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Home My WebLink About125 Kelly Cir 95-1646, 95-1722, 95-1712, 95-1728 New SFH95- n;;za ZONE DATE Yy CONTRACTOR C< ADDRESS PHONE # LOCATION V OWNER - c,-Ka(A !ITZAC-- ADDRESS PHONE # PLUMBING CONTRACTOR ADDRESS PHONE# ELECTRICAL CONTRACTOR c ADDRESS PHONE # MECHANICAL CONTRACTOR ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS O FINISHED FLOOR ELEVATION REQUIREMENTS ARCH I ECTURAL .APPROVAL DATE: PERMIT' # JOB « (- COST $ ( Q0,b 6H FEE $ STATE NO. FEE $, FEE $ FEE $ L SUBDIVISION: I' i I J '6000' Ue LOT NO. sq BLOCK: SECTION: SQUARE FEET: ( I O 9 MODEL: 7 l* 1 % i lc V- OCCUPANCY CLASS: INSPECTIONS „ TYPE DATE OK REJECT BY FEE $ ENERGY SECT. CERTIFICATE OF OCCUPANCY ISSUED # DATE: FINAL DATE EPI: fl) FEE $ ENERGY SECT. CERTIFICATE OF OCCUPANCY ISSUED # DATE: FINAL DATE EPI: fl) This is to certify that the building located at 125 KE_LLY CR for which permit 95-00001646 has heretofore been issued on _5/25/95 has been completed according to plans and specifications filed in the office of the Building Of icier pri to the i uance of said building permit, to wit as /7% 0_ l'1 / reMmplies with all the building, plumbing, electr}gal, oning and subdivision regulations ordinances of the City of `Sanford and with the provisions of these regulations. Subdivision Regulations Apply: Yes No DATE BUILDING: Finaled l Cis ZONING: Inspected UTILITIES: Water Lines In _ Meter 7 Set _ Reclaimed Water _ ENGINEERING: Drainage Maintenance Bond PUBLIC WORKS: Street Name- Signs - Storm Sewer Street Work WATER -SEWER IMPACT FEES 01-APPLCTN FEE -BUILDING 01-FIRE IMPACT - RESIDENT 01-LIBRARY IMPACT FEE O1-OPEN SPACE O1-POLICE IMPACT - RESID O1-RADON GAS TAX FEE O1-ROAD IMPACT FEES O1-RECOVERY FD/CERT. PGM. L 5/25/95 5/25/95 5/25/95 5/25/95 5/25/95 5/25/95 5/25/95 5/25/95 z.._.:-- AMOUNT 1p C 2 ` f 10.00 59.27 54.00 279.61 91.93 5.54 473.00 5.55 PAGE: This is to certify that the building located at 125 KELLY CR for which permit _ 95-0000194a has heretofore been issued on 5/25/95 has been completed according to plans and specifications filed in the office of the Building Official prior to the suance of said building permit, to wit as /%//"U p_ Y/ n,r ._i Pdcbmplies with all the building, plumbing, electrk8al,/ zoning a{id)subdivision regulations ordinances of the City of `Sanford and with the provisions of these regulations. STAFF APPROVAL Subdivision Regulations Apply: Yes No 01-SCHOOL IMPACT FEE J f OWNER ENERCm For detailed information of the EPI rating number or for any ITEM listed, ask your Builder for DCA Form 60OA-93 Or Form 600E-93 ITEM Kim excellent good acceptable 0 10 20 30 40 50 60 70 80 90 100 The maximum allowable EPI is 100. The lower the EPI the more efficient the home. RESIDENTIAL ENERGYRERFORMANCE RATING HOME VALUE Low Efficiency WINDOWS......................................... INSULATION ......................................... Ceiling R-Value .......................... Wall R-Value .......................... Floor R-Value .......................... AIR CONDITIONER ............................... SEER/ EER....................................... HEATING SYSTEM ............................... Electric COP / HSPF................... Gas AFUE ............................. WATER HEATER .................................. Electric EF.................................. GasEF.................................. SolarEF.................................. OTHER FEATURES .............................. High Efficiency SINGLCLR DBLTINT R-10 R-30 R-0 R-7 R-0 R-19 10.0 SEER 17.0 9.7 6.8 EER HSPF 16.0 12.0 78 AFUE 90 88 96 54 90 40 80 1 certify that these energy saving features required for the Florida Energy Code have been installed in this house. Builder Address: Signature: Date: City/Zip Florida Energy Code for Building Construction-1993 Florida Department of Community Affairs 'FL-EPL CARD 93 Department of Community Affairs FLORIDA ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION FORM 600A-93 Residential Component Prescriptive Method A PROJECT NAME: R l59l A }BUILDER SUDA INC SN: 5245 CENTRAL AND ADDRESS: Clpi (- | PERM ITTIN /] :CLIMATE y - - - ' [ 77 OFF |ZONE' 4 5\ 6| | y~A OWNER;dujo,|PERMIT NO\~y |JURISDICTION NO-r,°~ Inc/ ' CK l. New construction or addition l. New Construction 2.,Single family detached or Multifamily attached 2 Single -Family ____ 3 If Multifamily -No. of units 3. 0 4 If Multifamily, is this a worst case (yes/no) 4. S. Conditioned floor area (sq ft.) 5. 1089.00 ____ 6. Predominant eave overhang (ft.) G. 2.00 7. Porch overhang length (ft.) 7. 0.00 8. Glass____ d type: Single Pane Double Paneareaanype. ng a Clear Glass 8a.144.0sqft 0.00sqft ____ b. Tint, film or solar screen 8b. 0 0sqft 0 00sqft ____ 9 Floor type and insulation: a. Slab on grade (R-value, perimeter) 9a R= 0.00 , 149.00 ft ____ l0.Net Wall type area and insulation: a. Exterior; }. Concrete (Insulation R-value) 10a-1 R= 3.00, 653.00sqft____ a. Exterior; 2. Wood frame (Insulation R-value) 10a-2 R=11.00, 206.00sqft____ a Adjacent' 2 Wood frame (Insulation R-value) l0a-2 R=ll 00 l26 00sqft ll.Ceiling type area and insulation: | a Under attic (Insulation R-value) lla.R=22.00 , 1089.00sqft____ i 112.Air distribution systems a Ducts (Insulation + Location) 12a. R= 6.00 , uncond i'l3 Cooling system 13 Type' Central A/C | SEER: 10.00 14 Heating System: l4 Type: Heat Pump / HSPF: 6.80 l5 Hot water system: 15. Type: Electric EF: 0 90 16,Hot Water Credits; (HR-Heat Recovery. 16. DHP-Dedicated Heat Pump) | j117Infiltrationpractice: l, 2 or 3 17 2 18 HVAC Credits (CF-Ceiling Fan, CV -Cross vent, l8 HF-Whole house fan, RB-Attic radiant barrier, MZ-Multizone) | 0 9 92 0619EPI (must not exceed 10 points) l a Total As_Built points 19a 23029 26 b Total Base points 19b 26014.39 ____ / I Hereby certify that the plans and | Review of the plans and specifications ' Spec ifica covered by this calculation indicates lation are compliance with the Florida Energy Florida E e Before construction is completed s building will be inspected for PREPARED compliance in accordance with Section DATE; 553.908 F.S. I * hereby certify that this building is | in compliance with the Florida Energy | Code | OWNER/AGENT: | BUILDIN DATE "htk | DATE ._[ -------------- T^------------ ---------------- ---------- 7'......y......y..•dJ•..t..-p..•}..k..•p.:-p..t..y..p....7..t..y....y..7..y......y. _y-..•p....7. p..•{•....•p....y..•r..y..y..$..•f"..$..7....•lp..y..7..y..y..y....y......y..........•r..y..y..-{•..•r..•r....p..•..$......•p..i ... SUMMEFi.:.1. CALCULATIONS t....y..iy'.iF..}'..•j..F..f..........t...t..*..•p..•f•..p..t..y..•{•... t...y-....y..j..y....y..5._....•r..y......i..i....y..y..•..y......•p..y..7. j..t..y....#..y..:...y..r....j-....y..j........•j lj-....#..•..yl•....'f•. .. BASE ___ AS -BUILT GLASS ---------------- OR I EN AREA .. BSPM = POINTS TYPE S OR I Er`1 AREAi .. SPM OF POINT: E 54.00 82.2 4438.8 SGL CLR E 15.0 109.2 75 1230.0 1 L CLR E =0.0 109.2 7S 2460.0 i SGL CLR E 9.0 109.2 68 671 . 'D 30.00 82.2 2466.0 1 GL CLR = 16.0 100.2 63 952.4 SGL CLR S 1S.0 100.2 63 952.4 iW 60.00 82.2 4932.0 1 S IGL CLR W 30.0 109.2 75 2460.() 1 GL CLR ICI 15.0 109.2 63 1033.2 1 G L C• L R ICI 16.0 109.2 63 1033.2 IS .. COND. FLOOR / TOTAL GLASS ADJ. GLASS A i _T GLASS 1 GLGLASSGLASS AREA AREA FACTOR POINTS POINTS POINTS i• }5 11089.00 144.015 1 . 1._iy. 11,836.80 13,427.37 10,792.93 I NON GLASS ------------ AREA E_PM = POINTS TYPE F-vHL _ E AREA FM POINTS t 859.0 1.0 } 859.0 1 E t NormWtBlock in 3.0 653.0 1.40 914.2 I 1 Ext I,1,_!od Frame 1 1. 0 206.0 01.` 0 d 391.4 l A d i126.0 .: 88.2 1 1- dj Wood Frame 1 1 . 0 1200 7 0 2 i 20. 0 = 96.0 Ex v Wood 20.0 7.20 144.0 Il.-i . I 18.0 1 . 6 I 28. 8 1 i I- 1 ! ,I J Wood 18.0 2.40 43.2 b 6 i I; I.,_,S CEILINGS1 i 0-: 90 I_: A1089.0 653.4 1 iw_ I._J..._ Attic Under0 1089.0 90 980.1 I F O RS-------- FLOORS -------- 1 149. 0 -,, ; _; 2 1 Slab -on -Grade 149,0 476 3 . 1 NFILTR 1089. 0 10.9 11870.1 rac%.._c1= r:;_ 108::.0 10.90 118. TOTAL x SYSTEM - COOLING N',7 TOTAL fALM•{=!P x DUCT x SYSTEM CREDIT t .OL IL_. .L Nt: T SUMSMrSMUPOINTS 1 ATI-,,_LT Or==N RATIO NARK r'1.1-'-: I POINTS2 , .,._ _ 4 . _ .37 8,246.33 2::.t.1-._= 1 20,471.03 1 . f.)0 1 ( 00 40 1.000 6 S6 . 1 . WINTER CALCULATIONS BASE === AS -BUILT === ASS---------------- IEN AREA x BWPM = POINTS 1 TYPE SC ORIEN AREA x WPM x WOF POINTS 54.00 -3.4 183.6 SGL CLR E l5.0 -2 2 36 12.0 SGL CLR E 30.0 -2.2 36 24 0 SGL CLR E 9.0 -2.2 76 152, 3000 -3.4 102.0 SGL CLR S l5 0 -10.9 64 104.9 1 SGL CLR S 15.0 -10.9 64 10409 y 60.00 -3.4 204.0 SGL CLR W 30.0 -2.2 36 24.0 SGL CLR W 15.0 -2.2 1.12 36.8 SGL CLR W 15.0 -2 2 1 l2 36.8 IS x COND. FLOOR / TOTAL GLASS = ADJ. x GLASS ADJ GLASS GLASS AREA AREA FACTOR POINTS POINTS POINTS l ,089.O0 144.00 1.134 -489.60 555 39 6l l8 oN GLASS------------ AREA x BWPM = POINTS TYPE R-VALUE AREA x WPM POINTS LLS---------------- It 859.0 1.1 944.9 Ext NormWtBlock In 3.0 663.0 3.80 2481.4 Ext Wood Frame 11.0 206.0 2.00 412.0 j 126.0 1.8 226.8 Adj Wood Frame 11.0 126:0 1.80 226 8 jORS---------------- it 20.0 5.1 102.0 Ext Wood 20.0 7.60 152 0 Uj 18.0 4.0 72.0 Adj Wood 18.0 5.90 106.2 ALIN6S------------- 4 1089.0 .6 653.4 Under Attic 22.0 1089.0 90 980.1 i OORS--------------- lb 149.0 -1 9 283 l Slab -on -Grade 0 149.0 2.60 372.5 IFILTRATION--------- i 1089.0 4.1 4464.9 Practice #2 1089.0 4.10 4464 9 DTAL WINTER POINTS 6,625.0 9,134.72 TAL x SYSTEM = HEATING TOTAL x CAP x DUCT x SYSTEM x CREDIT HEATING iN PTS MULT POINTS COMPON RATIO MULT MULT MULT POINTS 5,625 5l 1.10 6,188.06 9,134,72 1.00 1.100 .500 1,000 5,024.10 j r-'---_771---- ----'' WATER HEATING NUM OF x MULT = TOTAL | TANK VOLUME EF TANK x MULT x CREDIT = TOTAL BEDRMS | RATIO MULT 3 3527 0 l0,58l00 1 90 000 34l .00 10,349 00 SUMMARY BASE AS - BUILT === CO OLIN8 HEATIN8 HOT WATER TOTAL | COOLING HEATING HOT WATER TOTAL POINTS + POINTS + POINTS = POINTS | POINTS + POINTS + POINTS = POINTS 8245.3 61 88 l l058l 0 25,4 .3 | 76562 5024l l03490 23,02926 EPI = 92* ENERGY GUIDE sr detailed information the EF'I rating dumber for any ITEM listed, Ik Vot,ir Builder for EPI= 92.1 0 10i 20 30 40 50 60 70 0 'fir-. 100 X , le maximum allowable EF' I is 100. The lower the i_F' I the more efficient the homeme RESIDENTIAL ENERGY PERFORMANCE RATING SHEET 1 I TEM HOME '•r,4'LUE Low Efficiency High Efficiency I: I NGL CLR DBL TINT 1 {•dDtUM ..... . . `..... .... ..... Sinale Clear ix -------------------- I i l' ULGT I ON Ceiling R-Value......... 22.0 Wall R-Yalue......... S.7 Floor R-'•value......... CJ,CJ 1 R CONDITIONER . ..... . .. ... . EER/EER ... . .... ... .. . .. 1 =7 . c_i T i ',1G SYSTEM ... ... .. . .... . Electric COP/HSrF........ I i ATE, . HEATER .. Electric EF . . . . . . . . . . . . . . .. .'.-1 Gas EF . . . . . . . . . . . . . . _ .W_ I iso.' _ _ r FHER FEATURES . . . . . . . . . . . . . . X-------- ; r: — R-sJ n-i R-0 R-1 9 10.0 SEER 17. i 9.7 EER 16.0 1 ----'--'-------'---------'--- certify that these energy saving features _-_. required for the Florida Iie','t.yy !_ode have `1e been installed all this house. use . Builder Pdress; -------- Signature UA Date: WtA- bAs _ ]_a ----- lor••ada Energy Code for Building Construction - 199_ s l or i da Department of Community Affairs FL-EF'L CARD_ 3 I SERIAL 5245 ResmanuJ(c) 08-01-1994 WHOLE HOUSE HEAT GAIN / HEAT LOSS CALCULATION USING FLA/RES(c) DATA FILES BASED ON A.C.C.A. MANUAL J - SEVENTH EDITION (c) 1986 by A.C.C.A.) PROJECT :R 1591 A ADDRESS | V- 5ke//v/Cr. CITY 5`yl OWNER :5udo, Inc, BL1--)8 CONTR ;SUDA INC HVAC CONTR XEN'S AIR INC Cond Flr Area: 1089 SF * GLASS/SF RATIO = 13.2% * House Faces: East Climatic Conditions Design Conditions * Geographical Location : Florida Sanford North Latitude / Elevation 28 Deg / 14 Ft. Above Sea Level Outdoor Winter Dry Bulb 38 Deg, F Indohr Winter Dry Bulb 70 Deg F Winter (Actual) Temp.Diff. 1 32 Deg F Winter Temp. Diff. (wTd) 40 Deg F Outdoor Summer Dry Bulb 1 93 Deg F Outdoor Summer Wet Bulb 76 Deg. F Outdoor Summer Hum Ratio 8r/Lb llO Indoor Summer Relaltive Hum 5O% Indoor Summer Design 8r/Lb. 44 Indoor Summer Dry Bulb 75 Deg F Indoor Summer Wet Bulb 62.3 Deg F @ 64 8r/Lb Summer Daily Range 17 Deg F - M Summer (Actual) Temp Diff. 18 Deg F i Summer (User Sel) Temp.Diff. sTd) | 20Deg F HEATING SUMMARY 1591A.DAT COOLING SUMMARY SUBTOTAL 25419.14 STRUCTURE SENSIBLE 15497.42 MECH.VENT- 0 Cfm 0.00 SENS. + MECH.VENT 0497.42 1TEMP.SWIN8 @ 3 DEG. 10O OCCUPANT/APPLIANCE 3000 00 DUCT LOSS 1270.96 DUCT GAIN 1849.74 TOTAL LOSS/BTUH 26690.10 TOTAL SENSIBLE 20347.16 TOTAL LATENT 2903 58 SENSIBLE + LATENT 23250.74 20% OVERSIZE FACTOR 5338.02 120% SENS OVRSZE FTR; 4069 43 ACTUAL + 20% OVERSIZE: 32028.12 SENS. + 20% OVERSIZE: 24416.59 EQUIPMENT SELECTION * 61 /0 0' AHU MODEQTMANUF HTG INPUT___________HTG OUTPUTHT8 SENSIBLE CL8 LATENT CL8 TOTAL S)EER/ 7_CLG CFM................ TYPE ........ NOTES:________________________________________________________________ L 0 A D C A L C U L A T I 0 N t: Shaded Area S.C. M.S. 1 2 S 4 3,71 1 1 5 r_ 1 Solar Area S.C. M.S. 1 11.29 1004.81 T.Area Loss S.C. M.S. l 5.%-1O 693.0%:r Shaded Area S.C. M.S. l y 6 4 7.42 230.62 molar.. Area S.C. M.S. 1 22 I-{02009.62 62 T.Area Loss S.C. M.S. l 30.00 1386.00 Solar Area S.C. M.S. 1 6.03 536.67 T.Area Loss S.C. M.S. 1 9.00 4 1 6 i_r i Laded Area S.C. M.S. 1 5 4 7.42 230.02 Solar Areaea S.C. M_ 22 0j tf ;f r'-:. r''.,_ T.Area L_+s.= S.C. M.S. 1 30.00 6.0C) haaed Area C:. M.S. 1 6 4 . 1 6.66 206 4G, Qlar, Area S.C. M.S. 1 8.34 742.2G, T.Area Loss S . C . i''.i . = 1 i 6 00 693.K., i Shaded Area S.C. M.S. 1 5 I• . 1 6.66 206.46. i:=.,_ tlar Area S.C. M.S. 1 8.34 742. G, Y Area Leas S.C. M.S. 1 15.00 693.00 l Shaded S.C. M.S. 1 L fI iltrai.ion Winter I-7'im 24.62 144.00 3646.2- W:i.lt.r. t-ion Summer Htm 6.16 1:::4.00 L t . - t . ; t=' Area s _:/ B.1 .ih G ,_: i n :` C 'i . i, i) ; i_: I L P)+ C.B. int• 'Ir:cu1 Ex_. 3 653.0(_) 6224.00 2164._.. i '. R. - hid Core/Wood - Ext. j.(.:•'i.._, ati+...v'i_j 0i:i,..'_r Ht.i)1+•. 24.62 38.00 935.6641 i l t• r a t i =+'n :Summer i-i t•m ( i , . `r 6 x 38. of" 234. = r, TOTAL STRUCTURE SENSIBLE *, 264 } 9 i 4 16497.42 CITY OF SANFORD, FLORIDA PERMIT NO. DATEa 3 0 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME _7 u d (4 ADDRESS OF JOB J e I I (1 C I ELEC. CONTR. res-iQe C[ELfr'Residential Jon-residentiaL— Subject to rules and regulations of the city and -national electric codes. Number AMOUNT Alteration Addition Repair i Chan e of Service Residential Commercial I Mobile Home Factory Built Housing 0 New Residential 0-100 Amp Service 101-200 Am Service 35 pp! 201 Am and above New Commercial Amp ervice i Application Fee fie— 00 li I TOTAL Ll 5 co7 I By signing this application I am stating I will be in compliance with the NEC including Article 110, Section 110 9 and 110 10. C Building Official }er STATE COMPETENCY NO. 261 Me- CITY OF SANFORD, FLORIDA '5-91 PERMIT NO. I`DATE -30 — 95r THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EQUIPMENT: OWNER'S NAME ADDRESS OF JOB S C• MECHANICAL CONTR. f RESIDENTIAL COMMERCIAL Subject to rules and regulations of Sanford mechanical code. CITY OF SANFORD, FLORIDA PERMIT NO ' t -'; r.) DATE 6 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING PLUMBING WORK: OWNER'S NAME Suda, Fn^ ADDRESS OF JOB 25 Ipl}TCi T84 Mo1L.LU -- Meadows PLUMBING CONTR.Gomez P1 bc_ Res. x Comm._ _ Subject to rules and regulations of Sanford plumbing code. Residential: Number Amoun} Alteration, Addition, Repair !J New Residential: One Water Closet 1 ! LEI5 2 a I QC C,, AdditionalWaterClosetCommercial: Fixtures. Floor Drain, Trap Sewerr I--- Water Piping Gas Piping Factory - built housing Mobile Home Application Fee 10 Minimum Commercial Permit: $25. oo Total hz_nn star Plumb COMPETENCY CARD NO. L--- . -.- - -- . - I Q H I bN 4-3 lU 0 0-1 a 0 CITY OF SANFORD, FLORIDA R-15Rl A lCer APPLICATION FOR BUILDING PERMIT PERMIT ADDRESS I II PERMIT NUMBER -ICE Total Contract Price of Jo Describe Work co Type of Construction Number of Stories Occupancy: Residential r of Dwellings Commercial Total Sq. Ft. 1D9__ Flood Prone (YES) (NO T Zoning m T Industrial LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I.D.-NUMBER OWNER ADDRESS CITY TITLE HOLDER ADDRESS CITY IF OTHER THAN OWNER) BONDING COMPANY ADDRESS CITY ARCHI ADDRE CITY MORTGAGE LENDER ADDRESS CITY STATE STATE STATE ZIP ZIP ZIP L- CONTRACTOR InC . PHONE NUMBERIJQQ ADDRESS Q ST. LICENSE NUMBER C6W26763 CITY AIRIMpoin5 STATE FL- ZIP 70, 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 s THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. i 110 Z rt Sign ture of Owner/Age t.& Date gnatu h, a " I , VIA e ox Contractor & u to F fAVqiAALAResPZ H Type or P nt Owner/Agent Name Type or Prin ontractor's Name d wg x B, o co gnature of No ary Da & e g ature of Notar & Date OFFlCIAL SEAL OFFICIAL SEAL ,1JI d„. ,., BONNIE R. U;KE"" BONNIE R. LAKE v Nm1mr Public - Florida 1+ i Notary Public - Florida AINOLE C0! tJTY SEMINOLE Col PJTf' M Co. Expires Oct. 28 1S96 ,. Nig+ Comm. Expires Oct. 28 1 96 ro i a 3 My Comm. No. CC 239 25 My Comm. No. CC 238f25 a p G E : Application Apprrooved BY: Date: n N FEES: Building Q275, 0 Radon 111,6cf Police ql-6j Fire m Open Space Road Impact .' , (% Ap licat on a g ro 4-4c-• u o o PERMIT VALIDATION: CHECK CASH DATE i o a4 04 ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) g Z a E THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE PLAT OF BOUNDARY SUR V — Y for: DESCPIPTION: L-07- t-1 C) t1i F-en E- t-IEAlDc)w-S RECORDED 1,vpL.4rBOOK 4L P,4Gem IG PURL ICRECORDS OF COUNTY, FLORIDA. 8s 83 r y EAS E=- " a A L c U L. A T E- 0/ Pa Pc -AT/ ui 0 t- r W 6 ( 12 - 15-471,4 7- o of 0 , o gS 00y11 0 a 3Z 3-7 "E 0 Z F- L- L L E 89 0 3 Z' 3 7 " E-