HomeMy WebLinkAbout2114 French Ave 18-4732 RoofCITY •100
' D
• • •
DEC 1 1 2018 PERMIT APPLICATION
Application No: 16- L 0 3 L
Documented Construction Value: $ t L
Job Address: 211 i1 S. -Ai [ _ Historic District: Yes ❑ No[-]
Parcel ID:
Type of Work: New ❑ Addition ❑ Alteration epair
Description of Work:
Plan Review Contact Person:
Phone: Fax:
{ Property Owner Information
Name Alott-CO V—Q. i -',.! 1111- Phone:
Residential ❑ Commercial
J Change of Use ❑ Move ❑
Street: 019 1 UV. mars, 4 lS jam— Resident of property?:
City, State Zip: n4 -r �c�
Contractor Information
Namej� (� esish &roPhone: -73 7
rLOS
Street: j11l�&�'tfO5
Fax:
City, State Zip: Ocr n4em 4. State License No.:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: -
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
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.
4�y5
FBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: a Edition (2017) Florida Building Code
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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time, of permit submittal. A copy of the executed contract is required in order to
calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value
will be figured based on the current ICC Valuation Table in effect al the time the permit is issued, in accordance with local ordinance. Should calculated
charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID Type of ID
�2/���
Sigmuire of actor/Agent Date
III
Print Cwtractor/Aeent's Name -
ANNETTE BLAND
Notary Public . State of Florida
commission a GG 060023
BELOW IS FOR OFFICE USE ONLY
to Me or
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric, # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING--/-- 7—
COMMENTS:
L
U
On 13 2018
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
CertainTeed Corporation -Roofing
20 Moores Road
Malvern, PA 19355
(610)893-5400
mark.d.harner@saint-gobain.com
Mark Harper
mark.d.hamer@saint-gobain.com
Mark D. Harper
18 Moores Road
Malvern, PA 19355
(610)651-5847
Mark.D.Harner@saint-gobain.com
Roofing
Modified Bitumen Roof System
OFFICE
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Robert Nieminen
PE -59166
UL LLC
03/09/2020
John W. Knezevich, PE
Validation Checklist - Hardcopy Received
FL16709 R4 COI 2017 01 COI Nlem'nen odf
Standard
Year
ASTM D6162
r,
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
SCIS Home Log In User Reglstralbn Hot Toots
Submit 5umharge Stats Is facts
Publlrallons ConUCt Us BCIs Site Map Links semneh
dbpr
2012
FM 4474
Product Approval
RAS 117
1995
USER: Public User
PlOa�cl AYYrovdl Menu>Prntl� ct or Aoollcalmn Some
Amok It ion Lill> Application Debit
FL Ar
FL16709-R4
--
Application Type
Revision
Code Version
2017
Application Status
Approved
PERMIT #��-
Comments
Archived
Product Manufacturer
Address/Phone/Email
Authorized Signature
Technical Representative
Address/Phone/Email
Quality Assurance Representative
Address/Phone/Email
Category
Subcategory
Compliance Method
Florida Engineer or Architect Name who developed
the Evaluation Report
Florida License
Quality Assurance Entity
Quality Assurance Contract Expiration Date
Validated By
Certificate of Independence
Referenced Standard and Year (of Standard)
Equivalence of Product Standards
Certified By
CertainTeed Corporation -Roofing
20 Moores Road
Malvern, PA 19355
(610)893-5400
mark.d.harner@saint-gobain.com
Mark Harper
mark.d.hamer@saint-gobain.com
Mark D. Harper
18 Moores Road
Malvern, PA 19355
(610)651-5847
Mark.D.Harner@saint-gobain.com
Roofing
Modified Bitumen Roof System
OFFICE
Evaluation Report from a Florida Registered Architect or a Licensed Florida
Professional Engineer
Evaluation Report - Hardcopy Received
Robert Nieminen
PE -59166
UL LLC
03/09/2020
John W. Knezevich, PE
Validation Checklist - Hardcopy Received
FL16709 R4 COI 2017 01 COI Nlem'nen odf
Standard
Year
ASTM D6162
2008
ASTM D6163
2008
ASTM D6164
2011
ASTM D6222
2011
ASTM D6509
2009
FM 4470
2012
FM 4474
2011
RAS 117
1995
l�
'i
t
� T �
t.
r
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 09/14/2017
Date Validated 09/15/2017
Date Pending FBC Approval 09/19/2017
Date Approved 12/12/2017
Summary of Products
I
FL # Model, Number or Name
DPscrlption
16709.1 Flintlastic Modified Bitumen
SBS and APP modified bitumen roof systems
Roof Systems
Limits of Use
Installation Instructions
Approved for use in HVHZ: No
FL16709 R4 11 2017 09 FINAL Al ER CERTAINTEED MODBIT 7
R4.odf
Approved for use outside HVHZ: Yes
Impact Resistant: N/A
Verified By: Robert Niernmen PE -59166
Design Pressure: +N/A/ -97.5
Created by Independent Third Party: Yes
Other: 1.) The design pressure in this
Evaluation Reports
application pertains to the maximum design
FL16709 R4 AE 2G17 09 FINAL TA T M
R4.odP
pressure for one particular assembly for use In
Zone 1 (field area) of the roof. Refer to ER
Created by Independent Third Party: Yes
Appendix for all systems and attachment
limitations. 2.) Refer to ER Section 5 for Limits
of Use.
eack Xexl
contact us :: 2601 Blair Stone RoaE. iillaaassee Fl 3]]99 Phone' 950 67.1814
The Slate of Hard. It an W EEO employer. CnoMOM 2007-2013 State of FIOMa.:: ptivazv Statement :: pttesslbinty Statement :: ReNnd Statement
May x u.d nor emcl
e Department with an
van do net want your b+ all address reloased In response to
by traditional mall. If you have any quatia., of.. con o,t
Product Approval Accepts:
Mr®®Ri�®
Credit Card
Safe
TRINITY ERD
TABLE6: WOOD DECKS—NEWCONSTRUCTION OR REROOF(TEAR-OFF);SYSrEMTYPEE:NON-INSUUITED,MECHANICA YATnACHEDBASESHEET, BONDED ROOF COVER
NOMENcumurn We MINIMUM Met WPWIMN(INCH);% v MAMIMUNSIDEUUFASTENERSPAONG(INV O.t-);
Y=NUMMUM HOF STADDEREO UNION ROW512= MMIMUM CENTER HIM FASRNm 3PAONG(INV O.G)
Base Sheet
ROof
Cover
5yrtom
Deck
Attachment
MDP jPsQ
No.
ISee Note l(
Base
Fasteners
At lap
SbRered Center
Rawls(
PN
Cap
W
%
Y
Z
sinmr—D WDN ZONE l(FIHD ARG) BASE SUIT ATMVMENr.
Min. 19/32 -inch
Mi.. 19/ood;32eech
32 ga., 1 -5/8 -Inch the. tin
(Opdonal)SOS-
Wd
Flintlasti[ SA NINIBase
saps with 11 ga. annular
2
e
3
8
SBS -SA
-60.0
ringshanknails
SYSIFM W4;ZaHE2 Lai PEMMEIER$ CMNERARGB SKUAWAVMEM:
UNlmate Design Meal Speed -Vu (mph)
Exposure
En[losub
Roo'HH,Ight Zone 120
130
140
150
160
170
180
% Y 2
%
Y
Z %
Y
Z
%
Y
Z It
Y
Z %
Y
Z %
Y
Z
2-Pe,lmmen 8 3 8
8
3
8 8
3
8
8
3
8 8
3
8 8
3
8 8
3
8
0 H_30
3{Orners 8 3 8
8
3
8 B
3
0
g
3
8 )
3
] 6
3
6 5
4
5
Open
2-Perlmeters 8 3 8
8
3
8 8
3
8
8
3
8 8
3
8 0
3
B 8
3
8
30 h_40
3{ornen B 3 8
8
3
8 8
3
8
]
3
) )
3
] 5
4
5 5
4
5
g
2 -Perimeters 8 3 8
B
3
B 8
3
8
8
3
8 6
3
8 0
3
B 8
3
8
0 h_30
3{omen 8 3 8
8
3
8 8
3
8
8
3
B ]
3
] 5
3
5 4
3
4
En[lo ed
2-Perlmeters 8 3 B
8
3
8 8
3
8
8
3
8 0
3
6 0
3
e 8
3
8
30 h_40
3{ornen 8 3 B
8
3
8 8
3
8
)
3
] 5
3
5 4
3
4 4
3
4
2 -Perimeters 8 3 8
8
3
8 0
3
8
8
3 1
8 0
3
8 8
3
8 8
3
8
0 h_15
3 -Comers 8 3 B
8
3
B 8
3
B
)
3
) 5
4
5 5
4
5 5
5
5
2 -Perimeters 0 3 0
8
3
B 8
3
8
8
3
8 8
3
8 8
3
8 8
3
8
15 h_20
3 -Corners B 3 0
8
3
8 )
3
]
6
3
fi 5
A
5 5
4
5 5
5
5
C
Open
2 -Perimeters 8 3 8
8
3
8 B
3
8
0
3
B 8
3
8 8
3
8 ]
3
]
20 b_30
3{omen 0 3 8
]
3
] ]
3
)
5
4
5 5
4
B 5
5
5 4
5
4
2 -Perimeters 8 3 8
8
3
B 8
3
8
8
3
8 8
3
8 8
3
8 6
3
6
3D h 40
3 -Comers B 3 8
]
3
] 6
3
6
S
4
5 5
5
5 4
5
4 4
5
4
Warner Research and Design, U.C. d/b/a TrinitylERD Evaluation Report CAW 30.12.13-84 for F116109 -R4
artifnate of AUmmin tbn 0503 firs EDITION (2017) FBC NON-HVN2 EVALUATION RN,hlon 4:09/14/201]
Prepared by: Robert Nieminen, PE 59166 CortaeTeed Fllnllasti[e Modified 81tomen Roof Snem!(610)651.5847 AppeedIr 3, Page 11 of 14
S �TBuilding & Fire Prevention Division
FORD
�V RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
PERMITTING REQUIREMENTS—NO PLAN REVIEW REQUIRED
THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK ARE
REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT APPLICATION.
THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVAL NUMBERS FOR ALL ROOF
COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT.
A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MADE TO POST ON THE JOB SITE.
"PROJECTS LOCATED IN THE SANFORD HISTORIC DISTRICT WILL REQUIRE PLAN REVIEW AND APPROVAL BY THE
SANFORD HISTORIC PRESERVATION BOARD
INSPECTION POLICY & PROCEDURES
A FINAL ROOF INSPECTION IS THE ONLY rNSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE,
MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS.
THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE:
• PERMIT CARD, POSTED INA CONSPICUOUS AND WEATHERPROOF LOCATION
• COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK
• COMPLETED AND NOTARIZED INSPECTION AFFIDAVIT
• ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS
(PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK)
• DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE)
o EACH PLANE OF THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED
o ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
O ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS)
O UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER)
o DRIP EDGE & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER)
o SHINGLES INSTALLED, NAIL PATTERN AND LOCATION OF NAILS
• SKYLIGHTS (IF APPLICABLE)
O DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL
o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL
FAILURE TO FOLLOW THESE SPECIFIC GUIDELINES WILL RESULT IN AN AFFIDAVIT PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER)
SIGNATURE' DATE:
i
JOB ADDRESS:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
**PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
O TURBINES
----------------------------------------------------------------------------------------------------------------------------- -------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 02:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES. PATIOS. ETC.) **IFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2:12 02:12-4:12 O 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
INSPECTION SEQUENCE
BP# 18-4732
ADDRESS: 2114 S. French Avenue
BUILDING PERMIT
Min Max
Inspection Description
Footer / Setback
Stemwall
Slab / Mono Slab
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
10
Roof Dry In
Frame
Insulation Rough
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Building Ceiling Air Barrier
Insulation Roof (Com'l)
Building Ceiling Grid
1000
Final Roof
Final Stucco / Siding
Final Insulation
Final Firewall
Final Door
Final Window
Final Utility Building
Final Screen Structure
Final Pool Screen Enclosure
Pre -Demo
Final Demo
Final Single Family Residence
Final Commercial —
Final Commercial — Addition / Alteration
Final Commercial — Chane of Use
Final Building (Other)
REVISED: June 2014
ELECTRICAL PERMIT
Min Max Inspection Description
Electric Underground
Footer / Slab Steel Bond
Electric Ceiling Rough
Electric Wall Rough
Electric Rough
Pre -Power Final
Temporary Pole
Electric Final
PLUil4BING PERMIT-
Min Max Inspection Description
Rough Plumb
Plumbing Underground
Plumbing 2"d Rough
Plumbing Tubset
Plumbing Sewer
Plumbing Grease Trap Rough
Plumbing Steam / Chill Water Rough
Plumbing Final
MECHANICAL PERMIT
Min Max Inspection Description
Mechanical Rough
Mechanical Fire Damper Framing
Mechanical Ceiling Rough
Mechanical Fire Damper Annular Space
Mechanical Insulation Wrap
Mechanical Fire Damper Angle
Light / Water Test Ck Welds
Mechanical Grease Duct Wrap
Mechanical Final
THE
FORD
DESIGN ...
Florida State Licensed General Contractor CGC1516405
Florida State Licensed Roofing Contractor CCC1331112
Engineering, Construction, and Roofing
December 5, 2018
To: Compass Investment Properties
RE: Proposal To Re -roof Property at 2114 S. French Ave. Sanford, FL.
The Ford Design Group proposes to perform the following per local codes and specifications:
Scope Of Work: R/R 23 Square Roof.
Remove existing roof down to deck sweep free of debris, re -nail deck per the latest building and
local codes. Install new underlayment-base sheet (per manufacturer's specs). Also we will install
modified bitumen roofing at the low slope roof (cap sheet color as selected by owner). We will
replace bad decking, repair top chords of trusses, and any other decking issues, as needed
(see price below). We will also replace vents and boots, and install new drip edge along the
perimeter of the roof. Parapet wall will have new modified bitumen removed and replaced. Also,
wall flashing and stucco will be replaced as needed. The Ford Design Group, LLC shall obtain
all permits and inspections.
Notes: Damaged or rotted plywood will be replaced at the cost of $80 per sheet
Damaged or rotted dimensional lumber will be replaced at the cost of $8 per lineal foot
Existing double roof systems will be removed at a charge of $40 per square (included)
Price quoted is for a 30 year warranted roof system. This price is in good faith and includes all insurances
and limited workmanship warranty. This price good for 30 days after 1215118)
We proposed to renovate per plans, specs, and local codes for: $11.975.00
Shingle Color
Drip Metal Color
Payment Terms:
50% Upon Acceptance; Balance due at completion of project
TO ACCEPT THIS QUOTATION, WRITE IN DESIRED COLORS ABOVE, SIGN BELOW AND RETURN
SIGNATURE (OWNER OR AUTHORIZED REPRESENTATIVE
DATE
THE SIGNED ACCEPTANCE OF THIS PROPOSAL OBLIGATES THE ABOVE ENTITY/INDIVIDUAL TO PAY
FOR THE SERVICES OUTLINED IN THE SCOPE OF WORK.
Thank you for your business,
Shawn Ford, CEO/CGC/CCC
Grant,MaloyY Clerk Of The Circuit Court &Comptroller Seminole County FL
Inst W20181�9684 Book:9264 Page:1275; (1 PAGES) RCD: 12/11/2018 4:24:35 PM
REC FEE $10.00
Permit Number: //�� ^^.^,
Parcel ID Number. —t n r Z ^rj%to � -CV
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. DESCR�PTIQN pF PR : (4egal tleacdgBarLof th=pands s=dress if avallayLe)0.n /i ' ) F/ -
2.
C
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: 9Gi( W,
Name and addresm'2_iap F•v'ef C1II NJ ' rnOra Qte- t.%t/0�rlc S>,�t�'E •2J'0
Interest(nproperty: 'r ruslee—
Fee Simple Title Holder Of other than owner listed above) Name:
Address: ^' I-
'
4. CONTRACT(1"m
ae, L7rb ,rCRlione Number. 3__ -L->K (^k
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
8. In addition, Owner designates of
to receive a copy of the Lienors Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
(algnn eolOwn av,w Owners or L...eWe (PMtN OFmMe bonmmye nl Wm)
aNh xee r /PaMar/Managed .
Stateof t ijdrj(& Countyof
The foregoing Instrument was acknowledged before me this / f� day of i kC4'r 1 ��L.i .20 1Sj
u
by / r ALy1 JJ �d �i Who is Personally known to m1/OR
of Person meN IatemoM
who has produced IdentiBntion ❑ type of Identification produced:
yr tp.'Y a.LN, MEREDIHRMGEDIXON
. MYCAMMISSIONMG00411NI
+� a EXPIRES: NommW, 2020 %'�•
FOrnoa 8adadiW8LdNNg,y S,.kss N 8leaemre
CER Y GRANT �4ALOY
THIS INST MENT PREPA D B'"�11��
Name:
CL Y, Uf
A' .Ct
rl r I11T V^UF7
,.
0—c��
"i'^
u�,t�
Address:
— SES,
t
BY
F
"
NOTICE
OF COMMENCEMENT
Gate
115�Y7 9A(ERV
1A
Permit Number: //�� ^^.^,
Parcel ID Number. —t n r Z ^rj%to � -CV
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. DESCR�PTIQN pF PR : (4egal tleacdgBarLof th=pands s=dress if avallayLe)0.n /i ' ) F/ -
2.
C
2. GENERAL DESCRIPTION OF IMPROVEMENT:
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: 9Gi( W,
Name and addresm'2_iap F•v'ef C1II NJ ' rnOra Qte- t.%t/0�rlc S>,�t�'E •2J'0
Interest(nproperty: 'r ruslee—
Fee Simple Title Holder Of other than owner listed above) Name:
Address: ^' I-
'
4. CONTRACT(1"m
ae, L7rb ,rCRlione Number. 3__ -L->K (^k
5. SURETY (If applicable, a copy of the payment bond is attached):
6. LENDER:
Address:
Phone Number:
Amount of Bond:
7. Persons within the State of Florida Designated by Owner upon whom notice or other documents maybe served as provided by Section
713.13(1)(a)7., Florida Statutes.
Phone Number:
8. In addition, Owner designates of
to receive a copy of the Lienors Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number.
9. Expiration Date of Notice of Commencement (The expiration is 1 year from date of recording unless a different date is specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
(algnn eolOwn av,w Owners or L...eWe (PMtN OFmMe bonmmye nl Wm)
aNh xee r /PaMar/Managed .
Stateof t ijdrj(& Countyof
The foregoing Instrument was acknowledged before me this / f� day of i kC4'r 1 ��L.i .20 1Sj
u
by / r ALy1 JJ �d �i Who is Personally known to m1/OR
of Person meN IatemoM
who has produced IdentiBntion ❑ type of Identification produced:
yr tp.'Y a.LN, MEREDIHRMGEDIXON
. MYCAMMISSIONMG00411NI
+� a EXPIRES: NommW, 2020 %'�•
FOrnoa 8adadiW8LdNNg,y S,.kss N 8leaemre