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Home My WebLink About1221 W 7 St 98-1661 Int and Ext remodeli ZONE CONTRACTOR (OU111L) ADDRESS PHONE # LOCATION baa DATE 7'-h OWNER n u ADDRESS(9Q 0, ac 5 PHONE # .3 3' 3IF44 PLUMBING CONTRACTOR ADDRESS d d PHONE # ELECTRICAL CONTRACTOR ADDRESS I CJ L 2'2e oMECHANICALCONTRACTOR ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS r• FINISHED FLOOR ELEVATION REQUIREMENTS ARCHITECTURAL APPROVAL DATE SUBDIVISION: PERMIT* # l v 1(05 O JOS d QJQJi', . 6o COST S LOT NO. X) BLOCK: SECTION: SQUARE FEET: FEE $ MODEL: STATE NO. FEE $f FEE S 4 FEES OCCUPANCY CLASS: INSPECTIONS TYPE DATE OK REJECT BY FEE S ENERGY SECT. EPI: 9— 43q 55nrorcl &7edr &7PG W O JLI on .2 ad z-----1u6k CERTIFICATE OF OCCUPANCY ISSUED # DATE: _ FINAL DATE v '' ` J Ilk S. o6oa./6.5d " h _ Gd be 0000 r needy I n,' C fn L l- Ylech Cts It BP401I01 CITY OF.,SANFORD 5/13/03 Permit Inquiry 15:11:50 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . 25.19.30.5AI-0915-0010 1221 W 7TH ST 98 00002448 000 000 MCHR 00 MECHANICAL PERMIT APPLICATION MECHANICAL - RESIDENTIAL FINAL INSPECTION COMPLETE 2/04/99 7/21/98 1/18/99 0 0 HOUSING AUTHORITY OF THE CITY BARNES HEATING & A/C INC 153437 F3=Exit FS=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel BP502I03 CITY, OFA SANFORD Inspection Inquiry - Inspection Selection Property address . . . . . . Parcel Number . . . . . . . . Application number . . . . . Application type . . . . . . Type options, press Enter. 1=Select 1221 W 7TH ST 25.19.30.5AI-0915-0010 98 00002448 MECHANICAL PERMIT APPLICATION 5/13/03 15:11:53 Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 MCHR 00 MECHANICAL ROUGH IN 0001 136A AP 11/23/98 000 000 MCHR 00 MECHANICAL ROUGH IN 0002 136A AP 11/24/98 000 000 MCHR 00 MECHANICAL FINAL 0001 136A AP 2/04/99 Bottom F3=Exit Fll=View 2 F12=Cancel BP401I01 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . CITY -OF hNFORD Permit Inquiry 25.19.30.5AI-0915-0010 1221 W 7TH ST 98 00002222 000 000 PLAA 00 PLUMBING PERMIT APPLICATION PLUMBING - RESID-ALTER/ADD/FIX FINAL INSPECTION COMPLETE 3/22/99 6/23/98 12/20/98 2/04/99 0 0 HOUSING AUTHORITY OF THE CITY SPANGLER, DANNY CLOVER 151076 5/13/03 15:12:38 F3=Exit FS=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel BP502I03 CITY OF SANFORD Inspection Inquiry - Inspection Selection Property address . . . . . . Parcel Number . . . . . . . . Application number . . . . . Application type . . . . . . Type options, press Enter. 1=Select 1221 W 7TH ST 25.19.30.5AI-0915-0010 98 00002222 PLUMBING PERMIT APPLICATION 5/13/03 15:12:56 Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 PLAA 00 TUB SET 0001 136A DP 11/23/98 000 000 PLAA 00 TUB SET 0002 136A DA 11/24/98 000 000 PLAA 00 PLUMBING FINAL 0001 136A DA 2/04/99 000 000 PLAA 00 PLUMBING FINAL 0002 138 AP 3/22/99 000 000 PLAA 00 PLUMBING ROUGH -IN 0001 134D CA 6/23/98 000 000 PLAA 00 PLUMBING ROUGH -IN 0002 134D DP 7/02/98 000 000 PLAA 00 PLUMBING ROUGH -IN 0003 136A DP 11/24/98 Bottom F3=Exit Fll=View 2 F12=Cancel BP200I01 CITY OF SANFORD 5/13/03 Application Inquiry 15:31:21 Application number . . . . Application status, date . Property . . . . . . . . . Parcel Number. . . . . . . Alternate location ID . . Subdivision . . . . . . . Zoning . . . . . . . . . . Application type . . . . . Application date . . . . . Tenant nbr, name . . . . . Master plan nbr, revwd by Estimated valuation . . . Total square footage . . . Public building . . . . . Work description, qty . . Pin number . . . . . . . . 98 00001661 APPROVED 4/29/98 1221 W 7TH ST 25.19.30.5AI-0915-0010 SEMINOLE PARK MR2 MULTIPLE FAMILY ELEC ELECTRIC PERMIT APPLICATION 4/29/98 138 0 NO 5928 Press Enter to continue. F3=Exit FS=Land inq F7=Appl names FB=Tracking inq F9=Bond inquiry F10=Fees Fll=Receipts F12=Cancel F13=Val calcs F24=More keys BP401I03 CITY OF SANFORD Permit Inquiry - Permit Selection Property address . . . . . . 1221 W 7TH ST Parcel Number . . . . . . . . 25.19.30.5AI-0915-0010 Application number . . . . . 98 00001661 Application type . . . . . . ELECTRIC PERMIT APPLICATION Type options, press Enter. 1=Select Opt Str/Seq Permit Type/Sequence 000 000 ELECTRIC - ALTER/ADD/REPAIR 000 000 ELECTRIC - CHANGE OF SERVICE F3=Exit F12=Cancel St Permit Add'1 Desc 00 FI 00 FI 5/13/03 15:31:27 Bottom BP502I03 CITY OF SANFORD 5/13/03 Inspection Inquiry - Inspection Selection 15:31:30 Property address . . . . . . 1221 W 7TH ST Parcel Number . . . . . . . . 25.19.30.5AI-0915-0010 Application number . . . . . 98 00001661 Application type . . . . . . ELECTRIC PERMIT APPLICATION Type options, press Enter. 1=Select Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 ELAA 00 ROUGH IN ELECTRIC 0001 134D DP 7/23/98 000 000 ELAA 00 ROUGH IN ELECTRIC 0002 136A AP 11/23/98 000 000 ELAA 00 ELECTRICAL FINAL 0001 136A AP 2/04/99 000 000 ELAA 00 TEMPORARY POLE 0001 136A DP 5/13/98 000 000 ELAA 00 TEMPORARY POLE 0002 136A AP 5/19/98 000 000 ELCH 00 ELECTRICAL FINAL 0001 136A AP 2/04/99 Bottom F3=Exit F11=View 2 F12=Cancel BP502I01 CITY OF SANFORD 5/13/03 Inspection Inquiry 15:31:45 Parcel Number . . . . . . . . Property address . . . . . . Appl, structure nbr . . . . . Permit type, seq nbr . . . . Inspection type, seq nbr Inspection status, date . Requested date, time, by Override date, time, by . User ID to request, result Phone interface number Inspector assigned . . . . . Results status, date . . . . Final inspection flag . . . . Penalty amount . . . . . . . Inspection request comments MISSING NAIL PLATES CALL ROUGHS 25.19.30.5AI-0915-0010 1221 W 7TH ST 98 00001661 000 000 ELAA 00 ELECTRIC - ALTER/ADD/REPAIR ELO1 0001 ROUGH IN ELECTRIC INSPECTION COMPLETED 7/23/98 7/23/98 JE ELLENBURG ELLENBURG 353839 134D DOOLITTLE, BILL DISAPPROVED WITH PENALTY 7/23/98 N 15.00 IN AT ONE TIME Bottom Press Enter to continue. F3=Exit F5=Land inq F7=Insp result comments F12=Cancel BP502I01 CITY GF•SANFORD 5/13/03 Inspection Inquiry 15:31:57 Parcel Number . . . . . . . 25.19.30.5AI-0915-0010 Property address . . . . . 1221 W 7TH ST Appl, structure nbr . . . . 98 00001661 000 000 Permit type, seq nbr . . . ELAA 00 ELECTRIC - ALTER/ADD/REPAIR Inspection type, seq nbr EL04 0001 TEMPORARY POLE Inspection status, date INSPECTION COMPLETED 5/13/98 Requested date, time, by 5/13/98 JE Override date, time, by User ID to request, result ELLENBURG ELLENBURG Phone interface number . . 339598 Inspector assigned . . . . 136A HILLERY, EMANUEL Results status, date . . . DISAPPROVED WITH PENALTY 5/13/98 Final inspection flag . . . N Penalty amount . . . . . . 15.00 Inspection request continents NEED METER CLOVER Bottom Press Enter to continue. F3=Exit F5=Land inq F7=Insp result comments F12=Cancel BP401I01 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . I CITY OF SANFORD Permit Inquiry 5/13/03 15:32:52 25.19.30.5AI-0915-0010 1221 W 7TH ST 98 00001650 000 000 BLCA 00 INTERIOR & EXTERIOR REMODELING COMMERCIAL BLDG PERMIT - NEW CONST/ALTER FINAL INSPECTION COMPLETE 3/22/99 4/28/98 10/25/98 2/04/99 15000 0 HOUSING AUTHORITY OF THE CITY 144824 F3=Exit F5=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel BP301I01 Parcel Number . . . . . . . . Property address . . . . . . Appl, structure nbr . . . . . Struc status, date, CO'd . . Structure description . . . . Description CONSTRUCTION TYPE ROOF TYPE NUMBER OF STORIES SQUARE FOOTAGE NUMBER OF UNITS CITY OF SANFORD 5/13/03 Structure Inquiry 15:32:50 25.19.30.5AI-0915-0010 1221 W 7TH ST SANFORD FL 32771 98 00001650 000 000 APPROVED 4/28/98 0/00/00 Alphabetic Entry FRAME NOT APPLICABLE Press Enter to continue. F3=Exit F5=Land inquiry F12=Cancel Numeric Entry 2.00 1408.00 1.00 BP502I03 CITY OF SANFORD 5/13/03 Inspection Inquiry - Inspection Selection 15:33:02 Property address . . . . . . 1221 W 7TH ST Parcel Number . . . . . . . . 25.19.30.5AI-0915-0010 Application number . . . . . 98 00001650 Application type . . . . . . INTERIOR & EXTERIOR REMODELING COMMERCIAL Type options, press Enter. 1=Select Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 BLCA 00 FOUNDATION INSP 0001 134D CA 6/23/98 000 000 BLCA 00 FOUNDATION INSP 0002 134D DP 6/24/98 000 000 BLCA 00 FOUNDATION INSP 0003 134D AP 8/18/98 000 000 BLCA 00 FRAME 0001 136A AP 11/23/98 000 000 BLCA 00 BUILDING FINAL 0001 136A DA 2/04/99 000 000 BLCA 00 BUILDING FINAL 0002 138 AP 3/22/99 000 000 BLCA 00 INSULATION FINAL 0001 136A AP 2/04/99 Bottom F3=Exit Fll=View 2 F12=Cancel BP502I01 CITY OF SANFORD Inspection Inquiry Parcel Number . . . . . . . Property address . . . . . Appl, structure nbr . . . . Permit type, seq nbr . . . Inspection type, seq nbr Inspection status, date . Requested date, time, by Override date, time, by . User ID to request, result Phone interface number . . Inspector assigned . . . . Results status, date . . . Final inspection flag . . . Penalty amount . . . . . . Inspection request comments NOT READY NO PLANS 5/13/03 15:33:10 25.19.30.5AI-0915-0010 1221 W 7TH ST 98 00001650 000 000 BLCA 00 BLDG PERMIT - NEW CONST/ALTER BL02 0002 FOUNDATION INSP INSPECTION COMPLETED 6/24/98 6/24/98 JE ELLENBURG ELLENBURG 348789 134D DOOLITTLE, BILL DISAPPROVED WITH PENALTY 6/24/98 N 15.00 Bottom Press Enter to continue. F3=Exit FS=Land inq F7=Insp result comments F12=Cancel BP502I01 CITY OF SANFORD 5/13/03 Inspection Inquiry 15:33:19 Parcel Number . . . . . . . . 25.19.30.5AI-0915-0010 Property address . . . . . . 1221 W 7TH ST Appl, structure nbr . . . . . 98 00001650 000 000 Permit type, seq nbr . . . . BLCA 00 BLDG PERMIT - NEW CONST/ALTER Inspection type, seq nbr BL08 0001 BUILDING FINAL Inspection status, date INSPECTION COMPLETED 3/22/99 Requested date, time, by 2/04/99 JE Override date, time, by . . . User ID to request, result ELLENBURG Phone interface number . . . 392274 Inspector assigned . . . . . 136A Results status, date . . . . DISAPPROVED Final inspection flag . . . . N Penalty amount . . . . . . . .00 Inspection request comments 1) NEED TO MAKE RAILS 4' ON STAIR ELLENBURG HILLERY, EMANUEL 2/04/99 Bottom Press Enter to continue. F3=Exit FS=Land inq F7=Insp result comments F12=Cancel BP401I01 CITY OF SANFORD 5/13/03 Pev-mit -inquiry 15:07:17 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . 25.19.30.5AI-0915-0010 1221 W 7TH ST 99 00000398 000 000 BLOS 00 FENCE PERMIT APPLICATION BLDG PERMIT - OTHER STRUCTURES FINAL INSPECTION COMPLETE 3/22/99 11/18/98 5/18/99 2400 0 HOUSING AUTHORITY OF THE CITY 163840 F3=Exit FS=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel BP502I01 CITY OF SANFORD 5/13/03 Inspectimn Inquiry 15:07:26 Parcel Number . . . . . . . Property address . . . . . Appl, structure nbr . . . . Permit type, seq nbr . . . Inspection type, seq nbr Inspection status, date . Requested date, time, by Override date, time, by . User ID to request, result Phone interface number . . Inspector assigned . . . . Results status, date . . . Final inspection flag . . . Penalty amount . . . . . . Inspection request comments 25.19.30.5AI-0915-0010 1221 W 7TH ST 99 00000398 000 000 BLOS 00 BLDG PERMIT - OTHER STRUCTURES BL08 0001 BUILDING FINAL INSPECTION COMPLETED 3/22/99 3/22/99 JE ELLENBURG 402180 138 APPROVED Y 00 ELLENBURG FLORIAN, DAN 3/22/99 Press Enter to continue. F3=Exit FS=Land inq F7=Insp result comments F12=Cancel BP401I01 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . It 101 CITY OF SANFORD Permit Inquiry 25.19.30.5AI-0915-0010 1221 W 7TH ST 99 00000439 000 000 ELAA 00 ELECTRIC PERMIT APPLICATION ELECTRIC - ALTER/ADD/REPAIR FINAL INSPECTION COMPLETE 2/04/99 11/23/98 5/23/99 1/26/99 0 0 HOUSING AUTHORITY OF THE CITY SANFORD ELECTRIC COMPANY INC 164285 5/13/03 15:06:14 F3=Exit FS=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel r BP502I03 CITY OF SANFORD 5/13/03 Inspection Inquiry - Inspection Selection 15:06:18 Property address . . . . . . 1221 W 7TH ST Parcel Number . . . . . . . . 25.19.30.5AI-0915-0010 Application number . . . . . 99 00000439 Application type . . . . . . ELECTRIC PERMIT APPLICATION Type options, press Enter. 1=Select Opt Str/Seq Pmt/Seq Inspection Type Seq Insp Result/Date 000 000 ELAA 00 ROUGH IN ELECTRIC 0001 136A AP 11/24/98 000 000 ELAA 00 ELECTRICAL FINAL 0001 140 AP 1/26/99 000 000 ELAA 00 ELECTRICAL FINAL 0002 136A AP 2/04/99 Bottom F3=Exit Fll=View 2 F12=Cancel BP200I01 CITY OF SANFORD 5/13/03 Applicztion, Inquiry 15:04:03 Application number . . . . Application status, date . Property . . . . . . . . . Parcel Number. . . . . . . Alternate location ID . . Subdivision . . . . . . . Zoning . . . . . . . . . . Application type . . . . . Application date . . . . . Tenant nbr, name . . . . . Master plan nbr, revwd by Estimated valuation . . . Total square footage . . . Public building . . . . . Work description, qty . . Pin number . . . . . . . . 99 00000819 APPROVED 1221 W 7TH ST 25.19.30.5AI-0915-0010 SEMINOLE PARK MR2 MULTIPLE FAMILY FRAL FIRE ALARM SYSTEMS 12/31/98 138 0 NO 3447 12/31/98 Press Enter to continue. F3=Exit FS=Land inq F7=Appl names FB=Tracking inq F9=Bond inquiry F10=Fees F11=Receipts F12=Cancel F13=Val calcs F24=More keys BP200I10 CITY OF SANFORD 5/13/03 Application Names Inquiry 15:04:10 Application number . . . . . : 99 00000819 Property . . . . . . . . . . : 1221 W 7TH ST CONTRACTOR Name . . : UNITED SECURITY & Contractor nbr . . Address COMMUNICATIONS Occ lic nbr . . : 99 7739 846 BIG BUCK CR Phone . . . . . : 407 669-1224 WINTER SPRINGS FL Zip . . . . . . : 32708 PROPERTY OWNER Name HOUSING AUTHORITY OF THE CITY Address P.O. BOX 2359 SANFORD Phone . . . . . . FL Zip . . . . . . . 32771 Bottom Press Enter to continue. F3=Exit F12=Cancel BP401I01 CITY OF SANFORD 5/13/03 Permit Inquiry 15:04:19 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . 25.19.30.5AI-0915-0010 1221 W 7TH ST 99 00000819 000 000 ELAA 00 FIRE ALARM SYSTEMS ELECTRIC - ALTER/ADD/REPAIR FINAL INSPECTION COMPLETE 6/13/00 12/31/98 6/30/99 0 0 HOUSING AUTHORITY OF THE CITY UNITED SECURITY & 168591 F3=Exit FS=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel BP502I01 CITY OF SANFORD 5/13/03 Inspection Inquiry 15:04:30 Parcel Number . . . . . . . Property address . . . . . Appl, structure nbr . . . . Permit type, seq nbr . . . Inspection type, seq nbr Inspection status, date . Requested date, time, by Override date, time, by . User ID to request, result Phone interface number . . Inspector assigned . . . . Results status, date . . . Final inspection flag . . . Penalty amount . . . . . . Inspection request comments P TUCKER 25.19.30.5AI-0915-0010 1221 W 7TH ST 99 00000819 000 000 ELAA 00 ELECTRIC - ALTER/ADD/REPAIR FAFL 0001 FIRE ALARM FINAL INSPECTION COMPLETED 6/13/00 6/03/99 JJ JOHNSON 519835 FIRE APPROVED Y 00 JOHNSON FIRE DEPARTMENT 6/03/99 Bottom Press Enter to continue. F3=Exit F5=Land inq F7=Insp result comments F12=Cancel BP401I01 CITt OF'%SANFORD 5/13/03 Permit Inquiry 15:10:58 Parcel Number . . . . . . . . Property address . . . . . . Application, str, pmt nbr . . Application type . . . . . . Permit type . . . . . . . . . Permit status, date . . . . . Issue date . . . . . . . . . Expiration date . . . . . . . Reissue date . . . . . . . . Permit value . . . . . . . . Permit square footage . . . . Property owner . . . . . . . Contractor . . . . . . . . . Additional permit desc Phone interface number Last maintained by . . . . . 25.19.30.5AI-0915-0010 1221 W 7TH ST 99 00000134 000 000 BLCA 00 GENERAL REPAIRS BLDG PERMIT - NEW CONST/ALTER FINAL INSPECTION COMPLETE 3/10/99 10/19/98 4/18/99 5000 0 HOUSING AUTHORITY OF THE CITY 161125 F3=Exit FS=Land inq F6=Sub-contractors FB=Permit fees F9=Req'd insp F12=Cancel BP200IO2 CITY OF%SANFORD 5/13/03 Application Miscellaneous Information Inquiry 15:10:50 Application nbr . : 99 00000134 Property . 1221 W 7TH ST Display note at Print Code Freeform information Date Permit Insp C.O. flag HISB 99-134 REMOVE REPLACE ALL TERMITE 10/19/98 Y Y Y Y HISB INVESTED WOOD 10/19/98 Y Y Y Y HISB NOTICE OF COMMENCEMENT ON FILE 10/19/98 Y Y Y Y Bottom Press Enter to continue. F3=Exit F12=Cancel BP502I03 CITY OF+SANFORD Inspection Inquiry - Inspection Selection Property address . . . . . . Parcel Number . . . . . . . . Application number . . . . . Application type . . . . . . Type options, press Enter. 1=Select 1221 W 7TH ST 25.19.30.5AI-0915-0010 99 00000134 GENERAL REPAIRS Opt Str/Seq Pmt/Seq Inspection Type 000 000 BLCA 00 FRAME 000 000 BLCA 00 BUILDING FINAL Seq Insp 0001 136A 0001 138 5/13/03 15:11:03 Result/Date AP 11/24/98 AP 3/10/99 Bottom F3=Exit Fll=View 2 F12=Cancel CITY OF SANFORD, FLORIDA PERMIT NO.Ol'1 `7 DATE A?- - THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT: OWNER'S NAME ng Ori ADDRESS OF JOB / G(i MECHANICAL CONTR. e RESIDENTIAL COMMERCIAL Subject to rules and regulations of Sanford mechanical code. NATURE OF .- FUEL B.T.U. INPUT OUTPUT I II APPLICATION FEE TOTAL Master Medwical COMPETENCY CARD NO. 6/4G236 bo-4 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE #: 407-302-1091 DATE: y l ?r PERMIT #: BUSINESS NAME: 0*1 v11'.v ry ADDRESS: Zo? a / Li/. 7 ' S 7— PHONE PHONE NUMBER: ( ) PLANS REVIEW TENT PERMIT BURN PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $ 216 COMMENTS: / G r S Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention before any further services can take place. I certify that the above information is 3 ( true and correct and that I will comply L with all applicable codes and ordinances C of the City of Sanford, Florida. Fire Prevention 1 / A CITY OF SANFORD, FLORIDA PERMIT NO 11 lcoce? ' DATE a9 90 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME fA.*21'074( "41r;n9 Jll%or%y ADDRESS OF JOB / a :L/ ' 7 ELEC. CONTR Y(41-40/ ClecE_ ResidentiaL—on-residentiaL— Subject to rules and regulations of the city and national electric codes. Number AMOUNT Alteration Addition Re air 0 60 Change f Service Residential Commercial Mobile Home Factory Built llousin New Residential 0-100 Amp Service 101-200 Amp Service 201 Amp and above New Commercial Amp Service Application Fee O p TOTAL By signing this application I am stating I will be in compliance with the NEC including Article 110, SVchon 110-9 and 110-10 Building Official ifer EI fricion STATE COMPETENCY NO._, i CITY OFSANFORD, FLORIDA PERMIT NO- 'r 2+l94f ia DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL. LOWING PLUMBING WORK: OWNER'S NAME ADDRESS OF JOB PLUMBING CONTI Subject to rules and re ulotions of Sanford plumbing code. Residential: I Number Alteratio Addition Repair I I Amount New Residential: One Water Closet I _ Additional Water Closet Commercial: Fixtures. Floor Drain, Trap sewer Water Piping Gas Piping Factory -built housing Mobile Home Application Fee 1 COMPETENCY CARO NO. CITY OF SANFORD. FLORIDA APPLICATION FOR BUILDING PERMIT PERMIT ADDRESS 1Z2_1,r 0- t9L PERMIT NUMBER ' I Q Total Contract Price of Job <7a., C) Total Sq. Ft. ' 0 Describe Work .=n t -e" i Cyt f ' T - Type of Construction UJ O p DE Flood Prone (YES) (NO) Number of Stories oZ Number of Dwellings / Zoning Occupancy: Residential Commercial Mg!!!! Industrial LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I.D. NUMBER OWNER Cz A b p PHONE NUMBER X3'3 15 &CA -1-2.7) ADDRESS Q , 3 o x oZc 59 - Cc,_x A - I t CITY CA STATE F ZIP TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS /.A CITY c STATE ZIP BONDING COMPANY ADDRESS o a < CITY STATE ZIP ARCHITECT 1C Z ADDRESS CITY r STATE ZIP MORTGAGE LENDER ADDRESS CITY STATE ZIP CONTRACTOR 0WCjLk—,, PHONE NUMBER ADDRESS ST. LICENSE NUMBER CITY STATE ZIP 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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE 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 additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. r*****r* ****w*,*,r*,r*****,r*tr,ttr,r,*rr*rr,rr******,t*****,r*******w*rr,,r*+r,r*w***** O H d N a U 7 d O a a 0 ignat e Tvoo-,or int Owneent Name Type or Print Contractor's Name x a i E b M ar 1N9k' I t Signature of Notary & DateHI{icia tt CP Official Seal) NOTARY PUBLIC, STATE 0 LORIOA MY COMMISSION # CC476424 EXPIRES: June_ 26, 1999_muman_ Application Apprd BY:(S Date: -2ve0 FEES: Building Q Rad n Police Fire Open Space .0 JA R oad -IM Application PERMIT VALIDATION: CHECK DATE S BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX 0b* F CE) GOLD (CO. ADMIN) THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE H b Z OdfSignatureOwner/Age t & D to of Contractor & DateContractor & Date o a < w r 1C Z int Owneent Name Type or Print Contractor's Name x a i E b M ar 1N9k' I t Signature of Notary & DateHI{icia tt CP Official Seal) NOTARY PUBLIC, STATE 0 LORIOA MY COMMISSION # CC476424 EXPIRES: June_ 26, 1999_muman_ Application Apprd BY:(S Date: -2ve0 FEES: Building Q Rad n Police Fire Open Space .0 JA R oad -IM Application PERMIT VALIDATION: CHECK DATE S BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX 0b* F CE) GOLD (CO. ADMIN) THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE Memorandum from: Russ Gibson, Land Development Coordinator January 27, 1999 TO: Dan Florian - Building Department RE: Issuance of Building Permits - 1221 W. 7`h Street Tax I.D. #: 25-19-30-5AI-0915-0010 The Engineering and Planning Department hereby authorizes permitting for the above referenced property owned by the City of Sanford Housing Authority proposed for a daycare facility in accordance with the approved site and engineering plans and subject to the following conditions: Issuance of all required permits in accordance to Sanford's Land Development Regulations and applicable Building codes and permitting procedures. Any proposed site development or construction activities, temporary or otherwise, for this property other than that which has already been approved shall be first presented to the City prior to the commencement of the activity. If there is any doubt or question regarding permitting requirements contact the Engineering and Planning Department at 330-5673. ank you for your consideration and attention to this matter. Russ Gibson, A.I.C.P. Department of Engineering and Planning cc: FILE The Housing 4 Timothy D.;Hudson j Executive birector Post Office Box 2359 Sanford, 132772-2359 Phone 40I7-323-3150 Fax 407-324-1806 TDD 407-323-0420 I r Mhorily of [he C, of UnforcL rid. January 26, 1999 TO WHOM IT MAY CONCERN: This memo is to confine that the agency will not occupy 1221 West 7'' street until CO is given. Sincerely, Timothy D. Iftudson Executive Director, PHM jda Eva S i//. WSSIONF •. V pV13, ? i oi9c p'. SCC 721503 p 121 "Equal Housing Opportunity" A .1 Q i- QTS /-Zs/ CITY OF SANFORD, FLORIDA PERMIT NO, 1 DATE THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME San}ord HUVsinn AVrho6 ADDRESS OF JOB i 2--w r % S'T ELEC. CONTR ..r?.It7 77d 6- Residential Non-residonfiai- Subject to rules and regulations of the city and national electric codes. Number AMOUNT Alteration Addition Repair 20 00 f Service Residential Commercial Mobile Home Factory Built Housing New Residential 0-100 Amp Service 101-200 Amp Service 201 Amp and above New Commercial Amp Service 1+1111-- 21L.ivsa ree y si rong this application I am stating I will be in compliance with the NEC including Article 110, Section 110-9 and 110.10 d . " , 2U --. i ding Official Master eciriq STATE COMPETENCY NO. r- O- rxi a A" V ZL .n.p urn. p am d sole Pole v 4- e'r. ylls,W uy. z+f U fk1 Anwit rpvioey IT. V 1r1 0 (_ T r o zC o- 7 O4- CO ry'v m et'l c e vri 1 o nI , s4F-J i-e s m n tLj2er0_ccJ ^ G`y'pP- -r j y 3/0 e,A- vWl l Ij n 73 L i-11 I e dIST --II o- work -ens F I Con bra-c_-ors Ao l n ci Ower ocL + on ty wi+tves SiA c rc Qtre,merv+ -'or c,t ceo.ise MJ4- comply L-4 w . If I I' I I 11 I I I II I I I I 1 I I parc 25-19-30-5RI-0915-0010 CURRENT 98 04/14/9 name HOUSING AUTHORITY OF THE CITY addl OF SANFORD FL jval land 2,84 add2 PO BOX 2359 agrc csz SANFORD, FL 32772 2359 extra feat pad 1221 SEVENTH ST W bldg 33,68 SANFORD, FL 32771 cost value nbad 60 act P own % total just value 36,52 td dor mkt demo flg <--pre/tate--> <--exemptions--> exmp-amt tax du S1 72 71 0 - 831.2 PRIVATE SCHOOL & COL a&i REST HAVEN DRY CARE CENTER 86 -495 -CP -PR 1928 -1434 -RD 2841 -79 -DC LEGAL LEG LOT 1 BLK 9 TR 15 SEMINOLE PARK PB 2 PG 75 SALES SU WD 05/97 03269 0725 $100 I 21 land 05 03/07/85 SU WD 05/89 02068 0434 $51,000 I 00 bldg 24 02/19/97 1=print, Vab MORE: SALES chg MAR 05/15/97 Note,Leg,Sate,Bld/Ind/xf,Prmt,RmdlO,Com,Inc,Tpp,Hist,Oth Roll,Fwd,Menu,[EXIT] Count: *0 <Replace fo- Timothy 1 Executive Mhorikr of [he Cih of Sanford Florida Post Office Box 2359 Sanford, FL, 32772-2359 1 Phone 407-323-3150 Fax 407-324-1806 Y TDD 407-323-0420 April 27, 1998 1 Mr. Dan Florian, Acting Building Official City of Sanford Post Office Box 1788 Sanford, Florida 32772-1788 Re: Day Care Facility Renovation 1221 West 7a' Street Dear Mr. Florian: This serves to confirm that the Housing Authority of the City of Sanford, Florida is the 4current owner and will be the sole operator of the Day Care Center located at 1221 West 7'h Street and 1210 West 7h Street Sanford. I Timothy D. Hudson, Executive Director ha Commissioners to serve as contracting officer for Sincerely, Linda H. William HM Director of nagement SWORN BEFO E this A/ Iday o I NOTARY: / , A/,. / been appointed by the Board of project renovation. P,iada Eva,s /,,// O\SSIO/V .• v H 3, o ; SCC 721503 : o a • 121 "Eq I 1 Housing Opportunity" I v FROM SANFORD HOU ING AUTHORITY PHONE NO. Apr. 27 1998 02:50PM P2 of19IdtOrrOfVieCFlorida Sox 2359 32772-2359 323-3150 4-1806 27, 1998 1r. Dan Florian, Acting Building Official ity of Sanford ost Office Box 1788 anford, Florida 32772-1788 W: Day Care Facility Renovation 1221 Weat'1* Street ear Mr. Florian: his serves to confirm that the Housing Authority of the City of Sanford, Florida is the nTent owner and will be the sole operator of the Day Care Center located at 1221 lest 7* Street and 1210 West 7* Street Sanford. imothy D. Hudson, Executive Director has been appointed by the Board of ommissioners to serve as contracting officer for project renovation. Sincerely, K' Linda H. William HM Director of ement SWORN BEFOACW this C9 d NOTARY: r x ' /Housing. OpportunityJT FROM SANFORD HOUSING AUTHORITY PHONE NO. Apr. 23 1998 01:05PM P2 1" cousin &IOF*yof She CAy of Sanford, Florida 2358 3233150 4-1806 23, 1998 Dan Florian, Acting Building Official of Sanford t Office Box 1788 ford, Florida 32772-1788 Day Can Facility Renovation 1221 West 76 Street s Mr. Florian: This serves to confirm that the Mousing Authority of the City of Sanford, Florida is the current owner and operator of the former First impressions Day Care Center located at 1221 West P Street and 1210 West 7* Street Sanford. Timothy D. Hudson, Executive Director has been appointed by the Board of Commissioners to serve as contracting officer for project renovation. Linda H. William , PV M Director of M ement IA SWORN BEFOR thist ,n NOTARY: l Housing Opportunity" CD W e o j+ DAY CA i S J -LSflt,J r -J tjM J S i n h U r c 0C.0'n we- R I G kn e --1 -- -l1 Ii'aus i Ic AAkort4y owns -Hie e 1A -i- 14-VDSOYJ w pfc, lrXpc-viive ircL r W 1-I--0 i S b e a nc e -blA,/ Cit re . ? FROM : SANFORD HOUSING AUTHORITY PHONE NO. : Apr. 23 1998 01:05PM P1 THE HOUSING AUTHORITY OF THE CITY OF SANFORD TWO TRY HUDSON EXECUTIVE DIRECTOR FAX Phone• Fax phone: CC: 1 94 CASTLE BREWER COURT P.O. BOX 2359 SANFORD, YL 32772 Date: v xm/ Number o pages including cover sheet: Phone. 407-323-3150 Fax phone: 407-324-1806 d I al wes+ 44-) + ZONE DATE CONTRACTOR ADDRESS PHONE # LOCATIOI OWNER ADDRESS PHONE # PLUMBING CONTRACTOR ADDRESS PHONE # ELECTRICAL CONTRACTOR ADDRESS PHONE # MECHANICAL CONTRACTOR ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS FINISHED FLOOR ELEVATION REQUIREMENTS ARCHITECTURAL APPROVAL DATE SUBDIVISION: PERMIT # LOT NO. JOB . 11,E A(( CK: (cSt al SECTION: COSTS SQUARE FEET. FEES MODEL: STATE NO. OCCUPANCY CLASS: FEE $ FEE $ FEE $ INSPECTIONS TYPE DATE OK REJECT BY FEE $ ENERGY SECT EPI: CERTIFICATE OF OCCUPANCY ISSUED # DATE: FINAL DATE J tI CITY OF SANFORD, FLORIDA APPLICATION FOR BUILDING PERMIT PERMIT NUMBERA4 -7 S'-A PERMIT ADDRESS % L2 Total Contract P ce of Job .6 S'yo p. Total Sq. Ft. Describe WorkPC IL La.__ yr, Ioyo,N Type of Construction 7 Flood Prone (YES) (NO) Number of Stories 7 Number of Dwellings Zoning Occupancy: Residential Commercial Industrial 1 r1 LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I.D. NUMBER OWNER _ ADDRESS CITY TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY BONDING COMPANY ADDRESS CITY ARCHITECT ADDRESS _ CITY MORTGAGE LENDER ADDRESS CITY STATE STATE STATE STATE ZIP ZIP ZIP ZIP CONTRACTOR PHONE NUMBER ADDRESS ST. LICENSE NUMBER CITY STATE ZIP 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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE 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 additional permits required from other governmen entities such as water management districts, state agencies, or federal agencita ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. O c Signature of Owner/Agent Date S gnat a of Cont ctor Da a 3 Zto44 G N 0 O ro N a: Na O o >- Z 04 E Type or Print wner/Agent Name Type or Print Con Y OF L2 J y •v Z o a - F+ U1 i -r r C Z tor's Name v ; J h Si nature of N e Signature of otary & Da ADI Pkq fP(c3RtJI EY (Off' ial Seal)) NOTARY PUBLIC, STATE OF FLORIDA 1C, V1D MY COMMISSION # CC476424 0 ` EXPIRES: June 26, 1999 t, Application ApprovedBAY: D t 10 --167-ce: FEES: Building Radon Police FireOpenSpaceRoadImpactApPIlication PERMIT VALIDATION: CHECK C.,SH DATE 1,C) V BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLDFO.ADMIN) THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE a i C CITY OF SANFORD BUILDING DEPARTMENT OWNER/BUILDER AFFIDAVIT State law requires construction to be done by license contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one -family or two-family residence, or a farm outbuilding. You may also build or improve a commercial building at a cost $25.000 or a less*. The building must be for your own use and occupancy, It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is completed, the law will presume that you built it for sale or lease, which is a violation of this exemption.You may not hire an unlicensed person as'your contractor, Your construction must be done according to building codes and zoning regulations. It i5 your responsibility to make sure that people employed by you have licenses required by state law and by county or municipality licensing ordinances For your information, the Owner/Builder becomes liable and responsible for the employees he/she hires to assist in the construction project. This responsibility may include the following where required by law: A. Worker's compensation (for workers injured on the job) B. Social Security Tax (must be deducted from the employee's wages and matched with the owner's fund) C. Unemployment Compensation (may or may not be required) D. Liability Coverage E. Federal Withholding Tax I acknowledge that as an Owner/Builder, I . am obligated to actually, physically, build the structure, or do the work which I have permitted. I understand that if I am not physically doinL7 the work or phvsicallv_supervisine free labor from friends or relative, that I must hire licensed contractors i.e. electrician plumber, mechanical (heating not physicallyoing and air-conditioning) the work etc and the use of I further unlicensed understand contractors that the violation of at the construction site will cause the project to be shut down by the Inspector of the City of Sanford Building Department. Additional State Statute allows for penalties up to 1,000 and up to I year jail. I also understand that if this violation does occur, that in order for job to proceed, will have a licensed contractor come in and sign on the permit a taking the job over. I understand that if I hire subcontractors under a contract price that they must be licensed to work in the City of Sanford, i.e. masonry, drywall carpentry, etc All contractors licensed by the City of Sanford have worker's compensation and liability coverage and are registered wi I have hired a Contractor to do work for me under my permit. 1 will assume full responsibility as an Owner/Builder Contractor, and will personally supervise or do all work allowed by law on the permitted structure. .z t Property Owner Address Permit Address Telephone (c=, , !- Drivers License No. S- 'j ^ 6 Ov 23 z- CD Other Identification I h reby acknowledge that I have read and understood the 19jT Owner/B 489 -Part II only exempts from licensing and owner doi a one or two family residence. Commercial work require affidavit on thisday of ilder or supervising any electrical work on a licensed contractor. 1 d— I-1 y95 rim:`1=j. 1 JFFICIAc'i, FCoR0S BOOK PAGE 3523 1 3 9 5NOTICEOFCOMNIENCEMENT Cta:\ of Fien County Of P1'PF9b L t I; U. F L To" Folio No. (Pt'; ie nnderstptd h --CO,, gn es a6ritt V.v i-lpmtmem w1i1 be made to certun real pror". and :n 4,cecr daze w!th haply londs Samtes, ike followinS lefarnlation it pro-,ided in this Vonee of Comminxe ew- SCRi?7'I(N OP ?>E TY (Le A deecri don cf the props . address) GENERAL DWRIPTION OF 1MPRO«'.MINT QaNG'AFJ'7l -L'22 flo uc--yFW-)%.S 70 OWNER INFOWNLt,T104 o tD O ;10aMdaddroutheHousirwAuthoritgotheCiti! of San ord, FloridaJZ77 O. Box Z3 rc r .orukt cv-lt,atereg a property (Fee Simplk Pumetsltip, etc.) N n Pi 4,T NAME &14D ADDRESS OF FES SIMPLE TFI'1.E BOLDER j[F OTIKER T14AN OWNER) N C:>m CO`tTRICTOR Name and addmm The Housing Authority of the Cita of Sanford SURETY (&mdinF Company) Nam and addtzu — — CO N m m tmount of Boa 0 C Z r 4,20LENDER4,V mmo Nsxt and addreu Armo_ 00 PO n CD m`' Nt•.0 01614. so 606 a/t 6.114,4,0 0-6 01x14, M4,J 6 4,0006t66061 a a 06* 64,066t4\6 it t a a, t t 00 a 06 •.. a... crww +ri"a Lhe Statc of Fiorlda dtsi Onatt'. iy Ovaa upon wii0la aotioe n otbts dx aenu may bs rtN6d as praviStd r y Sac lon,j.,(1rs),, F1orlds tututes- N)- nSarreandadd.-esa Timotth D. Hudson. Executive Director— c r Post Office Box 23.59_ .ganfmrd_ Alnv n 39779-9359 4,4,4,x4,4,610011 w1.••1660601104,4,6\4,t4,t 1M1 111M1./\Yt iO4,t011114,14,4,0t6/4,6666/0tta ltt.aa ki add tioa to h=se;(, Ow= dtsipmes of to react ve a loopy of tea Lieaor's Noticc as provided in 9aaioo 713.130Xb), Florida Stamm 4.•4,..4,a.4,tes. t14,64,114,0111•ti 0994,0901e0064•14410 a alta•1.4,01.0/1t•0a04,t4,a 14, Y•4, •..1• Eapiralinr Date •f Notice of Commeaoament _ The egimtoa date is 1 ytm from data of meordir a t aTesi$ed) 3reoatlae Oro 6a y',,rj S/1 r t iod subscribed b me this Day of 4,9 jeQQe' ," 11N11111111, me or who has p*ured , mod M* did,' dit as lake an mti Cetam1,0611 Ettptrts: VOO lubef, ms this day of e/ (IIure 0,f.'tS011 atkRow'Ibd 1 , Who is aa:ly kr type of identific2sor iItn4fp COPY MARYANNE MORS9 CLERK OF CIRCUIT DOUAT SINO C NN. IDA . 199FUTY CLIRK