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HomeMy WebLinkAbout2565 French Ave 04-26 Sign replacementCITY OF SANFORD PERMIT APPLICATIONyp J R Permit # : L/ Date: l D O 3 Job Address: Jf 9=C511 fC9 Description of Work: 4-7Xt5ttaJ :S 14 A A 6- Historic District: Zoning: Value of Work: $ Permit Type: Building _ l Electrical v _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 Commercial Industrial Total Square Footage: I 13 4 1,00 Construction Type: # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: —3 0 J SU cJ id 0 — 0 O 2 U (Attach Proof of Ownership & Legal Description) Owners N,afine & Addresses: e4! c 0 U" 7 /7 U iU 56iV )q t aYC go A C, 0V_ t j UA JVQ l __2— Phone: -5 -,56 i —3 Ll q3 _ Contractor Name & Address: 0 On a GL S _ 3& S y/i- iL .Q iACL ,e r zjxg o'/_ j C x5 State License Number: GsSG O Q u l ` 4, tAo' Phone & Fax: 3h 7kk fak 1. 7(a 7- 6 j b Contact Person: It edjo C[ c Phone: .3 /e - 70 _ y'— z. Bonding Company: 3319 Address: Mortgage Lender: Address: Architect/ Engineer: ) Phone: Y CO 73 -1 Address: -200 W. OJ" 60r151 ^ P dGl be 6tn d P p- L.. Fax: 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. 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 Va",J% cG2 0' " fa y7 z /fr ClZvS,I//6/d Signature of Owner/Agent Date Signature f Contractor/Agent Or Date r f) OLI(Y` C p'iu Print Owner/ Agent's Name" Prin ontractor/Agent's&amer Signature of Notary -State of Florida Date 0AI( puai g otary- State of Florida D to FLOREN rE K MY COMMISSION # DD 164280 / EXPIRES: November 12, 2006 Ow,ner/ Agent is e on K,nown to Me or r 1F0iF1v, Bonded7hru Bt(dpsltN l'd5 111nt is p Pc Wally Known to Me or L Produced ID ProducedIDt — APPLICATION APPROVED BY: BId;D k4— ` 6 3 Zoning: Cif9 Utilities: Initial & Date) (Initial & Date) Special Conditions: FD: Initial & Date) ( Initial & Date) c K j eve a. S t spa aAff 7mufrmi Stof 48, J 0f00.11 0.n C, esAn179 DntA -'. titb w o R Q S`'iN o f C. ' `t cQ1 L t b r Permit # : L Job Address: S 2$ t,, ,t E " 1•. iq. a I.r%xit f 3,e k ild (: Ytr CITY OF SANFORD PERMIT APPLICATION . :_ Date: Description of Work: (( rnc3,A L,rt =,%_4 sL !i -<A Historic District: Zoning: Value of Work: S Permit Type: Building AzElectrical 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 Commercial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Florid Zone: (FEMA form required for., oth:eir than, X) Parcel #: © ( --?U —3(5 n— . 5; O `••( d -? i6__G G o © (Attach Proof of Ownership & Legal Description) Owners Name & Address: V l5 G ju t 'T .J-i Pl(1 6? !> A ( V Off' i, pz) Ot Phone: SYa _S es 1-3VJU Contractor Name & Address: _ or, G g- L( Slri ,-W - 36-s Q P.L State License Number: ^O o O d Phone & Fax: `' —y `Ca0X*-- 7 Phone: SfgS O$ X tvyContactPerson: LLZr., Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: P('P a'P5 Phone: Address: Fax: 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: 1 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. 1*I Il " o¢tl ce , _e of p it is verifica rh Z41ify the own oftheroperty of the requirements of Florida Lien Law, FS 713. rJ p //( IJ_ t I It,, Jis'• tig;; Y 1(/i' a•t/l G/ /' / I D'' _/ // O,y' Cl .'.D Signature of Owner/Agent Date Signature of Contractor/Agent Date q:• b 0` Ww -o t'k17 t•(' - 6 S 4L 1 V! t 2pS'ICL' a El Print Owner /A ent's e CDo `•n• , CA PrMintme • Cp a q n. ivnn ature of Notary -State of Mrida ate d° Signature of Notary -State of Florida at SNb VSlvO o2 O SOwner/Agent is _ Personally Known to Me or Contractor/Agent is _ Personally Known to Me or w Produced ID n'1 2.in%?%L4 6.6 Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: Utilities: F D: Initial & Date) (Initial & Date) (Initial & Date) October 13, 2003 Owner Authorization To Whom It May Concern: Please allow this letter to serve as written permission from Discount Auto Parts, Inc. ("Discount") to allow Don Bell Signs to obtain any variances and/or permits necessary for the installation of Discount's signs at the following store location: 9515 Sanford 2565 French Avenue Sanford, FL If you have any questions or I can be of further assistance, please do not hesitate to give me a call. Sincerely, Discount Auto Parts, Inc. By. Name: Ashleig i Hedge Title: Sign Maintenance Coordinator Store Planning & Design Property Owner Name Discount Auto Parts, Inc. Property Owner Address 5673 Airport Road Roanoke, VA 24012 Property Owner Phone # 540-561-3443 State Of Virginia City Of Roanoke Subscribed and Sworn to before me this 134 day of iDc ,o ,y 2003 Notary Public ; i oti,4 IL My Commission Expires 8 3 ay rW7 August 18, 2003 Owner Authorization To Whom It May Concern: Please allow this letter to serve as written permission from Advance Auto Parts to allow Don Bell Signs to act as its agent. As our agent, Don Bell Signs shall contact a local subcontractor to secure any variances, permits and the installations required pertaining to signs. 2505 FRENCH AVE SANFORD, EL If you have any questions or I can be of further assistance, please do not hesitate to give me a call. Sincer ly, Pr perty Own Signature / Agent Print Name Timothy P. Webster Property Owner Name Advance Auto Parts Property Owner Address 5673 Airport Road Roanoke, Virginia 24012 Property Owner Phone # 540-561-3443 State Of Virginia City Of Roanoke Subscribed and Sworn to before me this day of kqus 2003 Notary Public fLk j My Commission Expires acemh;A jl,-ITUo Seminole County Property Appraiser Get Information by Parcel Number Pagel of 2 Personal Property I Please Select Account PARCEL DETAIL 94 ° All -4 Q © I> a Seminole Ctmnty perty ,4Pprviscr sag f ti C Qrn U.1 Q' a 1-' ' Q I1111 1•. F rrar5r. 74dll"-hn-'Iln GENERAL 2004 WORKING VALUE SUMMARY 01-20-30-504-0700 '4-SANFORD 17-92 Value Method: Market Parcel Id: 0220 Tax District: REDVDST Number of Buildings: 1 Owner: DISCOUNT AUTO Exemptions: Depreciated Bldg Value: $270,892 PARTS INC Depreciated EXFT Value: $17,496 Own/Addr: C/O TAX ACCOUNTING #9515 Land Value (Market): $240,920 Address: PO BOX 2710 Land Value Ag: $0 City,State,ZipCode: ROANOKE VA 24001 Just/Market Value: $529,308 Property Address: 2565 FRENCH AVE Assessed Value (SOH): $529,308 Facility Name: DISCOUNT AUTO PARTS Exempt Value: $0 Dor: 11-STORES GENERAL -ONE S Taxable Value: $529,308 SALES Deed Date Book Page Amount Vac/Imp 2003 VALUE SUMMARY WARRANTY DEED 07/1994 02802 1023 $325,000 Improved 2003 Tax Bill Amount: $11,136 WARRANTY DEED 01/1975 01065 0191 $85,000 Vacant 2003 Taxable Value: $533,760 Find Comparable Sales within this DOR Code LEGAL DESCRIPTION PLAT LEG N 44 FT OF LOT 22 & ALL LOTS 23 & 24 & S LAND 26 FT OF LOT 25 BLK 7 Land Assess Method Frontage Depth Land Units Unit Price Land Value DREAMWOLD PB 3 PG 90 AND SQUARE FEET 0 0 48,184 5.00 $240,920 01-20-30-504-7A00-0070 LOTS 7 & 8 & N 57 FT OF LOT 9 & S 15 FT OF LOT 6 BILK 7A DREAMWOLD PB 4 PG 30 BUILDING INFORMATION Bid Year Gross Bid Est. Cost Num Bid Class Bit Fixtures SF Stories Ext Wall Value New 1 MASONRY 1994 4 6,450 1 CONCRETE BLOCK -STUCCO - $270,892 $309,591 PILAS MASONRY Subsection / Scift OPEN PORCH FINISHED / 50 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New COMMERCIAL ASPHALT DR 2 IN 1994 12,936 $8,053 $10,737 COMMERCIAL CONCRETE DR 4 IN 1994 5,540 $8,310 $11,080 WALKS CONC COMM 1994 755 $1,133 $1,510 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 JusUMarket value. http://www. scpafl.org/pls/web/re_web. seminole_county_title?parcel=01203050407000220r... 10/7/2003 I PERM!? #_ Off I ELECTRICAL REQUIREMENTS VOLTAGE = 120V AMPS = 7.5 CIRCUITS = (1) 20AMP UL# = PLANS REVIEWED CITY OF SANIFORD 2'-0 rr ALUM BASE TO BE PAINTED TO SIMULATE BLOCK WALL COLOR OF BLOCK & MOTAR JOINTS T.B.D. i lob Advonce Auto Parts AL Drawing # ADV 9515 Cdculatedby GCW Date8/ 26/03 DON BELL 1 Engineering Calculations Ground Sign Building 2001 1 Design Wind Velocity 1 1 0 MPH As per ASCE7-98 I Building 2001 r 2. Plastic burn rate I accordance with ASTM D 635 Exposure Category C 3. Concrete shall be 3000 PSI 28 days (unless noted otherwise) 4 Re,ntoroing steel shall be Grade 60. ( not needed in Caisson embedded sign suppert 5 Structural steel ASTM A36 Steel Pipe. ASTM A53 Gr B Square Tube, Fy.-46KSI 6. All welding shall be in conformance W/ AWS DI, I (Latest edition) using E70XX electro All welds shall be full penetration welds at all points of contact unless noted otherwise 7_ Soil shot, be clean and wnh a minimum allowable bearing pressue of 2000 P5F anc a minimum allowable lateral possve pressure of 600 PSl 8. Sign Height 10 _ Above Ground Level for Cf Velocity Pressure ciz= 0.00256 Kz Kn Kd V2 I ci =M= 12' 1 1,2 Kz=0.85 vZ12,100. 127 Kn=1.0 1= 1.0 Kd= 0.85 qz= 0.00256( 0.85)(1.0)(0.85)(12100)(1.0)=22.38( 1.2) = 27 PSF T Moment Analysis !L2'- A=(81(121= 96 sq fT (3'c)=288. B=(41(121= 48 sq It (B'c)=384. Total =672. (27 PSF)=18,144M' Ibs Section modulus determination S=M(12) / t = 18,144M(12) / 2801l7.77 S 6"x.280" x 164" @8.4S Fo datioa Caisson 3 4.25 ( 18,144M)=4'0" deep x 2' Dia N? 1 Concrete R P 1 ( 4.') / 27 -0.46 Cu yds TUBE O 1 Fill FERr~ ENGINEERING. INC. 4i = 20D WEST W6CCf81H AYEIAE DELAND, FLORDA3272D O Fa.00f2948 3R>!734e792 ET4 E OF F l rwmreo ^dzxaremcerrars •t.z4us DESIGN # ADV9511 5 DESIGNER_ Randy DATL 8-25- 03 3) 4) 5) SHEET 1 OF 2 ADVANCE AUTO PARTS 2565 FRENCH AVE 9 Aj!n1ji oNsi . 11 Q 123 sgft 49'-3 " 1 ) SET REQUIRED pepin --{ LAW GTO chi SPACINGTABLE GM~—inlous aneel-III 0. :'.rueen o mary rry ai.nwam dRaga•4 Mill al sorer), pwMwdud natal b— it. rwllmaips 11— LMMddhcaxndsoikhbprbrery C. IkreMmWtWM(d— Tim wim.Qwnww aNn bb-Am Ilohlllrormnun 5o R) D. BeWmtwMedalW Ngt wrgematmisamnalmr a l4d blegraldals9n mwh9hvi eaw mea li awd4asdi ) —i+ pow" riA apt a9 Slgwrl) o9aw mtWdon WWglraAigaleldadrrfdapp lpdYlr. Ple c Moe — NEC 110.T(e). 00(l Z 6004. Tube -coon per NEC ri00.33(b) Neon lobe. Spwms marks Example "A" Pill, spll MOM tole elearic sow 12 k4 mMm,n tvMuiL R,Ye1, st0.6P«rn ii 9 1J • NEC 600bdfiW-21. 808'S EMdlude 9 Sign hum tta*) boo,( EMcAaOiM INId pa shoo sbp)aN GTO sberirg ptorided Try wan , y, Example "B' Two signs Fa l lws as IeWW by k.-A medipeon BIG BOB'S xprale Grainnobleraceway d used .Id— breaM ai0n One sign Aching mak on eats sign) Lisled son er sign sedion I-n9MM of Mennen Mtn MKhod to racemy. Marelmmff. irmtWg boots. InstaWlbn d signs per ETL ins, d"i aMeres," dicaned swims it p o,.d d) Nola: Instel tlon r quniimen s only. a.mm ror aadbo bnlim etas naked 1. nMW Mantdamnig mWirements canlailed'n ETL LISTED ilrmeauidbm ILLUMINATED CHANNEL LETTER by qualifea electoral CONTINUOUS RACEWAY testing laboratory sy r..ar..+a`.+b.+a.. r r...b... a INSULATING BOOTS AND SLEEVE EEECTRICSIGN MV.vM sai4 arvl+IrAvav wOnsidr Data: May 1999 T EL# 4'"'rW4 rb swrvaveaei+eswab'abrn't'nairi o. s.rp.s..wre..r.drr... Sealer None Dwg. No. D8-ETL-1 Voltage A B C D laolbsago 12 bM t2 Mtn ma 3la bcn SOmbt0000 314 into 1a rrA 114 YVAd Tom" 1- 1191ntli 1. 12 inch 00111t50f01bM1'xM CHANNEL LETTER DETAIL N.T.S. ELECTRICAL REQUIREMENTS VOLTAGE = 120V AMPS = 24.8 CIRCUITS = ( 1) 20AMP UL# = UL# = CI I JobAdvance Discount Auto Parts Drawing # Wall Sign Letters Calculated bf-CW DatEP/21/03 Page 1 Engineering Calculations Wall Sign Building 2001 Design Wind Velocity 120 MPH As per ASCE 7-98 Plastic burn rate in accordance with ASTM D 635 Exposure Category C Sign Height 15' Above Ground Level Velocity Pressure qz= 0.00256 Kz Kzt Kd V I KZ = 0.85 V 2 =14400 Cf = M = 49 = 19. 6 = 1.5 Kzt=1.0. 1 = 1.0 N 2.5' Kd = OM qz= 0.00256(0.85)(1.0)(0.85)(14400)(1.0) = 26.63( 1.5) = 40 PSF Area = 134 sq ff P= 40 PSF ( 134 sq ff) = 5400# Weight= 832# Letters Attachment 3/ 8" Bolt A325 @ 44000Ksi - - 375 / 2=0.18752p=0.1104 sq in (44000)=4860# 4860# / Safety Factor 4=1215# Sign ( 5_) bolts @ 1215# = 6075# / 5400# = SF 1.12 ow 01 3 h d O n • B t7 6 O p ... a 30" Letters; 30" )( . 29 )( 9 Letter) =78 It. (.75' stroke) = 59 sq ft 24" )(. 29 )( 16 let.) =111 ft (.67' stroke ) = 75 sq ft Total = Neon 189', Area 134 sq ft, Weight 832# Letter @ .75# per up -right in (654") = 490#, Wireway @ 4.5# ft (49)=220# Neon Est, 189' / 30 = 6 Transformers 6 ) 9/30 @ 270 VA = 1620 VA / 120V = 13.5A (125%) = 17 A Load Est One 20 A Ci%uit Required Qo ! FRl1 FEM*.RAENGINEERWG,INC. t O } 100 NE5T'A7:CCRbR1 A.friE DELAM. FLORIDA 32720 RO. 9Ot roa8 3a3;'i348?: q '', P OF l O1 n.+uww •wauslwaloteae •rsnac US DESIGNER- Randy DATE - 8-25-03 REVISICNS 1) 3) 5) SHEET 2 OF 2 ADVANCE AUTO PARTS CRETE TH 00 m X, bf;j S 4L'Pea R ei C. cu 461wv, 71A DOLE_ 9. 01mM R"il", T 45r,ii Ir•qi L. 7 65. 00 TIE PROPOSED16 P Y, SEWER LATERAL INTO.. G C.O. MAIN 6' PVC S.S.; LINE INV. 49.00 at INV. 42.81, 4 COORID. WITH THE'l FORD UTIL DEPT. CONNECT PROPOSED RELOCATE EXISTING BACK FLOW 4 wDEVICETOLOCATIONSHOWN1" PVC WATER SERVICE ZONE TO EXISTING METE R N - < 0 'AREA R6o5OO S.F. . ..... .. .. Y, A R CONC. BLK. BLDG. 18 FT. HIGH NeNew5: lriWin cw e CL ' o 4D \f\- N 9 R10.00, ui 40 b o :ci b4 NOTE: 04 SEE ARCH. PLANS FOR d a 0 PARKING LOT LIGHTING 0 HANDICAP PARKING CAUTIOI SIGN w D 7358.: E PER M.U-J.C.D. & FTP FDOT 17355M 20.00' 1.43' 20.00' 3 GSTINIz PERCITYOFSANFORDORD. 3209 SITE I. D. SIGN BY OTHERS. ON —SIT SIGN TO MEET ALL APPUCABLE-` 25;Cb' coomi CODES & REQUIREMENTS . 0 ul 00 . . ...... .. ............. 77- 77- 7-77- OTE: 0 HE CONTRACTORSHALLVERIFY00PROPOSEDBUILDING LOCATION. BEFORE CONSTRUCTION & NOTIFY 0) 00 ENGINEER IF ANY CHANGES ARE NECESSARY. Qb- L 0 a) 00 1 z "Y z. . . ... ....... 5- 12. 00' 10.DO' DUMPSTM PAD w/ STOP SIGN & BAR 23,71- ENCLOSLM PER M. U.T.C.D. SU DETAIL SH T. rf 00 Date: 9IWtU3 I hereby name and appoint a G is, IA !yof Don Bell Signs, LLC to be my lawful attorney in fact to act for me and apply to the City of Sanford, County of Seminole Building Department for a Sign/Sign Electrical permit for work to be performed at a location described as: 2565 FRENCH AVE Address of Job) DISCOUNT AUTO PARTS 5673 AIRPORT RD ROANOKE, VA 24012 Owner of Property and Address) and to sign my name and do all things necessary to this appointment. Cecil J. Ward Type or Prix*name of Certified Contractor Signature of Ceftified Con The foregoing instrument was acknowledged before me thisday ofco"Yni Qj) 2003 by Cecil J. Ward who is personally known to me/who produced as identification and who did not take oath. State of Florida County of Volusia Commission # M2 otary My Commission Expires: Oe c gr 1 aCjz:)q TAMMY ANN HORN MY COMMISSION # CC990"8 EXPIRES: Dcc 27, 2004 1 80a3NOTARY FL Notary _,- & Sodding, Inc. THIS INSTRUMENT PREPARED BY: KCRSE, CLERK OF CIRCUIT COURT NAME /lam Gc ft 5'Tt,G SEI42idI.E COU>r ADDR. 73 EAK 05061 i`pG ('Y¢ 40 3 CLEWS # ;ca0C- 185341 lCj Z.- RMDRDED 10114/ 3 03:46129 PH tIMDING FEES 6. RE NOTICE OF COMMENCEMENTRDED V S WOW Permit# State of Florida Tax#:01-20-30-504-0700-0220 County of Seminole The undersigned hereby gives notice that improvement will property, and in accordance with Chapter 713, Florida Statues, is provided in this Notice of Commencement. Description of Property: Street Address: 2565 French Ave be made to certain real the following information a Le al Description: See attached site plan leg n 44 ft of lot 22 & all lots 23 & 24 & s26toflot25blpk7dreamwoldppb3pg90and01-20-30-504-7a00-0070 lots 7 & 8 & n 57 ft of tot ;9 & i b5 ft .oft lot 6. 41k 7a dreamwQdkb 4 301. Genera escrip ion o improvement:o s2. age 2. Owner Information: a) Owner Name/Address (Tenant as Lease Hold Interest): Advance Auto Parts 5673 Airport Road - Roanoke, Virginia 24012 b) Interest in Property: Ownership c) Name and Address of Fee simple Title Holder: Advance Discount Auto Parts 4. Contractor Name: Don Bell Signs Address: 365 Oak Place Port Orange, Florida 32127 5. Surety Name: Address: Amount of Bond: Note: A copy of 6. Lender Name: Address: any bond must be attached) 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: B. In addition to himself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified) Owner Signat re (Leasehold Tenant) — State of "2 < County of 7 h oregoing instrument was acknowledged before me this ]—day of IA U 20W7 byIMwhoispersonallyknowntomeorhasproducedTypeof I.D. KJA and who did/did not take an oath. U of- x Y 1RC3i24`'P•' gyp: r Notary Signadure bsa Print Nardd Notary Public - State Virginia My commission Expires 1reM 2n CERTIFIED COPY MARYANNE MOta6E OLERK OF CIRCUIT COU"' SEMI PLE COUr4 DA P i- v 3