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HomeMy WebLinkAbout101 Orion WayApplication No. RECEIVED CITY OF SANFORD JUN 2 9 2011 BUILDING & FIRE PREVENTION PERMIT APPLICATION BY: a(.). Documented Construction Value: $ 54096 Job Address: A& M10// kw u Parcel ID: /So3D Description of Work: '7 -5g. -5Ai I h,g le, rew-of Plan Review Contact Person: Phone: Fag: Historic District: Yes No Zoning: E- mail: Property Owner Information Title: Name Tjrfi-ftk, I P-fz-S Phone: Street: / O/ O4/ 0/1% k)6 V Resident of property? : S City, State zip: 5A-Af Foo&D .3,2 773 Contractor Information Name 1' I re-aDt/V S P P1,V 67- lV Phone: Street: 7PD 86k 010 9 27 Fag: Y4 7 —33,2 — 70 9Y -- City, State Zip: ZaAki "0 .n FL 3,17-5-2-- State License No.: dee /3A(a '54A 7 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fag: E- mail: Mortgage Lender: Address: PERMIT INFORMATION Building Permit Square Footage: 14D Construction Type: k -1e00k7 No. of Stories: No. of Dwelling Units: Flood Zone: Electrical New Service - No. of AMPS: Mechanical (Duct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/ Alarm EI No. of heads: awl ,3 0 t 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 thafall 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. tSi " o a/Agent Signature of Can ctor/Agee Date' y-State of Florida ROBYN D. BURLESON Commission # OD 914534 Expires September 12, 2013 BoWed Tlw Troy Fain Insurance 800 355b7019 Owner/Agent is Personally Known to Me or Produced ID is of ID L— APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Contractor/Agent's Name 01, //11 ROBYN D. BURLESON Commission # DD 914534 Expires September 12, 2013 W40dT=TroyFenfs t&o80NS5.7019 Contractor/Agent is `' Pers y Known to r Produced ID Type of WASTE WATER: BUILDING: Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PAIFtCAL., DETAIL, 33 Jt 4, Y 0. DAUMJOHN'so".CF.%.ASh d1 35 31 PROPERTY APPRAISER 43 SEMINOLECOUM'Y_FL- 61 62 63:I67n `" 27 1101 E. FiRsTsT SANFORD. FL32771-14M 66 85 M 25 Q67-665-750889- T 172 24 S p VALUE SUMMARY VALUES 2011 2010 GENERAL Working Certified Value Method Cost/Market Cost/MarketParcelId: 02-2030-5204000-0630 Number of Buildings 1 1Owner: HEIRS RICHARD Depreciated Bldg Value 62,292 68,152Own/Addr: Depreciated EXFT Value 850 884MailingAddress: 101 ORION WAY land Value (Market) 15,000 16,000Ctty,State,MpCode: SANFORD FL 32773 Land Value Ag 0 0PropertyAddress: 101 ORION WAY SANFORD 32773 Just/Market Value 78,142 85,036SubdivisionName: PLACID WOODS PH 1 Tax District: S1SANFORD PortablityAdj 0 0 Exemptions: 00-HOMESTEAD (2011) Save Our Homes Adj 0 0 Dor: 01SINGLE FAMILY Amendment) Adj 0 0 Assessed Value (SOH) 78,1421 85,036 Tax Estimator 2011 TAXABLE VALUE WORKING ESTIMATE Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 78,142 50,000 28,142 Amendment 1 adjustmentis notapplicable to school assessment) Schools 78,142 25,000 53,142 City Sanford 78,142 50,000 28,142 SJWM(Saint Johns Water Management) 78,142 50,000 28,142 County Bonds 1 $78,1421 50,0001 28,142 The taxable values and taxes are calculated using the current years working values and the prior years approved miilage rates. SALES Deed Date Book Page Amount Vac/imp Qualfed SPECIAL WARRANTY DEED 092010 07461 1609 $84,900 Improved No 2010 VALUE SUMMARY CERTIFICATE OF TITLE 06/2010 07406 0901 $100 Improved No 2010 Tax Bill Amount: 899 WARRANTY DEED 092004 05478 1424 $137,000 Improved Yes 2010 Certified Taxable Value and Taxes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTSSPECIALWARRANTYDEED0411997032271880 $79,5W Improved Yes WARRANTY DEED 0311997 03212 0130 $103,500 Vacant No Fnd -- arable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Units Unit Price Land Value PLATS Pick... , LOT 0 0 1.000 15,000.00 $15,000 LOT 63 PLACID WOODS PH 11313 51 PGS 23 THRU 29 BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Living SF ExtWall Bid Value Est. Cost New Buildinq Sketch 1 SINGLE FAMILY 1997 6 1,292 1,680 1,292 CB/STUCCO FINISH $62,292 Sketch 65,571 Appendage / Sgft GARAGE FINISHED / 380 Appendage / Sgft OPEN PORCH FINISHED / 8 NOTE: Appendage Codes Included ki LAdng Area: Base, Upper Story Base, Upper Story Finished, Apartment; Enckwd Porch Finished, Base Semi Finshed Permits EXTRA FEATURE Description Year Bit Units EXFT Value EsL Cost New ALUM SCREEN PORCH W/CONC FL 2006 120 $850 $1,020 NOTE: Assessed values shown are NOT certifled values and therefore are subject to change before being finalized forad valorem tax purposes if you recen tfy purchased a homesteaded property yournext year's property tax wig be based on JusVMaAret value. http://www.scpafl.org/web/re web. seminole county title?parcel=02203052000000630&cpad=orion... r4cFAMM ROOFil4(j Roofft and Repair Specia>isLs P.O. Box 520997 - Longwood, FL 32752 407-682-9082 - Fax 407-332-7049 Richard-Hiers 101 Orion Way Sanford, FL 32773 386-344-0540; r8hiers(M-bellsouth.net PROPOSAL -CONTRACT June 16, 2011 WE PROPOSE TO INSTALL A CerWn7bed Mtegrfty Roof Sysftn TM AT THE ABOVE LOCATION AS FOLLOWS: This proposal meets the requirements for Section 201 of the Hurricane Damage Miligation provisions of HB 7057 adopted by the Florida Legishature for inclusion In Section $63.844, F.S., and effective October 1, 2007. A. Tear off and haul away the existing shingle roof sybtern (one layer). B_ Inspect the roof sheathing fastening system and supplement (re -nail) to comply with Section 201.1 of HB 7057. C. Inspect the roof decking and repair as necessary on a time and material basis as described below: D. Supply and install one layer of ASTM D226 Type UL felt underlayment, complying with section •1507.2.3 of the Florida Building Code as dry4n.. ` E. Supply and install of shingle over vent F. Supply and install new 2 Weave drip. G. Supply and install new exhaust vents, and new prefabricated lead boot flashing for plumbing stacks. H. Supply and hJall26 gauge-gahran'rzed valley flashing and modified undertayment in D)1 valleys. 1. Supply and install CertafnTeed asphaltffiberglass shingles. Cl."JmA k Plus m•+wrt. AJ J. We will obtain and pay for a permit and obtain all required inspections. K. Upon completion, all roofing debris will be picked up •taken away PRICE: Landmark Lifetime — architectural shingles $5,695.00 Any ocher unforeseen decking repairs andlor wood rot repair will be done at a cost of materials plus $46.00 per man -tour for labor. Lead test may peed to be done by an EPA lead -aft certified technician on any property built before 1978. NOTE: According to our suppliers, significant price increases on all roofing no daft are expected from the end of June through mid -July, 2011. WARRANTY: Prorated warranty by the material manufacturer and McFadden's Roofing, Inc. 5-year workmanship warranty. This proposal may be withdrawn by us if not accepted within 14 days. Due to material price instability, this proposal may be withdrawn by us if not accepted within 14 days. 1 have read and accept the Additional Terns and Conditions printed on the back of this page. The prices, speoftaf lions and conditions of this proposal are satisfactory and are hereby accepted and McRan's Roofing, Inc. is authorized to do the work as specified. Payments will be made as outlined In g thisproposal. F ,is avafiable ACCEPTED: D. McFadden • State of Florida Lic rose CCC1326427 PLACID WOODS HOMEOWNERS ASSOCIATION, INC. c/o Melinda Maguire & Associates Phone: 407.767.0609 160 W. Evergreen Avenue, Ste 271 Fax: 407.331.1067 Longwood, FL 32750 pawnder(Mmsn.com June 20, 2011 PW Richard Hiers 1010rion Way Sanford, FL 32773 RE: Architectural Application Dear Mr. Hiers: Your application for new roof installation has been approved as submitted. Please be sure to follow all state / local codes and permitting laws. If your plans change or shingles cannot be installed as submitted on your application, please remember to submit another application for review by the Architectural Review Committee. 16 Thank you. Sincerely, THE BOARD OF DIRECTORS By: Mindy Maguire, LCAM Community Association Manager www.PlacidWoods.com nj PLACID WOODS HOMEOWNERS ASSOCIATION, INC. IF YOU PLAN TO HANG IT, SET IT,, ATTACH. IT, PLACE IT, PLANT IT, REMOVE IT OR CHANGE IT YOU NEED NJ FROM THE ARCHITECTURAL REVIEW COMMITTEEI" THIS SECTION TO BE COMPLETED BY PROPFRW ONUF Bi PROPERWOWNERNAME. :tJfA4 PROPERTY ADDRESS i 1 D R y 20 UJA t/ t u.s3 ^y d Y g3 HOME PHONE#: WORK PHONE*t DESCRIPTION OF IMPROVEMENT': / AI• e—t r.L_ --/_— <I! /__ ---. w%...___ _••Tl.. u ..al.1. ._%/: Jti,)t!s. OF MAPROVt31tT3NT (VNMcabom must chain p w&nbm ofimprovM i.e., colormnple g and wmb kL If rooMOked, isto R,;Rfi 1he$pht f a#ewrepaYa3rhmrts itf atit9iorht;j IF _ . X IS NEEDED PLEASE ATTACH ON SHEET OF PAPER w; WM PLAN: ( usa a copy of Iota mmy U=mMie ordraw here showing lot propwk TT m'.,.106Bii0n of sale ftJw m sold ti dM t where kWovmw twi be placed BESURE TO FOLLOW SETBACK REQUUa3ffiMM) ELEVATION SKETCH: Qfimprovement Is porch be sire to show how roof lines corns All I hereby haft* to me Ardtodral Oorrw vWsforcurxkWabM and agree to obtain nooesmy bh UMV pemr-n and adhere to buldit setbadm es 7t ^1 t h• • 7 ii7t / / t=1 UKN r3Y WAIL IV: PLA16W vxxxrs Kuk Wi:. CIO MELT DA MAGUIRE K ASSOCIATES 160VfiMEVERGREEN AVEMM SWE271 LONGMK)OD. FL3275USM OP ID: SU CERTIFICATE OF LIABILITY INSURANCE..." DATE (MM/DDIYYYY) m 01/06/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPOWTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY- OR NEGATIVELY"AMEND;, EXTEND OR -ALTER-THE -COVERAGE AFFORDED, BY THE POLICIES ; BELOW. THIS CERTIFICATE OF INSURANCE DOES_NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), 'AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ' r =• `` ' ' '' ''' a ' `" ` ,1 _ a IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the,policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy; ceitain"policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . _ T PRODUCER 386-252-9601 Brown SI Brown of Florida, Inc. 386-239-5729•' ' .n '! Daytona Beach Office -; ' -'• YLt' e P.O. Box 2412 .+ , _ • , _,, a- • .f: +-sue Daytona Beach, FL 32115-2412 } IcCA MECT STEFANIE I. PARKER, AAI PN"c° N E, :386-239-7298 ,, FAR No): 386-238-8919 E•MAIL• "• ADDRESS: SPARKER@BBDAYTONA.COM - PRODUCER MCFAD-1 '' `` CUSTOMER ID 1I: INSURERS AFFORDING COVERAGE1t•{/' Jilt 11 : - i/'NAICBr,l • l rt r ryrl-:+ R INSURED MCFADDEN'S ROOFING, INC. i INSURER A: First Mercury Insurance 10657 } 1275 BENNETT DR 1t ec'L-' Jwc? .6 -1 t LONGWOOD, FL 32750 v s + •_ INsuRERB: U-+ INSURER C : f . 4 INSURERD' INSURER E : L INSURERF' r, A rrnIL/ooAi±ec 1%C0TIC1t%A're wl1u000• _ - 1 . RFVISIr]N NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED,NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER- DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L+.' I :?E'(a 1-1l' it') 01 F: INSRLTR TYPE OF INSURANCE POLICY NUMBER t M Y EFF POLI' MMfDD1 E%P LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE IXIOCCUR r, BLANKET•_r„ T . i; .;) 7; iC FMGA001897 1 1n t t^•' rY+ DDITIONAL INSURED_, - ! AIVER/SUBROGATION , 3 ..., •.I x+ri, 01101111 et- r" ' f ' ^ J 01/01/12 Irlj 1 r, . i'•w r'' EACH OCCURRENCE 1,000,00 PREMISES Ea ocwnence 50,00 MEDEXP,(Any one person) Exclude PERSONAL& ADV INJURY i 1,000,00 BLANKET GENERAL AGGREGATE- 2,000,00 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY PRO XLOC PRODUCTS - COMP/OPAGG 2,000,00 1% 44 AUTOMOBILE LIABILITY ANY AUTO ALL OWNEDAUTOSI.±j: ^=j t;.JS SCHEDULED AUTOS HIREDAUTOS L' {• NON OWNED AUTOS". 1 1_ + j.'.. i, rIJ C 1' _ ..1' tfi!'ii c I .` S' COMBINED SINGLE LIMIT Ea accident) BODILY INJURY ( Per peison) BODILYINJURY (Per accident) PROPERTY DAMAGE,(, ,; - Per accident) I , r .. t -: UMBRELLALIAB EXCESSLIAB 1' OCCUR CLAIMS - MADE j` ti {. 1J .: 7J'i'r __s. s! "C. `,EACH O' "" +vi•' CCURRENCE Iiii. i1 ' i AGGREGATE ' ' i:.r._ rf,• L k- DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTNE OFFICER/ MEMSER EXCLUDED? Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU- TH- TORY LIMITS ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYE E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is squired) f.L-TICIf. ATC LIA,.11C h• 1'.•'[- •hr .; a wy s #'..-s .,.. h"Z_ 1,1• •_', ,' i'1-, I%Aklf'cl 1 ATIr%M .11". "'1 Y.. -- . rl• .. it r i !.:1' .. I y „lY: fhl ' if1Yi: a '..•f :i } ti"ilf `4• !L ..ia"VITYS2IJX.. u_ : -, V' t't .i I1: i+i' i1iF.- {Ill;:+ l i "S J ' i I f SJ'Jrl. ! IgUI %r{ f .f y ,+ • C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE DELIVERED THE EXPIRATION DATETHEREOF,• NOTICE, WILL BE IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF SANFORD BUILDING DEPT P O BOX 1788 . R +k} Yt.• J AUTHORIZED REPRESENTATIVE 1 SANFORD, FL 327,, 72 U 19U8-ZUU9 AGVRD GVKPVKAI IVfV. All rights reservea. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD :i'4?,} A;•,. 0 Issue Date: 12/20/2010 FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION, INC. 1-800-767-3772 • FAX (407) 671-2520 CERTIFICATE OF INSURANCE ISSUED TO: City Of Sanford Bldg.`Dept. Po Box 1788 Sanford, FL 32772 Attention: - -11. McFadden Roofing, Inc. This is to Certify that: P.O. Box 520997 Longwood, FL 32752-0997 COPY PROVIDED TO: McFadden Roofing, Inc. P.O. Box 520997 Longwood, FL 32752-0997 being subject to the provisions of the Florida Workers' Compensation Act, has secured the payment of compensation by insuring their risk with the FLORIDA ROOFING, SHEET METAL & AIR CONDITIONING CONTRACTORS ASSOCIATION SELF INSURERS FUND, P.O. Box 4907, Winter Park, FL 32793. COVERAGE- NUMBER: 870-033085 LIMITS Workers' Compensation: Statutory- State of Florida EFFECTIVE DATE: 1/1/2011 Employers' Liability: $100,000.00 Each Accident EXPIRATION DATE: . 1/1/2012 $100,000.00 Disease, Each Employee 500,000.00 Disease, Policy Limit r%F--rvv%FNF%Q. 1w1rwnL;Uiau1e, wunuut av uays prior written notice, except ror non-payment or premium wnicn will De a 10 day written notice. This certificate is issued as a matter of information only, is not a policy and of itself does not afford any, insurance. Nothing contained in this certificate shall be constructed as extending, coverage not afforded by the policy(ies) shown above or as affording insurance to any insured not named above. This provides coverage for Florida policyholders and°Florida domiciled: employees only. - By: By: AlLt Brett Stiegel,`Administrator , , Debra Guidry, CPCU, Un erwriting Manager FRSA-SIF " ' FRSA-SIF V. 4 ' 7 / 2 3 / 10 2010 - 2011 X ; . v;:; Receipt # 11-400048 54 City of Longwood e 175 W. Warren Avenue, Longwood, FL ' 32750. : , STATE # RC 0061669 EST.1e s LOCAL BUSINESS TAX CITY TAX $ 125.00 LOCATION: 1275 BENNETT DR 121 0,ra+01r"1114F/4%E i ``"': ADMINISTRATIVE FEE $ 10.00 For the Occupation: '`' f''' ` fyr .; •_., '-TRANSFER FEE $ .00 CONTRACTOR/11 TO 20 EMa+a° : PENALTY % $ .00 NCF-ADD,ENS ••R',00F'•ING,:.I•NC::. :'00' P :0 BOX`° 5'•09:97°_tr•. •,X;`•A.cou 45 L"O.N GWOOD= ,,:;:'•._`. F'L`•r32 ~,_ =;;.• N'G:/t'DD'EN'RICH'ARIi:D:, &•.PAlR2°G {(;y'tii` ` "kr '~>.r ;;:;~ "`'. .. . .i r ^.•t ! Y .;M' .•f 1.., . V' S: ;, , YYk `,•.l y.a it , v YEAR: 1'Of,10-09711 . - "oIRECToii OF FINANCE. {° ' rt RECEIPT MUST BE CONSPICUOUSLY-6ISPLAYED AT BUSINESS LOCATION. ' i i,i+lr-i\V V,i'•i""i\Va,.ViV \' iV il:T' A' zl9:;rCEF't IFr' T3' L7nc7er.tpr•:orssorjs=oyf;;CY i p< Eye rA..ion .r,.2id123; il. 1KC'''FAD]DENV Sr•. R ING':fINC t • =%,': tom - 7 NNE. •. - D I : #':,.`. 7a': r• :. 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Y,n' •r +; ,{.•i ;- ,, w. t>4 r " :jAP _Na ,.. .''; d..i.,'r s.•'Lr. - ,'cY. .i i:•c_ .'.,, ,fin,"i, .,=: i 3 ' ,:',.x. ,. . , _., : sy,. •. •, is r4 "'. s: .''styy y• e '',•JY ` r;: , v +}ti^,r f.ai:: : t,-" s:s' tiy.J>• ^.4'i' .ri' =•a` =' i..::, f Y a fi rr •li r Ir"' t c•`t:a , s • .2CHA .D •E''.h1''ii JJ f' _ :• ''"' '-r''`r`'yi`:``';ID I't3$k2IM:SE4 REZ!A`liY'`...•... x tip_ ;.. ; ..; : as •' = o;=. :, . _ '., 4G1U •E - 1. 11r: •.iJ" I A OINiRiNIl N NINNIIlN1 N NINN iNININN THIS INSTRUME T PFEPAR E.D B" Name: McFadden S Roofing, Iy nc. 11RRYAl F RSEt CLERK OF CIRCUIT CQtT Address:P.O. ox Longwood, FL 32752 SEMINOLE•COUNTY SEt4INi).E CiklNTY State of Florida BK 07592 Rq 1619; Opg) CLERKI S 0 E111 1I.X, l51 1 RMDED 06/29/2011 11137:13 Poll RECORDING FEES 10.00 NOTICE OF COMMENCEME DEll BY T Smith Permit Number Parcel ID Number (PID) 02-20-30-520-0000-0630 The undersigned hereby gives notice that improvement vAl be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY (Legal description of the property and street address if available) 101 Orion Way Sanford 32773 Lot 63 Placid Woods PH 1 PB 51 PISS 23 thru 29 GENERAL DESCRIPTION OF IMPROVEMENT ROOF OWNER INFORMATION Name and address: Richard Hiers 101 Orion Way Sanford FL 32773 C. 1 CONTRACTOR McFadden's Roofing, Inc. VC-1 P' ON V(( Name and address: P.O. Box 520997 LIAR t;,\ O. Longwood, FL 32752 In 0 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as pro by Section 713.13(1)(b), Florida Statutes. Q•` I 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(1xb), 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 1, 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. t\ NTY OF SEMINOLE t O SIG RE OWNERS PRINTED NAME Nd*( NiE: Florida Statute 713.13(1) (g), owner must sign...... and no oneelsemay be permitted to sign in his or her stead." The foregoing instrument was acknowledged before me this 4V a— of t 20 it by (e f (j ,q"1 F—f. < Who is personally known to me Name o rsen-makmgsta r OR wh - h as_roduced identiLicaftDri type of identification produced VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES. UNDER PE ALTIES OF PERJURY, I DECLARE THAT I HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE Td THE (JEST OF MY KNOWLEDGE AND BELIEF. RE-GF NATURAL PERSON SIGNING ABOVE ROBYN D. BURLED534 Commission # DDMnMIemSp01A i` Notary Signature MdR URA