HomeMy WebLinkAbout359 Fanfield DrRECEIVED
1 ofFEB 2 3 2012 CITY OF SANFORD
�nV• BI ILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:off-^ 9 d Documented Construction Value: $ :5019
Job Address:FAvyFjowbD✓ Historic District: Yes 0 No 0
Parcel ED: Zoning:
-Description of Work: /
Plan Review Contact Person: Title:
Phone: Fax: E-mail:
Property Owner Information
Name l%a v 'c r '00/—_-'uJf 6'A Phone:
Street:l WirLb r� V� Resident of property?
City, State Zip:`5P144jF=z L S27-�j
Contractor Information
Name Phone:
Street: Fax:
City, State Zip: State License No.:
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip:
Bonding Company:
Address:
Building Permit 0
Square Footage:
No. of Dwelling Units:
Electrical O
New Service — No. of AMPS:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of Stories:
Flood Zone:
Mechanical 0 (Duct layout required for new systems)
Plumbing 0
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm 13 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, beaters, 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 1 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.
c �
Signatur�ofOwner/ lont rDate
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: M 11-11 \1 UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
I agree that, as the party legally and financially responsible for this proposed construction activity, I will
abide by all applicable laws and requirements that govern owner -builders as well as employers. I also
understand that the construction must comply with all applicable laws, ordinances, building codes, and
zoning regulations.
� AI I am of aware of construction practices and I have access to the Florida Building Codes.
V I understand that I may obtain more information regarding my obligations as an employer from the Internal
Revenue Service, the United States Small Business Administration, the Florida Department of Financial
Services, and the Florida Department of Revenue. I also understand that I may contact the Florida
Construction Industry Licensing Board at 1-850487-1395 or at www.myflorida.com/dbpr/pro/cilb/ for
more information about licensed contractors.
I am aware of, and consent to, an owner -builder building permit applied for in my name and understand
that I am the party legally and financially responsible for the proposed construction activity at the address
listed below.
I agree to notify the building department immediately of any additions, deletions, or changes to any of the
information that I have provided on this disclosure or in the permit application package.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person
who does not have a license, the Construction Industry Licensing Board, the Department of Business and
Professional Regulation and the building department may be unable to assist you with any financial loss
that you sustain as a result of a complaint. Your only remedy against an unlicensed contractor may be in
civil court. It is also important for you to understand that, if an unlicensed contractor or employee of an
individual or firm is injured while working on your property, you may be held liable for damages. If you
obtain an owner -builder permit and wish to hire a licensed contractor, you will be responsible for verifying
whether the contractor is property licensed and the status of the contractor's workers' compensation
i
coverage.
Property Address: 1, 9 �i�br YI P�i�) !b ✓1 L/i, k, -?;ZZ %
1, , do hereby state that I am qualified
and capable of performing the requested construction involved with the permit application filed and agree to the
conditions specified above.
Signature of Owner -Builder
Form of Identification
(Must be Photo ID)
Date
A violation of this exemption is a misdemeanor of the first degree punishable by a term of imprisonment
not exceeding 1 year and a $1,000.00 fine in addition to any civil penalties. In addition, the local
permitting jurisdiction shall withhold final approval, revoke the permit, or pursue any action or remedy
for unlicensed activity against the owner and any person performing work that requires licensure under
the permit issued.
Rev. 9.14.2009
OWNER BUILDER STATEMENT/AFFID"IT
Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford,
Seminole County, Winter Springs
Florida Statutes are quoted here in part for your information to indicate the authority for exemptions for
homeowners from qualifying as contractors and to express any applicable restrictions and responsibilities.
OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DIVISION TO SIGN THIS DOCUMENT
BY SIGNING THIS STATEMENT, I ATTEST THAT: (Initial to the left of each statement)
\ I understand that state law requires construction to be done by a licensed contractor and have applied for
an owner -builder permit under an exemption from the law. The exemption specifies that 1, as the owner of
the property listed, may act as my own contractor with certain restrictions even though I do not have a
license.
V I I understand that building permits are not required to be signed by a property owner unless he or she is
responsible for the construction and is not hiring a licensed contractor to assume responsibility.
I understand that, as an owner -builder, I am the responsible party of record on a permit. I understand that I
may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed
in his or her name instead of my own name. I also understand that a contractor is required by law to be
licensed in Florida and to list his or her license numbers on all permit and contracts.
I understand that I may build or improve a one -family or two-family residence or a farm outbuilding. I
may also build or improve a commercial building if the costs do not exceed $75,000. The building or
residence must be for my own use or occupancy. It may not be built or substantially improved for sale or
lease. If a building or residence that I have built or substantially improved myself is sold or leased within
in 1 year after the construction is complete, the law will presume that I built or substantially improved it
for sale or lease, which violates this exemption.
I understand that, as the owner -builder, I must provide direct, onsite supervision of the construction.
I understand that I may not hire an unlicensed individual person to act as my contractor or to supervise
persons working on my building or residence. It is my responsibility to ensure that the persons whom I
T2 employ have the licenses required by law and by city ordinance.
ISI I understand that it is a frequent practice of unlicensed persons to have the property owner obtain an
owner -builder permit that erroneously implies that the property owner is providing his or her own labor
and materials. I, as an owner -builder, may be held liable and subjected to serious financial risk for any
injuries sustained by an unlicensed person or his or her employees while working on my property. My
homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an owner -
builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
I understand that I may not delegate the responsibility for supervising work to a licensed contractor who is
not licensed to perform the work being done. Any person working on my building who Is not licensed
must work under my direct supervision and must be employed by me, which means that I must
comply with laws requiring the withholding of federal income tax and social security contributions
under the Federal Insurance Contributions Act (FICA) and must provide workers' compensation
for the employee. I understand that my failure to follow these laws may subject me to serious financial
risk.
ev. 9.14.2009
SCPA Parcel View: 32-19-31-516-0000-0300
4wkl ,loMmonI CFA Parcel: 32-19-31-516-0000-0300
PRADc�OPERTY Owner: BENACA FRANCOISE
/'�PRAISER Property Address: 359 FAIRFIELD DR SANFORD, FL 32771
sty COLWr FLORIQI.
< BackI < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
Parcel: 32.19.31.516.0000.0300 1 Value Summary
Property Address: 359 FAIRFIELD DR
Owner. BENACA FRANCOISE
Mailing: 359 FAIRFIELD DR
SANFORD. FL 3277)
Subdivision Name: CELERY LAKES PHASE 2
Tax District: S1-SANFORD
Exemptions:
DOR Use Code: 01 -SINGLE FAMILY
Map Aerial Elolh Footprint + -Extents I Center
Larger Map Dual Map View - External
Tax Amount without SOH: 52,239
2011 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem
Assessments
S2,239
SO
Legal Description
2012 Working
2011 Certified
Values
Values
Valuation
Cost/Market
Cost/Market
Method
Tax Details
Number of
Buildings
1
1
Depreciated
$91,662
$96.356
Bldg Value
Assessment Value
1107,662
S107,662
5107,662
S107,662
1107,662
Exempt Values
SO
SO
SO
10
10
Depreciated
EXFT Value
Land Value
516,000
$16,000
(Market)
Land Value Ag
lust/Market
$107,662
$112,356
Value ••
Book Page
07682 0483
06058 1912
Amount
S110,000
S285,900
Portability Adj
Qualified
No
Yes
Save Our Homes
so
SO
Adj
Land
Amendment 1
$O
SO
Adj
Assessed Value
S107,6621
S112,3S6
Tax Amount without SOH: 52,239
2011 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Does NOT INCLUDE Non Ad Valorem
Assessments
S2,239
SO
Legal Description
LOT 30 CELERY LAKES PHASE 2 PB 65 PGS 29 b 30
Tax Details
Taxing Authority
County General Fund
Schools
City Sanford
SJWM(Saint Johns Water Management)
County Bonds
Assessment Value
1107,662
S107,662
5107,662
S107,662
1107,662
Exempt Values
SO
SO
SO
10
10
Taxable Value
S107,662
S107,662
1107,662
1107,662
5107,662
Sales
Deed Date
WARRANTY DEED 12/2011
SPECIAL WARRANTY DEED 12/2005
Book Page
07682 0483
06058 1912
Amount
S110,000
S285,900
Vac/Imp
Improved
Improved
Qualified
No
Yes
Find Comparable Sales within this Subdivision
Land
Method Frontage Depth
LOT
Units
1.000
Unit Price
16,000.00
Land Value
116,000
Building Information
# Description Year Fixtures Base Total SF Heated
Built Area SF
1 SINGLE 2005 11 1,234.00 3,216.00 2,810.00
FAMILY
Ext Wall Adj Repl
Value Value
CB/STUCCO 591,662 594,741
FINISH
Appendages
Page 1 of 2
http://www.scpafl.org/Parce]Details.aspx?PID=32-19-31-516-0000-0300 2/23/2012
SCPA Parcel View: 32-19-31-516-0000-0300
L-
GARAGE FINISHED 3.9_4
OPEN PORCH FINISHED 12
UPPER STORY FINISHED 1576
Permits
Permit p Type Agency
03311 New -Residential Sanford
Amount CO Date
5120,698
Permit Date
05/11/2005
Extra Features
Description Year Bit
Units Value
Cost New
< Back < Previous Parcel Next Parcel > Save Layout Reset Layout New Search
Page 2 of 2
http://www.scpafl.org/Parce]Details.aspx?PID=32-19-31-516-0000-0300 2/23/2012
BOUNDARY SURVEY
FOR
FRANCOISE BENACA
LOT 30, CELERY LAKES PHASE 2, ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT BOOK 65,
PAGES 29 AND 30, OF THE PUBLIC RECORDS OF
SEMINOLE COUNTY, FLORIDA.
- - - FAR F IM DRIVE
50' RIGHT OF WAY
-.7 CURR A, qUTTrR
N89°38'17"E 50.00' ' S WALK •..
Y N8938'17"E 1SS.00' WALK t MALK t
1.2' OFF
POINT OF CURVATURE
LOT 26
LOT 29
TMS SURVEY CERTIFIED 70:
CENTURION TILE CROUP, INC.
STEWART TITLE GUARANTY COMPANY
FOC MORTGAGE. LLC
FRANCOISE BENACA
10
10' UTILITY I 1.2. OFF
EASEMENT I
77
I I I hereby acknowledge that I have review
. I received a copy of this survey and and
that the encroachments as shown will
20.1 I exception to title.
' � I
c I Signature Datt
I
2.0'N ENTR 12.4'
SCALE: 1"=20'
LEGEND
N . RECOVERED 4'%4' CONCRETE MONUMENT NO/
RECOVERED NAIL 8 DISK /
X . RECOVERED % CUT IN CONCRETE
. RECOVERED 1/2' IRON ROD /
0 .RECOVERED 1/2' IRON R00 NO /
� RECOVERED 5/8' IRON ROD /LS2494
• SET 1/2- IRON ROD /LB 8300
'O+ ' POWER POLE AS SHOWN
-D- • WOOD FENCE AS SHOWN
-0- . VINYL FENCE
.CONCRETE SLAB -AS SHOWN
c 5.5
RENEWED BY' MWS
Signature
DATE: 11/23/11
/
SURVEY L SIVEBCERTIFIE0 70 AND PREPARED FOR THE
SOLE AND EXCLUSIVE BENEFIT OF THE ENTITIES AND//OR
SOLE
INDIVIDUALS LISTED AND SHALL NOT BE RELIED ON BY
ANY OTHER ENTITY OR INDIVIDUAL WHOMSOEVER.
UNDERGROUND FOUNDATIONS AND/OR IMPROVEMENTS
WERE NOT LOCATED AS PART OF THIS SURVEY. LAND
SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS OF
WAYS ANO/OR EASEMENTS OF PUBLIC RECORD.
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REVISED:
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FAX: (407) 862-622
O
0 2 STORY
v
RESIDENCE A
#359
W
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LOT 31
60
W
Cb
40.0'
5.1'
I.
v
FENCE t
AC
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-3 2.0* ' I•
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D.1' INSIDE
3
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3
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Irn
rn
m
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LOT 30
i
IZ
LFENCE*
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I
9"56'52"W 50.00'
BEARINGS ARE BASED ON THE CENTERUNE OF
NOT PLATTED FAIRFIELD DRIVE AS BEING N89.38.17'E. PER PLAT.
LEGAL DESCRIPTION WAS FURNISHED BY CLIENT.
UNLESS OTHERWISE NOTED.
THIS IS 70 CERTIFY THAT I HAVE REVIEWED THE
FLOOD INSURANCE RATE MAP (FIRM) PANEL /120294
0090 F, DATED 9/28/07. AND IN MY OPINION
LANDS SHOWN HEREON UE IN ZONE '%' (THIS IS
SHOWN AS A COURTESY. NOT 70 BE RELIED UPON).
MATTERS NOT KNOWN TO THIS SURVEYOR MAY
NOT VNALID WITHOUT THE SIGNATURE AND
THF. ORIGINAL R ,��f�A�L OF A
FLORIDA LI NNVE;_90TIj AND
WWn I NS
SURVEI(. {ERlI¢S�
BY 0� /fit J, ME SICRINGiY OR
PARSENT OF OwBITEOJ vAT110�UT 77E
CON
PA ES. %'�
T//
STA E OF
SCALE: 1"=20'
LEGEND
N . RECOVERED 4'%4' CONCRETE MONUMENT NO/
RECOVERED NAIL 8 DISK /
X . RECOVERED % CUT IN CONCRETE
. RECOVERED 1/2' IRON ROD /
0 .RECOVERED 1/2' IRON R00 NO /
� RECOVERED 5/8' IRON ROD /LS2494
• SET 1/2- IRON ROD /LB 8300
'O+ ' POWER POLE AS SHOWN
-D- • WOOD FENCE AS SHOWN
-0- . VINYL FENCE
.CONCRETE SLAB -AS SHOWN
0 • CENTRAL ANGLE (DELTA), L - ARC. R - RADIUS.
H/W . RIGHT OF WAY. A/C • AIR CONDITIONER.
(R) a RADIAL, (NR) a NON -RADIAL. (P) a PLAT.
(M) . MEASURED, (C) CALCULATED. (D) DEED.
POB . POINT OF BEGINNING, CONC. • CONCRETE.
POC POINT OF COMMENCEMENT, POL • POINT ON
LINE O.R.BOOK . OFFICIAL RECORDS BOOK
RENEWED BY' MWS
DRAWN BY. LJD
DATE: 11/23/11
/
SURVEY L SIVEBCERTIFIE0 70 AND PREPARED FOR THE
SOLE AND EXCLUSIVE BENEFIT OF THE ENTITIES AND//OR
SOLE
INDIVIDUALS LISTED AND SHALL NOT BE RELIED ON BY
ANY OTHER ENTITY OR INDIVIDUAL WHOMSOEVER.
UNDERGROUND FOUNDATIONS AND/OR IMPROVEMENTS
WERE NOT LOCATED AS PART OF THIS SURVEY. LAND
SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS OF
WAYS ANO/OR EASEMENTS OF PUBLIC RECORD.
JOB No.: 28991
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MICR SO TRO• P /4
FORT 1ZVEYINC
AND PLA �OR1��``
1, gryv �o
REVISED:
CROWN
*M_wTAM0To*=SUR GO662-751.1
FAX: (407) 862-622
T -10 .G, , . .
FEB 2 3 2012
an
BOUNDARY SURVEY
FOR
FRANCOISE BENACA
LOT 30, CELERY LAKES PHASE 2, ACCORDING TO THE
PLAT THEREOF, AS RECORDED IN PLAT BOOK 65,
PAGES 29 AND 30, OF THE PUBLIC RECORDS OF
SEMINOLE COUNTY, FLORIDA.
F DRIVE
_ _
50' RIGHT OF WAY.'
2' CURR A, ruTT—ER—
�q�� ' N89e38'19"'E 50.00' 5' WALK •:•
Y N89'365r�E 1S5.00' WALKt WALK -
1.2' OFF I. EASEMENT
LITY _j
I 1.2 OFF
POINT OF CURVATURE
LOT 26 J - i :N - - - - - I-
I
I
LOT 29
O
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W
0
U,
2 STORY
RESIDENCE
#359
32.0' , .•r.
LOT 30
N89"56'52"W 50.00'
I hereby acknowledge that I have review
received a copy of this survey and and
that the encroachments as shown will
exception to title.
Signature
Signature
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W
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FENCE t
0.1' INSIDE
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0.7' OFF
I
LOT 31
Date
FEB 2 3 Z01Z
an
BEARINGS ARE BASED ON THE CEN7ESUME OF
NOT PLATTED
FAIRFIELD DRIVE AS BEING N89.38'17'E. PER PLAT.
LEGAL DESCRIPTION WAS FURNISHED BY CUEN7,
UNLESS OTHERWISE NOTED.
INS SURVEY CERTIFIED TO:
CENTURION TITLE GROUP. INC.
THIS IS TO CERTIFY THAT 1 HAVE RENEWED THE
FLOOD INSURANCE RATE MAP (FIRM) PANEL /120294
STEWART TITLE GUARANTY COMPANY
0090 F. DATED 9/28/07• AND IN MY OPINION
FOC MORTGAGE. LLC
LANDS SHOWN HEREON UE IN ZONE 'X' (THIS IS
FRANCOISE BENACA
SHOWN AS A COURTESY, NOT 70 BE REUED UPON).
•
MATTERS NOT KNOWN TO THIS SURVEYOR MAY
AFFECT THE BOUNDARY LINES SHOWN HEREON.
NOT /R�IGI WITHOUT THE SIGNATURE AND
THE ORIGINAL R AL OF A
FLORIDA LI N 1' V" AND
MAPPER, yl IONS•ANQ}}.0 NS TO
SURVEC. .�1�EiGi�S OR/'ygQF9ORIS
BY 0 S?t 1"THE SINAI P Y OR
NG 3
PAR I OHIBITED
JJ x77H0117 TIE
PA EIt
S. �� %'�� _
T//
7$, STA E OF .�
SCALE: 1'-20'
LEGE
■ - RECOVERED 4'X4' CONCRETE MONUMENT NOI
♦ - RECOVERED NAIL & DISK I
X - RECOVERED X CUT IN CONCRETE
• - RECOVERED 1/2' IRON ROD I
0 - RECOVERED 1/2' IRON ROD NO
- RECOVERED 5/8- IRON ROD /L52494
• - SET 1/2' IRON ROD /LB 6300
�IIa - POWER POLE AS SHOWN
—O— - WOOD FENCE AS SHOWN
—O— - VINYL FENCE
- CONCRETE SLAB: AS SHOWN
D - CENTRAL ANGLE (DELTA), L - ARC. R - RADIUS.
R/W - RIGHT OF WAY, A/C - AIR CONDITIONER,
R
( ) - RADIAL. (NR) - NON -RADIAL, (P) - PLAT.
(M) . MEASURED. (C) CALCULATED. (D) - DEED.
POB - PGNT OF BEGINNING. CONC. - CONCRETE,
POC - POINT OF COMMENCEMENT. POL - POINT ON
LINE O.R.BOOK - OFFICIAL RECORDS BOOK
RENEWED BY: MINS
DRAWN BY: LJG
THIS SURVEY IS CERTIFIED 70 AND PREPARED FOR THE
SOLE AND EXCLUSIVE BENEFIT OF THE ENT171ES ANO//OR
INDIVIDUALS LISTED AND SHALL NOT BE RELIED ON 9Y
ANY OTHER ENTITY OR INDIVIDUAL WHOMSOEVER.
UNDERGROUND FOUNDATIONS AND/OR IMPROVEMENTS
WERE NOT LOCATED AS PART OF THIS SURVEY. LAND
SHOWN HEREON WERE NOT ABSTRACTED FOR RIGHTS OF
WAYS AND/OR EASEMENTS OF PUBLIC RECORD.
rAl11/23/11
.: 28991MICH
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FOR 7 'LJTRO. kVEY1NC
AND PLA �1G•rt0. `:
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J5J5-21DCROWN POT CIRCLE
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G SUIS 112 LONGWOOD. FL 32178
tiUwTAMON�M
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FEB 2 3 Z01Z
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