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.. Pi 424 L—ta ouOMi 110
Print Name and Provide Signatory's Title/Office
t Zi day of 1110-e c . 20 �y
ent was executed)
,as
(type of authority,...e.g. officer, trustee, attorney in fact)
By
Rev .08-09-07 (S.Recording)
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