Loading...
HomeMy WebLinkAbout2066 Grandview AveCITY OF SANFORD PERMIT APPLICATION Permit #:- D ' Date: RECEIVED Job Address: ` ti'.r•'`K S - Description of Work: DEC 0 8 2006 Historic District: Zoning: Value of Work: 5. r." 6- Permit Type: Building _ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential L Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: p of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial •-Industrial- • Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: 7M 5cvr &\L- ; Contractor Name & Address: Attacb Proof of Ownership & Legal Description) Phone: V — State License Number: - X-" S 11 %4'1 7 L to Phone &Fax. -i iV d(f 1 %i l•{(}Z Contact Person:Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: _ Fax. 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. OWNER'S AFFIDAVIT: 1 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: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YO ERTY. U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING R NOTICE OF COIN NCEMENT. NOTICE: In addition o the rcq ' mans of this permit,.them may be adklional restrictions applicable to this property that may be found in the public records of this county, and there may be ditional permits required froth other genal entities such as water management districts, state agencies, or federal agencies. Acceptance of permit is v 'fication that I will notify the owJthof the requ' a of Flo ri a Lien Law, FS 713. , Signature f Owner/Agent of Co etor/Agent Date Print er/Agent's Name Pri ntractor/ ant's Name I _ Sig of Notary -Sate of Florida a° Signature o Noary-Sate of Florida Date Owner/Agent is _ Personally Known to Ile oContractor/Agent is _ P Ily.to Me or Produced ID _ Produced ID _ _ e APPLICATION APPROVED BY: Bldg: Initial Al Date) Special Conditions: Zoning: Initial & Date) Utilities: FD: initial & Date) (Initial & Date) POWER OF ATTORNEY Date: ' X [ -()G ew-7e -- I hereby name and appoint I orres, of c To be my lawful attorney in fact to act for me and apply to the Building Department for a UO i OXG\--, permit for work to be performed at a Location described as: Section , Township , Range . Lot . , Block Subdivision GLmo r GV ,v>>,- A, \ _ ( address of job) property an and sign my me and dR/oall things necessary to this or print anu swrnature name The foregoing instrument was acknowledgeebef ore me this `a r / / () b By C 1J D J'CJ Who is perso y known to who produced As identification and who did not take oath. State of Florida, County of CC U Commission My Commission Expires: Not= Burke orida f Jen+My347' D a a Ex 1/ 00 Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 2 A PPI ISER- 50I = 79r- ST EAFIFORn, F_=771 1-^,C 2007 WORKING VALUE SUMMARY GENERAL Value Method: Market Parcel Id: 31-19-31-511 -OWO-041 0 Number of Buildings: 1 Owner: SKIPPER JASON & KIMBERLY Depreciated Bldg Value: $103,055 Mailing Address: 2066 GRANDVIEW AVE S Depreciated EXFT Value: $9,464 City,State,Z.ipCode: SANFORD FL 32771 Land Value (Market): $28,684 Property Address: 2066 GRANDVIEW AVE SANFORD 32771 Land Value Ag: $0 Subdivision Name: ROSE COURT 141,203 Tax District: S7-SANFORD Assessed Value (SOH): $96,245 Exemptions: 00-HOMESTEAD (2003) Exempt Value: $25,000 Dor: 01-SINGLE FAMILY Taxable Value: $71,245 SALES 2006 VALUE SUMMARY Deed Date Book Page Amount Vacllmp Qualified Tax Value(without SOH): $2,311 WARRANTY DEED 0612002 $134,000 Improved Yes 1,347 WARRANTY DEED 12/1991 $62,000 Improved Yes 964 WARRANTY DEED 10/1984 $42,000 Improved Yes 2006 Taxable Value: $68,442 WARRANTY DEED 09/1978 $19,000 Improved Yes DOES NOT INCLUDE NON -AD VALOREM ASSESSMENTS LAND LEGAL DESCRIPTION Land Assess Frontage Depth Land Unit Land Method Units Price Value PLATS: Pick... FRONT FOOT & 71 144 400.00 $28,684 LEG LOT 41 ROSE COURT PB 3 PG 4000DEPTH BUILDING INFORMATION Old Bid TYear Base Gross Living Est Cost FixturesExtWallBidValueTypelNumOnSFSFSFNew1 SINGLE 1924 6 1,144 1,714 1,144 WD/STUCCO $103,055 $125,295 FAMILYFINISHAppendage / Sgft SCREEN PORCH FINISHED / 154 Appendage I Sqft OPEN PORCH FINISHED / 15 Appendage / Sgft UTILITY FINISHED / 40 Appendage / Sgft GARAGE UNFINISHED / 133 Appendage / Sgft GARAGE UNFINISHED / 228 NOTE: Appendage Codes included in Living Area: Base, Upper Story Base, Upper Story Finished, Apartment, Enclosed Porch Finished Base Semi Finshed EXTRA FEATURE Description Year Bit Units EXFT Value Est Cost New FIREPLACE 1924 1 $600 $1,500 POOL GUNITE 2000 450 $7.425 $9,000 PEBBLE DECK 2000 436 $1,439 $1,744 h4:// www.scpafl.org/web/re web.seminole countytitle?parcel=31193151100000410&c... 12/6/2006 a' GLGfiJKi(l i Of Central Florida, Inc Simply the Best for Less" 624 Douglas Avenue, Suite 1412 - Altamonte Springs, FL 32714 T ( 407) 389-1400 - Fax (407) 389-1402 Name: 3-q,% 1 GC iS+`,M S < Q .0 j j c Phone (H): Phone (W): n Install Address: ?,(60v11 ye A j V fi W Phone (other): City, State, Zip: Jo, ln,1, c d , 3.2 231 DOUBLE HUNG SLIDER -CASEMENT Series 4000 DH Insulated 101 UI $200 2 Lite Slider Insulated $369 Series 4000 DH Insulated 101 UI + $223 3 Lite Slider Insulated $549 Series 6000 DH Insulated $244Casement Insulated $339 Half Screens $ 15l- t-Full Screens $ 29 Colonial Grids $52 t b Double Locks (on windows >25") $5 C_ =PPG Solorban 60 Low-E Glass/Argon .tfM 32 PPG Solarban 60 Low-E Glass $32_ Argon Gas $ 15 C Foam Insulation on Jambs $11 —1-r-- Lifetime Glass Breakage Warranty $11 Colonial Grids $ 32 Almond Color Contoured Grids $ 37 Halt Screens $15 Almond Color $ 45 Full Screens $29 Tint Gray/ Bronze $30 Tint Gray/Bronze $30 Wood Grain, Interior (4000 or 6000) $90 Oriel / Cottage Style (40/60 or 60/40) $45 Lifetime Glass Breakage Warranty $11 alal PATIO DOORS & FIXED GLASSa.. Fixed Glass) Insulated $8" IMPACT Speciality Window Series 3100 SH $ Series 3102 2 Lite Slider $ Vinyl Sliding Patio Door 5'x6'8" $750. Series 3104 Fixed Glass $ Vinyl Sliding Patio Door 6'x6'8" $875 Series 511 Sliding Patio Door Ft. $ Vinyl Sliding Patio Door B'x6'8" $975 Vinyl Sliding Patio Door 9'x6'8" $1075 Screen Patio Door $58 MISCELLANEOUS Custom Exterior Cap & Wrap $50 Grids Patio Door $100 1 Aluminum Window Removal $60 d 0 Low-E Patio Door/Argon Gas $125 Mull to Form Multi -unit $55 Removal & Install $100 Tempered DH Sash (BSO) (TSO) $35 Custom Exterior Trim $75 Tempered Other $ 8/Sq. Ft. Obscured Glass $ 30 Tint Gray or Bronze $45 You the buyer are responsible for the removal and installation of any existing security system, burglar bars,drapes, blinds, A/C. Initial: You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice ofcancellationmustbeinwritingpostmarkednolaterthanmidnightofthefollowingthirdbusinessday. THIS IS A CUSTOM ORDER NO EXTRAWORK IF NOT IN WRITINGI A,,, Wtrar d rd 6.,J wilt X fee)rnctd a- ho y eQMmttS 4x tnse• Customer Agrees to the terms of Payment as follows: Extra Labor $ Landfill Disposal Fee $50 $ $50.00 Permit & Fees $ 156 Total Amount $ Q a c Custom Order Deposit 50% $ vJ t a Ckfr Balance Paid to Installer upon Completion $3o54c- C-vie 3Rwe{ Wat01 rsalesman White Copy - Original Yellow Copy - Custo 9 Permit Number p L 5160 - 51'1, form Raviiod; 3104 Parcp,l Identification Number309 3l •5- 11-c cxc,-` Prepared by: Seek,. (,rrlpr5 n Window World of Central Florida Return to: 624 Douglas Avenue - Suite 1412 Altamonte Springs, FL 32714 NOTICE OF COMMENCEMENT 14ARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY SK 06510 Pg 1534; (1pg) CLE RK I S # 2o@61933@0 RECORDED 12/08/2006 11:05:44 AM RECORDING FEES 10.00 RECORDED BY t holden lhtc w,N.. CERTIFIEDC CLERK OF 1RC T N` EMINOL uN ,FL DA ; r- State of r Li County of inI .2 The undersigned hereby gives notice that improvemcnt(s) will be made to certain rca.l 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 propeny, and street -address if available) le, U ru.l "ScCc.,rk P(V3 C` l,Ti/t,V u.' ire. .'' a —11 2. Genernl description of improv cmpen t(s) Owner information Name )tw64pCier ' Telephone Number AddressFax Number Interest in Property: Fee Simple Title Holder (if other than the owner shown Name Telephone Number Address Fax Number Window World of Central ,Florida Contractor Name 624 Douglas Avenue - Suite 1 41 Telephone Number Address Fax Number . Altamonte Springs, FL 32714 Surety (if any) n Telephone Number Name I ' FaxNumber Address 1 Amount of bond S 7. Lender (if any) Name Telephone Number Address / v ' / 4\ Fax Number 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(l)(a)7., Florida Statutes, Name Telephone Number address P n r Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713. 13(1)(b), Florida Statutes. Name Telephone Number Address /V Fax Number 10. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is X n. ,em` 1. 2DD(o Date Signcd Sworn to and sub who is .personal as identification. rr c,, Nnfary Puck Stan of Florida i _e '3' 1 b jenloiler =lur:te o any cwin scion DD543347 as vv E7. yiies 0512712010 this known to me Siinardre of Ow - ( t: peg 1713.13(1)(g), "owner must sign ...and o ne else may be pe rmittcd to sign in his or her stead." day of J> 1Z 1nt ,n, 20 Q (-P by Si'g6fure of Nota (notarial seal must appear below) t WINDOW MEASUREMENTS NAME: GSor SrCk G # OF STORIES: MEASURED BY: DATE: 2a G TYP E OF CONSTRUCTION: `N TYPE OF WINDOWS:° # OF WINDOWS: I i Drawing SIZE (wxh) MDL LE OB TP GD ML FS 1 . S& ( Screwed in: Stucco: Brick: 2 ,, 1 other: PLANS REVIEWED 2 --, CITY OF SANFORD MEMO 0 m No MINE ON MEN No ME n S OFFICE 7 wll n y 3 PERMIT# ff-Cj,v+ i O Architectural Testing Mr, Marsh Fernbaugh, Director of Testing Alside, Window Company 3773 State Road Alaon, Ohio 44309-1365 15 October 2002 RE: Wood Installation of 0601/0631 Double Hung Window, 4' 4'lby 5' 1" Dear Mr. Fernbaugh: At your request, I have performed an installation fastener analyses into wood framed walls for Alside double hung windows,OThe/0631. The testing of the fastener analyse providesactualwindowwasdoneunderATIprojectOS30390.O1. a 4' 4" wide by 5' 1" high window with an allowable installation design wind pressure D.P.) of +36.0 and - 50.0 psf. To provide this D.P. in a wood framed wall requires 6, #8 screws, each 0.164" in diameter. There should be 3 screwsthrough h window jamb et e, one near the top, one at the midheight, and one near minimum penetration of the screws into the supporting wood framing must be 1-5/32". These results are appropriate for the size window stated in the first paragraph above, and any size smaller. If there are any questions about this analyses, please advise me. Sincerely yours, ARCHITECTURAL TESTING, INC. ANR:anr cc: 01-41462 Allen N. Reeves, P.E. Director — Engineering Services Ar O cTaoe&,q .;kc-e ;-- 130 Derry Court York, PA 17402-9405 phone: 717.764.7700 ' fax: 717.764.4129 www,archtest.com c a a Q LEFT JIM3 SWJX ell 4 m IDID v N N 1"JUt Ma Mum Xwc, MO EL 0 I I Vll O5ter- ALSIDL VINDDW COMPANY I1S-34 4t VOW tp6V DATE DESCRIPTION Motese The frsUmws sheen h these %* Aces (l T6161 per wld w) ere "PUt of o tUmft the OW preanaw In V& t&M* Oft epPPIW%te rectors of sefety. ATI test RtPa't Al 1S0!lDi31 e+7l e Ha %Wow the Attca+ ble De Vhd A e a rmO 2"" A srxar nat- no WNTRA' LFLORA B • 0 • A. -, . W& WMATUNUFACTURER NME s CASTER FlLE # I u BY 3 i 0 w O N N 0 E - i 2 if O C E I E O A. r 0 O Q 2 r 14 r o ca m co r a N f AWM v1KA TIMBER VALL INSTALLATION FASTENERS r w „ ,,,,. I V Florida Building Code Online page 1 of 1. o TW[O r or Com_nn unity Affsir r ,x rF 3 ,.v r , . , 4 Y- -9 r - I Overview Product Search Organization Product pm Searrh Application User: Public User - Not Associated with Organization - Application #: Date Submitted: Code Version: FL 1233-R1 06/ 15/2005 2004 Need_1-4-e-19 ? Product Manufacturer: Alside, Inc., Division of AMI Address/Phone/email: 3773 State Road Cuyahoga Falls, OH 44223 330) 922-2108 Technical Representative: Marsh Fernbaugh Technical Representative Address/Phone/email: 3773 State Road Cuyahoga Falls, OH 44281 mfembaugh@alside.com Category: Windows Subcategory: Double Hung Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Section Standard Year Code: ANSI/AAMA/NWDA 1997 101 IS-2 Certification Agency: Quality Assurance Entity: Validation Entity: Authorized Signature: American Architectural Manufacturers Association Marsh Fernbaugh mfembaugh@alside.com Evaluation/Test Reports Uploaded: Installation Documents Uploaded: PTID 1233 R1 I Certification http://www.floridabuilding.org/pr/pr_detl.asp?IPT=1233&RV=1 &fin=ROSrch 10/28/2005 Florida Building Code Online rage l of l PrograWdf Product Approval Method: Method 1 Option A Application Status: Approved Date Validated: 09/21/2005 Date Approved: 09/22/2005 Date Certified to the 2004 Code: Page: Go Page 1 / 7 pp/Seq Product Model # or Name Model Description Limits of Use Replacement: 52x61 DP35 36/-50); "C" 0601 w/"C" 1233.1 0601 package (3 cam package:52x61 DP35 locks/keepers, 36/-50) DP" tilt latch H Key" Replacement: 52x84 DP25, 0601:52x84 DP25,44x77 1233.2 0601 4x77 DP35, 4x60 DP55 (+/- DP35,44x60 DP55(+/- 0),36x72 DP55 (+/-65) 0), 36x72 DP55 65 Next a a xm i5l51z "Illy) C rjght and Disclaimer ; ©2000 The State of Florida. All rights reserved. WEfttF4 a ! i i .. r.., _. 'ike..r... .. nest ,:ek. http://www.floridabuilding.org/pr/pr_detl.asp?IPT=1233&RV=1 &fin=ROSrch 10/28/2005 Architectural Testing March 30, 2003 Marsh Fernbaugh, Director of Testing Alside Window Company 3773 State Road Cuyahoga Falls, Ohio 44309-1365 RE: Wood Installation of 0970 Fixed Window :size 60"wide by 4'0" tall. Dear Mr. Fembaugh: I have performed an installation fastener analysis for your 0970 Fixed Window installed to wood framing. The window size considered was a 60"wide by 4'0" tall (DP = 40 PSF). The design wind pressure for this window was determined by the testing documented in ATI Test Report 05-30442.01. My analysis assumed using #8 .(0.164" diameter) wood screws with a minimum embedment of 1-1/4". To safely resist the design wind pressure, 6 such screws are required. At installation, use two screws in each jamb: one near the top and bottom corners, and two screws in the head: one near each corner. This installation'is appropriate for smaller windows of this model subjected to the same design wind pressure. If you have any questions regarding my analysis, please contact me. Sincerely, ARCHITECTURAL TESTING, INC A:& osep A. Reed, P.E. Director = Engineering Services A JAR:jar cc: 05-30442.01 130 Derry Court / y_ J York, PA 17402-9405 ( l,e f phone: 717.764.7700 7 ',Qt!) fax: 717.764.4129 L www.archtest,com r z 0 H v w 0 8 (00.16 With Minimum of 1-1/4' Penetration In to Wood Framing (Typical) 8 (0.164') INSTALLATIC" SCRE EXTERIOR ELEVATION NOTESI 1. (2) #8 WOOD SCREWS PER JAMB 3' FROM EACH END, AND (2) IN THE HEAD, 12' FROM EACH END 6 TOTAL). SELECT SCREW LENGTH SUCH THAT A MINIMUM PENETRATI N OF 1-1/4' IS ACHIEVED INTO THE TIMBER FRAMING. 2, SEAL THE INTERIOR AND EXTERIOR PERIMETERS WITH SILICONE CAULKING. 3. TIMBER FRAMING SHOULD BE SPRUCE -PINE - FIR (G=0.42) OR BETTER. Model 0970 ALLOWABLE DESIGN WIND LOAD (D.P.) ATI TEST REPORT # 6'-0' X 4'-0' 40.0 psf 05-30442.01 Joseph A. Reed 130 Derry Ct York, PA 17402 FL PE #58920 Im PROJECT NO. PROJECT NAME, 0970 FIXED WINDOW01-44093 122-34 1 CLIENT, ALSIDE INC. Architectural DRAWING WOOD INSTALLATI N DRAWING 1 9/03 1 Florida Building Code Online Page I of 2 TMv,T OF AM; Community 11 t ;Affairi I'P'O!it1T; r roarcct ryet tarr F t1....[ rsl "'4P Overview Product Search Organization Product PublicNot • " • with Organization Need Help ? Application #: FL4738 Date Submitted: 06/17/2005 Code Version: 2004 Product Manufacturer: Alside, Inc., Division of AM Address/Phone/email: 3773 State Road Cuyahoga Falls, OH 44223 330) 922-2108 Technical Representative: Marsh Fembaugh Technical Representative Address/Phone/email: 3773 State Road Cuyahoga Falls, OH 44281 mfernbaugh@alside.com Category: Windows Subcategory: Fixed Evaluation Method: Certification Mark or Listing Referenced Standards from the Florida Building Section Standard Year Code: ANSI/AAMA/NWDA 1997 101 IS-2 Certification Agency: Quality Assurance Entity: Validation Entity: Authorized Signature: Evaluation/Test Reports Uploaded: Installation Documents Uploaded: American Architectural Manufacturers Association Marsh Fernbaugh mfernbaugh@alside.com http://www.floridabuilding.org/pr/pr_detl.asp?IPT=4738&RV=O&fin=ROSrch 11/7/2005 Florida Building Code Online i Product Approval Method: Application Status: Date Validated: Date Approved: Date Certified to the 2004 Code: Page: Can Method 1 Option A Approved 08/05/2005 08/24/2005 Page 1 / 7 pp/Seq Product Model # or Model Limits of Use Name Description New Construction: 0104: 72x36 (1/8" 738.1 0104 72x36 DP50,annealed) DP50, 48x24 8x24 DP65; 1/8" 1/8" annealed) DP65 lass Replacement: 0204: 72x84 (5/32" 738.2 0204 72x84 DP30; annealed) DP30 5/32" glass Replacement: 0704: 72x36 (1/8" 2x36 DP50, annealed) DP50, 48x24 738.3 704 8x24 DP65; 1/8 1/8„ annealed) DP65 lass Replacement: 0970: 96x60 (5/32" 96x60 DP40, nnealed) DP40, 72x84 738.4 0970 72x84 DP40, 5/32" annealed) DP40, 0x72 DP50; Ox72 (5/32" annealed) 5/32" lass DP50 Next LJi.".__.,, Co n ht and Disclaimer; 02000 The State of Florida. All rights reserved. 5asurat! PY _ VERIFY iMT http://www.floridabuilding.org/pr/pr_detl.asp?IPT=473 8&RV=O&fin=ROSreh 11 /7/2005 CITY OF SANFORD PERMIT APPLICATION r^•'' Permit # : Date: Job Address: ''s' V r' - \ Description of Work: V1 Historic District: Zoning: Value of Work: S ( , U c I Permit Type: Building _ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mechanical: Residential \C Non -Residential Replacement New (Duct Layout & Energy Cale. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: il' -"— L `` (Attach Proof of Ownership & Legal Description) Owners Name & Address I Phone: Contractor dame & Address State License Number: j C-( cl 7 t _ to Phone & Faz: V1 0 ` { W ` ` (aid 1 Contact Person:'^e'1A Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: address: Fax: 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 that all ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOU ERTY. U INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING RNO.T[CEOF`C OM NCEMENT. NOTICE: In addition to thereq ' Y menrs` of dais permit, there may d •tional restrictions applicable to this property that may be found in the public records of r!'iis county, and there may b4 ditional permits required from other gove mental entities such as water management districts, state agencies, or federal agencies. Acccpcance bf, °erns v 'fication I will notify the owner of a grope ` of the requ' u of Flo ' Lien Law, FS 713. lsign re f Own /Age t Date of Co ctor/Agent Date r Print er/Agent's lilame { Pri ontractor4gent's Name os ign tu f Notary -State of Florida ' ' Date ° Signature o Notary -State of Florida Date _ 1 Contractor/Agentent is _ P rsonall Known to Me orOwner/Agent is Persoyally K now 1 to e,or p B Y t / I . Produced ID LD%(/5''J%/ar ` _ Produced ID •w 1 APPLICATION APPROVED BY: Bldg:' = Zoning: Utilities: FD: Initial & Date) (Initial & Date) (initial & Date) (Initial & Date) Special n po'', CHERYL E. Notary Pubk - 7AW. My ComrnissionEXPIMCommissiiort ODBonded