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2402 S Oregon Ave 04-215 RoofDescription of Work: Historic District:- Lonmg: Value of Work. $ )"' /S V ". Permit Type: Building v Electrical Mechanical Plumbing IFire Sprinkler/Alarm PoQi . Electrical: New Service — # of AMPS Addition/Alteration Change of Service Tempot*y Pole r Mechanical: Residential - Non -Residential Replacement New (Duct Layout &Energy Gall. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial 6- Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Tyne: k004 # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: OwnershipProofofOAttachp & Legal Description) Owners Name &yAdds: //.Ll Q W N,t,_%1, 17 6y Z YO 2 S, e% $ 9 6 ,4, A ,1 L 7 7 / _ Phone: Contractor Name & Address: N Q 17 1/ State License Number: C CC 0.4 2 J-01 Phone & Fax: Y% T 322, Mr Contact Person: RA, Phone: Bonding Company: y Address: r Mortgage Lender: Address: Architect/Engineer: %L Phone: Address: Fax: 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 ad 'onal permits Lecluired from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance e t tion otify the owner of e property of the requireme of d Lie r,1S 713. Signature Owner/Agent Date Sign r ogC'ontract9r/Ag j Date c 10 03 i, ture otary- fate ot Honda Date 1 DANIEL C. MULVANEY MY COMMISSION # DD 049772 leff Oo\ EXPIRES:November6,2005 O cr/ @IJt T9fl t ahl3b q bBrmHltr API'l IC:\I ION APPROVED BY Special Conditions: Bldg: Zoning: i Initial & Date) Signature of Notary -State of Florida Contractor/Age is ProduceC .D Ut:::ies: Initial & Date) a xo 667%7 c w ps Date C0 • rn a tz tv o o d Personah, Known to Me or o w LAZZ FD: Initial & Date) (Irwial & Dat; may/ t oJ% State of Florida County of Seminole Al JTICE OF COMMENCEMENT 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. CERTIFIED (COPY MA,IRYAl N N10RSE 1. Description of property: (legal description of the property and street address if available) 61 FRK nF CIRCUIT C0UR1 2. General description of improvement: Owner information a. Naive and address b. Interest in property '' c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address 72 771 Phone number 5. Surety a. Name and address 7- 77 Fax number Q i• ,, a - -j,' I IN 11111111111111111111 1111111111 it 13111110 1111111111111 ERK OF CIRCUIT MURTI b. Phone number Fax nuk k N lI nl Imo c. Amount of bond BK e5e75 FAG eggr, 6. Lender CLERK'S # 2003192871 a. Name and address hi REC.tlRDFD 10/27/2003 02:04s28 PN REWRDINS FEES 6.05 b. Phone number Fax n inley 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 8. 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 dat r ord less a i Brent date is specified) Signat re of Owner Sworn to ( or affix ed) subsc ed before me this d -( day of o C--rose„/ , 20 0, , by nk Personally Known OR Prodpd Identification Type of Identification Produced - Lcjn-t ©A r k klrtFyL 1 t rvus DANIELC- MULVANEY S ure of Notary Public, State of Florid AIYCONImISSION# DDUt977? EXPIRES: November d Z005 Commission Expires: lI / 0(. G OFIN 1-80a3NOTARY FL Notary Service &Bonding. Inc. V, ar: 1. ri POWER OF ATTORNEY Date: 0 ` Z 7— 0 r f1y61,vfw ' l , do hereby authorize t/ lv to pull the ,f `'D0 permit for 0 Z j, Q% -f9 0 it/ type of pemiL ad s FI4H 1":,/, .72 7}/ eLinda A Keeling y P-wMV Commission CC985428 or wa' Expires December 09 2004 Personally known me or drivers license It e- e F orrda, County of f c 7-1 ;Lral,, on Z 7 day of O G r , 2003.