Loading...
HomeMy WebLinkAbout3455 Orlando Dr (2)8-27-199S 8.20PM i . FROM CITY OF SANFORD P—WR? IIT APPLICATION Permit No,%_ Job Address: Permit Typc= Building Electrical' Additional luformation for Electrical & plumbing Permits Electrical --Addition/Alteration _Change of Service Temporary Pole _New AMP Service (# of AMPS 1 P'lumbing/Residenrial: Addition/Alteration New Construction (One Closet Plus Additional) PlumbingJComroercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential _Coatmercial _ Industrial Total Sq F'tg: Value of Work: $604.00 011TypeofConstruction: Flood Zone: Number of Stories: Number of Dwelling Units: Parcel' No.: - _300_ QQQ( (Attach proof of Owner shi & Le 0Wn11/AAA-/D16__. =1IWs. Lai. + /. _ . _.. _ _ _ •J _ ...._ ® 1 gal Description). I State License Number? J ContactPerson: Phone & Fax Number: (j3 2_I> Title Holder (If other than Owner): Address: Bonding Company: n G Address:. . Mortgage Lauder: Address: No 1111i Application Is hereby made to obtain a permit to do the work and instaftations as indicated. 'I Certify that no work or installation has commencedpriortotheissuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBTNO, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS. 'TANKS, and AIR CONDITIONERS, etc. g_ M=R•S AMP MT: I certify that all'of the foregoing information is accuiate and that all work will be done in compliance with Allapplicablelawsregulatingconstructionandzoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF INTEND' NCEMENi MAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU CObQwINTENDTOOBTAINCEhW T. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICEOFCOMMENCEMENT. N6TiC e : Inaddition to the requirements of this permit. there maybe additional restrictions applicable to this property that maybe Publicrecordsofthiscounty, and there may be additional permits required Isom other governmental entities such as watermanagementdistricts, state agencies, or federal agencies. Acceptance permit verification that I will notify the owner of the of the requiremen o oroda Lien Law, S 7 /O yj7 Z1 /lY.5 LO' 3a n z Si ofert a Da` t' eSignaturo ofCcontraetor/Agent Date Priest /Agent ' e.` 3 p (lC1 Print ado Agent'27 s N e ignature of Notary to of Fl i a e Signnature of r?StaM ` & 3 e emelroa Commission * DD079M 4- Fjplm Dec- A „L. TINAJINRIGHT z Bonded lbt 0's MYCOMMISSION N CC 849513 ''.,,o %Q` a.i,,,.,, amg Owner/ Agent is •:, E IRES: J e 003 "` Produced iD ' hem Contractor/Agent is Per'Jonally toMe or v ' L Produced ID _ L ISQ K!S ShKf d APPLICATION APPROVED• BY: `- Date: Special Conditions S k-27-1995 8:20PM FROM P. 7 CITY OF SANF*PRD PERMIT APPLICATION ] Permit No.: Ify,30/0 2, Date: _ Job Add. em.- S!&9- IQ& A Nan L> R .. S .Sg NFn Rig IL 3 - 3 Permit Type:. t/ Building Electrical Mecbaatea) Plumbing Fire Alarm/Sprinkleriipti. . of W rk• 1Qi RgAAM- ARI. Additional Iuformation for Electrical & Plumbing PermitsElectrical: Addition/Alteratiort Change of Service Teat typoinPole Now AMP Service (# of AMPS Plumbiag/Residential: Addition/Alterstion - New Construction (One Closet Plus Additional Piumblur/Comwt .crcpl: Nuanber of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupagcy Type: _Residential c--mmercial _ industrial Tot&! : . (O 01D S9 Valve of Work: S_2 TypeofConstruction: Flood Zone: Number of Stories: Number of Ow•eWng Units: ParcelNo.: • _ - _ (Attach Proo of Ownershi do Le 0"ner/Address/Phone: , / e 8a1 Description) N. S SCR ;Z'q State License Numb - Contact Person:FAV Phone dt Fax Number: Title Holder (if other than Owner): J Address: 4 Bonding Company: %0 Address•. S Mortgage Leader:_ Address: Mdtiteat/ Engineer " d Address: I in'-i r1 I N Q -0 0^ M . „ n Phone No.: GI I Fax No.: Application is hereby made to obtain a permit to do the work and instafiations as indicated. I certify that no work or installation has cvmmeacedpriortotheisstt+mtoe of a permitand that all work will be performed to nicer standards of all laws regulating oonstruetion PO O5 r u:xderataad t6ar a septuate penait must be secured >br EI.EC7RICAL WORK, PLUMBING, SIGNS. WELLS, FURNACES. BOILERS. HEATBRS, TANI 3, and A7R CONDITIONERS, ccc. I certify that all of the f 0regoinginfoamation is accurate and that all work will be done in ootaplianoe with allapplicablelawsregWatlagconstructionandzonjA& WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF DTrEND TO 01 EJ MAY RESULT W YOUR PAYING TWICE FOR'WROVEMENI'S TO YOUR PROPERTY. IF YOU NOTICETOOBTAINFINANCING. CONSULT W1TZi NOTICEOFCOIrQv_ YOUR LENDER OR AN ATTORNEY BEFORE RECORDINCr YOUR NOnCE, InfoMd intheadditiontotherequirementsoft)tis penztlt, there may be additional restrictions applicable to this property that may be geatent distri waterMannPublicrecordsof this county, and there may be additional permits required $om other governmental entitle$ such as cts, state agencies, or federal agencies. Acceptance ofparmit is verification that I will notify the owner of the property of the requirements of Florida Lien LOW, FS 713. Signature of Owner Agemt Date Print Owner/Agent's Name Signature ofNotary-State of Florida Date Owner/Agent is Personally Known to Me or Produced IDi'— . APPLICATION APPROVED. BY: Special Coadirions_ YS 40, 6 i3v a Z. Signature of- Contractor/Agent Date MAYSE L & E4 AJ Print gntra/ Agegq's Name Slgnfutire of Notary -State or Florida Date Conhactor/Agent is pet Produced ID l Date: to MelphEly E VkW Feb 1! CC9 an 0CIIIIIIU1U I,UUllly r-IUPUIIy /-1ppidIJC1 Vt;l IIIIUIInat1Ull Uy rd1UUl 1VU111UC1 rays I Ul Personal Property ease Select Account PARCEL DETAIL i Se min cJr C twnty T,c rtyofpproiwr rrirrf 1 In I lK, First St. Sa l:lei rd 1.1. 32771 40 7--045-7 506 GENERAL Parcel Id: 11-20-30-300-0420- Tax District: S4-SANFORD 0000 17-92 REDVDST TWENTIETH 27-AUTO SALE Owner: CENTURY LAND Dor: AND SERVIC CORP Own/Addy: C/O BILL HEARDCHEVROLET Address: 127 N OREGON ST Exemptions: - City,State,ZipCode: SANFORD FL 32771 Property Address: 3455 ORLANDO DRSSANFORD32773 Facility Name: SALES Deed Date Book Page Amount Vac/Imp QUIT CLAIM DEED 08/1997 03288 1025 $100 Improved QUIT CLAIM DEED 08/1997 03288 1023 $100 Improved WARRANTY DEED 08/1997 03284 0716 $3,150,000 Improved WARRANTY DEED 01/1985 01609 1088 $100,000 Vacant WARRANTY DEED 12/1984 01609 1080 $250,000 Vacant WARRANTY DEED 02/1984 01530 0310 $260,000 Vacant WARRANTY DEED 01/1974 01013 1593 $600,000 Improved Find Comparable Sales within this DOR Code 4 © D > VALUE SUMMARY Value Method: Market Number of Buildings: 4 Depreciated Bldg Value: 446,817 Depreciated EXFT Value: 90,904 Land Value (Market): 427,256 Land Value Ag: 0 Just/Market Value: 964,977 Assessed Value (SOH): 964,977 Exempt Value: 0 Taxable Value: 964,977 Tax Bill Amount: 20,359 LAND Land Assess Land Unit Land Method Frontage Depth Units Price Value SQUARE FEET 0 0 106,634 4.00 $426,536 ACREAGE 0 0 1.800 400.00 $720 11 LEGAL DESCRIPTION LEG SEC 11 TWP 20S RGE 30E BEG 247.27 FT S OF E 1/4 SEC POST RUN S 236.11 FT N 72 DEG 43 MIN W 1009.63 FT N 25 112 DEG E 329.3 FT S 63 DEG 46 MIN 14 SEC W TO BEG (LESS RD) BUILDING INFORMATION Bid Year Num Bid Class Bit Gross Bid Est. Cost Fixtures SIF Ext Wall Value New 1 MASONRY 1985 7 4,740 WOOD SIDING WITH WOOD OR METAL $147,759 $185,860 PILAS STUDS Subsection / Sgft CARPORT FINISHED / 1258 Subsection / Sgft OPEN PORCH FINISHED / 2120 2 MASONRY 1985 6 11,432 CONCRETE BLOCK -MASONRY $202,987 $255,329 PILAS 3 MASONRY 1985 0 3,192 CONCRETE BLOCK - MASONRY $62,380 $78,466 PILAS 4 MASONRY 1985 2 714 MASONRY & GLASS PANELS - CURTAIN $33,691 $42,378 PILAS WALLS re_web.semi nole_county_title?parcel=11203030004200000&cpad=ORLANDO&cpac2/28/02 t !` ice .- S Top 7.1 to JCIIIIIIUIC %rUUllly r-IUPtjIIy /A[)PId1JC1 VCl IIIIUIIIIdLIUll Uy r-dlujl IVUIIIUCI r-C1y.0 L UI L Subsection / Sgft OPEN PORCH FINISHED / 108 Subsection / Sgft CARPORT FfNiSHED / 1178 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New DRIVE 4 IN CONC 1985 2,575 2,961 5,150 ASPHALT DRIVE 2 INCH 1985 112,740 67,644 169,110 POLE LIGHT CONCRETE 1985 8 1,232 1,232 POLE LIGHT CONCRETE 1985 3 420 420 36 FAN 1985 2 400 400 CANOPY AVG COMM 1985 1,120 4,480 11,200 U CHAIN LINK FENCE 1985 740 1,927 4,440 CANOPY AVG COMM 1990 1,200 6,240 12,000 CANOPY AVG COMM 1997 700 5,600 7,000 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. re_web.semi nole_county_title?parcel=11203030004200000&cpad=ORLANDO&cpa 2/28/02 DUCTI, m COPY INTERNALLY ILLUMINATED FREESTANDING DOUBLE SIDED-STGW— EXTRUDED ALUMINUM CABINET FINISHED IN HIGH GRADE EXTERIOR ACRYLIC POLYURETHANE FACESTO BE HIGH IMPACT TRANSLUCENT FLAT WHITE ACRYLIC ALL COPY & DECORATION TO BE FIRST SURFACE APPLIED VINYL POLE COVERTO BE PAINTED AS ILLUSTRATED INTERNAL 800 M.A. H.O. FLUORESCENT ILLUMINATION SIGN INSTALLED ON SINGLE CANTILEVERED STEEL SUPPORT POLE DIRECT BURIAL CONCRETE FOUNDATION SANFORD BUILDING DEPT. THESE PLANS ARE REVIELNED AND CONDITIONALLY ACCEPTED FOR PERMIT. L CENSGIT ISSUED SHALL Elr TO PROCEED WITH sTUED TO ., - TiiE WORt' AN - AUTHORITY N OF T 2 a`-- OR ASIDE ANY OF THE mr—, r SAL CODES, NOR SHALL 5Or Th0 FREVENT THE BUILDING R AFT R nEaUIR1NG A CORREC- FERiiU-,tS N T. r_ PLANS. CONSTRUCTION T: IE CODES. OROTtRVIOUJINI- 8" 2' POLE COVER END DETAIL nT_ I(QAp 6'- 0" Ifik P© ti• 15'-0" 8'- 0 A OERM T # G! IV iviaN iayuuL iur. _)e111111 JU k UUIny lVldp rays i ul i w esrimap.dll?name=Simon&cmd=print&addcov=aab,aac,aad,aae&doticon=dots&map4/30/02 THIS SIGN CONFORMSTOTHE REQUIREMENTS OF FBC 2001,SECTION 3108, EXCLUDING 3108.5.1 / NOTE:THIS DRAWING AND ATTACHED' CALCULATIONS APPLY ONLYTO THE SIGN INSTALLED ATTHE ADDRESS ' SHOWN ON SHEET 2 15'-0" 12'-1 112" 4" DIA. STEEL PIPE `% STUB MOUNTED 01' INTO 6" SQUARE TUBE ' f `% r 120.671' i f r 2"X2"X3/16" STEEL ANGLE SADDLE, WELDEDTO 4" PIPE 4" DIA. STEEL PIPE STUB MOUNTED INTO 6" SQUARE TUBE 1/2" STEEL PLATE WELDEDTO SUPPORT POLES, BOLTED TO CABINET 1/2" STEEL PLATE GUSSET 6" SQUARE STEEL TU BE 5-0" 4' x 4' x 5' DEEP 3000 PSI CONCRETE EMBEDMENT Bill Heard Outlet" Pylon By Art -Kraft Sign Co., Inc. I John J. Orlando, PE 0044089 IStateofFlorida Scale: 112" = IV' sheet 1 of 3 job 3602 Calculations for ARTKRAFT SIGN CO., INC. Bill Heard Outlet ", job 3602, 15' 0" OAH ground sign foundation and pole size calculation To be installed at 3445 S. Orlando Drive, Sanford, FL Section 3108 of Florida Building Code 2001 applies: 3108.4.2 Type of sign: ground 3108.5 Type of plastic material: high impact transluscent pan formed acrylic ASTM D 635 flammability: no acrylics known that are greater than 2 1/2" per minute greater than 2 1/2 " per minute) 3108.5.2 Maximum size of individual plastic facing: less than 200 square feet) 3108.3.2 Wind Pressure refers to FBC section 1606 48 ft^2 For free standing ground signs, FBC section 1606 refers to ASCE 7-98 to determine wind load. 1. Determine design wind pressure Basic wind speed (3 second gust) from Figure 6-1 b., page 37 Design wind pressure from Table 6-2, page 56 Exposure category, page 28 Exposure Factor from table 6-2, page 56 Importance Classification from Table 1-1., page 4 Importance factor from Table 6-1, page 55 Larger sign dimension (M) Smaller sign dimension (N) Sign open (>30% open) or closed M/N Force Coefficient Cf from tables 6-11 and 6-12, pages 66 and 67 Wind pressure (p) adjusted for Cf, exposure factor and importance factc 2. Calculate wind load and turning moments Height z (ft) 0-30 0-30 0-30 0-30 Total Hor Dim Vert Dim ft) (ft) 15.0 12.0 Af p F A Ibs) 180.0 26.8 4823 0.0 26.8 0 0.0 26.8 0 0.0 26.8 0 180.0 4823 H ft) 7.5 7.5 3. Determine depth of embedment, D in feet design is based on poor soil with an allowable soil stress (Si) of 2000 psf, i.e. loose fine and coarse sand number of posts= 2 Load per post (P)= from p. 5-81, Structural Engineering Handbook: D=((1.18*P)/(b*S1))*(1+(SQRT(1 +(1.88*b*S1 *H/P)))) assume b (ft)= 2 D (ft) = 4.2 130 29 B 1 0.77 15 15 closed 1.0 1.2 26.8 M (base) ft-Ibs) 36175 0 0 0 36175 2412 r. mph psf ft ft psf sheet 2 of 3 Calculations for ARTKRAFT SIGN CO., INC. Bill Heard Outlet ", job 3602, 15' 0" OAH ground sign foundation and pole size calculation To be installed at 3445 S. Orlando Drive, Sanford, FL 4. Determine required section modulus (in A3) at base max stress = (P*(H+0.34D)*12)/section modulus max stress < allowable stress for outdoor signs, allowable stress < (0.66)(yield strength) steel grade yield strength required section > (P*(H+0.34D)*12)/(0.66*ys) At base, minimum section modulus = Use a 6" x 6" x 1/4" steel tube, section modulus = References: Structural Engineering Handbook, Gaylord&Gaylord editors, Fourth edition, McGraw Hill, NY 1997 ASCE 7-98 Florida Building Code 2001 Mechanics of Materials, Beer and Johnston, McGraw Hill, NY 1981 ICBO Evaluation Report No. 4016 SBCCI Compliance Report No. 9368 Standard Handbook for Mechanical Engineers, T. Baumeister and L.S. Marks, editors, Seventh edition, McGraw Hill, NY 1967 A500grB 46000 psi 8.52 inA3 10.58 inA3 John J. Orlando, Florida P.E. No. 0044089 165 Old Ridge Road sheet 3 of 3 Macon GA 31211 478) 784-2226 I I "'----___ Am It '• _.; d' _ ART KRAFT 3gESIGN COMPANY AIIIIIIIIIINC. Electric Sigh Fabrication • Installation • Maintenance May 23, 2002 City of Sanford Building Department Re: Bill Heard Outlet — 3455 Orlando Dr. S. Sanford — Pole Sign Dear Sirs: I, Donald Reilly, qualifier for Art -Kraft Sign Company, hereby authorize Maryse Lobean to secure a sign permit for the above -indicated signage project and sign any pertinent documents on my behalf. Thank you for your assistance. Sincerely yours, Donald Reilly Qualifier State of Florida County of Brevard Sworn to and subscribed before me this 23rd day of May 2002 by Donald Reilly who is personally known to me. 1 RI TEMAk Katie Hart NO,SrPunrc-Slurs orftddo Notary Public (Seal) '_ M,rco rrT,,,,, Feot9,woa r.nm•*dw # Ccvq'" 6934 Sonny Dale Drive • W. Melbourne, Florida 32904 • (321) 727-7324 • FAX (321) 951-2466 • www.ART-KRAFT.com 41 APR-26-20'D2 FR 102: 45 PM BILL HEARD CHEV i N, =RID Fri NO. 4073025752 N P7 0I World's Largest Chevy Retailer v 2. 727 North Oregon Street Sanford, FL 32771 • (407) 321.7800 APR. 26, 202 1 C 3 AM BILL HEARD CHERCLET IN 0. p1L P. of I 6 1 AMEX Pea gym LIN AIJ r, le:/IC,kWr_N-Do,,AS\TE,%jp\j 144 1 -RrLL-FEkRD-.pyLONjjvg pu t 4/`2,5/2j2 APR-26-2002 FR I 02: 45 PM F I i ;. HEARFi OHE'V I NGRID APRA5.200i 7:2 'm BILL HEARD CHEVROL'cr F.kX NO. 4073025752 P. 02 NO. F77 pkF. iof 1 i, srr C M Sti "ML JIObIdlU11 iMWA=WW rw iee eeiwr 1 MLinc+almerasarM s n atr cae a saua nr r swa*o t • J•' I ! 1 M='-AFlT-JKLRAVL'f WII 3D0`i'S!7'E?1 iP\11441-BILL-HFARD-P'YL0N1.3PA 4 25/02 FeL-21-2002?_32sm rort-61LL NEARO ENT, 7063218855 T-408 P.002/002 F-372 ART-KRAFT 4 COMPANYAlaAqcslyon'@ bt., W- Aklb*vr 327) 727-N" Max(SSI)!l22l; lCrt PROPOSAL 1432 L Otitod om. 7/1C= d Aso ffgE0,40 db A - Inalifift OfbAdblR b /i V WOW r ~ ww.wvithrwwmfrr...r rM b. rrrryi/ ra. ab f..I.o R MR go U..a r 0 Irrb.r AN gruipq f...r= 1k. rr.Mdow wro bdlrr 'V rr r/ b.wr. M Mf a d.dtit rtaw..Uf +.rL ow snob" w fdr.MwJ yp WTI r - Qww M owr Aa Agrhwld sp r k ar flAu m 0 R r' 7r9Y r irrr f ym m A.(QCr dwb(n.ed 1ftNAq M41allrl pin F'Qa. $49y 0labdf ,d mwew» f" r14,.,+Cv aPrMWhadbWlmtorra rwr,ubrp.. tY N*xr R Nubtiw d+br.marba u„a .btoac.ta rbflaMt mwn A b, a.+.a. u.mc6 bo as~ blaegrR Ota.wot itrmlmtipl •Ab bm Kw.md an 12. aamt. a&-& bmw Pau tic wlm mqy IW r .r ia.d, 9snPam d 2- n Ot" m oiewme.. x.a:.Yw lWk6aby,•xd.ru m«ram c3 ba.+rl.uRarrwtpO.cc+.e, dpw iD4 iww wbN w a-r(aa kyAmVat Nab: to Y p UONM dkrb AAM w to WW Y ct" 4t "LLft.orl; rim, cop u aba& 1du"wtak aandubWe,trl. w1, I i 1, IN am wr bans 1r.1.dgr "ran ob Pr of bT MrMIgM.Irwrirlrr/I f v4M. F M NtaM642" bwAhtrib bY+.akti llb.nrh.M.Jq.c.1. reRrrw.u. 1 xAlMhf`bi AtubMfeuw Qr "NY Siffn4ge Since 1968 FA -Allk"4 CT-Itl-4W =TA r r •. r -- NOTICE OF COMA4 ENCEMENT Permit No. G - I Tax Folio No. State of Florida 000 0 County of Seminole The undersigned hereby gives notice that improvement will Pe made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. D c 'ption of rope : legal description of the property and street address if available) I - I j g t- INAPAt fJ.. 2. General description of improvement: lo - a0 /ADDR, 6 -5, 1 n+- Er- 124'._? Owner information 9 a'. Name and address iaf 1 Z t e-1 I k b'. Interest in property d Name and address of fee simple titleholder (if s 4. Contractor a. Name and address b: Phone number 5. Surety a. Name and address than Owner) Fax numbp" Z b. Phone number Fax numb _ -_ i or 093c. Amount of bond -CLERK'S 6. Lender N RECORDED 05/23/2002 11031128 PA a. Name and address RECORDING FEES 6.00 RECORDED BY M Nolden b. Phone number Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address N /1 b. Phone number Fax number 8. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713. 13(1)(b), Florida Statutes. 3 a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 ye in the date of re ording unless different date is specified) Sworn to (or affirmed) and subscribed before me thr> Personally Known R Produced Identification Type" of Identification Produced Commission Expi Signature of Owner day of 20: ,by CERTIFIED COPY MARYANNE MORSE CLERK OF CIRCUIT CQURT R11 TINAJINRIGHT SEMINOLE COUNTY. FLORIDA MY COMMISSION # CC 849513 a€ EXPIRES: June 27, 2003 12 or nd.`•' Bonded Thru Notary Public Underwriters LE r r MAY 2. 3, 2002 L C / NOTICE OF COMMENCEMENT Permit No. G` - Tax Folio No. A- -V State of Florida County of Seminole 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. jption of property: Slegal description of the property and street address if available) 2. General description of improvement: (),S i Cj 64 b4' 3. Owner information a. Name and address b. C. Interest in property U Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address 62— - F- b. Phone number "I " j 1 ct Fax numbpj, 5. Surety a. Name and address 9FMiMl 0 Phone number Amount of bond Fax nun44 044 i RG()932 CLERIC" S a Lender N / RECORDED 05/23/2002 11153j28 PA a. Name and address RECORDING FEES 6.00 htt;URDF-D BY M Noldm b. Phone number Fax number Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes: a. Name and address 0 h) b. Phone number In addition to himself or herself, Owner designates Fax number of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 ye in the date of re ording unless different date is specified) Signature of Owner Sworn to (or affirmed) and subscribed before me th day of , 20 0,4,'by Personally Known OR Produced Identification CERTIFIED COPY Type of Identification Produced MARYANNE MORSE CLERK OF CIRCUIT CQURT T7INAJINRGHT SEMINOLE COUNTY. FLORIDA MY COM# CC 849513 EXPI27 2003 12 1G L us' s d:`' bonded Thblic Underwriters low VanM ERS MAY 2 3 2002