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HomeMy WebLinkAboutBLDG1405-0017-ApplicationPERMIT NO SUB-PERMIT SUB-PERMIT SUB-PERMIT BLDG1405-0017) 1 $272.88 PERMIT TREE DESCRIPTION APPLIED FEES PAID APPROVED $272.88 $10,300.00 TOTAL of ALL FEES $90.0o POOL SCREEN ENCLOSURE 05/05/2014 $90.00 $182.88 LEMONGELLO,DANIEL & $182.88 VALUE $10,300.00 4,, cLL'�a 2.e sc,,,e,„"hs, Drinrorl• hAnnrls.. 10 I\ An,' 101A 1 of 1 400'lllI 41 . a .4p4 Contact Person: Company Name Business Address City State City of Parkland l3uilding Permit Application www. citvofoa rkla nd.orR Phone#:("Tf E-mail: ALL OF THE FOLLOWING MUST BE FILLED IN BY APPLICANT, ACCORDING TO F.S. 713.135 I-1 Property Owner's Name Owner's Street Address City State Job Site Address Work Description: I Zip %1 ) , Phone # i, Zip Phone #_ ,Lot Block Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit and that all work will be performed to meet the sta dards of all laws regulating construction in the City of Parkland, Florida. I understand that a separate permit may be secured for ELECTRICAL, PLUr'BING, SIGNS, WELLS, POOLS, BOILERS, TANKS, AIR CONDITIONERS, ROOFING, SHUTTERS, ETC. WARNING TO OWNER: YOUR FAILURE TO RECORD A' JOTICE OF COMMENCMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSJLT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT Contractor Notification E-mail: Print Name of Qualifier/Builder: C License number: )<)4C) (c (c x Signature of Qualifier: On this I day of il(Lr-tL-720LI, before me the undersigned Notafy Public of the State of Florida, personally appeared 0 % and whose name is subscribed to and within t instru nt, and he/she acknowledges that he/she executed it. 1U = NGTAR'rPUBLIC, STATE OF FLORIDA PRINTED NAME OF NOTARY PUBLIC .-Personally known to me U Oath taken 1 Produced identii ration ❑ Oath riot taken DANIEL HILL 061 MY COMMISSION #FF08901 3 NOTARY PUBLIC SEAL OF ,0 ,� g OFFICE: �o.n° EXPIRES November 7, 2017 (407) 398-0153 FlondaNctarySpNi0e.com Application Approved By: Permit Officer Notification E-mail: Print N me of Property Owner: awl apS CGAvt1/44, [--to oiNgi /10 Owner's Address: (00? ) 10 I Te , p ra r& ,J, 33076 Signatur of Prope O r: On thi day of •V _ 20 ry , before me, the undersigned Nry Public of the State of FI rida, personally appeared 'r`'\ r i+ (end whose name is subscribed to and within the strument, and he/she acknowledges that he/she executed it. NG4A(n IC, STATE OF FLORIDA (lr w Iii t i PRINTED NAME OF NOTARY PUBLIC .]'Personally known to me Ul Oath taken NOTARY PUBLIC SEAL OF OFFICE: ❑ Produced identification ❑ Oath not taken (407) 398-0153 Date: DANIEL HILL MY COMMISSION #FF069013 EXPIRES November 7, 2017 FloridallotaryService.com INSTR # 112154310, OR BK 50613 PG 1463, Page 1 of 1, Recorded 03/12/2014 at 11:12 AM, Broward County Commission, Deputy Clerk 3075 . ; AFTER RECORDING - RETURN TO: PERMIT NUMBER, NOTICE OF COMMENCEMENT The undersigned hereby given notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues the following information is provided in the Notice of Commencement. 1. DESCRIPTION OF PROPERTY (Legal description & street address,if available) TAX FOLIO NO.: Lip j I D V b 1 \ r I C SUBDIVISION \t 1...0n4i,ty., O* Yfy.Yjarx{, BLOCK /-f TRACT LOT 1 BLDG UNrr 2. GENERAL DESCRIPTION OF IMPROVEMENT: Zrtsi{i1i �r..,ntlnl Jnr 1n(�f2. 3. OWNER INFORMATION: a. Name (/P M h rsr 0 (I 171 1 I� b.Address.10u3S L\',,W 1 01 T -err c I PO.,OLIAn )�1(JLI tVo, 336-APINcreatin Property ®r.tnPC d. Name and address of fix simpk titleholder (if other than Owner) 4. CTOR'S NAME, AD RESS AND PHONE NUMBER; ac:��r.,vrn:r r., C'hriS4rlPngLLtc(r fl U' (�.( 1.I,)V Avenue t It 1-fo 1 nivel •••ok, ,\ LA; e. � C (9 C y) 3 ci - (c—► y 3 5. SURETY'S NAME, ADDRESS AND PHONE NUMBER AND BOND AMOUNT: 6. LENDER'S NAME, ADDRESS AND PHONE 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: NAME, ADDRESS AND PHONE NUMBER: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes: NAME, ADDRESS AND PHONE NUMBER: 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified): . 20_ WARNING TO OWNER: ANY PAYMEN1S MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMEN 1'S UNDER CHAPTER 713. PART'L SECTION 713.13. FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR I.4PROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE REC s '.:. r AND ' s . D ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WI • YO ENDE R AN AIM 7 BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, Signature of Owner or Owner's Authorized Officer t rector/Partner/Manager State of Florida County of Broward The foregoing instrument was acknowledged before me this (name . party o behal o 1/Personal Iknown cu n6 type of identification: +'^a� DANIEL HILL \C1 EXPIRES November 7, 2017 Signature of Notary Public) 11i1rpomMISSION *FF089013 %mer w 0011 31111-0168 ikx10aN01a1YNrvIW.00m Under Penalties of perjury, I declare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief (Section 92.525, Florida Statutes). Signature(s) of Owner( ) or Owner(.)' Authorized Officer/ Director / Partaer/Maaager who signed above: By QCQ.. 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