2420 Maple Ave 05-449 RoofCITY OFSrINF.ORlll'Lla\IL'I'AI't'L(Cr\1lvt.-•'^ ••` -' •: r'lti+ ''t •
Per'iii t 1/ 0
Job Address: 7-4ZC
Description of Worlc: _
Historic District:
Art
D.
n, r '-MC
Zoning: Value of Work: S. (00O O Permit
Type: Building Elcctrical Mechanical Plumbing; FireSprinklcr/Alarm Pogl•___•_ Electrical:
New Service — i1 of AMPS Addition/Alteration Change of Service TcmpoA iry Pole _,•---__• Mechanical•
Residential _ Non-'Residenti:l Replacement New (Duct Layou[ G i;ncrgy Ca1G, Required) Plumb!
ng/ New Co nuner•cial: /1 of Fixtures 11 of Watcr Fc Sewer Lines 11 of Gas Lincs P(
umUingfNe\\' ResitlentiaL f! of 'alcr Closets Plumbing Repair— I csidcntial or Commercial Occupancy
Type: Residential Commercial _ industrial Total Square Footare: Construction
Tyne: 11 of Stories: 11 of Dwelling Units: Flood Zone: (rrMA form required for outer tAsu X) Parcel
I/: (A(
tach proof of Ownership «Legal Description) Owners
Name & Address J A P ELi 2-
42V M64 U_ YWC. CJpp rtNFO//i(tZ, Cl r3Z-7-7( Phone: g0-1 3Z1 l_1j $_..._._._...---- Contractor
Name ``C 1— .(Zoo ~ t N_Ca_ SOD
d cif D - I 32i "T L S::tic License-Numbr-r: Phone & ['•
ax: Confact Person: Bondin.
Company: -- --- -- - — Address: - - ----
Mor(;,
age Lender: — —. -- — ---- Address: —
Architect/
iingilice": Address:
Phonc: ___
Application
is hereby made to obtain a permit to do the work and installations :is indicated. I certify that no wort; or installation has cor.)irtenced prior to the issuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsrcgelatingconstructioninthisjurisdiction. I undcrstancLthat a separate permitmustbesecuredforL•LECTiZICAL WORE, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, 1-IF.ATEiP:S, TANKS, and AIR
CONDiTIONERS. etc. OWNER'
S AFFIDAViT: I certify that :111 of the foregoing information is accurate and that all wor:: will be done in cornplinnce with :dl appli )blc la.l tr (; il!tlill g; constntction andzoning. WARNING TO O'/NEr, YOUR FAu.Ui E'f0 RECORD A NOTICE Oi- C0\4MENCEMENT IMAY RESULT IN YOUR PAY TWICE FORIMPROVEMENTSTOYOURPI'.OPERiY. 1F YOU INTEND TO OBTAIN FINANCING, CONSUL:C WITH f YOURLENDER Ol: AN AT I'
ORNEY BEFORE IT.CORDING YOUR NOTICE OF COMt.41.NCEMI:N'p. in addition
to the rcquirentl:ntr; of dlk perntil, there nuly be nd,litiolml reslricliow::lpplic:rblc to tlii:; pt'uperty that may be found in the publie recordi of this counly,
and there may beadditional permits required front other governmental cntttit ; suchas w:ucr ntulaZcnu.nt di:;uacis, stab. a{;cn u::, or ('etl<at a(;t tctcs. Acceptant: Ofp rmitis
vcrilirttio. That l l•i11 notify the olvr.cr of rite propcl;y of the rcduirc Si; t tltn'
c of Otsmer/Agent Datc Z. Sii Print
Own'
Agen
Name Pri Sir aturc o
Nolar ' -tic of ; lridn Uatc Sit.t:ature of No:ary-State of Florida Linda Keeling Nr
t MY
Commission
DD359M ° OF-P'6A { Qss•nt: t,
cnris bona 1 t r,,,(,, Con-: t •It ' A .:
r• `i511T 1 \1c t Idt tsSfi SOON # DD_
BL - hFebruary 25, 2007• 1-
800-3-1\
101-ARY FL h0t5ry Discount Assoc. Co. APPLICATION APPROVED BY: llldg:
Zralin': Initial & Date) (It)itial .
l Dst: r Initial S: 1)
tc; (Initial ,t. Datcl. .. special Condiliolls: 9
1
NOTICE OF COMMENCEMENT
Soo' 0 7't4 C. County of Seminole
State of Florida .
Tax Folio No. (PID)
Permit No.
3z be made to certain real property, and in accordance with ChapterTheundersignedherebygivesnoticethatimprovementwill713, Florida Statutes, the following information is provided in this Notice of Commencement -
DESCRIPTION OF 1 description of the property and street address)
aVZ-6 P ( 3z
Tir ` PY,
eennVnrinrt:' MORSE
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
Name and address
Interest in property (Fee dimple, raruiciau+Y, .,
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER -(IF OTHER THAN OWNER)
T rn A rrnii
SURETY (Bonding Company)
iTMhOT
Itill iiIII itIII II1110111II111l1i111hill Ii1111All QI111111811 Name and address qy GUI1
LURE Amount of Bond S 1N
LE COUNTY BK
05518 M 1145 LENDER
CLERK' S 1I 2004177697
Name
and address Persons within
the State of
Florida designated by owner upon whom notice or other documents may be served as provided by Section 713.13(l)(
a)7., Florida Statutes: Name and address of In
addition to himself,
Owner
designates to receive a copy of the Lienor's Notice as provided in Section 713.13(
l)(b), Florida Statutes. Expiration Date of Notice of
Commencement The expiration date is 1vearfromdateofrecordingunleceadifferentdateis cnecif+eri) / Si true of Owner Sworn
to and subscrib efore
me this Day of _ _ _____ 19— 11 My Commission Expires: ary
P;
4 edge ent
was acknowl( d
beforemethis /6 day of 'Xboqby um
The foregoing instrS 7T N '
F c > name of
person acknowledged), who is personally own o Al.(type of identification) as identification me
or who has produced and who
did / did not take an
oath , ,,, Linda A Keeling 359899 My Commission DD 1< ,V Expires
December09, 2008
POWER OF ATTORNEY
Date: I b
I, Andrew J. (Andy) Adcock do hereby authorize Ruben Birch
To pull the Reroof permit for 214Z0 HkPLL A_E' S%-k)F—cjr
type of permit) (address)
i 1
W 0&. Linda A Keeling
My Commission D0359999
Expires December 09, 2008
Stamp
Personally knn e or driver license
I# ,
of State of Florida, County of
day of l V V C h-I 5 12004.