The URL can be used to link to this page

Home My WebLink About100 Aero Ln -BC06-002070 (PAGE SCHOOL) (WATER DAMAGE REPAIR) DOCUMENTSPERMIT ADDRESS CONTRACTOR - ADDRESS PHONE NUMBER PROPERTY OWNER ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTO PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE SUBDIVISION 6• 20479) 0 •1SPERMIT # DATE PERMIT DESCRIPTION A&• PERMIT V SQUARE FOOTAGE n O a Y APR 24,2006 10:29A A D VANTAGE CITY OF V p— J 0 l VTPermitN5.._.._.._ _ Job Address:.•A 1i. Description of Work: _•. /lFF Historic District: Permit Type: Building --L Electrical Mocllanieal _ Electrical New Service — # or AMPS Addition/0 Mechanical: Residential Non -Residential _ _ - Repltw Plumbing/ New Commercial: N of Fixtures # of Water PlumbiagMew Residential: # of Water Closets—,- _ •_-- Occupancy Type: Residential Commercial lath Construction Type: aM of Stories X of Dwell Owners Name 6 Address: Contractor Name & bonding Company Address:. ..... ._ Mortgage Leader: , Address: ArcbIwifEntJReer. Address: Application is hereby made to obtain a pnmit to do the work and installalk isaramce of a permit and That all work will be performed to and standards t pennit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,' AIR CONDITIONERS, tic. OWNER'S AFFIDAVT: I certify that all of the foregoing information is is conatrttetioo and zoning. WARNING TO OWNER; YOUR FAILURE TO TWICE FOR IMPROVEMENTS TO YOUR PROPRRTY. IF YOU INTE ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE NOTICE.: In addition to the mquirememts of ibis permk Than: may be This county. and there may be WJitional permits tvgoir4Lrom other I Acceptance of Name of N6tary-State 61Wlewda d At.1 fta#auk ante Owner/Agent is VoeIkmm• I Kno-wn toto—Mesr Produced II) dfA •]CJ JCitG. APPLICATION APPROVED BY: Bldg: Initial d: t) tc) simcial Conditiuns: LKOBIE J. RICHARDS Comminlon # 1424115 okuy PubUc - Callf0mlo OKOW CountyCLsJut 1 S. Z007 4078973498 RECEWED page 3 APR 2 7 Z006 PERMIT APPLICATION n JA.(k' 2 t Z_OQ Data: Value of Work: S_ .Q 0 L Plumbing Fire Sprinkler/Alarm Pool _ i I tion,....... . Change of Service Tcutporrry Pole,.__,,... New (Duct Layout & Energy Cale, Requited) wer i Lines_ d of Gas Lines Plumbing Repair — Residential or Commercial Total Square Footage: jilts: Flood Zone: (FEMA form requited for other thaw X) O • (Attack Proof gf Owaarship & Lepl Dsuriptloa) C•I . L ei/T- State Lir"asen Number. r t"_ d p p_ e Peron (' .d,LJiC /1'4oJ'hoshe: *d 7-- Phoar.`" Fax: as indicated, I oaufy that no woik or instillation ha ou—ntenced prior to the U lawn reguladog wnsuttetiom in this jwisdietlon. ! uodastamd that a separate ILLS, POOLS, FURNACES, ROILFRS, HF.ATRRS, TANXS, and ebto and that all work will be done in compliance with all applicable laws regulating CORD A NOTICE. OF COMMENCEMENT MAY RESULT IN YOUR PAYING 1 TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN at restrictions applicable to this propenty that may be Apind in The public retvrds of taunt entities such as water a neScmem districts, state agencies, or federal agencies. of the regvimnnents nr Florida I: , FS 713, SiP,nstnre of' Agent' --•• Date Print Cantractar/Akent's Name MY COMMISSION P D 1 E)(plRES: FebnrarY201)r! Utilities: FD: _ Initial sit Date) (initial sit Date) (Initial A Dale) POWER OF ATTORNEY Date: 44? ! /o I hereby name andr appoint ,( Of t/ gm In fact to act for me and apply to the Building Department for a /t For work to be performed at a location described as: Section Township Range Subdivision /(1) n /2 --x, Lot Block Owner of Property and Address) and to sign my name and do all things necessary to this appointment. Type or Print Name of License Number f 0slolff The foregoin instrument was acknowledged before me this24 'Sa'y of of 200.6 B (% Y Who is personally known to me ho produced As identification and who did not take oath. State of Florida County of Notary Publi 0 El MICNEtE NORRIS MY COMMISSION Y DD 441847' EXPIRES: June 16, 2149 P" 0miWTMN0,WAarekhK* ea 0 1 'L FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 Client: Page Private School Property: 100 Aero Lane Sanford, FL 32771 Operator Info: Operator: BRYANQ Estimator: Bryan Quigley Reference: Company: Crawford & Co. - Chris Fitzpatrick Business: 1010 Executive Center Dr. #100 Orlando, FL 32814 Type of Estimate: Water Damage Dates: Date Entered: 04/10/2006 Date Est. Completed: 04/10/2006 Price List: FLOR4B6A Restoration/Service/Remodel Estimate: 2006-04-10-1251 Date Assigned: 04/06/2006 Home: (407) 657-7277 Fax: (407)657-7288 Business: (407) 295-5440 Fax: (407) 894-52,43 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 2006-04-10-1251 Room: Hallway 753.33 SF Walls 1080.17 SF Walls & Ceiling 36.31 SY Flooring 424.00 SF Long Wall 111.67 LF Ceil. Perimeter Missing Wall: 7 - Y0" X 6'8" Opens into E Subroom 1: Offset Hall 526.67 SF Walls 754.44 SF Walls & Ceiling 25.31 SY Flooring 273.33 SF Long Wall 68.33 LF Ceil. Perimeter Missing Wall: 1 - 618" X 8'0" Opens into 0 Missing Wall: 1 - 61" X 8'0" Opens into E Missing Wall: 1 - 3'0" X 618" Opens into E LxWaH 5310" x 6'2" x 8'0" 326.83 SF Ceiling 326.83 SF Floor 90.67 LF Floor Perimeter 49.33 SF Sort Wall Goes to Floor LxWxH 34'2" x 618" x 810" 227.78 SF Ceiling 227.78 SF Floor 65.33 LF Floor Perimeter 53.33 SF Short Wall Goes to Floor/Ceiling Goes to Floor/Ceiling Goes to Floor DESCRIPTION QNTY Remove Drinking fountain with cooler 2 2.00 EA Install) Drinking fountain with cooler 2 2.00 EA 1/2" drywall - hung, taped, ready for texture 5W-142 498.00 SF Texture drywall - light hand texture 6W 768.00 SF Detach & Reset Casing - 2 1/4" 16*7 112.00 LF Seal then paint the walls (2 coats) W 1280.00 SF Paint door/window trim & jamb - 2 coats (per side) 8 8.00 EA Paint door slab only - 2 coats (per side) 8 8.00 EA 2006-04-10-1251 04/20/2006 Page: 2 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 CONTINUED - Hallway DESCRIPTION NOTES: QNTY Room: Room #301 LxW:H 23'2" x 16'11" x 8'0" 581.33 SF Walls 391.90 SF Ceiling 973.24 SF Walls & Ceiling 391.90 SF Floor 43.54 SY Flooring 71.17 LF Floor Perimeter 185.33 SF Long Wall 135.33 SF Short Wall 80.17 LF Ceil. Perimeter Missing Wall: 3- 3'0" X 6'8" Opens into E Goes to Floor DESCRIPTION QNTY Batt insulation - 4" - RI I .5W-62 228.67 SF 1/2" drywall - hung, taped, ready for texture .5W 290.67 SF Texture drywall - light hand texture .6W 348.80 SF Window blind - horizontal or vertical - Detach & reset 1 1.00 EA Casing - Detach & reset 42 42.00 LF Mask and prep for paint PC 80.17 LF Seal then paint the walls (2 coats) W 581.33 SF Paint door/window trim & jamb - 2 coats (per side) 3 3.00 EA Paint door slab only - 2 coats (per side) 3 3.00 EA NOTES: 2006-04-10-1251 04/20/2006 Page: 3 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 Room: Room #302 LxWxH 23'2" x 15'9" x 8'0" 582.67 SF Walls 364.88 SF Ceiling 947.54 SF Walls & Ceiling 364.88 SF Floor 40.54 SY Flooring 71.83 LF Floor Perimeter 185.33 SF Long Wall 126.00 SF Short Wall 77.83 LF Ceil. Perimeter Missing Wall: 2- 310" X 6'8" Opens into E Goes to Floor DESCRIPTION QNTY Batt insulation - 4" - RI 16.4 64.00 SF 1/2" drywall - hung, taped, ready for texture .5W+16 307.33 SF Texture drywall - light hand texture 6W 349.60 SF Window blind - horizontal or vertical - Detach & reset 1 1.00 EA • Casing - Detach & reset 28 28.00 LF Mask and prep for paint PC 77.83 LF Seal then paint the walls (2 coats) W 582.67 SF Paint door/window trim & jamb - 2 coats (per side) 2 2.00 EA Paint door slab only - 2 coats (per side) 2 2.00 EA NOTES: Room: Room #303 LzWxH 23'2" x 14'4" x 8'0" 560.00 SF Walls 332.06 SF Ceiling 892.06 SF Walls & Ceiling 332.06 SF Floor 36.90 SY Flooring 69.00 LF Floor Perimeter 185.33 SF Long Wall 114.67 SF Short Wall 75.00 LF Ceil. Perimeter Missing Wall: 2- 3'0" X 6'8" Opens into E Goes to Floor 2006-04-10-1251 04/20/2006 Page:4 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 DESCRIPTION QNTY Batt insulation - 4" - RH 18*4 72.00 SF 1/2" drywall - hung, taped, ready for texture 5W+24 304.00 SF Texture drywall - light hand texture 7W 392.00 SF Window blind - horizontal or vertical - Detach & reset 1 1.00 EA Casing - Detach & reset 28 28.00 LF Mask and prep for paint PC 75.00 LF Seal then paint the walls (2 coats) W 560.00 SF Paint door/window trim & jamb - 2 coats (per side) 2 2.00 EA Paint door slab only - 2 coats (per side) 2 2.00 EA NOTES: Room: Room #304 LxW:H 2312" x 16'0" x 8'0" 586.67 SF Walls 370.67 SF Ceiling 957.33 SF Walls & Ceiling 370.67 SF Floor 41.19 SY Flooring 72.33 LF Floor Perimeter 185.33 SF Long Wall 128.00 SF Short Wall 78.33 LF Ceil. Perimeter Missing Wall: 2- 310" X 6'8" Opens into E Goes to Floor i DESCRIPTION QNTY 1/2" drywall - hung, taped, ready for texture 5W 293.33 SF Texture drywall - light hand texture 6W 352.00 SF Window blind - horizontal or vertical - Detach & reset 1 1.00 EA Casing - Detach & reset 28 28.00 LF Mask and prep for paint PC 78.33 LF Seal then paint the walls (2 coats) W 586.67 SF Paint door/window trim & jamb - 2 coats (per side) 2 2.00 EA Paint door slab only - 2 coats (per side) 2 2.00 EA 2006-04-10-1251 04/20/2006 Page: 5 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 DESCRIPTION NOTES: CONTINUED - Room #304 Room: Room #305 414.67 SF Walls 702.17 SF Walls & Ceiling 31.94 SY Flooring 138.00 SF Long Wall 56.83 LF Ceil. Perimeter Missing Wall: 2 - 3'0" X 6'8" Opens into E Subroom 1: Offset 172.00 SF Walls w 243.50 SF Walls & Ceiling 7.94 SY Flooring 88.00 SF Long Wall 24.00 LF Ceil. Perimeter Missing Wall: 1 - 11'0" X 810" Opens into 0 Missing Wall: 1 - 3'0" X 618" Opens into E DESCRIPTION 1/2" drywall - hung, taped, ready for texture Texture drywall - light hand texture Window blind - horizontal or vertical - Detach & reset Casing - Detach & reset 2006-04-10-1251 QNTY LxWxH 17'3" x 16'8" x 8'0" 287.50 SF Ceiling 287.50 SF Floor 50.83 LF Floor Perimeter 133.33 SF Short Wall Goes to Floor LxWxH IIT" x 616" x 810" 71.50 SF Ceiling 71.50 SF Floor 21.00 LF Floor Perimeter 52.00 SF Short Wall Goes to Floor/Ceiling Goes to Floor QNTY 5W 293.33 SF 6W 352.00 SF 1 1.00 EA 42 42.00 LF 04/20/2006 Page: 6 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 CONTINUED - Room #305 DESCRIPTION QNTY Mask and prep for paint PC 80.83 LF Seal then paint the walls (2 coats) W ` 586.67 SF Paint door/window trim & jamb - 2 coats (per side) 3 3.00 EA Paint door slab only - 2 coats (per side) 3 3.00 EA NOTES: Room: Storage Area/Room LxWxH 5'9" x 4'11" x 8'0" 150.67 SF Walls 28.27 SF Ceiling 178.94 SF Walls & Ceiling 28.27 SF Floor 3.14 SY Flooring 18.33 LF Floor Perimeter 46.00 SF Long Wall 39.33 SF Short Wall 21.33 LF Ceil. Perimeter Missing Wall: I - 310" X 6'8" Opens into E Goes to Floor DESCRIPTION QNTY Batt insulation - 4" - RI 20 20.00 SF 1/2" drywall - hung, taped, ready for texture 5W 75.33 SF Texture drywall - light hand texture 6W 90.40 SF Seal then paint the walls (2 coats) W 150.67 SF Casing - Detach & reset 14 14.00 LF Paint door/window trim & jamb - 2 coats (per side) 1 1.00 EA Paint door slab only - 2 coats (per side) 1 1.00 EA 2006-04-10-1251 04/20/2006 Page: 7 4, '. 1. FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 CONTINUED - Storage Area/Room DESCRIPTION QNTY NOTES: t Room: Room #306 L:WxH 26'5" x 16'8" x 8'0" 649.33 SF Walls 440.28 SF Ceiling y 1089.61 SF Walls & Ceiling 440.28 SF Floor 48.92 SY Flooring 80.17 LF Floor Perimeter 211.33 SF Long Wall 133.33 SF Short Wall 86.17 LF Ceil. Perimeter Missing Wall: 2- 3'0" X 618" Opens into E Goes to Floor DESCRIPTION QNTY Batt insulation - 4" - R11 168 168.00 SF 1/2" drywall - hung, taped, ready for texture 5W 324.67 SF Texture drywall - light hand texture 6W 389.60 SF Casing - Detach & reset 28 28.00 LF Mask and prep for paint PC 86.17 LF Seal then paint the walls (2 coats) W 649.33 SF Paint door/window trim & jamb - 2 coats (per side) 2 2.00 EA NOTES: 2006-04-10-1251 04/20/2006 Page: 8 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 Room: Women's Bathroom LxWxH 121" x 1016" x 810" 321.33 SF Walls 126.88 SF Ceiling 448.21 SF Walls & Ceiling 126.88 SF Floor 14.10 SY Flooring 39.17 LF Floor Perimeter 96.67 SF Long Wall 84.00 SF Short Wall 45.17 LF Ceil. Perimeter s. Missing Wall: I - 310" X 618" Opens into E Goes to Floor Subroom 1: Commode Room LxWxH 6'8" x 5'10" x 8'0" 180.00 SF Walls 38.89 SF Ceiling r ,w 218.89 SF Walls & Ceiling 38.89 SF Floor 4.32 SY Flooring 22.00 LF Floor Perimeter 53.33 SF Long Wall 46.67 SF Short Wall 25.00 LF Ceil. Perimeter Missing Wall: l - 310" X 6'8" Opens into 0 Goes to Floor DESCRIPTION QNTY Batt insulation - 4" - RI 1 21.8 168.00 SF 1/2" water rock (greenboard) hung, taped ready for texture 5/8W 313.33 SF Hardware Installer - per hour 2.4 8.00 HR Detach and reset toilet stalls from walls. Toilet -Detach &reset 5 5.00 EA Sink - single - Detach & reset 4 4.00 EA Countertop - post formed plastic laminate 6 6.00 LF Vanity - High grade.. 6 6.00 LF Countertop - post formed plastic laminate 2,6 2.50 LF Vanity - High grade 2,6 2.50 LF Ceramic tile 5/8W 313.33 SF Tile jamb - wrap around PF 61.17 LF Mask and prep for paint PC 70.17 LF Seal then paint part of the walls (2 coats) 3/8W 188.00 SF Wallpaper border - High grade PC 70.17 LF Casing - Detach & reset 42 42.00 LF Paint door/window trim & jamb - 2 coats (per side) 3 3.00 EA 2006-04-10-1251 04/20/2006 Page: 9 FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax:. 407-521-9441 CONTINUED - Women's Bathroom DESCRIPTION QNTY Paint door slab only - 2 coats (per side) 3 3.00 EA Baseboard - cultured (simulated) marble PF t 61.17 LF Vinyl tile F 165.76 SF NOTES: Room: General Conditions I DESCRIPTION QNTY Cleaning Technician - per hour 2*6 12.00 HR Two people for six hours each. Interim and final cleaning. NOTES: 2006-04-10-1251 04/20/2006 Page: 10 v FLA-CAT - Florida Catastrophe Corporation 2023 Apex Court Apopka, FL 32703 Office: 407-295-5440 Fax: 407-521-9441 Grand Total Areas: 6,422.67 SF Walls 3,325.42 SF Floor 2,496.00 SF Long Wall 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 3,325.42 SF Ceiling 369.49 SY Flooring 1,143.33 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 9,748.09 SF Walls and Ceiling 789.83 LF Floor Perimeter 867.83 LF Ceil. Perimeter 0.00 Interior Wald Area 0.00 Total Perimeter Length 2006-04-10-1251 04/20/2006 Page: 11 APR 24,2006 10:29A A D VANTAGE, ' Permit # :- _ a' 1RJobAddreas:. r 0. Description or Work: _,. /1F Historic District: 4078973498 t PERMIT AP LIGATION p Date: Value of Work: S R RECE/VE p page 3 APR 2 71006 4, 200 4VIIZ` Permit Type: Building 4 Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _ Electrical: New Scrvioc -# of AMPS Addition/Al ration,...• .- . Changc of Service Tempordry Pole__.. Mechanical: Residential Non -Residential _ . _ Rep t Ncw (Duct LtaymA & BncW Calc. Required) Plumbing/ New Commercial: N of Fixtures # of Water & Sewer Lines_ N of Gas Lines Plumbing/New Residential: # of Water Closets _•_ Plumbing Repair - Rwidcntial or Commcroial Occupancy Type: Rcsidcndal Cummaoial Indus: Total Square Footage. Cons"clion Type: # of Storles: # of DweWn Units: Flood Zone: (IMMA form regaltvd for otbcr then X) Fares! #: , "Z • • ' TA 46:- 5Q0 n O (Attaeb Proof f Ownership k Logal Description) Owners Name A Addrew: _ -- -_ __ Contractor Name A, Phone daR:W*(_ tlonding Company. Address; ...... ._ Mortgage Leader: , Address: ArchitveVEstineon Address: it 7C Q P Person: aa'n /no?boa: 7^ 9 1, Z 2- Far: Application is hereby made to obtain a permit to do tbo work and instetla as indicated. 1 certify that no work or installation has curnmenced prior in the issuance of a permit and fiat all wok will be performed W meat sunduds o all laws regulating wostructloo in this Jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, BLI.S, POOLS, FURNACPS, BOILERS, HRATRRS. TANKS, and AIR CONDITIONERS, ac. OWNER' S AFFIDAVT: I certify that all of tits foregoing information h to and a6t all work will be done in compliance with all applicable laws regulating construction and rotting. WARNING TO OW NCIL YOUR FAILUR F.. TO R.COR D A NOTICE. OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVRMRNTS TO YOUR PROPRRTY. IF YOU INT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A77ORNBY BEFORE RECORDING YOUR NOTICE OF COMMUNU ENT. NOTICE: In addition to the mqu'vemcuta of thia permit. there may be this county. and there aaay be additional permiu toquivIk"" other t Acccptamc Dale Name of Ntftuy-State oT;leaida C.1UA FkMap t^ Date Qwner/ A6ettt IS I`enwa I Knpwn M Mt r Pn, Jaacal 117 A APPLICATION APPROVED BY: Bldg: Initial & U te) Span: ial Condiliuus: I maietiom applicable to this properly that may be ruwtd in the public rwwtds vP cal oalkies curl as walef maoagemeat districts, Mate agencies, or federal agencies. of the requiremmu of Florida l l , FS 717. i) nature of C . ttedAgent Date Print eLirac—to d; amt'a Nanc MY COMMISSION # DO IWO, EXPIRES: Febmary 25. 2007 ry. co,nt Aaaoc. Co. Utilities: FD: _ Initial rR Date) (Initial A Date) (initial & Uals) KOBIE J. RICHARDS 0MVErtp. County OtpY ahs11 a. 20 v9 IT1.)- APR 24,2006 10:28A A D VANTAGE 4078973498 1111110IgN N FI I I I:l G3G11IC11 2 Permit Number Parcel Identification Number Prepared by: /&4- - Retum 51 za 2 3 a. 0 NOTICE OF COMMENCEMENT 3 3 State of ... _ .__ ..._...... _.. County of Zj2A2noC vt19-& MARYf K*Wj CLERK W CIRCUIT C(IlW Imu C[lWY BK W35.' Pq 10SP; (1pq) CLERK'S I Zc'(KW:.0743F-.B RECORM 05108/:006 03:14:00 PN RECMIN6 FPS 10.00 Rl;CiW1 BY t holdea The undersigned hereby gives notice that improverrent(a) will be mad to certain real property, and in awordance with Chapter 713, Florida Statutes, the following information is provided in his Notice of Commencement. a7 ' /9 _30. 674C15 O Q ' 00001. P prope ty g Property anitionol• legal descri ion of theC)o street address 2. General I n of Im vement(s) Tl Name 3. bbnn Telep one Number Address gyp`) 1x/je r Fax umber 7C• 3,2 +7-71 Intera at in Property: 4. Fee Simple Tdle Holder Of other than owner shows above) CERTIFIED COP? Name Tefep one NumberAI Address A" Fax P umber MAR ORSE 5. NamnContractor 7 Tel CLER one Number SEMI ICU COURT t' T '. FLOR Address 20-7-__3 Fax umber 1 gypSurely n•a BY U CL RK 6. if any) Name Tf&p Address / Fax one Number umber Amo of bond i Y _2006 L7. Lender (If any Name Tale one Number Address r/ Fax t umber a. Persons within the Slate of Florida designated by Owner upor whom notices or other documents may be served as provided by 713.13(1)(a)7. Florida Statutes. Name Tole ne Number Address / pe— Fax 1, umber 9. In addition to himself or herself, Owner designates the Iollowir D to receive a copy of dre Lienor's Notice as provided in 713.13(1)(b), Florida Statutes. Name Telep ione Number Address "- f-/lo— Fax umber 10. Explratlon Gate of notice of c mmencement (it expiration a 4- its is one year from t of recording unless different date Is specified): 0<-. Date Signed ig at re f Owner per 713.13(1 g , owner mast sign ... and n one else May be mitt to sign in his or her stead.' Swom to and subscribed before me this -.Q.67 day of C- 1Aa 3 Y iou hrc rat . known to me OR produced Identification Sign` re of Not KOBIE J RICHARDS Commission p 142.11 15 moo ( aw) Notary Public - California y OtangP County K' Conlm.ft00J n 1.2007 SEAL 20 OOC- by who in VG personally