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HomeMy WebLinkAbout1100 Pecan Ave41RECEIVED DEC 0 1 2010 l)< CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION. j I Application No: l q0 l Documented Construction Value: $ ..d(u lid Job Address: PC' C X1 A U -e— Historic District: Yes No Parcel H):2"-j !1-2 O- :;1 ©' OU' Q® 16 Zoning: Description of Work: Royx± io c_(z._ Dcx-,rr -e r I G Lf M vI ' Plan Review Contact Person: J l t1 " Otf Title: Ta-rCk . Phone• L{ 0`) -9Q I. 62ni) Fax: E-mail: Property Owner Information Name ':5 c3SS j _ . r) e S Phone:q t1': " 3 ? /- Q -c is of Street: 1 f n © P-ece'- n U P Resident of property? : ? T' City, State Zip: _1:7 C6:&A Contractor Information Name 6 © <_ C F'fc,=R,o CW -_T12 r - Street: 01 2/ )dc 3 r) Ch I4 C_ at ^ City, State Zip:-i-rr R'kc L CL Phone: /02 - ad Fax: State License No.: C R r 1,2_5 3 Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail / j I/ 1i - Bonding Company: Address: Building Permit Square Footage: No. of Dwelling Units: Electrical New Service - No. of AMPS: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: No. of Stories: Flood Zone: Plumbing New Construction - No. of Fixtures: Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm 0 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. Ne w,. l,r r 6r,---- 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 ID APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: Rev 11.08 FIRE: Sj nawre of Contractor/Agent Date " A rx z v f On'1 Pri Contractor/Agent' sL 12- Signature of Notary -State of FloridaPate,ari w • rip`; Hca° .• °" Myc'gy ." Contractor/Agent is Per alf I ova Produced ID Type of `rte WASTE WATEk':'N;1' BUILDING: O 0 RECEIVED 0 0 6 2010 CITY OF,SANFQRD- BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: L(O Documented Construction Value: $S . c)o lob Address:, tom_ l` oPec-q-, 0e Lze__ 5, 494 Historic District: Yes NOIRI Parcel ID: Zoning: Description of Work: Q o(S 13 cA -Qr e, Plan Re-Oew Contact Persnn -------- Phone: !% J 2 bD Fax: fr 7 3 (o S' ..5'-i E-mail: Property Owner Information Name vyC i c Phone: Street: l l CcC> I e- t Q., " a -9 -C- r,-174 Resident of property? : %c City, State Zip: -3>2 -7 -7/ Contractor Information Name k ?(01( QacW Ac ` Phone: Street: ?J7 7 L011 4 0,-., 4 (t_q0__ c Fax: City, State Zip:-dD.0-- State License No.:G 'go Architect/Engineer information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Address: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square footage: Construction 'Type: f,, e) V No. of Stories: No. of Dwelling LTntts Flood Zone: Electrical r New Service—'No.' of AMPS: Mechanical. (Duct layout: required for new systems) Plumbing New Construction - No, of Fixtures: Fire Sprinkler/Alarm 0 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 lawsregulating 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 POSTE -9 -OIQ ' Ht_ _ B ITE R1JF 1tE 'FSE` FIRST INSPECTION. IF YOU INTEND I' 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 Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: c Signature of Contractor/Agent ( Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Produced ID L Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 23;F. 22.8 22:F- M3.E DAVID JOHN EDN. CFA. ASA g I 23.J 23.K 22.G PROPERTY I PPRAMBER.. N.TY F71. J 0 j 12 i f .97.A 37.8101218.__..... _. N SEMINOLE COU 37.0,%7F': 1701EFlasf ST sA Feuio FL 32771-]4B8 407 865-7508 i 4.A4.0 a W 12TH ST k VALUE SUMMARY 2011 2010 VALUES Working Certified GENERAL Value Method CosVMarket Cost/Market Parcel Id: 25-19-30-510-3600-0010 Number of Buildings 2 2 Owner: GAINES JOYCE D Depreciated Bldg Value $26,234 27,630 Mailing Address: 1102 PECAN AVE Depreciated EXFT Value $0 0 City,State,ZipCode: SANFORD FL 32771 Land Value (Market) $20,746 20,746 Property Address: 1100 PECAN AVE SANFORD 32771 Land Value Ag $0 0 Subdivision Name: CLARKS SUBD M IN Just/Market Value $46,980 48,376 Tax District: S1-SANFORD Portablity Adj $0 0 Exemptions: 00 -HOMESTEAD (2010) Save Our Homes Adj $0 0 Dor: 01 -SINGLE FAMILY Amendment 1 Adj $0 0 Assessed Value (SOH) $46,980 48,376 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values. Taxable Value County General Fund 46,980 $25,500 21,480 Amendment 1 adjustment is not applicable to school assessment) Schools 46,980 $25,500 21,480 City Sanford 46,980 $25,500 21,480 SJWM(Saint Johns Water Management) 46,980 $25,500 21,480 County Bonds 46,980 $25,500 21,480 The taxable values and taxes are calculated using the current years working values and the prior years approved millage rates. SALES Deed Date Book Page Amount Vac/Imp Qualified QUIT CLAIM DEED 10/2009 07294 1980 $100 Improved No 2010 VALUE SUMMARY QUIT CLAIM DEED 11/2004 05527 1492 $100 Improved No 2010 Tax Bill Amount: 460 ADMINISTRATIVE DEED 10/2003 05063 1159 $100 Improved No 2010 Certified Taxable Value and Taxes ADMINISTRATIVE DEED 12/1999 03822 1973 $100 Improved No DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS PROBATE RECORDS 11/1997 03336 0238 $100 Improved No QUIT CLAIM DEED 01/1977 01120 0637 $100 Improved No Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value LEG LOTS 1 + 2 BLK 36 M W CLARKS SUBD PB 1 PG 107 FRONT FOOT &DEPTH 110 100 .000 230.00 $20,746 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF Ext Wall Bid Value Est. Cost New Building Sketch 1 SINGLE FAMILY 1930 3 1,120 1,316 1,120 WD/STUCCO FINISH $15,401 38,502 Appendage I Sgft ENCLOSED PORCH UNFINISHED / 196 NOTE: Appendage f Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed Buildin Sketch 2 SINGLE FAMILY 1930 3 660 891 891 WD/STUCCO-FINISH $10,833 27,082' Appendage / Sgft ENCLOSED PORCH FINISHED 1126 Appendage / Sqft ENCLOSED PORCH FINISHED / 105 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished, Base Semi Finshed NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. http://www.scpafl.org/web/re_web.seminole_county title?parcel=25193051036000010&... 11/29/2010 DBPR - COOK, THOMAS DALE; Doing Business As: COOK CREATIONS INC, Certi... r Page I of I s i 1:18:26PM 121112016 Licensee Details Licensee Information Name: COOK,, THOMAS DALE (Primary Name) COOK CREATIONS INC (DBA Name) Main Address: 1924 HOUNDSLAKE DR WINTER PARK Florida 32792 County: ORANGE License Mailing: License Location: 1924 HOUNDSLAKE DR WINTER PARK FL 32792 County: ORANGE License Information License Type: Certified Building Contractor Rank:.. Cert Building License :Number: CBC1251632 Status: Current,Active Licensure Date: 02/17/2004 Expires: 08/31/2012 Special Qualifications Qualification Effective Construction Business 02/17/2004 View Related License Information View License Complaint Terms of Use I I Privacy Statement lab OP " ERMIT oFFICE 0' Work V a Up for Weatherization Programw4k To Contactor: Items listed on the work write up may not pertain to your core business function. These Items should be bid under the umbrella of your company through licensed contractors such as,Plumbing, Electrical, HVAC, Roofing Etc. It is your responsibility to pull permits and provide results pertaining to your business function according to Local Municipality and Code and or provide the same from licensed contractors pertaining to Plumbing, Electrical, HVAC, Roofing Etc. You are required to provided Certified Payroll for all work performed on residence, for your company and all sub -contractors hired by you. Any house or trailer built pre 1978 will require EPA Lead -Safe Work Practice or Lead Testing to be performed by a EPA Lead -Safe Certified Firm. Photos of EPA Lead -Safe Work Practice or Documentation, Supporting Negative Test Results are required for agency documentation & client file. If additional Items are needed in conjunction with a Work Write Up Item, you must provide an addendum explaining repair. In order for payment to be processed you must provide the Payment Request Form, Signed Invoice Release of Lien, Passed Permits, LSW Documentation for pre -1978 homes,& Davis Bacon Compliance.Additional Info may be required. All Work and Punch List Items must be 100% complete. Prices & items may be subject to change, to meet budget requirements. If so, price and item changes will be agreed upon verbally. The bid will then be adjusted, signed by,MOW as (Addendum to Bid), and sent back to you. You are required to sign as (Acceptance of Addendum to Bid) and send back to MOW. MOW will then sign as (Acceptance of Bid) and send back to you. Work may begin. All specifications, terms and conditions shall be as described In the OWNERICONTRACTOR AGREEMENT and the FLORIDA WEATHERIZATION HANDBOOK, MATERIALS, INSTALLATION and WORKMANSHIP STANDARDS. x_:>:o. r.::'. ;.•r::::.».;:..>:: , ::.:' ''::.> :i';=:ii i:i:i %`;i2%:?i!i5: ;.: ,_: iii :' ii::i>;' ti .: I.... 1 Install smoke defector living & hall total = 2 H&S $ `40.00 $ r 30.00. $ 70.00 2 Install exhaust vent on dryer to outside H&S $ 35:00 $ . ` 45.00 $ 80.00 3 Install exhaust ran @ bath vent to exterior H&5 $ 85.00 $ 240.00 $ 325.00 4 Install low now shower head @ bath Required $ 30:00 $ 20,00 $ 50.00 5 Install water saver aerators @ bath & kitchen Required $ 20.00 $ 20.00 $ 40.00 6 Wrap HWH Addendum /.Added 11-18-2010 Required 0 $ 60.00 46 $ 75.00 0 $ 135.00 7 Insulate HWH lines 3/4 wall insulation @ least 5 feel each Required $ :50.60 $ 65.00 $ 115.00 8 Replace 01 wl lockset , deadbolt, & peephole 1 T" 335.00 $ 300:00j. $ ' 635:00= 9 Install frame -weather-strip & adjust to seal @ D2, D3,04. 1 $ 95.00 $ 250.00 $ 345.00 10 Install window panes @ W2, W 9 & W 10 1 $ 95.00 $ 195.001$ 290.00 11 Caulk seal crown mold @ wall & ceiling in bath 1 $ 20.00 $ 40.00 $ 60.00 12 Caulk seal plumbing penetrations @ kitchen, laundry, baths including toilet 1 $ 20.00 $ 60.00 $ 80.00 13 Caulk all inferior windows 1 $ 95.00 $ 270.00 $ 365.00 14 Caulk seat`dbvin,mcld @ wall & ceiling in bed 1 1 $ 20.00 $ 55.00 $ 75.00 15 " . Repair seal ceilirig inclbset @ bed 2 1 $ 40.00 $ 90.00 $ 130.00 16 Repair seal aaitirig'in entrance @ bed 1 1 $ 20.00 $ 45.00 $ 65.00 17 Repair floor in entrance @ bed 2 (4x8) 1 $ 75.00 $ 225.00 $ 300.00 18 Install switch cover next to bed @ bed 1 1 $ 5.00 $ 10.00 1 $ 15.00 19, : Install attic insulation to R-30 (B91 sgllt) 2 $ 225.00 $ 325.00 $ 550.00 20- , Install new attic access hatch.( 112 plywood & casing. ball, weather-strip, build dam 2 $ 45.00 $ 75.00 $ 120.00 21• Install 'R-19underbellyinsulation 2 $ 300.00 $ 500.00 $ 800:60` 22- install CFI s@ bads living bath kitchen &laundry Total= 12 8 $ 40.00 $ 75.00 $ 115.00 3,.-- . Rep lace"refrigerator wlenergy star rated 18 cubiolft freezer top no upgrades (decommission letter) 8 $ 500.00 $ 100.00 $ 600.00 24 s) t0 :$ $ $ 8ng Addendum / removed 11-18-2010 10 $ NAME: Joyce Gaines DATE: $ 5,360.00 BuiR 1930' Jo iB #' a nasi -102 ADDRESS: 1100 Pecan Ave, Sanford FL 32771 PHONE: 407-321-0564 407-314-6873 Please inspecLthe property and submit the work -write up with your cost tome NO LATER THAN 11-17-2010 If your bid meets the criteria, you will be contacted with the Notice To Proceed With Work, signed, with a timeframe for work to be completed in. Contractor: l a -t 1\ Signature: 7 lin Date: Addendum to Bid: f y Data: OW Your contract and proposal for homeowner repairs and upgrades of the above mentioned address. Owners have been examined and accepted by the W eatherization Program staff. Items have meet the approval of the client. Items mentioned above are to be completed within the specified timeframe. You may begin work on 11-23-2010. You shall complete all work on or before 12-8-2010. Acceptance of Bid: Date: Jay Curbow J Weatherization Manger may proceed) Meals on Wheels Etc. Acc ce of (' 2801 S. Financial Ct Sanford FL, 32773 Office: 407-333-8877 ext.114 / Fax 407-829-2468AdietoBid• i Z-2- CONT CTOR (sign & send back) Cell: 321-3884829 Jeld =;W mi Ing. (OR) L NOTICIE DF ACCEPTANCE: EVIDENCE SUBMITTED F. STATEMENTS 1. Statement letter of no financial interest and conformance, dated. February 22, 2008, signed and sealed by Nimesh Bhaysar, P.E. 2. Statement Letter of conformance and letter of "No financial interest" issuedJeld-Wen, dated February 27, 2008, signed by Steve SafTell. 3. Laboratory compliance letter for Test Report no. ATI 61782.01-106 31, issued by Architectural Testing, Inc., dated February 06, 2006, signed and sealed by Joseph A. Reed, F. E. Submitted under previous NOA # 05-1215.04) 4. Laboratory compliance letter for Test Reportno. NCTL 210-3195-1, issued>by National x Certified Testing Laboratories, dated October, 07, 2005; signed and sealed by Gerard John Ferrara, P.E. Submitted cdnder previous NOA # 05-1215.04) G. ' OTHERS. 1. Notice of Acceptance No:'05771215.04, issued to Jeld —Wen, Inc. (OR) for their Series 6'-8" Inswing Glazed Insulated Steel Door — L.M.I. "'approved dated 05/25/06 and expiring dated 05/25/l L ti ... s 4 y Jaime A Gasvou P, Chief, Product Control Division NOA .No.08-0312.12 Expiration:Date: May 25 2011 Approval date: July 24, 2008 E_2 12 Prem Cautriidlan. Tri ltartesam mrumxYeO otT,nr pinretlpme/amps : ". m asunng YIC,xt IA1. The headlambs are marrPsetleMCUPpamdlP •rl , C y dm mdB}7.mbs ermaaac:rm ri'ub 9Tde (3J 76GA 7J7.: cion. s 2 Avig . r", UN:' - ryf gmR' cui 5.2pfas of aarh }da the drastriadi4aU,ed.W dmsidejemtrs wdh - rhl {9), 16GA lr67 Caan s' brysvc,Yiit'n ead; side - a i CilarLnn oDLi-aredY.eis1'oxcaa7tid Ms; or+sadr afane p} Pane dd W- P dg!aas; d.Sa(rspa_ry My (2J papa, 6f 0.125ameas"di:U9U'PYd u',uye Cy Sahl:.i'All Gias ere wndwilred glazed No lho panels -' . '- - , TAB OF COW I ILIAD .YWAS @ SILLS t sm h , h a F rptn MSB AO ALUAUAVAf THR&SAVLD id SCA?+' ( BNJA(R } PiBA>4 66AA MATMAL 6063-975 a 1 J h- ODL LIP-LITi` FRAM$ f o --- 1 SCAR." er sass as 3slLE" 6" 9-O" S. t Ext=moa m unA 3/4" 21 J/6' ANNEALED TRACAL86si" PP(j kid SCALd`_= N%3 Z p OL7Afl. l.Sff 4TrF0G AI,i SCALE 6" =1'_O NWESH'BHAVSti4 - PRGDDC76ENSPD E`-N?!b1 P.E NO. 'S5B61 Ate° r o8 o3rL.!j?hr h , h a F rptn MSB AO ALUAUAVAf THR&SAVLD id SCA?+' ( BNJA(R } PiBA>4 66AA MATMAL 6063-975 a 1 J h- ODL LIP-LITi` FRAM$ f o --- 1 SCAR." er sass as 3slLE" 6" 9-O" S. 7{/moils 993" k' VII MAA!A A., 7r sv;ng GlizW D.eslgm '" 1F.e H l e9k tepart Number " Co figitratiasa or ;` or " Maidmum rressure mpsset uksrAse CD a u® Size PogJN Agatetl C®iteutks x vs C9paq ue 3'2" $ a 4" F o I+iu ' 4, Hi-03 f395t .01 7{/moils 993" k' VII MAA!A A., rninole County Product Approval Form Permit # Address a O Pec_c,n Aue SEMINOLE GOUNTY As required b Florida Statute 553.842 and Florida Administrative Code 9B -72M, please provide theFLORDDATsNATURALCHOICEqY information and approval numbers for the building components listed below if any will be used on the structure. Product approval information can be obtained at the following sources - 0 The Florida Department of Community Affairs (DCA) Building".Code Information Website is- http://www.floridabuilding.org 0 The Miami/Dade County Building Code Compliance Website address is: http://www.miamidade.gov/buildingcode 0 Directly from the manufacturer. The following information must be available on the jobsite for inspections: 1. This entire product approval form, stamped as "Reviewed" by Seminole County Plans Examiner. 2. A copy of the manufacturer's installation details and requirements for each product. TYPE MANUFACTURER RESERVED FOR FLORIDA APPROVAL # MODEL # / SERIES PLANS EXAMINER (INCLUDE DECIMAL USE IF APPLICABLE MIAMI / DADE N.O.A. r fi 4 :.< ki"fi5 t` v -3Y 3k •'•e:'ar iii -"'-ii' 'n n 'Cfr;': y .. ...,n a5, ,r 't; ?x r ,. ,r.... ` x' ,."`, SWINGING. - CJ k ,: -,3nF ' E i. ; 9"' ' "x .. . 0 8 h .3 xx . i ' . ' .,d a;",xzn, te rrC kC : `' 5 k .=an wv k 6o 02 .S n: ;V! a7 SLIDING 11 OVERHEAD 11 OTHER w ROLL UP a;%st.. .. s „ ' -5 `. ks . R ,",x atn ?•. ,. :x, a ,.. ,s4 , PANEL 1 of 2 Seminole County Product Approval Form RESERVED FOR FLORIDA APPROVAL # MIAMI / DADE TYPE MANUFACTURER MODEL # / SERIES PLANS EXAMINER (INCLUDE DECIMAL) N.O.A. USE I I IF APPLICABLE) SINGLE HUNG DOUBLE HUNG HORIZONTAL SLIDING CASEMENT FIXED SKYLIGHT MULLION OTHER ALUMINUM OR VINYL SHINGLES METAL TILE SINGLE PLY OTHER HURRICANE ANCHORS ENGINEERED LUMBER LINTELS INSULATION FORMS OTHER It is the applicant's responsibility to verify that each specific product has been installed in accordance with their limitations and with the minimum required design pressures for the structure. Specific compliance will be verified during field inspections. MANUFACTURER SPECIFICATION AND INSTALLATION SHEETS MUST BE POSTED AT THE JOB SITE FOR INSPECTION. CONTRACTOR or OWNERICONTRACTOR SIGNATURE: DATE: 2 of 2 11991 Is"Bugs Nauss 01IN10101 X t . THIS INT UMEnPR MED 13(: ARYANi MORE, CLEW { pF CIRCUIT COURTName'. V7 C1 r jj 0 YL(f Addres SEMINOLE COUNTY 761r) ''' ( y?' SEMINOLE COUNTY BK 07488 Fg 1705; (1pg) tate o1Florida (t,trt r / L, EI.ORIDN'SNATURAL CHOICE # 2010138524CLERK'SECPV _ 1 RECORDED 12/02/2010 12126i48 Get U LL, 0 6 2 010 RECORDING FEES 10.00 NOTICE OF COMM ENCEMENIRDED BY T Smith Permit Number l ik^ 40t Parcel ID Number (PID) ,-) S-- 19 30 S - -366*e , -(--no o 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. r GENERAL DESCRIPTION OF IMPROVEMENT Ce, OWNER INFORMATION mrnTloiw. COPS — eersons wltmn me arare or rlonaa ueslgnarea oy vwner upon wavm nuuce m vuM uvcuuinqu nmy uo --u w P.ur,ucu' by Section 713.13(1)(b), Florida Statutes. Name and address: 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. Expiration Date of Notice of Commencement: The expiration date is 1 year from 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 713, PART I, SECTION 713.13', FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVMENTS 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 COMMENCEMENT. STATE OF FLORIDA / COUNTY OF SEMINOLE RS t AT RE E S INTED NAME TEFRFlorida Statute 713.13(1) (g), owner must sign...... and no one else may be (permitted to sign in his or her stead." I ND The foregoing instrument was acknowledged before me this :n day of a C' <a 7.e 20 by ) f o Who is personally known to me me of arson making stalem nt(- OR who h s produced identification 1 olz l n- Ont, _i(N.A-A 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 IN IT ARE TRU T THE BEST OF MY KNO EDGE ANDBELIEF. q i SIGNATURE'OF NAT RAL PERSON SIGNING y OVE Ut a°M1 Rrrvy E" o NNE k C CLARK otarygi nnature c Poo C,( ko..)1,sSi N- 4 D0906386 2, 2013 407j398 -0^i, LIMITED POWER OF AT'T'ORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: J i --) " 10 I hereby name and appoint:61% U 4wC) an agent of: Cook CF11C7 a 0"-5 j Z_ Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): XAll permits and applications submitted by this contractor. The specific pelt and applicatioq for work located at: Street Address) 2 Expiration Date for This Limited Power of Attorney: J License Holder Name:4p pN1 J'ss D C0014 - State License Number: 1_ C, ) 15 1 G ' 2 - Signature of License Holder: STATE OF A/6n« COUNTY OF r 0,,,,5 , 3a i7 ( The foregoing instrur r ent was acknowledged before me this 3 day of /b,1eA , V . 2o/oby /%v"5 rb L>d who is personally known to me ort.5-,who has produced FZ Dl vv 'c s as identification and who did ( id n ake an oath. Notary Seal) Si natur Print or type name JA A& A A JUAN PEREZ Notary Public -State of G COMM. #1807326 Commission No. 45-6 3aL V NOTARY PUBLIC • CALIFORNIA 4 My co ORANGE July 25, 2012 O My Commission Expires: Z wiz Rev. 3/27/07)