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HomeMy WebLinkAbout1119 W 9 St 12-375 Drywall, insulation and cabinetsD NOV 2 8 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / 3 7 Documented Construction Value: $15,073.01 Job Address: 1119 W 9TH STREET Historic District: Yes No Parcel ID: 25-19-30-508-1114-0070 Zoning: Description of Work: DRYWALL, INSULATION & CABINETS 1 fie E Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information Name HEZEKIAH & LELIA ROSS Phone: 407-322-4397 Street: 1003 S MULBERRY AVENUE Resident of property? City, State Zip: SANFORD FL 32771 Contractor Information Name HOWARD CONSTRUCTION, LLC Phone: 904-541-1112 Street: 580-3 WELLS ROAD Fax: 904-541-1103 City, State Zip: ORANGE PARK FL 32073 State License No.: CBC058529 Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical p ( Duct layout required for new systems) o / a 3 No. of Stories: Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 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. 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. 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. 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, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. r Signa r of Owner/Agent Dat fl r, k OSS Print Owner/Agent'samle(- j A A UlilJ Sign'-ffrreyNotarylState of Florida Date yrr ap6 iyotary Public State of Flonoa J Jennifer Koski iy commission DD928560 qr G r/ 27/201310Excires Ownei ' sona ly own to Me or Produced ID Type of ID APPROVALS: ZONING: UTILITIES: ENGINEERING: FIRE: COMMENTS: Rev 11.08 Sig/nature of Comract o%r/A/gent Date Print Contractor/Agent's Name A d Signature of N • ry-Sta4 of Florida Date Moe ublic State of Florida Koskimission DD928560 01271 013 Con ersonally 3own to Me or Produced ID Type of ID WASTE WATER: BUILDING: Client: Hezekiah & Lelia Ross Property: 1119 W. 9th Street Sanford, FL 32771 Mailing: 1003 S Mullberry Avenue Sanford, FL 32771-2363 Operator Info: Operator: RICKS Estimator: Rick Patton Company: Howard Construction, LLC Business: 580 Wells Road Orange Park, FL 32073 Reference: Howard Construction, LLC Position: 580-3 Wells Road dUWA6® Orange Park, FL 32073CUMUtue Us CBC058529 / CGC1512840 CCC1.326844 / CCC1327900 Tax ID# 59-3689148 Client: Hezekiah & Lelia Ross Property: 1119 W. 9th Street Sanford, FL 32771 Mailing: 1003 S Mullberry Avenue Sanford, FL 32771-2363 Operator Info: Operator: RICKS Estimator: Rick Patton Company: Howard Construction, LLC Business: 580 Wells Road Orange Park, FL 32073 Reference: Bret Nill Position: Claims Adjuster Company: American Integrity Insurance Company Business: PO Box 26349 Tampa, FL 33623 Type of Estimate: Fire Date Entered: 11/6/2011 Date Assigned: Price List: FLOR7X OCT11 Labor Efficiency: Restoration/Service/Remodel Estimate: W9THST-1119 File Number: AMERICAN INTEGRITY CL# ACH105509 Home: (407) 322-4397 Business: (407) 810-6658 Cellular: (407) 474-4740 Business: (866) 277-9871 National Law requires lead paint testing to be performed on homes built 1978 or prior. Lead practices will have to be initiated if lead paint is found. Living Room W9THST-1119 Main Level 329.33 SF Walls 434.75 SF Walls & Ceiling 11.71 SY Flooring 41.17 LF Ceil. Perimeter Height: 8' 105.42 SF Ceiling 105.42 SF Floor 41.17 LF Floor Perimeter DESCRIPTION Howard Construction, LLC 1. Clean the ceiling - Heavy 580-3 Wells Road 2. Seal then paint the ceiling (2 coats) Orange Park, FL 32073 U9 CBC058529 / CGC1512840 4. Seal then paint the walls (2 coats) CCC1326844 / CCC1327900 5. Clean baseboard Tax ID# 59-3689148 Living Room W9THST-1119 Main Level 329.33 SF Walls 434.75 SF Walls & Ceiling 11.71 SY Flooring 41.17 LF Ceil. Perimeter Height: 8' 105.42 SF Ceiling 105.42 SF Floor 41.17 LF Floor Perimeter DESCRIPTION QNTY 1. Clean the ceiling - Heavy 105.42 SF 2. Seal then paint the ceiling (2 coats) 105.42 SF 3. Clean the walls - Heavy 329.33 SF 4. Seal then paint the walls (2 coats) 329.33 SF 5. Clean baseboard 41.17 LF 6. Paint baseboard - two coats 41.17 LF 7. Clean door (per side) 2.00 EA 8. Paint door slab only - 2 coats (per side) 1.00 EA 9. R&R Ceiling fan & light - Standard grade 1.00 EA 10. R&R Vinyl tile -Standard grade 105.42 SF 11. Clean window unit (per side) 10 - 20 SF 1.00 EA 12. R&R Window blind - PVC - 1" - 7.1 to 14 SF 2.00 EA 13. Seal & paint wood window (per side) 1.00 EA 14. R&R Window AC unit - 1.00 EA NOTES W9THST-1119 11/22/2011 Page:2 0 IOWAR® tees® ui Howard Construction, LLC 580-3 Wells Road Orange Park, FL 32073 CBC058529 / CGC1512840 CCC1.326844 / CCC1.327900 Tax ID# 59-3689148 9'S' Bedroom Height: 8' 9.3- T 324.00 SF Walls 101.75 SF Ceiling 425.75 SF Walls & Ceiling 101.75 SF Floor 1 + 11.31 SY Flooring 40.50 LF Floor Perimeter I a• z- az• r 40.50 LF Ceil. Perimeter 1 ra r i z•i DESCRIPTION QNTY 15. Clean the ceiling - Heavy 101.75 SF 16. Seal then paint the ceiling (2 coats) 101.75 SF 1.7. Clean the walls - Heavy 324.00 SF 18. Seal then paint the walls (2 coats) 324.00 SF 19. Clean baseboard 40.50 LF 20. Paint baseboard - two coats 40.50 LF 21. Clean door (per side) 2.00 EA 22. Paint door slab only - 2 coats (per side) 1.00 EA 23. R&R Vinyl tile - Standard grade 101.75 SF 24. Clean window unit (per side) 10 - 20 SF 2.00 EA 25. R&R Window blind - PVC - 1 " - 7.1 to 14 SF 2.00 EA 26. Seal & paint wood window (per side) 2.00 EA 27. R&R Light .fixture 1.00 EA NOTES Hallway 192.67 SF Walls 224.78 SF Walls & Ceiling 3.57 SY Flooring 24.08 LF Ceil. Perimeter Height: 8' 32.12 SF Ceiling 32.12 SF Floor 24.08 LF Floor Perimeter Missing Wall 3' 1" X 8' Opens into KITCHEN W9THST-1119 11/22/2011 Page:3 V, IOWAII CMIMMth1 uc Howard Construction, LLC 580-3 Wells Road Orange Park, FL 32073 CBC058529 / CGC1512840 CCC1326844 / CCC1327900 Tax ID# 59-3689148 DESCRIPTION QNTY 28. Clean the ceiling - Heavy 32.12 SF 29. Seal then paint the ceiling (2 coats) 32.12 SF 30. Clean the walls - Heavy 192.67 SF 31. Seal then paint the walls (2 coats) 192.67 SF 32. Clean baseboard 24.08 LF 33. Paint baseboard - two coats 24.08 LF 34. Clean door (per side) 1.00 EA 35. Paint door slab only - 2 coats (per side) 1.00 EA 36. R&R Vinyl tile - Standard grade 32.12 SF 37. R&R Light fixture 1.00 EA NOTES F-4' 5- -}2' +-4' 4" -1 Bathroom T 4 t - 236.00 SF Walls Bad- I o 1 10'T ` i 282.13 SF Walls & Ceiling tQ T' 5.13 SY Flooring Hallway 29.50 LF Ceil. Perimeter DESCRIPTION 38. Clean the ceiling - Heavy 39. Seal then paint the ceiling (2 coats) 40. Clean the walls - Heavy 41. Seal then paint the walls (2 coats) 42. Clean baseboard 43. Paint baseboard - two coats 44. Clean door (per side) 45. Paint door slab only - 2 coats (per side) 46. R&R Vinyl tile - Standard grade 47. R&R Light .fixture Height: 8' 46.13 SF Ceiling 46.13 SF Floor 29.50 LF Floor Perimeter QNTY 46.13 SF 46.13 SF 236.00 SF 236.00 SF 29.50 LF 29.50 LF 1.00 EA 1.00 EA 46.13 SF 2.00 EA W9THST-1119 11/22/2011 Page:4 Howard Construction, LLC 580-3 Wells Road RNOWAARRO Orange Park, FL 32073 uc CBC058529 / CGC1512840 CCC 1326844 / CCC 1327900 Tax ID# 59-3689148 CONTINUED - Bathroom DESCRIPTION QNTY 48. Clean tub 1.00 EA 49. Seal & paint wood window (per side) 1.00 EA 50. Clean vanity - inside and out 1.50 LF 51. Clean countertop - Heavy 3.00 SF 52. Clean sink faucet 1.00 EA 53. R&R Wallpaper 118.00 SF 54. Paint chair rail - one coat 29.50 LF 55. Detach & Reset Water heater - 30 gallon - Electric - 6 yr 1.00 EA 56. Clean water heater - Light 1.00 EA 57. R&R Fiberglass tub surround only - Standard grade 1.00 EA 58. R&R Acoustic ceiling 46.13 SF 59. R&R Medicine cabinet - Standard grade 1.00 EA 60. R&R Shower curtain rod 1.00 EA NOTES 1' 61- 3' -4-4' T' -I F-4' 3" in o ilutd.. T T 1 Missing Wall DESCRIPTION 61. R&R Ceiling fan & light W9THST-1119 Kitchen 240.67 SF Walls 309.13 SF Walls & Ceiling 7.61 SY Flooring 30.08 LF Ceil. Perimeter 3' 1" X 8' Height: 8' 68.47 SF Ceiling 68.47 SF Floor 30.08 LF Floor Perimeter Opens into HALLWAY 11/22/2011 QNTY 1.00 EA Page: 5 Howard Construction, LLC 580-3 Wells Road Wr F.H. Orange Park, FL 32073 tLt CBC058529 / CGC1512840 CCC1326844 / CCC1327900 Tax 1D# 59-3689148 CONTINUED - Kitchen DESCRIPTION QNTY 62. R&R 1/2" drywall - hung, taped, ready for texture 68.47 SF 63. R&R Acoustic ceiling 68.47 SF 64. R&R Blown -in insulation - 10" depth - R26 68.47 SF 65. R&R 1/2" drywall - hung, taped, floated, ready for paint 240.67 SF 66. Paint the walls - two coats 240.67 SF 67. R&R Batt insulation - 4" - R11 120.33 SF 68. R&R Baseboard - 2 1/4" 30.08 LF 69. Paint baseboard - two coats 30.08 LF 70. R&R Vinyl tile - Standard grade 68.47 SF 71. R&R Wood window - double hung, 10-15 sf, Standard grade 2.00 EA 72. R&R Attic entrance cover and trim 1.00 EA 73. R&R Range hood 1.00 EA 74. Range - freestanding - electric 1.00 EA 75. Refrigerator - top freezer - 14 to 18 cf - High grade 1.00 EA 76. R&R Cabinetry - upper (wall) units - Standard grade 6.00 LF 77. R&R Cabinetry - lower (base) units 6.90 LF 78. R&R Countertop - Flat laid plastic laminate 6.90 LF 79. R&R Sink - double 1.00 EA 80. Sink faucet - Kitchen 1.00 EA 81. R&R Casing - 2 1/4" 21.00 LF 82. Paint casing - two coats 21.00 LF NOTES W9THST-1119 11/22/2011 Page:6 0 BWAR® i9rltr cgn tic Howard Construction, LLC 580-3 Wells Road Orange Park, FL 32073 CBC058529 / CGC1512840 CCC 1326844 / CCC 1327900 Tax ID# 59-3689148 t± 31Porch 1 F- 4 2-1 9' 2"- DESCRIPTION 333.33 SF Walls 41.9.28 SF Walls & Ceiling 9.55 SY Flooring 41.67 LF Ceil. Perimeter Height: 8' 85.94 SF Ceiling 85.94 SF Floor 41.67 LF Floor Perimeter QNTY 83. Clean the ceiling 85.94 SF 84. Paint the ceiling - two coats 85.94 SF 85. Clean part of the walls 83.33 SF 86. Seal then paint part of the walls (2 coats) 83.33 SF 87. Clean screen wall 250.00 SF NOTES: 0 Exterior 4375.78 SF Walls 8939.06 SF Walls & Ceiling 507.03 SY Flooring 2003.39 SF Long Wall 486.20 LF Ceil. Perimeter Subroom 1: Offset 1 336.00 SF Walls 426.00 SF Walls & Ceiling 10.00 SY Flooring 120.00 SF Long Wall 42.00 LF Ceil. Perimeter LxWxH 222'7 3/16" x 20'6" x 9' 4563.28 SF Ceiling 4563.28 SF Floor 486.20 LF Floor Perimeter 184.50 SF Short Wall LxWxH 15'x 6'x 8' 90.00 SF Ceiling 90.00 SF Floor 42.00 LF Floor Perimeter 48.00 SF Short Wall W9THST-1119 11/22/2011 Page:7 0 NOWARD ocnt tat ue Howard Construction, LLC 580-3 Wells Road Orange Park, FL 32073 CBC058529 / CGC1512840 CCC1326844 / CCC1327900 Tax ID# 59-3689148 DESCRIPTION QNTY 88. Clean stucco 4711.78 SF 89. Paint the walls - one coat 4711.78 SF 90. Clean storm door (per side) - Light 2.00 EA 91. Paint door slab only - 2 coats (per side) 1.00 EA NOTES Miscellaneous DESCRIPTION QNTY 92. Dumpster load - Approx. 30 yards, 5-7 tons of debris 1.00 EA 93. Taxes, insurance, permits & fees (Bid item) 1.00 EA 94. Electrical repair - for range hood wiring & recpts Kit. 1.00 EA NOTES: Lead Paint DESCRIPTION QNTY National Law requires lead paint testing to be performed on homes built 1978 or prior. Lead practices will have to be initiated if lead paint is found. 95. Lead test fee - self test (per sample) 1.00 EA 96. Containment Barrier/Airiock/Decon. Chamber 0.00 SF 97. Containment Barrier - tension post - per day 0.00 DA 98. Eye protection - plastic goggles - Disposable 0.00 EA 99. HEPA Vacuuming - Detailed - (PER SF) 0.00 SF W9THST-1119 11/22/2011 Page:8 G\ 0 oow eo gmtrwMi uc Howard Construction, LLC 580-3 Wells Road Orange Park, FL 32073 CBC058529 / CGC1512840 CCC 1326844 / CCC 1327900 Tax ID# 59-3689.1.48 CONTINUED - Lead Paint DESCRIPTION 100. Personal protective gloves - Disposable (per pair) 101. Add for personal protective equipment (hazardous cleanup) NOTES Grand Total Areas: 6,367.78 SF Walls 5,093.10 SF Floor 2,123.39 SF Long Wall 439.82 Floor Area 823.50 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 5,093.10 SF Ceiling 565.90 SY Flooring 232.50 SF Short Wall 490.01 Total Area 91.50 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 11,460.88 SF Walls and Ceiling 735.20 LF Floor Perimeter 735.20 LF Ceil. Perimeter 1,656.00 Interior Walt Area 0.00 Total Perimeter Length QNTY 0.00 EA 0.00 EA W9THST-1119 11/22/2011 Page:9 Main Level 19' IF mzl)i Main Level W9THST-1119 11/22/2011 Page: 10 Permit No. Tax Folio No. 25-19-30-508-1114-0070 NOTICE OF COMMENCEMENT State of Florida County of Seminole 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. ism No monsoon anininsoa Ila MRYANNE MORSE, CLERK OF CIRCUIT COURT SENINOLE COUNTY AK 07670 Pg 13401 Qpg2 CLIEi KII S 0 2011127469 REMRDEO IMMM11 10tl6t51 AN REMINS FEES 10. Cllr RECORDED BY T Smith 1. Description of property: (legal description of the property, and street address if available) LOT 7 BLK 11 TR 14 W MCLARKS SUBD PB 1 PG 108 2. General description of improvement: REPAIR FIRE DAMAGES PER INSURANCE CL# ACH105509 3. Owner information: Name: HEZEKIAH & LELIA ROSS Address: 1119 W 9TH STREET SANFORD FL 32771 b. Interest in property: OWNER c. Name and address of fee simple titleholder (if other than Owner): Name: Address: 4. Contractor Name: HOWARD CONSTRUCTION, LLC Phone number: 904-541-1112 c. Address: 580-3 WELLS ROAD ORANGE PARK FL 32073 CERTMED Y 5. Surety Name (SE Address: MARYANNt MOR b. Amount of bond: $ CLERK OURT 6. Lender: Name: SEMIN4EquNTY, FLORIDA Address: Lender's phone number: 7.a. Persons within the State of Florida designated by Owner upon whom notices or other documents may provided by Section 713.13(1)(a)7., Florida Statutes: Name: Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 1 year from the 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 71.3, 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 1CP ENCE, , NT. 1; ) VIgnature of Owner or Owners Attt rized Officer/Director artner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this t day of n( , , ar j , by (name of person) as (type of authority.... e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) . lNA- -- (SEAL) S1gnatur of Notary Public Personally Known OR Produced Identification Type of Identification Produced Verification pursuant to Section 92.525, Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the facts stated 'p it are true to the best of my knowledge and belief. c1 -'-} i?1% µ r: Huulic Mate. Florida Sign"re of Natural Person StgnitieMbi e i Ke: { v,+ U d ys r'' tFfti+lt8 + 445hi n C OiT,r'11SSior DDg28560 Rev. date 3/2008 i t iI [ it, -W1 ff "r % L t r "? j y ' 9AME"- /. } „n EXDIrBS 111! 211. AWR. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: Parcel ID: Description of Work: Plan Review Contact Person: Phone: Name Street: / 144 f S City, State Zip: Pp_ pp Historic District: Yes No Zoning: Title: Fax: E-mail: Property Owner Information Phone: Resident of property? : M Contractor Information 7 p Name / l"JJ1% L S'e j: r,w p `a- f9/ ' I Phone: 7 Street: - S V Fax: City, State Zip: Al i) 32 d State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: rkla- ::N:--3•,s.oas.we£v. .. -. r n... .` .w.=4rd. PE,RMIT INFORMATION Building Permit Square Footage: Construction Type: No. of Dwelling Units: Flood Zone: Electrical New Service — No. of AMPS: Plumbing No. of Stories: New Construction - No. of Fixtures: Mechanical (Duct layout required fo new systems) Fire Sprinkler/Alarm No. of heads: yedillI 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. 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. 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. 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, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 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 M APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 X A 4, 4,- /- - )/ Signature of Contractor/Agent Date Print ConAactor/Agent's Name ak.// Date o,Pav PoetDEBBIE BLANTOJ01NotaryPublic -State o My Comm. Expires Feb 2 foFi dr°:' Commission # EE 6 Bonded Through NaCronal NotContractor/Agent is Personwn to M or 1 Produced ID Type of i C' =' I / v/ UTILITIES: WASTE WATER: BUILDING: