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Home My WebLink About384 Red Rose LnAtt t/b.~t CITY OF SANFORD DEC 14 REC-D BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: 3 334 Documented Construction Value: $ (4 2-9e7. 00 Job Address: 3Fiy 2ec, Rpm Ln Historic District: Yes ❑ No Parcel ID: 7A - 4 ` -3 o -S- T T- 0000- OoZo Residential [I/Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑- M�ove❑ Description of Work: I DL (01 K PVC Lo I I - s I U0 �1,k n �n7'� Plan Review Contact Person: ` o -It 1% 11(1 W&1, Title: Phone: qp76Sqfo Fax: Property Owner Information evt�:r,e •c,cv�. Name tj Phone: L01 1 -Z03- b_'57-qJ- Street: 399 aeA_ ki-c. Lr Resident of property? y City, State Zip: -!Pb 32-77 Contractor Information Name J&y%'w '(� �e��S Phone: qc 7' Street: `9671( S • C T Fax: S4 D-1 City, State Zip: brkA✓�a 11 IM -7 State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: 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. Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'" Edition (2014) Florida Building Code n Revised June 30, 2015 Permit Application f 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. 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 I Z- /141 6 of Contractor/Agent Date " L70 's Name Notary Public - state of Florlaa My Comm. Expires Jan 16, 2018 So commission mnvooNatlaWNdM Assn. Contractor/Agent is Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: COMMENTS: �� 4n Iyl c�a l I 14L-- a 04-v FIRE: Gas❑ Roof ❑ Flood Zone: # of Stories: Plumbing - # of Fixtures, I Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application 12/6/2016 �',os.le itnrerson. cra PAPPPRUIISER scrm+o�c oDwrr, ctona j Parcel Information SCPA Parcel Vew: 21-19-30-5T70000-0020 Property Record Card Parcel: 21 -19 -30 -STT -0000-0020 Owner: TAYLOR MORRISON OF FL INC Property Address: 384 RED ROSE LN SANFORD, FL 32771 Value Summary Parcel 21-19-30-577-0000-0020 Owner TAYLOR MORRISON OF FL INC Property Address 384 RED ROSE LN SANFORD, FL 32771 Mailing 151 SOUTHALL LN STE 200 MAITLAND, FL 32751 Subdivision Name THORNBROOKE PHASE 1 Tax District S1-SANFORD DOR Use Code 00 -VACANT RESIDENTIAL Exemptions $50,925 + IRED-FO a Legal Description LOT 2 THORNBROOKE PHASE 1 PS 79 PGS 3TO7 Taxes 108.20 CW I Seminole County GIS - Tax Amount without SOH: $982.41 2016 Tax Bill Amount $982.41 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority 2017 Working 2016 Certified Land Value Values Values Valuation Method Cost/Market Cost/Market Number of Buildings , T 0 0 $0 . $50,925 Depreciated Bldg Value $50,925 $0 $50,925 Schools $50,925 i Depreciated EXFT Value $50,925 Land Value (Market) $50,925 $50,925 Land Value Ag Just/Market Value •• '$50,925 ; $50,925 Porta illity Adj Save Our Homes Adj : $0 $0 Amendment 1 Adj : $0 $3,075 PBG Adj —_ :$0 $0 Assessed Value $50,925 ; $47,850 Tax Amount without SOH: $982.41 2016 Tax Bill Amount $982.41 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment V alue Exempt Values Land Value Taxable Value 1 City Sanford SJWM(Saint Johns Water Management) Y r $50,925 $50,925 — ~� $0 — $0 $50,925 $50,925 County Bonds $50,925 $0 . $50,925 County General Fund $50,925 $0 $50,925 Schools $50,925 i $0 $50,925 Sales r— Description Date Book Page Amount Qualified Vacnmp No Sales Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value LOT I 1 $48,500.00 , $50,925 Ruildinn lnfnr nflnn http://pareeldetail.scpafl.org/PareelDetaillnfo.aspx?PID4BBO5TT00000020 1/2 American Land Title Association ALTA Settlement Statement - Combined Adopted 05-01-2015 File No: 2238-2332201 First American Title Insurance Company Printed: 22/02/2016,3:05 PM Officer/Escrow Officer: Tracy Lowe/TL 13848 Tilden Road, Suite 24B • Winter Garden, FL 34787 Settlement.Location: Phone: (407)614.6266 Fax: 13846Tllden Road, Suite 248, Winter Final Settlement Statement Garden, FL 34787 Property Address: 384 Red Rose Lane, Sanford, FL 32771 Buyer. Ian Bowles; James Michael Bowles eller: Taylor Morrison of Florida, Inc., lender: City National Bank of Florida Settlement Date: 12/02/2016 Disbursement Date: 12/02/2016 Seller Description Buyer. Debit 'Credit - -' Debit Credit. Financial 290,150.00 Sale Price 290,150.00 Loan Amount • City National Bank of Florida _ — 203,000.00 —' Total Deposlt/Eamest Money ' 14,441.00 Disbursed as Proceeds ($0.00) 14,441.00 Excess Deposit Prorations/Adjustments 78.32 County Taxes 12/02/16 to 01/01/17 @$952.94/yr 78.32 8,000.00 Seller Credit 8,000.00 ` 100.00 Survey 100.00! Termite 500.00 Community Fee 500:00 Loan Charges Loan'Charges to City National Bank of Florida Prepaid Interest 12/02/16 to 01/01/17 @$23.401400/day 702.04 _ _ Doc Prep Fee _ 225.00 Doc Review Fee 300.00 Underwriting Fee 425.00 Processing Fee 325.00 Wire Transfer Fee 25.00 Appraisal Fee POC -8 t460.00 Credit Report- 23.67 Flood Certification - 11.00 Tax Service _ _ 75:00 Lereta LLC- Life of Loan 6.00 This Is a summary of the dosing transaction prepared by First American Title Insurance Company. This document Is not Intended to replace the Closing Disclosure form. Copyright 2015 American land Title Association. File p 2238-2332201 All rights reserved Page 1 of 3 Printed on 12/02/2016 at 3:05 PM Seller " Description _ " ' ". "' " Bti er" Debit _ Credit - Deblf, credit Termite to Taylor Morrison of Florida, Inc., a Florida Corporation 100.00 Homeowner's Insurance Premium to 1151 568.00 952.94 2016 Taxes Dec to Seminole County Tax Collector Survey to Taylor Morrison of Florlda, Inc., a Florida Corporation 100.00 32,098.44 290,928.32 Subtotals 301,581.79 225,441.00 " Due From Buyer 76,140.79 258,829.88 Due To Seller 290,928.32 290,928.32 Totals 301,581.79 301,581.79 Our wire Instructions do not change. If you receive an email or other communication that appears to be from us and contains revised wiring instructions, you should consider it suspect and you must call our office at an independently verified phone number. Do not inquire with the sender. Acknowledgement We/I have carefully reviewed the ALTA Settlement Statement and find it to be a true and accurate statement of all receipts and disbursements made on my account or by me in this transaction and further certify that I have received a copy of the ALTA Settlement Statement. We/I authorize First American Title Insurance Company to cause the funds to be disbursed In accordance with this statement. Seller(s) Taylor Morrison of Florida, Inc.,, a Florida corporation Buyers} .% Ian Bowles By: _ I� �--�^ James Michael Bowies Name: 'Rri agdl '6arr a, Title ice�?r�si4raa>— Ar-Ar I�- Escro Officer: Tr y Lowe This Is a summary of the dosing transactlon prepared by First American Title Insurance Company. This document Is not Intended to replace the Closing Disclosure form. Copyright 2015 American Land Title Association. File tl 2238.2332201 All rights reserved Page 3 of 3 Printed on 12/02/21316 at 3= PM 1321.43 Proposal I Contract FENCE OUTLET CUSTOMCR NAME AUDRESS 4 AL,' 'fir 7'71 PHONE HOME 9 MOBIL[ OWN PROPERTY? YES 14' NOI I 4r9671 ij O,#,,U. Wt... 7..4 - 000 ft F1 31637 IL6 14071 01II.156(h - F.. 14011415,31111 1124 vy.'I fl"o.0—f .' S., I& IUD - f-40 ti 311031.1 (4071 'Su."77 - I o- 1807; W. 2))" ZVI 5 I d inlwly P...d - 1-60 ft 11619 IH IAl 11411 11.71 - ..' Iv1116SI 3455 I w7 Lit, tow, so, , t-wi rt )wk 1:, 11,11 t -,F. 1:77. 1n. oil), at,401 1104 1....— )'..I N..%" p.'s 11 Wit, I., Just joit.4,600. Iva%) 1".64111 AS 5 W.U... k..0 - 611.1toosis,not. Il 3291.14 E-MAIL 70) ; , " /DATI '/ . * , CHAIN I WOOD ALUMINUM:"`=""'"'T.'=_;= I �� Numiksurni 1(r4 : '/ r I PVC WOOD 1:'j91-5.1 1. I'll pov�r_j law. X., I Helpnl pubu :;I'I)I j VSq� I .. Ito Is- Iii: I! L To Im]! I nt,.d I i rrfYyJ "rlIq Men rl-i"If "6' 1 P C41 sto- mt-1.1 I ;,W:, Gij!varv, BW Voj� Gitte-i. sk:-- Sv-- GatE 11. Gidu Gall, Sce Sd' 'Ale SIZL,— Gjilto Z;1v C -air. Silo Flat Cap T" 8:0 Cart G:,,, c,,.sv': --v- Er) Gale. svp Gclh,. '—I N - G'U,'r li-p I -I Tc."cron;J T'p 1 1 C -ac-, DI, -0 To. Coth, n, p.j Fen e I nv to S4_ C"red by Gwnet 0. cm -&-c.: Y's Z NU E3 perpt;IN-edej Yes [3'NO 0 Junsocoon. Special Instructions: �XF ii I , Z,(. 3 - ja.& P:_�.Lofsj r-:0 uk. 1, Us L1 'Ltd W, 11-1 r- our".. 'orm000",= to is .36*1 tal—Ims.0 r.,:. m1hq.. 11, t. 10 P, too, % nwwl '.10[1,:..n:poirst,ll 1(r It,, I•r Irns; yp—. �. WHOM H i0filli's collsifilicifoll li-fli UN (Sigilfli S 113.001-7130.337, FLORIN SIRTUNS). 1ROS! WHO WORD 00 YOUR FROPERIly OR PROVIDE MATERIALS Ono OFF rol T_n M F"I'LL !;.^,'JLI II) MMIRCI U1[M. NNIf.. TH P-MIR!'111 TTIF "ROFF.T.I. ]IRS C941111 IS "NOW11 As A CODSTODC1101! u[n. if lioup rl I ... , LIEI- pt Oi!l! ;v BONN 1,11111111 iN.' IN1. WIN 'LON, 11L. "Tull iffi 01" NIT! z'Jol, H 7OU K".11( 111 1;1; NLL If vo fill lips K'' I@Pfi PUN I,$ I "K 1, :11., Cf;!Er2il rt;'T'. Io r.. f. 171111 °i!:0 "1 )111 iNffifiv NOW 01 Soto " .3 1. 91'.1. it. j 1, 16AIIIST vB". R9ll !0 ply FOR 13111" NAHINKS, 911 OINR 1.11RIJIM 1;;i'll 11; 0 C01111R."Cill 1p, .*I 1111M.P.9.4plK n!"N H(Iff 01110 To PAY. flomoks 1AW is comfull Ahb Il is Ai Comminute I'M WII[Ufu[R A SPECIFIC I'llooff ARISES. YOU COOSUIT AD ATIORDIV. V, I HAVE READ AND UNDERSTAND THE ABOVE CLAUSE: CONTRACTAMOUNT: � DOWNPAYMENT: S. J -CUSTOMER a" BALANCE DUECUSTOMER DATE UPON COMPLETION q ___ GATT STAR= 0471 COMInETED ACCEPTED FOR FENCE OUTLET a— _21 SAUSPIR30N I DATE MFEALLER LABOR QUOTE VALID FOR� DAYS MARYANNE MORSE? SEMINOLE COUNTY e; Ptai CLF10, OF CIRCUIT COURT It COPIPTROLLER THIS INSTRUMENT PREP Y a%� .I, °82!• F's 654 ( Pgs ) name: F ENU OUTLET -" �,y=�=. V S v 2016129435 Address: 9F7 1 C R Gt\IrG R1 (1CC,n A TRI SEM- NOLE COLT) RDED 12/14/2016 10:12: ?^ iii FLORIDA'SNATURALCH Er'ItI;-ZING FEES $111.0A NOTICE OF COMMENCEMENT Permit Number: _ Parcel ID Number: o21' g 3 o - S "7'r7 U oco'6Q -20 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 to this Notice of Commencement. 1. DESCRIPTION OF PROPERTY: (Legal description 91 the proppgy and street address if available) 2. GENERAL DESCRIPTION OF IMPROVEMENT: Fe -^- -c -e-- 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: -g- r(/ ,*L-� S 13" r \ Interest m X properly' 3 sl/ / gQke 6 .c -,— C Cc-> t r 2r1 ,x-,/1, L I -7 % Fee Simple Title Holder (if other than owner listed above) Name: Address: FENCE 00 4. CONTRACTOR: Name: I CE: 1 Phone Number. v t ONS TRL Address: �� 5. SURETY (If applicable, a copy of the paymen is AW424 3 Address: Amount of Bond: 6. LENDER: Name: Phone Number: Address, 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In additiurt, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Dale of Notice of Commencement (The expiration 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 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE .!OB 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. (Sr .,awry o: CUvner or Lessee or Owner's or Lessee's (Print name and Prowde Signatory's Ttderoffice) Authorized Of6ceraiectorrPanner/manager) State of F1 0•r-1 d� County of am/,i The foregoing instrument was acknowledged before me this v� � day of �/� 20 . by apAeA &ILAAe-5 Who is personally known to me D OR Name of person matting statement / who has produced identification type of identification produced: �r' V Lrt:LYM fe COLBY DINSDALE MY COMMISSION If FF 904938 EXPIRES: 53%)0e aN I Irmo COPY - MARYANNE MORSE Irk. 4115W FLOWN� L 4�t�Nt r�aase�e� i DESCRIPTION AS FURNISHED: Lot 2, THORNBROOKE PHASE 1, as recorded in Plot Book 79, Pages 3 thru 7, Public Records of Seminole County, Florida. BOUNDARY FDR/CERTIFIED TO: len Bowles; Inspired Title Services, Inc.; First American Title Insurance Company; City National Bonk FLORIDA LAND J. COLONIZATION COMPANY x'4595 LIMITED W. BO K ;MAF OF S� JOSEPHS !� (PLAT BOOK 1. PACE Iia ' �' D • w ON DO ny`� PVC\ FENCE \ 10, p90 Amo "1Zf, REC. 1/2" IR. ON NO I.D. 0.2' \ �o r;•• \ ,^ U app ti ON \ '��. JPO �,\ 15' R/W PER CWALL WOCOLUMNS \ (O.R. BOOK 8383, PAGE 406) AhIkUVau I -41.." \ 0.3' SET N&D ®4596 — — — ON LOT AREA /' -'S. '� �� s'' ON E OEM t _ r, •2 39 E LOT 2 titiry06 a GARAGE aFP 5• CONC. WALK 83.77' REC 1/1 LR NO 1.0. ?y 'i. �♦ •S`` i'ri OFFI� OFF 0 I.D. DRIVEWAY :09 c •, - � DIRECT ryry. 0 ;'61'1 �, Yli,iV �-Q7✓l fpr` 4 pQ IMPERVIOUS- ,�� o RED ROSE LANE SOD �---° �`��`'� (50' R/[v) TRACT I _ RnY , : - o QQ UTILITY AND ACCESS RIGHT-OF-WAY APRON Cly 3.0'x3.0' PROPOSED = FINISHED SPOT GRADE ELEVA77ON BUILDING SETBACKS: SOD 110 S'.r •. r_ J i FRONT = 25' AC PAD -= PROPOSED DRAINAGE FLOW REAR - 15' PROPOSED INFORMATION SHOWN AREA =14.548 SQ.FF (. e CD p LOT 3 X7.45 18.0 *01 GOND. o °61 CONC. -6 BASED ON SUPPLIED PLAN �•f ` 1 L�7L r (n 22.0 1915' CLIENT N07 FIELD VERIFIED SOD 11,049 SO11. �f � !• 2J •�� L I LEGEND - LEGEND - C,s S , / S•/rJ r • rur PDL. • PDRIT ON UIS F • FIELD TTP. • TT►IM N01C4 , :Y. :XYt K -t PRL POINT Cr .EVER N" ":.:- •IL'•+: 1. TIL UNOCFSIG:JEp DOES NEFEW CERl1TY TNLT THIS SURYLY YF17i�fE MUAA/U4 T.CHNIU4 RA//MAIDS '.V/017111 D'/ :1' W-]• • V Ell' -IIP.'" GPv: WE L 074"iT •OL'T:.•• ey eJ:7. . !1 ! ONE STORY (� RESIDENCE ° LOT 1 r' c F.F.=25.26' n, CO 1 C\? r S' I• COV'D. CONC. 6.0' I' 0 8.0 rc 13. LI - 20.7'CURVE DAFZ—! 5.23' 16 BRICK ! ; = I=2.?•55' 07" BRICK WALK ' V �.= 1 C✓.00 1 6. 3DR. 2 .26' -41.." ? — — — — — ON LOT AREA /' -'S. '� �� s'' 10' UTI ESMr LIOVING _ r, •2 39 E titiry06 a GARAGE aFP 5• CONC. WALK ENTRY = a6 '. N REC 1/1 LR NO 1.0. _ 0'3 C% 0.3 REC. 1/2• I.R. LANAI - 17+i . BRCCZENAY- N/A, OFFI� OFF 0 I.D. DRIVEWAY :09 c •, - � l ryry. 0 ;'61'1 A/C PAD WALKWAY = 3: c-'•.-• ' fpr` 4 pQ IMPERVIOUS- ,�� o RED ROSE LANE SOD �---° �`��`'� (50' R/[v) TRACT I _ RnY , : - o QQ UTILITY AND ACCESS RIGHT-OF-WAY APRON SIDEWALK PROPOSED = FINISHED SPOT GRADE ELEVA77ON BUILDING SETBACKS: SOD 110 S'.r •. r_ J PER DRAINAGE PLANS FRONT = 25' -= PROPOSED DRAINAGE FLOW REAR - 15' PROPOSED INFORMATION SHOWN AREA =14.548 SQ.FF (. LOT GRADING TYPE A SIDE - 5.0' BASED ON SUPPLIED PLAN DRIVEWAY = 520 S.. 1 SIDE CORNER = 10' AND/OR INSTRUCTIONS PER SIDEWALK = 230 SO.F7. PROPOSED F.F. PER PLANS = 25.2' CLIENT N07 FIELD VERIFIED SOD 11,049 SO11. �f CRUSE, NAfEjVER-SCOFF & ASSOC., INC. - LAND SURVLI.YORJ) I LEGEND - LEGEND - 5400 E. COLONIAL DR. ORLANDO. FL. 32807 (407)-277-3232 FAX (407)-658-1436 i r • rur PDL. • PDRIT ON UIS F • FIELD TTP. • TT►IM N01C4 :Y. :XYt K -t PRL POINT Cr .EVER N" ":.:- •IL'•+: 1. TIL UNOCFSIG:JEp DOES NEFEW CERl1TY TNLT THIS SURYLY YF17i�fE MUAA/U4 T.CHNIU4 RA//MAIDS '.V/017111 D'/ :1' W-]• • V Ell' -IIP.'" GPv: WE L 074"iT •OL'T:.•• ey eJ:7. . t7+E_L: PM'? L: �AJ''C:LI:C Ln, t. tJR EY+PS CJ GK/Pi•. 51-77 Of 114•- RD4W MOYJISIR47.r CO7f. _ . �Cgr — •. j POWER OF ATTORNEY Date: I hereby name and appoint: 7ann)ce SOX— f of Fence Outlet to be my lawful attorney-in-fact, 'to act for (Company or Business) me and apply to the GO_"+6fd Building Department fora Fence permit for work to be performed at a location described as: Section 21 Township • I c1 Range Lot 2 Block Subdivision 3$1412ed, TZ+=rb_ --C- In (Address of Job) (Owner of Property) 30 and to sign my name and do all things necessary to this appointment. ul (TYPE OR PRINT NAME AND Ll (SIGNATURE OF LICENS STATE OF FLORIDA COUN'T'Y OF ORANGE #0000953 OF CONTRACTOR) ONTRACI'OR) The foregoing Instrument was Acknowledged before me this LZ day of D � 2016 by: Raiul Patel Who is personally known to me or produced identification. Notary Public, State of Florida (Signature of Notary) Commission No: (7e MY CSHERRI MEWBORN OMMISSION I FIF 202984 EXPIRES: June 23, 2019 Bond TAru Hoary Pubk ulftnwilln