOTARY PLISUC, STATE OF
FLORIDA t.800.3•NOTARY FL Notary Discount Assoc. Co. MY Comm. Expires DEC.
2, 2We r r.: K I
u:
rot. i;y Known it) \•1e or Gl, . -D. t-- APPLICATION
APPROVED BY: Illdg:
I Initial & Dmcl l"
tecia! conditions: zoning:
I166:11 & p310
Initial ::
Uatel (Initial D_l; 3
POWER OF ATTORNEY
Date: 'Dr7
I, Andrr-w T. (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof _permit for 2&0L1
type of per nit) (,iddress)
Signature
DAFNEY FAYE ADCOCK
y:.. NOTARY PUBLIC. STATE OF FLORIDA
Mjj11Ni MY Comm. Expires DEC.2,2008
a COMM, M DD376609
N ary
I / Stamp
n
Personally kn n to me or driver license # , of State of Florida, County of
day of k+
ZO° S
REGARDING ROOF DRY -IN AND FLASHINGS
INSPECTIONS.
AFFIDAVIT
q n
COMPANY: LICENSE NO: C Co Z ZS U I
PROJECT INFORMATION
SUBDIVISION:
PERMIT NO:
ADDRESS: yo =go D U-1 De;
a , .ter _
LOT:
I, A"r>1 o affiant, hereby affirm that I am the duly licensed contractor of record for the above reference
permit, that all of the fbregoing information is true 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: 4ft4
Printed name)
nature)
STATE OF FLORIDA
COUNTY OF ese-rit < Iti D LD [ I
his instru{ncnt was acknowledged before me this day of Ee a.. woe S• by the about referenced
individual, D L., 4* p [o [Ii , who a owledged that jc he is a dul licensed contractor with
g:-7'—rAr'TE o F' r-LV W--t and who acknowledged t a was authorized to execute this docume he is
eith na nown to me or produced as valid identification.
WITNESS my hand and official seal this
DAFNEY FAYE ADCOCK
1\
NOTARY PUBLIC, STATE OF FLORIDA'
MY Comm. Expires DEC. 2, 2M
COMM. p DD3766O9
8 n,.2 00dayof
a -A f
Nollo Pubirc
Printed Name:Cj',
My Commission Expires: 1 Z Z Z v
0 P...L A ` State of Florida
I.-S4.V040.1-d
3n-7(
Permit No.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
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)
u-1 t9 J vest`s P-o lug 3z'7 -7
GENERAL DESCRIPTION OF IMPROVEMENT Pe oo ERj(F EID MpRSE
C!
VW
CUIT COURT
Sf
OWNER INFORMATION
Name and address tSl p yl ' 1 , 2005
Interest in property (Fee Simple, Partnership, etc.) p l.-->
NAME AND ADDRESS OF FEE SMLE TITLE HOLDER4F OTHER THAN OWNER)
CONTRACTOR
Name and addressC
7 4I 37-M I
SURETY (Bonding company)
p 6fit I Ii 1 f dip I 6 ®f I III
Name and address
IT t i1RT
Amount of Bond
OK 05612 PSG 43958
LENDER CLERK'S iI 20 5024454
Name and address MOM 02/11/ZM 88691ge a
t•tttrq r+r+s#+ssr*###sp+t##4t++++#t#+Mi##p##+#r#ir###r#r#r#i++#it#t#+#r####sir
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
ssss#sss+sssssssssss rs rrss rr++rs s r+sr+s ss•s ss sssss ss tssss++ss+sssss srssr
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.
tsss+ss+st s+sss r++s srsss++ssssssss ss sssssss+sss+sssssss+s+s•sss+ss+sNstsss sssrss
Expiration Date of Notice of Commencement
on date is 1 Year from date of recording unl nt da . it wwnfirrt
DAFNEY FAYE ADCOCK
NOTARY PUBLIC. STATE OF FLOPJDA
MY Comm, Expires DEC. 2, 2008 Si
COMM, A DD37 a th, Day of
zoo S ,
My commission Expires:
t-
Tj ccgo ng,igstr ument was acknowledged before me this „ day of eb , 0- by
j Y D a-" (name of person acknowledged), who is personally known to
me or who produ rL.-DQjJ _ L(! , (type of identification) as identification
and who did I di not take an oath> -
Dr70 a- ,135 _ (. I a D