HomeMy WebLinkAbout102 Quail Ridge Ct 04-245 window replacement0 F
CITY OF SANFORD PERMIT APPLICATION
Permit# 36)'S' s-co0cc--(9.2A0 Date:
Job Address:
Description of Work: 40e__ -*--
Historic District: Zoning: Value of Work: $ (05 v
Permit Type: Building / Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Z' Commercial Industrial Total Square Footage:
Construction Type: g # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel#: —/ (Attach Proof of Ownership & Legal Description))
Owners Name & Address:dOf,G s /qv S !_ 'IL 25: _ l Q Z- QC3 0191z' - /r— , Phone::
440 _ 3 2 0— da 76D6 Contractor Name &
Address: "C- i r j2pS z Q /`(C'6G j"/4-e !/J State License
Number: Phone & Fax:
D 7- Z t s Phone: Bonding Company: !
Address: Mortgage
Lender:
Address: OCT
2 Q 2 11113 Architect/Engineer:
Phone: Address: Application
is -
hereby made to obtain a permit to:doahe wo issuance of
a permit and that all work will be performed to permit must
be secured for ELECTRICAL WORK, PLUM AIR CONDITIONERS,
etc. Fax: certify
that
no work or installation has commenced prior to the ng construction
in this jurisdiction. I understand that a separate FURNACES, BOILERS,
HEATERS, TANKS, and 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. 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 veriLcation [ will notify the owner of he pr perty of the re u' Florida Lien La 7 ignature o
Owner/Agent) ate nature of Contractor ent Date Print Ownwhkaent'
s Name Print Contractor/Agent's Name Signature of
Nota -State NEFWMT PETTICORD Dati Signature of Notary -State CommN D00181345
E*Mee
1l30/2007 800)432.
4254: Owner/Agent
is y It or Contractor/Agent is Produced ID
iue-se"........u.........ii..i.i':::.:.F Produced ID APPLICATION APPROVED
BY: Bldg.`) E 1 Za 0 3Zoning: Initial & Date) (
initial & Date) Special Conditions:
Utilities: e-
l-
Q3 nw .uwnom. 0 on
4IEgg .RT P ORD Cm if
OWS1345 a On (
e00)432.4254 P sow
OW"ry Assn., Inc o.n.
n.0 n u u...... o.. FD: initial &
Date) (
Initial & Date) 00
0
r
I - czt; I
X
42r
7f
INSTALLATION ANCHOR
3/IS' DIA. TAPCON
CGICRETE OR
WINDOW WIDTH
OTHERS
MASONRY
EXTERIOR FINISH
w
BY OTHERS A
I
1/4" SHIM A G
SPACE MAX.
1 1/4' MIN, EMBEDMENT
D d
a G H ' WINDOW
2
HEIGHT
SHIM AS PEQ'D.
SEE NOTES)
SILL ST_OL
BY OTHERS
I.
If
I :/4' MIN. E"BEr
1=TALLATi2N A
3/I6' L:A. T
PERIMETER
CAULK BY
OTHERS
EXTERIOR
I l.•:Lr. 6t NI I'- `.Y. VllU`N LHi-:UL
SECTI N A —A
WINDOW
HEIGHT
CAST SILL
OTHERS
G
11/4" MIN. EMBEDMENT -
INSTALLATION ANCHOR
3/16' DIA. TAPCON
SHIM AS REQ'D.
o CONCRETE OR MASONRY
SEE NOTES) BY OTHERS
0
J [
a
a
a
EXTERIOR
7/
B D PERIMETER CAULK
q EXTERBYRFINISH
OTHERS
OX & XO ELEVATION —
WINDOW WIDTH
1/4' SHIM
VIEWED FROM EXTERIOR
SPACE MAX.
SECTI N B—B'
WINDOW WIDTH NOTES:
1) SHIM AS REO'D. AT EACH INSTALLATION ANCHOR W/ LOAD BEARING SHIM. MAX.
A ALLOWABLE SHIM STACK TO BE 1/4". USE SHIMS WHERE SPACE GREATER THAN 1/16"
6 PRESENT.
2) WINDOW FRAME MATERIAL: POLY VINYL CHLORIDE.
A E C 3) 3/16" DIA. TAPCON INSTALLATION ANCHOR MUST BE OF SUFFICIENT LTH. TO ACHIEVE MIN.
OXO ELEVATION
VIEWED FROM EXTERIOR
EMBEDMENT OF INTO MASONRY OR CONCRETE.
4) LETTER DESIGNATIONS ON THE TAPCON LOCATION CHART INDICATE WHERE CONCRETE
SCREW ANCHORS ARE TO BE INSTALLED WHEN USING THE EXTERIOR ELEVATION AS A
KEY.
5) ALL FACTORY APPLIED HOLES NOT DESIGNATED FOR CONCRETE SCREW ANCHOR SHOULD
uIrIDOw BE FILLED WITH #8 SCREWS OF SUFFICIENT LTH. TO PROVIDE MIN. 5/8 IN. EMBEDMENT
HEIGHT INTO SUBSTRATE. INSTALLATION ANCHORS, WHETHER TAPCONS OR g8 SCREWS, TO BE
6" FROM END MAX. AND 24" O.C. MAX.
6) CAULK BEHIND WINDOW FLANGE AT SILL. WITH LATEX CAULK.
7) USE LATEX CAULK OR EQUIVALENT FOR PERIMETER SEAL AROUND EXTERIOR OF WINDOW.
8) IF EXACT WINDOW SIZE IS NOT LISTED IN ANCHOR CHART, USE ANCHOR QUANTITY LISTED
WITH NEXT LARGER SIZE, FOR THE APPROPRIATE DESIGN PRESSURE REQ'D.
9) GLASS THICKNESS MAY VARY PER THE REQUIREMENTS OF ASTM E1300 GLASS CHARTS.
INSULATING GLASS IS SHOWN, SINGLE GLAZING ALSO QUALIFIED.
10) INSTALLATION AS STATED HEREIN COMPLIES WITH THE FLORIDA BUILDING CODE. DESIGN
PRESSURE CAPACITY OF WINDOW & INSTALLATION IS 70 PSF.
MANUFACTURE DAME
MASTER FILE # -- _
PREPARCO BYE PRODUCT TECHNOLOGY CORP., 250 INTERNATIONAL My., SUITE 250. HCATHROV, FLORIDA 02746 PHONE 407 805-0365 FAX 407 805-0066
i
TAPCON LOCATION CHART
WINDOW OUANTITY IN QUANTITY IN
SIZE HEAD & SILL EACH JAMB
2 PANEL UP TO 40 PSF UP TO 40 PSF
36 X 37 A,B,C,D G,H
36 X 43 A,B.C,D G,H
36 X 49 A,B.C,D G,H
36 X 55 A,B,C,D G,H
36 X 61 A,B,C,D G,H
36 X 62 A,B,C,D G,H
42 X 37 A.B,C,D G,H
42 X 43 A,B.C,D G,H
42 X 49 A,B,C,D G,H
42 X 55 A,B,C,D G,H
42 X 61 A,B,C,D G,H
42 X 62 A,B.C,D G,H
48 X 37 A,B,C,D G,H
48 X 43 A.B.C,D G,H
48 X 49 A,B,C,D G,H
48 X 55 A,B.C,D G.H
48 X 61 A,B,C,D G,H
48 X 62 ABC D G,H
54 X 37 A,B,C,D G,H
54 X 43 A,B,C,D G,H
54 X 49 A,B,C,D G,H
54 X 55 A,B,C,D G,H
54 X 61 A,B,C,D G,H
54 X 62 A,B,C,D G,H
60 X 37 A,B,C,D G.H
60 X 43 A,B,C,D G,H
60 X 49 A,B.C,D G,H
60 X 55 A,B,C,D G,H
60 X 61 A,B,C,D G,H
60 X 62 A,B C D G,H
66 X 37 A,B,C,D G,H
66 X 43 A,B,C,D G,H
66 X 49 A,B,C,D G.H
66 X 55 A,B,C,D G,H
66 X 61 A,B,C,D G,H
66 X 62 A,B,C,D G,H
72 X 37 A,B.C,D G,H
72 X 43 A,B,C,D G,H
72 X 49 A.B,C,D G,H
72 X 55 A.B.C,D G,H
72 X 61 A.B,C,D G,H
72 X 62 A,B.C,D G,H
73 X 37 A,B,C,D H
73 X 43 A,B,C,D GA
73 X 49 A.B.C,D GA
73 X 5S A,B.C,D G,H
73 X 61 A,B,C,D G,H
73 X 62 ABCD G,H
TAPCON LOCATION CHART
WINDOW QUANTITY IN QUANTITY IN
SIZE HEAD & SILL EACH JAMB
3 PANEL UP TO 40 PSF UP TO 40 PSF
73 X 37 E,F,J,K G,H
73 X 43 E. F,J,K G,H
73 X 49 E,F.J,K G,H
73 X 55 E,F,J;K G,H
73 X 61 E,F,J,K G,H
73 X 62 F K G,H
79 X 37 E,F,J,K G.H
79 X 43 E,F.J,K G,H
79 X 49 E,F,J,K G,H
79 X 55 E,F,J,K G,H
79 X 61 E,F,J,K G,H
79 X 62 E,F,J,K G,H
85 X 37 E,F,J,K G,H
85 X 43 E,F,J,K G,H
85 X 49 E,F,J,K G,H
85 X 55 E,F,J,K G,H
85 X 61 E,F,J,K G,H
85 X 62 EFJK G,H
91 X 37 E, F,J,K G,H
91 X 43 E,F,J,K G,H
91 X 49 E,F,J,K G,H
91 X 55 E,F,J,K G,H
91 X 61 E,F,J,K G,H.
91 X 62 EFJK G,H
97 X 37 E,F,J,K G,H
97 X 43 E.F,J,K G,H
97 X 49 E,F,J,K G,H
97 X 55 A.B,C,D.E,F,J,K G,H
97 X 61 A,B,C,D.E,F,J,K G,H
97 X 62 A.B,C,D,E,F,J,K G,H
103 X E,F,J,K
103 X 43 E.F,J,K G,H
103 X 49 A,B,C,D,E,F G,H
103 X 55 A,B,C,D,E,F G,H
103 x 61 A,B,C,D,E,F G,H
103 X 62 ABCD F G,H
109 X 37 E,F,J,K G,H
109 X 43 E,F,J,K G,H
109 X 49 A,B,C,D,E,F G,H
109 X 55 A,B,C,D,E,F G,H
109 X 61 A.B,C,D,E,F G,H
109 X 62 ABCDEF G,H
110 X 37 E,F,J,K G,H
110 X 43 A,B,C,D,E,F,J,K G,H
110 X 49 A,B,C,D.E,F,J,K G,H
110 X 55 A,B,C,D,E.F,J.K G,H
110 X 61 A,B,C,D,E,F,J,K G,H
110 X 62 A,B,C,D,E,F,J,K G,H
DATE:3/ 15/02 I SCALE: NTS I DWG.: RPLUS0013C SHT2 OF 2'
PREPARED BY: PRODUCT TECHNOLOGY CORP., 250 INTERNATIONAL PKY., SUITE 250. HEATHROW, FLORIDA 32746 PHONE 407 805-0365 FAX 407 805-0366
DIS TALL.=Ti01•I C0NC3E E
GIA. TAPCOI'I 3'! CTHERE
E1-ERICP NISH
141 ':HIM
SPACE MAX.
I
I_
IM S RE:9'D.
E NOTES)
L -700L
OTHERS
a" -MIN.
BEDMENT
NC TA.ILL,
2/16' CJA. TAPCON
ilEIN
n
EXTERIOR
PERIMETER.
CAULK
3Y OTHERS
WINDOW
HEIGHT
I
I
WlraDow v
HEIGHT
II
i
CAULK 3EHIND JNDOW =L,NGE
Y OTHERS
wINDOW
IDTH
MAX. (7 YP.)
i
IE'NE ' .-OM E` T CE7 IOR
H I N D 0,./ IN 1 D T H
EMBEDMENT
SPACE MAX.
SHIM AS PCOID. — INSTALLATION .ANCHOR
SEE NOTES) \_ Q 3/16" DIA. TAPCON-
F CONCRETE OF.
M ASONRY
BY OTHERS
I
EXTERIOR
PERIMETER CAULK
BY OTHERS
XTERIOR FINISH —!
BY OTHERS
c`C-T B-
NOT
i) SHIM AS REO'D., AT EACH INSTALLATION ANCHOR N/ LOAD BEARING SHIM. MAX.
ALLOWABLE SHIM STACK TO BE 1/4". USE SHIMS WHERE SPACE GREATER, THAN
1 / 16" IS PRE=ENT.
WINDOW FRAME MATERIAL: POCY )/INYL.CFiLORfDE.
C) C/16" DIA. TAPCON INSTALLATION -ANCHOR MUST BE OF SUFFICIENT LTH. TO
ACHIEVE MIN. EMBEDMENT OF 1-1/4" WTO MASONRY OR CONCRETE.
4) LETiER DESIGNATIONS ON THE TAPCON LOCATION CHART INDICATE WHERE TAPCON
ANCHORS ARE TO BE INSTALLED WHEN USING THE EXTERIOR ELEVATION
AS A KEY. 5)
tJOT ALL INSTALLATION HOLES ,.FOR ANCHORS SHOWN ON ELEVATION ARE APPLIED BY
FACTORY IN ALL SIZE. ALL FACTORY APPLIED HOLES NOT DESIGNATED FOP, CONCRETE
SCREY/ ANCHOR SHOULD BE FILLED '.VITH ;48 SCREWS OF SUFFICIENT TH.
TO PROVIDE MIN, 5/8 IN. EMBEDMENT INTO SUBSTRATE. !NSTALLATION NCHOP.
S, WHETHER TAPCONS OR '8 SCREWS TO BE G" FROM END AND 24"
O.C. MAX. 6)
CAULK BEHIND 'NINDOW F!_.4NGE '/lITH LATEX CAULK. 7)
USE LATEX CAULK FOR PERIMETER SEAL AROUND EXTERIOR. OF WINDOW clANGE EY OTHERS.
3)
IF EXACT WINDOW =!ZE IS NOT LISTED IN ANCHOR CHART, USE ANCHOR bUANT1T'( LISTED
SYITH NEXT LARGER SIZE. FOR THE APPROPRIATE DESIG I PocccURE REO'0. 9)
GLASS THICKNESS MAY VARY PER THE REQUIREMENTS OF ASTM _I 00 ;LASS CHARTS. 10)
INSTALLATION AS STATED HEREIN COMPLIES WITH THE FLORIDA BUILOING CODE. DESIGN PRESSURE
CAPACITY OF WINDOW ;i INSTALLATION IS 40.0 RSF. ti
ESL WINDOW
PoOS 1
TITLE: - j` ;_Ji J INS I AL_i7 I iN DE:NIL: i7#
DIREC- - MASONRY E
IiGINEEn' NANUEL :,lARTINEZ I ilKW ;n
jUAiE y/_,•/(Jc DISCIPLINE:
ISCALE: I'G. r:q,P.-Ir::. r;U1= =IV1_ L 3
FL. REG. :U: ,i 718c _ REV. -E TTE?: I:r EEi r 31IiOCPMEO
n,, zPQOLCI ::C.4 gLCCY CCRP.. .150 INtERNAIICI w 'w Y.. :'I7E E?0. 'CHIN 0. TLQRI -2716 ?10E — COS-0165 i r[ .0) E05-O366
X
I /}, ' : C N L'C l.r', i i C PJ i1r', F
j
I lEOW PROS
TITLE: ?NSTALLA! _ON ANCHOR. CHART FOR DH r Lu. WINDO'
WHEN! :INSTALL ED iN MA ONR,Y / _ BY W D DUCK.
DRAtiYN BY: APPROVED BY:
1D' TE: Li , /02 SCALE: NTS IDVIG.:RPLUS00 i 2C -n T S G- 2
I
i !
v/If\IDOW GUAr iTITY IN QUANTITY w
JI r HEAD c SILL EACH JAMS
UP TO 40 PSFUPTO40PSF
78 x 25 A,E.C.D G,H
18 % 31 A.E.C.D I G,H
18 X 37 A.E.C.D G,H
18 x 43 A.B,C,D G.H
13 ;< 49 a,B.C.D G,H
18 X 55 A.9.C.D G.H
X 51 I A,B,C.D G.H
18 is 67 A.B,C,D G,H
18 X 73 A.B,C,D G,H
13 z 75 ARrD r,H I
24 1Y 25 A,B.C,C i G,H
24 >; 31 A.B.C,D G,H
24 X 43 A,B,C,D G.H
24 X 49 a.B,C,O G.H
24 X 55 A,B,C,D G,H
24 X 61 A.B,C.D G,H
24 X 67 A,B,C,D G,H !
24 X 73 a,B,C,D G.H
I 2 ?5 4.B.C,D G,H i
i 30 x 25 A.2.C,G I G.H
30 X 31 a,B,C.D G,H
30 X 37 A.B.C.D G,H
30 X 43 A,B.C.D G,H
30 X 49 a.B.C.D I G,H I30X56A.B.C,D G,H
30 X 61 A.B.C,D G.H
30 X_ 07 a,E.Gp G,H
30 X 73 A.B.C,D G,H
30 A.B.C,D G.H
30 ;( 25 A.B.C,D G,Hi36X3tA,E.C,D G,H
36 X 37 A,B.C.p G,H
36 43 A.B.C,D G.H
36 X 49 B.C.D G.H
36 ;< 55 A.B.C,D G,H
36 X 6i B.C.D I G.H
35 X 67 A,E.C.p G,H
i 3o Y. 4 a a r.D
P SON LOCAI IOf I ;-iAR I
QUANTITY IN QUANTITY IN
I WINDOW I HERO do SIL_ EACH JAMB !
SiC UP. TO 40 PSF UP TO 40 Psi
42 X 25 A,B,C.D G,H
42 X 3t A,B,C.D G,H
42 x 37 a,B.C,D G,r.
42 ;: 43 a,9,C,D G,H
I 42 X 44 A,9.C.D G,H
42 :< 58 i A,B,C,D G.H
I 42 ., 0"1 B,C D G.H
4' X 73 A,B.C.D I E.F.G.H,LJ
A B C D G.H,I,J
8 x C8 A.B,C,D G
48 X 31 A,B.C.D I G,H
48 X 37 A.B,C,D G,H
48 43 a,B.C.D G.H
48 a 49 A,B.C.D G,H
45 x' 5 A.B.C,D G,H
48 of A,B.C:D G.H
I 48 X o7 A, 9.C,D E.F,G,H.I,J
48 X i3 A.B.C.DI,J
43 x 7` A B C D F.G.H,!,J
i 52 X 2= a.B,C.D,K.L G.H !
62 X 31 A,B.C,D.K,L G,H
52 X 37 A.B,C.D.K,L G,H
2 X ?3 A,B,C.D.K.L G,H
2 X 49 A,B.C,D,K.L G,H
53 :X SS A.B,C.D.K,L G.H
52 'f, of A.B.C.D.K.L G,H
2 X i3 A,B.C,D,K,L
c2 X ?` A.B.C.D.K,L G.H.I,J
nSPAr(Ev 67'=RGOUCi TECHNOLOGY CORP., =5u INTERNATIONAL ='H7.. :UItE _^SG. "i.i:i iiROW. FLORIDA .:2746 'HONE 407 606-.]355 FAX 407 °^_5-'Soo
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
PC
Personal Property IPlease Select Account
PARCEL DETAIL Back L
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2004 WORKING VALUE SUMMARY
GENERAL Value Method: Market
Parcel Id: 32-19-30-5GS-0000- Tax District: S1-SANFORD Number of Buildings: 1
02A0
Depreciated Bldg Value: $80,265
LAKE DOUGLAS G & 00
Owner: AMY S Exemptions: HOMESTEAD Depreciated EXFT Value: $1,916
Address: 102 QUAIL RIDGE CT Land Value (Market): $18,500
City,State,ZipCode: SANFORD FL 32771 Land Value Ag: $0
Property Address: 102 QUAIL RIDGE CT SANFORD 32771 Just/Market Value: $100,681
Subdivision Name: KAYWOOD REPLAT Assessed Value (SOH): $85,972
Dor: 01-SINGLE FAMILY Exempt Value: $25,000
Taxable Value: $60,972
SALES
Deed Date Book Page Amount Vac/Imp 2003 VALUE SUMMARY
WARRANTY DEED 09/1999 03788 0576 $95,000 Improved 2003 Tax Bill Amount. $1,230
WARRANTY DEED 08/1986 01762 1379 $77,500 Improved 2003 Taxable Value: $58,957
Find Comparable Sales within this Subdivision
LAND LEGAL DESCRIPTION PLAT
Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOT 2A KAYWOOD REPLAT PB 30 PGS 27 &
LOT 0 0 1.000 18,500.00 $18,500 28
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1986 6 2,030 1,485 CB/STUCCO FINISH $80,265 $85,845
Appendage / Sgft OPEN PORCH FINISHED / 16
Appendage / Sgft GARAGE FINISHED / 529
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
FIREPLACE 1986 1 $1,100 $2,000
ALUM SCREEN PORCH W/CONC FL 1986 240 $816 $2,040
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax
purposes.
If you recently purchased a homesteaded property your next ear's property tax will be based on JustlMarket value.
http://www.scpafl.org/pls/web/re_web.seminole_county_title?parcel=3219305 GS000002Y... 10/30/2003
III J flri[IBE,
parcel ldentllicaliint Idunlher Z c,-d_c-
f'repaled by
Clll: 14NIJOW PhOS OF FLORIDA,
Relum lu: 252.9 SILVER STAdi ROAD
PLANDO, PLOR:1uA 32804
407) 29.1-777B
I0 T1(.;E- 10F C0M1AE110EME111,
LMORSE,
CLERK OF CIRCUIT COURT
COI m
666 PS 0106
S # 24 031980134
11/04/2003 1zs1WI PH
S FEES 6.00
BY S O'Kelley
v.RtlgtU t;tirr
MAIdYANNE -MORSk_
pt,.(RK-OF CIVUI7 COURT.
SEPAL LE COU R{OA
Sl'ite of FLORIDA
hS f[NOI,G _ EPUfv .F
C'ounly of _=--_-_ -- . r
NOV
The underslgiled hereby gives notice that inlprovenlerlt(s) will be trade to cerlain real property. and in nccorclarlce with
Chapter 7 13,'Florida Sl.atules, tile_ followilIg infonllation is p1mided ill Illis Hutice of Commencement.
1. Uesc;,rlJt(lon of'pro )elty (legal description of [lie pitipeity, and street address if available)
27
Gonetal descill.t(lull of hnprovelnenl(s)
la t rlunla Rr.r LAccrlrrrr
1. Uwnter infor nalion '
I Iain O t/!4s. Gy9. S i9,G`
Telephone Number
Ac.lclress pZ i}%C i C Far, IJumber
32 70
p 7-71 Irtlelest in Piupeity:
i. Foo Sinlllle I ille I lolcler (if outer Ilian owner shown @hove)
IJarfie Telephone flumber
Address 14/A
Fax f lumber
c:ctnU lctol
Ilame '1'IlR 141.11nOSJ PROS OI' r1,01,11DA
Addl PFS 25J_9 S.LLVER STAR .ROAD
ORLANDO, FL. 32804
Sruel'y (if an})
fl nre'
1cJdresS N/A
L_,udr3r (if arty)
Ilante
Address N/A
Telephone f.lumber 407-291-7778
Fax 11timber
407-291-11818 Felel.
lilotle I Iutnl.ter Fax (
lumber Amount
of bowl Telc
11hone I Iumher Fox
Humber he,
Isofis wilhirl the stale of Florida clesigllatecJ by Owner upoil whorl notices or other documents rrl N, i.1e served rls
irc,vided by 713, 13(I)(a)7, f=lorida Statutes. flame .
Telephone I lumber Ad(
IIess Fox Homher In
adclilioli to himself or herself, Owner designates the following to receive a copy of the Lienor's I lotice ns providediu713.13(I)(Ll) Florida statutes. Dante;
Telephone
Numhet Address
Fax Flumber iU.
ifff?'
tal
d
elate of notice Uf -mil nenceillent (tile expiralion date is one year from the date of recording unless differentdateisecified): --_`_ i
rle
S gl eSignature of Owner iJoter per 71:3. 13 1 I111JSI
sign... and no one else may be pennitled to sign in his
or )let stead." S%
YMI, herore rile this kilowru
to me 0R _ — wr-u.h.wed is
y
daof,*/! a.L.- --- ----- 2 p 0 by E>
gkes WarAw Banded
mm (8001 414 who
is __ lieisonaliv as
identilicaliorr.