201 Meadow Hills Dr 05-429 RoofPermit
Job Ac
Permit Type: Bu ing Electrical Mechanij
I
j
Plumbing /
Fir Alarm/Sprinkler Description
of Work — — iill_/L! Additional Information
for Electrical & Plumbing Permits Electrical: —Addition/
Alteration _Change of Service _Temporary Pole _New AMP Service (# of AMPS ) PI umbing/
Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial:
Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type:
Residential Commercial _ Industrial Total Sq Ftg: Value of Work: Type of
Construction: \t Flood
Zone:
Number of Stories: Number of Dwelling Units: Parcel No.:
C', 2—
c C,
5 QQ10 (Attach Pro of Ownership & Legal Description) OO Ads/
Phone: Contractor/Address/
Phone:ROOD05 OkLA,/J
L 761 $ State License Number: Contact Person:
Laval J/eOGJ fL Phone & Fax Number: 2 % ' S2 O o QfIJ :- of-1 / O %-52I "701 p Title Holder (
If other than Owner): Address: Bonding
Company:
Address: Mortgage
Lender:
Address: Architect/
Engineer
Phone No.: Address: Fax
No.: Application is
hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior
to the.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 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. NOTICE: 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. Acceptance of
permit is verification that I will notify the owner of the property a reqWe Plorida i Law, FS 713. Signature .4
gent Dat igna e o C actor/Agent 7 Dat Print Owner/
Agent's Nre Print ontractor/Agen s N e, Sir::f
R:A tiQi7G{I bate Signature of Notary6tate.o>: G 1............. .. to THERESA A.
TOSH THERESA A. TOSH p r
o Comm# OD0265193 ;o rpv v"% Comm# D00265193 A pNN Expires b
Expires11/
6/2007 11/6/2007 Bonded th (
BOO1432.4254: %a Bonded thN (800H32-4254' orFt . Assn., Inc
r Fbrida Notary Assn., Inc • • 3 1.loridaotary .......... ... ....... ' OlrtterhAgCtRtS'• *?Uit'!
e'7 &downto Me or Contractor/Agent is ilersona7C"b% ftwhleror Produced ID
Produced ID r APPLICATION
APPROVED
BY: Dim Date: Special Conditions:
y!
POWER OF ATTORNEY
1
herebAaSttol- ynaxne and appoint
of
I
in fact to act for me and apply to the _
2
to be my lawful attorney
TC)P CL
a
l3idlding Department fora e 9911f permit
for work to be performed at a location described as: _ ./v -,X 30 - 50S - Ce60- d O 10
Section Township Range `Lot Block
Subdivision A'dbil (_`a [ `P` 'l/A
Ju I I
Address of Job)
0( d
1
1 6641411)",
Owner of Property and Address)
and to sign my name and do all hings necessary to this appointment.
Type o Pr pName of Certified Contractor and Contractor's License Number l
Signature of Certified Contractor The
foregoing instrument was acknowledged before me this V day of 20 bya
W
rpersonally kno3nto me / who produced as
identification and who did not take oath. t..................................
HERESA q. TOSH State
of Flori 1PR oG Comm*DD mooo2ss1s3 Exal „
as,2. Countyoflu`, s;G ,` Bonded thru (800)432.4254 FlOr
daNo tary ..... Assn., Inc 1"
6 k M, v Notary
Public, Orange County, Florida Seal: 2916
08/02 f NOTICE OF COMMENCEMENT
State of Florida
County of
Permit No
VARYRNNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 05 11 FIG 1836
CLERK'S # 2@041742-78
RECORDED 11 / 10/ W:51:55 PH
RECUIRDIN11 FEES 10.00
RECORDED BY L McKialey
Tax Parcel Number
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
1. Description of Property: (Legal description of the property, and street address If available.)
PCs LoT / 1--X1(C" Yl ObW LAX
2. General description of improvement:`"C
3. Owner information:
a. Name and address Nt— -v A-Vy-
b. Interest in property ^ t' z--r) 1-)
c. Name and address of fee simple titleholder (if other than owner)
OF MIAS7-ER ROOFING4. Contractor: Name and address CENTRAL
4530 N.. HIA W
FLORIDA, INC
ORLANDp ASS8E RD.,
a. Phone number ().I , ,, 'FL 32818-17psFaxnumber ( )
5. Surety: Name and address THIS INSTRUMENT PREPARED BY-
NAME
a. Phone number ( ) A D D R.
Fax number ( ) f
r+
b. Amount of bond $ .00
6. Lender: Name and address
a. Phone number ( )
Fax number ( )
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 ( ) "-
FOR CLERK'S OFFICE USE ONLY
CERTIFIED COPY
MARYAN IN I MORSE
CLERK OF CIRCUIT' CnURT
SEMI E COUNTY, FLORIDA
EPUTY CLERK
8. In addition to himself, 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 ( )
b. Fax number ( ) _
Q. Expiration date of Notice of Commenceiri6rit (the expiration date is 1 year from the date of recordingunlessadifferentdateisspecified)
S nature of
State of Florida County of
Affirmed and subscribed before me this
who is personalty known to me or who has
Signature of ublic State
Print Name of Owner
day of _ z,-0 O by !j: A AN\
type of ID) as identification.
pe or Stamp Name
Notarial Seal
111µY P ...;°cC, PENNY J. SLECHTA
MY COMMISSION # DO 170034
EXPIRES: December 8, 2006J
rf of FIOP\Oe Bonded Thru Budget Notary Services