HomeMy WebLinkAbout322 Lusitano WayJob Addre;
ECEIVE
FEB 2 5 20%
BY•
Documented Construction Value: $ l—`
W
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Historic District: Yes No
Parcel ID:-07Q5C7 Residential[ Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work:
Plan Review Contact Person:, 1- 11
A
V 1 C1 -- Title:
Phone: t 7Fax:- Email:—
Property Owner Information
Name PCAW FQSi-C r Phone:
4ul —
3:1, - a(oS(,
Street: 2.. Uls .Q DQ Resident of property?
City, State Zip: S(A- `\ LCCA , EL-- -32-77)1
nContractor
Information
Name al, Phone:
Street: Z12-0 (' dk37 Fax: N `3 q2 -l
City, State Zip: I r L_ 30LS(J4 State License No.: (_J 0003aoor7)
ofIny-60 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. 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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
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
aoznz,OL- M_" -Z-1
Signature of Contractor/Agent Date
r o—rIct 6 m IJ w
Print Contractor/Agent's Name
Signature of Nota -State of Florida Date
PAYVINI VICK
i •': MY COMMISSION M FF941338
EXPIRES December 08, 2019
po7 ••396-0 S3 FlOrKIDN"730WiN.aar
Contractor/Agent is _,)Q Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
Flood Zone:
of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: 24Zelko UTILITIES:
ENGINEERING:
COMMENTS: U% ko iyi O -a (S-7
Revised: June 30, 2015
FIRE:
WASTE WATER:
BUILDING:
yY7 c
0L.A n
Permit Application
SLAT OF SURVEY
DESCRIPTION: (AS FURNISHED)
LOT 88, BAKERS CROSSING PHASE 2
AS RECORDED IN PLAT BOOK 62, PAGES 97-99 OF THE PUBLIC RECORDS OF SEMINOLE COUNTY,
O x=20'11'58"
R=75.00'
L=26.44'
CB=S10'05'59"W
C=26.30'
1" = 30'
GRAPHIC SCALE r vV
O 15 30
I
1
8h
LOT 89
S89'35'18"E \
1. ' ENVIIRONMENTAL---
COf= EASEMENT QUP
45.0'
TWO STORY
CONCRETE BLOCK
k WOOD FRAME
o RESIDENCE
d FINISH FLOOR
ELEVATION -29.47' o,
COVERED K:
ENTRY. n• +.
L
a
a9
N89 35'18"W
LOT 87
FOR THE BENEFIT AND
EXCLUSIVE USE OF:
D.H.I. TITLE OF FLORIDA, INC.
FIDELITY NATIONAL TITLE INSURANCE CO. OF NEW YORK
Paul J. Foster
First Horizon Home Loan
NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 06-24-05 UNLESS OTHERVSE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
AND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
FLORIDA
NOTE:
THE FINISHED FLOOR ELEVATION OF THIS
STRUCTURE MEETS OR EXCEEDS THE
THE REQUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A).
bP ``6 - 681$
PP_R( VED PLArxIS
ENG. DEP T . 2 Za I Igo
b- -D
1 r \ `O CC OY S / O W rl .
RIGHT
AaA
i
Y PT
1j4 ly
Or'.-
J •v 50. 5w o°
110.01
y d ce o.
4 "•OOv !
GO
oe /
zg
J
3'•
cc)
BUILDING SETBACK LINE
O
CENTERLINE
25.00'
Gr 32.J'
M LLJ Z
3_ r
Of
I-- Q W
00
U z p 00
0-
O
00
2 O
M o J
WI
O 29.4' —
0
y V)
Z
o
8h
LOT 89
S89'35'18"E \
1. ' ENVIIRONMENTAL---
COf= EASEMENT QUP
45.0'
TWO STORY
CONCRETE BLOCK
k WOOD FRAME
o RESIDENCE
d FINISH FLOOR
ELEVATION -29.47' o,
COVERED K:
ENTRY. n• +.
L
a
a9
N89 35'18"W
LOT 87
FOR THE BENEFIT AND
EXCLUSIVE USE OF:
D.H.I. TITLE OF FLORIDA, INC.
FIDELITY NATIONAL TITLE INSURANCE CO. OF NEW YORK
Paul J. Foster
First Horizon Home Loan
NOTE:
1. ALL DIRECTIONS AND DISTANCES HAVE
BEEN FIELD VERIFIED AND ANY
INCONSISTENCIES HAVE BEEN NOTED ON THE
SURVEY, IF ANY.
2. PROPERTY CORNERS SHOWN HEREON WERE
SET/FOUND ON 06-24-05 UNLESS OTHERVSE
SHOWN.
3. THE SURVEYOR HAS NOT ABSTRACTED THE
AND SHOWN HEREON FOR EASEMENTS, RIGHT OF
WAY, RESTRICTIONS OF RECORD WHICH MAY
AFFECT THE TITLE OR USE OF THE LAND.
4. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
FLORIDA
NOTE:
THE FINISHED FLOOR ELEVATION OF THIS
STRUCTURE MEETS OR EXCEEDS THE
THE REQUIREMENTS SET FORTH IN THE
CITY OF SANFORD CODE CHAPTER 6, SEC. 6-7(A).
bP ``6 - 681$
PP_R( VED PLArxIS
ENG. DEP T . 2 Za I Igo
b- -D
1 r \ `O CC OY S / O W rl .
RIGHT
AaA
i
Y PT
1j4 ly
Or'.-
J •v 50. 5w o°
110.01
y d ce o.
4 "•OOv !
GO
oe /
zg
J
3'• ink
BUILDING SETBACK LINE
PC
CENTERLINE
25.00'
L
6 3_ r
7 6.T'ri
aZv=
Q (-
O
n'
LICENSED SURVEYOR
Quo
on Od-
PERMANENT REFERENCE MONUMENT
PCP
CP)
ON
WI
MEASURED
FND
0
y V) p
o LO
IO
I
1
C9
yl
J
I
I
I
PT
OSET 1 2- IRON ROD AND CAP
LB #6393 (06-24-05)
QFND NAIL AND DISC
LB #4671 (06-24-05)
LEGEND
BUILDING SETBACK LINE
CENTERLINE
RIGHT OF WAY LINE
L
131.24 EXISTING ELEVATION
C.B.
CONCRETE
LB LICENSED BUSINESS
LS LICENSED SURVEYOR
PSM PROFESSIONAL SURVEYOR AND MAPPER
PRM PERMANENT REFERENCE MONUMENT
PCP PERMANENT CONTROL POINT
CP) PER PLAT
M MEASURED
FND FOUND
C/W CONCRETE WALK
OSET 1 2- IRON ROD AND CAP
LB #6393 (06-24-05)
QFND NAIL AND DISC
LB #4671 (06-24-05)
FND 1/2' IRON ROD AND CAP
LB 16393 (06-24-05)
CNA CORNER NOT ACCESSIBLE
A DENOTES DELTA ANGLE
L DENOTES ARC LENGTH
C.B. DENOTES CHORD BEARING
PC DENOTES POINT OF CURVATURE
PI DENOTES POINT OF INTERSECTION
PRC DENOTES POINT OF REVERSE CURVATURE
PT DENOTES POINT OF TANGENCY
TYP TYPICAL
A/C AIR CONDITIONER
Date;- 2` llp_ .. , ' '.
Z an agent of Mossy Oak Feace to be t
hereby ame and appoint: : for, sign for do all things
in-fact to act for me`to applyylawfulattorney
for, rec p
ecessayto this appointment for:
c .ermit and.'application for work located at: ermit---- - - = -- = ----- - --- _ ------ --- ----
404rdame: ..
Sigagmof License Holder:
sTA.TFCFFLOR DA
CO
befoxe me thi .2 clay of C
fQ gomg ristzument was ackaowledged
o to the nr who haswhoIperoiAly '
20 , ..... (
is (did not) takean oatb
produced dentr icatlon and who did - •
rgatuir
Punt or%pRam
I Totaryablxc-'-state o ....
TO.XplxeS: • RAI V N VICK
CQj n ; • •E •MY COMMISSION # FF941338
4 EXPIRES December 06.2019'
l40}••396-0'SJ F .cam
N
2120 N Orange Blossom Trail
Orlando, FL 32804
888 -44 -MOSSY
Fax: 888-864-2785
4640 North USI ep t,
Melbourne, FL 329'SS
321-255-1020
Fax: 321-255-1036
www.mossyoakfences.com
INTERNAL USE ONLY
ITALLED: N
IIVVkVLER:
LOCATES #:
LOCATES DATE:
No. 35969
PROPOSAL / CON R
Jeff spears 09/02/15
PREPARED BY DATE
SPECIAL INSTRUCTIONS:
Owner To ProvideToProvide Survey
and HOA Approval
O .PC- tt,A:S
PVC ALUMINUM / STEEL
c7
FOOTAGE iS ! O TAGEF0"'
HEIGHT b HEIS T
STYLE / MODEL CIQ STYLE ODEL
COLOR i,hil' COLOR
RAILS 9iL XS GRADE
POSTS &)(-5 PICKETS
POST CAPS Flat- LINE POSTS
PICKETS TERMINAL POSTS
PICKET CAPS GATE POSTS
OPTIONS: OPTIONS:
IIFL f9Ql: $ 3 i8
WOOD XEDA C AIN LINK
PT PINE YPRESS FO AGE
ECOLIFE)
TYPE
FOOTAGE 7 HEIGHT
HEIGHT b GRADE
STYLE /M TOPRAIL
PICKETS b2117- LINE POSTS
RUNNE as a 4 TERMINALPOSTS
POST 4 )rq' GATE POSTS
G E POSTS t-} Y( GATE FRAMES
OPTIONS: OPTIONS:
GATES
QTY SIZE TYPE ARCHED RACKED SWING HINGE
Y N Y N IN OUT L R
Ely Y OUT L R
Y N Y N [:]IN []OUT L R
Ely [-IN Y N DIN OUT L R
Y N I Y ON I IN OUT L R
OPTIONS:
IMP. RTANT INSTALL INFORMATION
FENCE TO FOLLOW GROUND CONTOUR FENCE TO TOP LEVEL
REMOVAL & DISPOSAL OF EXISTING FENCE I J I FT O
CLEARING OF FENCE LINE NEEDED YES NO
CLEARING TO BE DONE BY OWNER SSY OAK FENCE
OPEN POOL YES MINO
HOA APPROVAL REQUIRED Y NO
PERMIT REQUIRED YES NO
damage to any sprinklers, underground pipes, drains, foundations, or any other
ALL DIMENSIONS AND SPECIFICATIONS ARE APPROXIMATE
unmarked underground systems. also agrees that all products delivered and DEPOSIT AMOUNT:
WOOD PURCHASE NOTICE: Mossy Oak Fence shall not+be liable for any labor or similar costs, or for installed re the property of Mossy Oak
t In Wet Mix Cement**
rkmanship Warranty** F ut O r Financin **
TIO ® `/j i PTION 0 W0,387PPROPOSALAMOLIOPOSALAMOUNT: $
1 Gl $ 3197 .-
IIFL f9Ql: $ 3 i8 eA,: a O9
postmarked no later than 3 business days after signing. SUBJECTTO CONDITIONS ON THE BACK. I HAVE READ AND UNDERSTAND THE CONDITIONS ON THE BACK
Max A;sCOUP E PP hid
UNDERGROUND SYSTEMS: Mossy Oak Fence will perform locates for power, telephone, lchaagrees that final price will be ONT ACTAMOUNT:
and cable lines. Purchaser agrees that Mossy Oak Fence will not be held responsible e total footage installefordamagetoanysprinklers, underground pipes, drains, foundations, or any other ifferent than urchaser
unmarked underground systems. also agrees that all products delivered and DEPOSIT AMOUNT:
WOOD PURCHASE NOTICE: Mossy Oak Fence shall not+be liable for any labor or similar costs, or for installed re the property of Mossy Oak BALANCE DUE Lianycostsordamagewhichmaybeassociatedwiththenaturalcharacteristicsofwood. Wood fences Fence un ful a ent is made. y UPON COMPLETION: $
have a tendency to shrink, split, warp, crack and twist in hot, humid weather. Small gaps will appear
between boards and are a common occurrence that does not constitute failure of the wood,./ iG
r
RIGHT TO CANCEL: Per Florida and Federal Consumer statutes this contract may be cancelled by
V I
either the buyer or the seller in writing by midnight of the third business day after signing, or by AccEPT BY PURCHASER CONTRACT DATE
postmarked no later than 3 business days after signing. SUBJECTTO CONDITIONS ON THE BACK. I HAVE READ AND UNDERSTAND THE CONDITIONS ON THE BACK
Prepared By and Return To:
Danielle Meisenholder
DHI Title of Florida, Inc.
5850 T. G. Lee Boulevard, Suite 135
Orlando, FL 32822
File No. 110-051401014-069
P49RYANNE MRSE, CLERK OF CIRLWIT CULRT
SEMINOLE COLWY
BK 05928 FIGS 1976-1977
CLERK' S # 2005169622
RE;CQRDED It/OZVO-M 01-.44-.121 PH
DEED DOC TRX 1133&40
WMRDINE< FEES I&Se
RECt1RDED BY L McKiRley
CORPORATE WARRANTY DEED
THIS CORPORATE WARRANTY DEED made and entered into as of JUNE 29, 2005, by D.R.
HORTON, INC., A DELAWARE CORPORATION, whose address is 5850 T. G. LEE BOULEVARD,
SUITE 600, ORLANDO, FL 32822 (hereinafter referred to as "Grantor"), to PAUL J FOSTER, AN
UNMARRIED MAN whose address is 322 LUSTITANO WAY, SANFORD, FL 32771 (hereinafter
referred tows "Grantee"),
WITNESSETH:
THAT, for and in consideration of the sum of Ten and No/100 Dollars ($10.00) and other good and
valuable considerations, the receipt and sufficiency of which is acknowledged by the Grantor, Grantor
hereby grants, bargains, sells, conveys and confirms unto Grantee all that certain real property and the
improvements thereon (hereinafter collectively referred to as "the Real Property") in SEMINOLE County,
Florida, more particularly described as follows:
Lot88, of BAKER'S CROSSING PHASE 2, according to the Platthereof, as recorded in Plat
Book 62, at Page(s) 97, 98 and 99, of the Public Records of Seminole County, Florida
TOGETHER WITH all the tenements, hereditaments and appurtenances thereto belonging or in any
wise appertaining.
TO HAVE AND TO HOLD the same in Fee Simple forever.
AND Grantor hereby covenants with Grantee: (1) that Grantor is lawfully seized of the Real Property in
fee simple; (2) that Grantor has good right and lawful authority to sell and convey the Real Property; (3)
that Grantor hereby full warrants the title to the Real Property and will defend the same against the
lawful claims of all persons whomsoever; and (4) that the Real Property is free of all encumbrances
except taxes accruing subsequent to December 31, 2004.
Corporate Warranty Deed
WARRANTY DEED
Continued)
IN WITNESS WHEREOF, the Grantor has caused this Corporate Warranty Deed to be executed by its
officer hereunto duly authorized as of the day and year first above written.
SigK
d delivered in the presence of:
e)
Zt-- 2n2kKK
Print Name of Witness)
Witness Signature)
AO.ALMA GERGES
Print Name of Witness)
STATE OF Florida
COUNTY OF ORANGE
D. R. rton,In/aelaware Corporation by:
Robert A La on City Manager
The foregoing instrument was sworn before me this 29th day of June, 2005, by Robert A Lawson, as
City Manager, on behalf of the corporation with whom I am.I ersonally acquainted (or provided to me on
the basis of satisfactory evidence). and who acknowledged that he/she execuTed the within instrument
jqr purposes therein contained. n t
Notary Public GH G i(
I--
N t fn
puDAL'a U pA GERGF y
My Commission Expires: v0@M6t05—
SEAL)
PROPERTY APPRAISER'S PARCEL I.D. NO.
18-20-31-506-0000-0880
Corporate Warranty Deed
QUIT CLAIM DEED
IN')IVID. TO IN71VID,
Return to: (encics veli adt,essed stamped envelope)
Name: ` Tranco Title, Inc.
Ann.: ` ` 41
Address: 638 Putnam Avenue, Orlando, Florida 32801
This Instrument Prepared by:
Name: Carlos F. Fernandez Jr.
Address: 636 Putnam Avenue, Orlando, Florida 32601
Property Appraisers Parcel Identification
Folio Number(s): 1B-20.31-506-0000-0880
Grantee(s) S.S. #(s) SS# Ss#
SS# SS#
SPACE ABOVE THIS LINE FOR PROCESSING DATA
t•. 11 .I if tit to all 111111 Jill
MARYANNE MORSE, CLERK OF CIRCUIT COURTSEMINOLECOUNTY
RK 06691 Pg 14341 (lpg)
CLERK'S # 2007070966
RECORDED 05/14/2007 08:18:13 AM
DEED DOC TAX 0.70
RECORDING FEES 10.00
RECORDED BY H DeVore
SPACE ABOVE THIS UNE FOR RECORDING DATA
This Quit Claim Deed, Made and executed the 3'd, of May, 2007 by,Paul J: Foster, a married ratan, joined by
Itis wife, Michelle L. Foster, whose post ojfice address is, 322 Lustiano Way, Sanford, Florida 32773, firstparty, to Paul J.
Foster and Michelle L. Foster, Husband and Wife, whose post office address is, 322 Lustiano Way, Sanford, Florida 32773
second party.
Wherever used herein the terms "first party and 'second party' include all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, wherever the context so admits or requires)
Witnesseth, That the firstparty, for and in consideration of the sum of $10.00 (Ten and 00/100 Dollars), in hand
paid by the said second party, the receipt whereof is hereby acknowledged, does hereby remise, release, and quit claim unto
the secondparty forever, all the right, title, interest, claim and demand which the saidfirst party has in and to the following
described lot, piece or parcel of land, situate, lying and being in the County of Seminole, State of Florida, to -wit:
Lot 88, Bakers Crossing Phase 2, according to map or plat thereof as recorded In Plat Book 62, Pages 97
through 99, Inclusive, of the Public Records of Seminole County, Florida.
To have and to Hold The same together with all and singular the appurtenances thereunto belonging or in
anywise appertaining and all the estate, right, title, interest, lien, equity and claim whatsoever of the said first party, either in
law or equity to the only proper use, benefit and behoof of the said second parry forever.
In Witness Whereof, the said first party has signed an ealed these presents the day and yearfirst above written.
Sig ed, sealed d livered* e e f
Wi s Si a re i® ® 1 Signature
T E S
J Paul J. Foster
PriAtPit Name Printed Name
Fernandez"
Witness Signature
WITNESS
Printed Name
Witness Signature
WITNESS
Printed Name
STATE OF Florida)
Signatur , (If any)
Michelle L. Foster
Printed Name
COUNTY OF Orange)
r
This foregoing instrument was acknowledged before me this day of May, 2007 by Paul J. Foster, a married man.
persons are pprsonally kno n to me. S id person(s) provided the following type of identification:
NOTARY RUBBER STAMP SEAL
OTARY PUBLIC -STATE OF FLORIDA
Joycelyn Wright
Commission # DD451122
Expires: JULY 14) 2009
Bonded Th:u Atlantic Bonding
Check one:) I:JSaid
Ma l
B-7B
1,H[S t fat ENT PREPAP E0 fir;
rn, Nael ef)
U,
NOTICE OF COMMENCEMENT
State of Florida
illi ill ilei ii l dill l i ii l i i
I'l Y ("11-111 1 ("I S, 1_ S E 11: 1%1 1.- t (11)1.11,
PK Of C I I*',': I T .01-11 T iii t"IP H'01A ER
T /fl I. A 1.1
T
County of SeminoleP r I V n, tej
PermNumber. 1038 ParcellONumber LL, S'H U(" ."QCX
The undefsigntd hereby gives nice that Improvement VAII be rpade to certain neat pmlpany, and in accAirdaf1ce will
Chapter 718, r1orida Statutes, the fol4oviing informakri is provided in this Notice Of Cornmencem ent..
OF PROPERTY: (Legar description of the property and street addirt-55 if available)
S C_fC5SZ',i0n PY-OG C_ 2 PG k.C2_C4 -I 95Ci
GENERAL DESCRIPTION OF IMPROVEMENT;
WSW VNj i uo'k C(c,'TAA _0A L75,-
Fee Simple Title Holder (if other than omar) Nance:
Address:
CONTRACTOk-
PC-- - ) - 2 - - " Zdress_ 2-C 0 ,
Persons within the State of Florida Designated by Owner upon whom notice or other docwmenU maybe served
as prwWed by SarVon 713.13(1)(b),Flarlda St.a.tutes.,
Narne-,_
Address*
In addition to himself. Owner Dev gnates of
To receive a copy of the Lienors Notice as Provided in
Sedon 713.13(1)(b), Flodde Statutes -
Expiration Data of Notice of Commencement (The expiration date is I year from. date of recording unless a
diffarant date is specified) LLL? "A
WARNING TO OWNER - ANY PAYMENTS MADE SY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPaORER.PAYMENTS UNDER CHAPTER 713, PART J, 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 'JOB SITE BEFORE THE FIRST
INSPECTION, IF YOU INTEND TO OBTAIN FINANCING, CONSuLTWITH YOUR LENDER OR AN ATTORNEY
BETORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Undayvjiwattles of Perjury, I declare that I have read the foregoing and that the facts stated'in it are true
to t (le as f my knowledge and.be.11ef.
V
r171
0%khee-4 SignatumV Gwftes Printed Namo
FbOds Stilhits 713.13(1)(g)" Tnz QwnvrmlJEt Sign Ne nonce of Sar-Mancelittent and no wo Elsa may be pwmifted to stri in hit cr her stead-*
e
C:zl
C**i
ac
Ek r 7
0
County ofpl"
2! Z) 0
The foregoing Instrument was acknowledged before me this 2_5 day of.
by Who is personally known to me
Name of pemcc, m,.dung sttilemert 0
OR who has produced identificationtype of Identift"Produced: duced. X -J, D LA k! u.
U, C) 0
z
N
CrARAYVINVICKV, 0
L
MY COMMISSION# FF941338 I N
EXPIRES December 06, 2019 Y hv-" voeLre