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Descriptioa of WOO 40 ke. -/Y,-
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Permit T*(3 19 a_ -1
Type W06iing 10K Electrical 13 MMIdhicai a Pill M-binj 13 Hic'sprinklerf Wim P60-1
Bledirical: New Service - N of AMPS A"i_*Lo_t_A_Itcr'aLio_n_ D Change OU 8-C-MIii-e G Tc2-1-fY- P61 -C [3
Mikkanical-.Acsid6tilitil (3 Non -Residential o iteplaccnrent iJeis C3 iBact 0yout, crgy mquarm)
0141_mbiw_g/ New C6th_i_hir7_ ei-A-L #_ 0f'F_ix_ tures ii vff Liria
Plumbing/New Residential : N of VW sten CIPSNS JPlurntnog lkip-Air - Rcsiiicntial 13 'Gaffiiii;—Milij: M
0 kniiiiiw 0 ORu P_ a_ -sic -7 U G-ro-400'.
OccupancyType: Picsiddraial O. co
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ype:
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Addms:
AirchitvetlWifeFer:
Adtlmss:
Plae Review Contact Person: n '. X -L
Appticalion is kirby -made to obtain a jvtrmit to do the work and instillations as iriAicateii I ccriii6' ihail no work or rnsfaElatton has comttierkidprior to the
issuance ofa,pamit and that idl.work will be p�arfcrrric4co meet standards oral) taws rSulwinl; qqns"clicri in this jurisdiction. I understand that a separate
perM,it'into be secured forELECTRICA1. WORK PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and
AIR CONDITIONERS, etc.
OW-MER'S AFFIDAVI : I ecrtify that MI . of the fore -going information is accurate and that all work will be done in complianre with all a0plica-b1c ia�,; ic6lig
constiuctlion and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD
D A NOTICE OF COMMENCEMENT MAY RIESULT IN YOUR PAYING TWICE FOR
I-%jPROVEMENTS TO YO R PROPERTY. A.NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED I ON THE jOk SITE kFORE THE
I I I I V . - . . I , -
FIRST INSPECTION. IF YOU fINTEND TO ObT-A:N FINANCING, COMS()L-r WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR
NOTICE OFC6MMENCEMEN-r.
[n addition to the requirements or this permit, thcre may be additional restrictioin applicable it) this propWy that may be found in the p6161iel records ui
this county, and the c kaddaional perinits, required tron other go"cMicatil C'nfitics such x eater Management districts, state agencies, or federal agea i
m
�cc
Verification
c."_
Accept 0C p it is Verification 1hat I t -ill notify the ownei of th,c property of the requirements or Florida Lien law, FS 713.
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$owner/2A enL Date SiinAt6&rC6ntr:t Kgerlt Date
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Prie ge NaK e pri it r,Agc s me
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Si-' of Noxa --Staaf Florida Dateignrature',Df Notary-Statj Florida
00tMinsul sitIS is I Aq papoe
"Ay P& DEBORAH M. JACKSON o iorn
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p MYCOMMISSION #DD57764 609LI900# NOISSIVyVy 00 AW
OF EXPIRES: JUL 24, 2010 NOS)10yr'yy HV80830
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Produced ID Produced ID
APPROVALS: ZONING: UTIt: fp MM
sPe6lij Conditions
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NOT-!--C-----E- OF COM M ENCE TENT
Permit NO.
Parcel ID:
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State of Florida �z7L
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.
I. Description of to rtv: (legal descrt tion of the property and street address if
ayailabke) / 62-
II<�II11111IIIIIIIIIIIltII111II111�IIIIIIII ,
MARYANNE MORIA., CLERK Of CIRCUIT COURT
SEMINOLE COUNTY
8K 06887 Pg 14591 (1pg)
CLERK'S # 2007139008
RECORDED 09/2-1/2007 Oh l3W PM
RECORDING FEED 10.00
RECORDED BY L McKinley CERTIFIED COPY
MARYANNE MORSE
CLERK OF CIRCUIT COURT
SEMINOLE� OUNTY, FLORIDR
- - _ BY CLER
2. General description of improvement: E �� 7� �✓�l"'� `J :/d "
3. Owner information` ^
-
a. Name and address:�K��(� 2��
b. Interest in property:
c. Name and address of fee simple titleholder (if other than owner)
/ csZ
4. Contractor 'r
a. Name and address: � �� �' ✓iC 1
b. Phone Number: �'��i ' 3d/ ' 2a
5. Surety g r
a. Name and address:
b. Amount of bond S
c. Phone Number:
6_ Lender
a. Name and address: V
b. Phone 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:
b. Phone Number:
8. In addition to himself or herself, Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in
Section 713.13(1) (b): Florida Statutes:
a. Name and address: --
b. Phone Number:
9. Expiration date of rio-hC6 of commencement (the expir8tii]n date is 1, year from the date of recording unless a different date is
specified)
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTINCE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13,
FLORIDA STATUTES, AND CANRESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TQIYOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON TH - OB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WI OUR NDE OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE O COMMS
gn re of 6wner or •s Authorized
Officer/Direc tori Partner,'M
Signatory's Title/Office
The foregoing instrument was acknowledged before me this day of A120 0'1 by S '�
(name of person) as ��✓� —, / type of authority ...e.g. officer, trustee, orttey in
fact) for- (name party on behalf of whom instrument was exec led).
An o n / , Al n�
Signature of Notary KUPIic, State of Florida
Commission Expires:
Anh Thu T Nguyen
THIS INSTRUMEN A/RED 8Y6
NAME �•t—�+' eru�c=
ADDR.�
My Commission DD304015
Expires March 25, 2008