HomeMy WebLinkAbout116 Cobblestone WayPermit # : CIL9 ^ U
Job Address: ire CApblf
Description of Work:
Historic District:
t RECEIVE®
EP 0 6 2009
CITY OF SANFORD PERMIT APPLICATION
Date:
Ct
Zoning: V Value of Work: $ al CI Li . (1-4
Permit Type: Building / Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential ✓ Commercial
Construction Type: # of Stories:
Addition/Alteration
Change of Service Temporary Pole
_ Replacement
New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines
# of Gas Lines
Plumbing Repair - Residential or Commercial
Industrial
Total Square Footage:
# of Dwelling Units:
Flood Zone: (FEMA form required for other than X)
Parcel #: _1J2') - L9 -2.>0 - 5"D3 " 0-1aU - l actO (Attach Proof of Ownership & Legal Description)
Owners Name & Address: U Whu U -n Yly--R I I U (rtbhl e c1Saryftyct -�)3`l-1 1
^_-a-4
I , n
Phone:
AA/ t I.0 U
Contractor Name & Address: Uk � � 1 l �0._�, , 1 1�t 6D �S l l ��1 i n`� I� � �� s, R, aa1 o5
t y� State 1t.oLiicenste�N�umber:
`-t
Phone & Fax: om I ` os y01- � Contact Person: bvL xcy-�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 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. 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 a licable to this property that may be found in the public rt
this county, and there may be additional permits required from other governmental entities suphs water management districts, state agencies, or federal
Acceptance of pe 7nit isiventication that I will notify the owner of the property of the
Signature of O er/Agent Date
L�
Pr' wner/ gent' me
�.os-
ignam of Notary -Stat of Florida Date
Owner/Agent is V Personally Known to Me or
Produced lD
APPLICATION APPROVED BY: Bldg: 1 Zoning:
(Initial & Date)
Special Conditions:
F, Iorida ten�7jj33..^
f cont>{actOr/ g I t
0 W�
fo Agent's Name
Signature of Notary -State of Florida
saawaS kBION 196png ntgl papno8
9002`et lagW8A0N:9381dX3 a�
C`l6E lmeS n .dit to M�e or -6
9nd A' �v 1p
Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date)
I q9
�
I reby name and appoint:
^� I I&S.—Printed Name of Appointee
Company Name of Appointee
to be my lawful attorney-in-fact to act for me in applying to
Government CommerciaVResiden lal Permitting for a permit enabling work to be
performed at the location below -described and to sign my name and do all things
necessary to this appointment:
Section
Township
age
Subdivision
Block
oq Ma` tai r Puad-oijs
X31 4-'33
— lot
Project Address
_ Owner of PmPerty
Owner Address
U
oorefisd contractor si�abuo
Date: 'g- /3 - eq C-�,
Certified Contractor:��h�'�/
printed name
Contractor License
State of )
It
County of )
Sworn to hsfg� rrrr��g d,is day of V �7 D�p&"
t,(�e�cWsHams of p Atdcnewledgsd)who
to ma or who has produced ,�
Conrrission
FO AAM ar d ft -0 04 5ovav
(sew)
,�• "�
BRYANT K. ROBINSON
MY COMMISSION # DD 269995
1,�
EXPIRE& November 25, 2007
@Cntl9d nru Nftry Public Underwriters
From: Phyllis Nicholas 407-249-0710 To: Dan Decker Date: 8/9/2005 Time: 7:51:20 AM Page 1 of 2
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1
Total $2194.19 ETA 8/16 Ci/Sanford Masonite - fbgl 407 302-3509 0264
#r
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bAV=.1*k CrA. ASA
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a�n�rotc t+row'ir+r a>L:
iif11 �.FIRST�T
S,ANFCgtQriL�s^Fai�i+i18D
Y € �=^ a;N, ..11 �� r�y
407.665-+T@ :.
Gil 46A
2005 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
33-19-30-508-0000-
Number of Buildings: 1
Parcel Id: 1090 ax District: S1-SANFORD
T
Depreciated Bldg Value: $86,749
00-
Owner: BENNETT LIBBY Exemptions:
Depreciated EXFT Value: $0
HOMESTEAD
Land Value (Market): $20,000
Address: 116 COBBLESTONE WAY
Land Value Ag: $0
City, State,ZipCode: SANFORD FL 32771
Just/Market Value: $106,749
Property Address: 116 COBBLESTONE WAY SANFORD 32771
Assessed Value (SOH): $97,339
Subdivision Name: MAYFAIR MEADOWS
Exempt Value: $25,000
Dor: 01 -SINGLE FAMILY
Taxable Value: $72,339
Tax Estimator
SALES
Deed Date Book Page Amount Vac/Imp
2004 VALUE SUMMARY
WARRANTY DEED 09/2003 05056 0766 $116,000 Improved
Tax Value(without SOH): $1,424
WARRANTY DEED 08/2003 04952 0819 $100 Improved
2004 Tax Bill Amount: $1,424
WARRANTY DEED 06/2003 04868 1636 $74,300 Improved
Save Our Homes (SOH) Savings: $0
QUIT CLAIM DEED 12/1986 01805 0788 $100 Improved
2004 Taxable Value: $69,504
QUIT CLAIM DEED 12/1986 01802 1074 $100 Improved
DOES NOT INCLUDE NON -AD VALOREM
WARRANTY DEED 04/1985 01636 1830 $61,500 Improved
ASSESSMENTS
Find Comparable Sales within this Subdivision
LAND
LEGAL DESCRIPTION PLAT
Land Assess Frontage Depth Land Unit Land
Method Units Price Value
LEG LOT 109 MAYFAIR MEADOWS PB 29
PGS 31 TO 33
LOT 0 0 1.000 20,000.00 $20,000
BUILDING INFORMATION
Bid Num Bid Type Year Bit Fixtures Base SF Gross SF Heated SF Ext Wall Bid Value Est. Cost New
1 SINGLE FAMILY 1985 7 1,314 1,647 1,314 SIDING AVG $86,749 $93,783
Appendage I Sqft GARAGE FINISHED/ 285
Appendage I Sqft OPEN PORCH FINISHED/ 48
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
*** If you recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
http://www.scpafl.org/pls/web/re_web.seminole_county title?parcel=33193050800001090... 8/9/2005
DETAIL STARTS HERE
INSTALL PURCHASE ORDERS Date: 07/20/2005
Page: 1
FROM: HOME DEPOT U.S.A., INC. FAX: (800) 426-6791
STORE 6367: MILLENIA PHONE: (800) 908-9105 Ext.
4403 MILLENIA PLAZA WAY
ORLANDO, FL 32839
============(Use this number to invoice The Home Depot) P.O. Nbr 67413806=======
For customer: FIGGINS, BETTYE=======
140-762EXTERIOR DOORS/
INSTALLATION SITE:
FIGGINS, BETTYE
201 FANFARE AVE.
ORLANDO, FL 32811
CUSTOMER NAME: BETTYE FIGGINS
PHONE: (407) 298-1492 WORK
ORDER: 060687 REF #: IO2
MERCHANDISE TO BE INSTALLED:
PHONE: (407) 298-1492 Ext.
TRIP CHARGE: $0.00
Ext
REF
# SKU
QUANTITY
UM
ITEM DESCRIPTION EXPECTED ARRIVAL
-----
R03
---
827-806
--------
1.00
--
EA
---------------- ----------------
32X80 LH PREM VENT -LITE PH OS N
R04
565-447
18.00
LF
WM366 PFJ COL CSG 11/16 X 2-1/4
R05
489-386
2.00
EA
1X6X8 SELECT WHITE PINE
MERCHANDISE WILL ARRIVE AT SITE VIA THE FOLLOWING:
Call Store to schedule pick-up of the following merchandise:
$0.00
REF
# SKU
QUANTITY
UM
ITEM DESCRIPTION
EXPECTED ARRIVAL
-----
R03
---
827-806
--------
1.00
--
EA
----------------
32X80 LH PREM VENT -LITE
----------------
PH OS N
R04
565-447
18.00
LF
WM366 PFJ COL CSG 11/16
X 2-1/4
R05
489-386
2.00
EA
1X6X8 SELECT WHITE PINE
EXTERIOR DOORS/
BASIC INSTALLATION LABOR INCLUDES:
PREHUNG DOOR (UP TO 36" x 9611)
Quantity: 1.00 UM: EA Price Ea.: $225.00 Extension:
OPTIONAL LABOR PURCHASED:
44 ***PROMO***06/30/05-07/27/05 - 10% OFF THE PURCHASE OF ANY
DOOR INSTALLATION
$225.00
L Bennett Residence
116 Cobblestone Way
Sanford, FL 32771
Replace rear entry door unit.
Opening will meet 35 PSF +/- requirement
0
Replace front entry door unit.
C t,. d:
yip '.``•T�
y y
MIAI li3 MIAMY-RADE COUNTY, FLORIDA
METRO-DADE FLAGLER BUILDING
PRODUCT
CdY' CONTROL
I ION fDFFICIE (BCCO) 140 WEST FLAGLER STREET, SUITE 1603
PRQDUC'f Ct'D1iPi'ROL DIVESIOI�I
MIAMI, FLORIDA 33130-1563
AMICE OF ACCEPTANCE CdA}
irremauor xxterior Door Product
1355 Powis Road
West Chicago, II.60185
SCOPE:
.I'nis NVA is being issued under the applicable rules and regulations governing the use of construction maberiais.
The documentation submitted has been reviewed by Miami -Dade County Product.ConiOf construction
ision n aecrWs.
ed
by :ho Bc and of Rimes and Appeals (BORA) to be used in Miami. Dade County and other areas where allowed by
the" Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the "expiration date stated -below. The Miami -Dade County Product Control
have thisDivision (InMiami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
product or material tested for quality assurance purposes. if this -product or material --fails to perform in
......._.the- a
ccepted manner, the. manufacturer will incur the expense of -such testing and the AHJ may immediately
revoke; m6dify, or suspend the use of such product or ni� within their jurisdFction. BORA reserves the right
to revoke this acceptance, if it is detelmined by Miami -Dame County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the High Velocity Hurricane
Zone Of the Florida Building Code.
DESCRIPTION: Fiberglass Door Glazes! 618" Inswing w/wo Sidelites
APPROVAL DOCUMENT: Drawing No. S-2214, titled "Exterior Door PTOdUct S n91je, Rr J_)0;ihJ- [mtvincr A°R
6iazeo rioerglass..L►oor ,sheets I through 8, prepared by RW Budding Consultants, Inc., dated 1/29102, bearing
the Miami -Dade County Product Control Approval stamp with the Notice of Acceptance number and approval
date by the Miami -Dade County Product Control Division.
MISSILE i MPACT RATING: llTone
� i. L `G. -h u t ahal bear a permanent label with tate manufacturer's name or 10 90, :
following statement: "Miami-Dade�Coun g ' city, state and
ty.Product Cantnol-Approved",.-unless-otherwise-Hated herein.
PENEWAL of this NOA shall be considered of er a renewal apf►licdtion has beaxi filed and there has been no
change tnt_t%te..applicahle building .code
--
negatively afi'ectingthe perfarmance of this product.
TERMINATION) ofthis NOA will -Occur -after er the expiration dataor if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as anend
ursetnent ofany
product, for sales, advertising -or any other purposes -shall automatically terminate-this-NOA.—Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA _
'VEIY7['ISE[EN The NOA __.
nurnber..p. eaied by the„words _M1 ni-D$ e tyFlortd4,_and. followed by
the one iexpirtits entirateety.
may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
gb7e�,�{d�oynye iny-�igts-pe�ntirety, .....
.4-!Z t'S B'!1�.ary 9 om. iJ ';VL_' A
Y— -_> :r._-..••.,.aa.a+a+�_x_�vta:atiuuLktG_p1tTY]QeUtotne.usm-bY-ttienmufacttlrer_'or.its.;distributors
and shall be available-foF inspection -at. -the -job site at the request of the Building Official.
This NOA consists of thispage1 as well as�approval docinnEatMetdoited-above.
The submitted documentatjon-was ireviewed by -Theodore Berman, PS.
_ NOA No e2-0419.08
Expiration Date: December 26, 21817
Approval Date: December 26, 242
Premdor Exterior Door Products
tror t09NLY. Not part_ MA)
A. DRAWI NGS -
1. . ___.Ma iu actu ves die drawings and sections.
.Drawing N(r. S --Z214; titled -"Exterior Door Prflduet --Single-&- Double Inswing 6'8
Glazed F`berglass Dvor'' sheets T thrrtigh 8, prepared Try RVQ Btulding
Consultants,. -Inc., -dated -I/29102.
uSi�.
l :
--Test reports en-t)_Air i_ltmtion Test, P'BC;- TAS 202-94
2) ,;ix"aic,aiai viabti: i►ti ricsutC lest, Loaciing per t'tSL 2i�il 2112-$
................ �,Xi.iat�.k0SjjjW8�.�'t_i.. i t,.Xi.lACr. S 2M .7.4
4) Forced Entry Test, per FEC -3603-2- (b). and -TAS 202-94
along with marked -up drawings ,and installation diagram of a fiberglass
outswing6nswing.glazed--double door,-prepared-by.Certified'Test g -Laboratories,
Test -Report No CTLA8O5W-2,I dated 2/3102, signed and sealed by Ramesh
C. CALCULATIONS
Anchorr..Calculations..and stiuctu ai.annalypzepareci by Lyndon.Schmidt, P.E.,
dated .3/12102, signed and -sealed by Lyndan Schmidt, P.E...
D•. MATERIAL CERTIFICATION
1. Notice of Acceptance -No 41-07-1-8,08 issued to ODL, Inc. for "HP Polypropylene
Uoortzgtt Assexnbly'rc�ated `1!17102 ex txn do 171106:
- - _.... _.
p 8
--1 est Repot -t --No: K-fC-00-577-1-0I48:0i- pxepared-by ET_C Laboratories; issued to
RSL, Inc., dated 12115/0 t, for Extruded PVC, testes per ASTM 1fD 635
- - ---
��
Supporting-Plastics-arra-Horizontal--Position" g4STiV.I-D--3_93"Standard Test
Method -int Densit* of Smoke from the Bufnung or Desorirposrtton of Plastics";
ASTM flD1W4 `standard Test,Methods-for-,Flexural PropertiesofUnreinforced
and reinforced Plastics and Electrical Insulating Materials, signed and sealed by
_.
N0 ETC=0I 756-10828_(1
3. - Fest Report_. , prepared -by ETC Laboratories, issued to
Trinri"Iass intemational; dated -5/22/01 --for non=foam-lu
poy, tested per ASTM
ota t en McMa for !tate or Burning and Tires of Ouru ng of
Self -Supporting Plastics in a Horizontal Position"; ASTM D 2843_93 "Standard
Test Method for Detrsity of Smoke fitm the Sutni�g ai I3ecomposition of
- ---
Plashes"; ASTIVI D1929-% "Standard Test Methods_for-IgnitionP_roperties of
Plasties, AMD 638 -96"Standard-T-est Method for Te le Properties of
Th46" a B&jaia, P.E.
nihre+ttnr
P. ... -- ,Frod- Contro Aivistoa
i�dtd�e l�T�.02-0�1�9.D8
Expiration Date: December 26, 2M
__ A.pprowd-Datet--December 26, 2082
E-1
AMTED_ -
._~'^~~»=^^""^`o°^)_-
-��
M.5.0, Prepared bY-,]ETC Laboratories, issued to
PremdOr Exterior Door "for in,
P�Oducjs, dated 12/05/01
Smoke rom'-theBurn'ng-OrDeeemPOsitiOnOf-Plasties";,AS-T-M.-D1,929-96
bf Plastics, signed and sealed by
Joseph L. Doldan,,P.B.
5--- -T-est-PtPoft-Nor.--,-1-06924;-preparWbyWaniftWa
Fire -Research- Consultancy
-fullY-insult4--sin-gle-acting,-siugle-led,,d,()!()m4-,ted4A.jw BS 476: Nri 22:
1987, aanse 6, signed by A_Kearns and A Williams.
jA
-
-'TheodoreBerman'
--------------~~—=-----�--�]��---'---
OA 02-0419.08
_------_ _~=='
_ 26,2002
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ATTACH ASTRAGAL RETAJNER SOLT ATTACH ASTRAGAL RETAINER BOLT a27
STRIKE PLATE TO FRAME STRIKE PLATE TO FRAME 26 7
AS SHOWN. AS SHOWN. DETAIL
„ ”
WigASTRAGAL RETAINER BOLT HOLES ASTRAGAL RETAINER BOIL HOLE
MUST BE DRILLED THROUGH MUST BE DRILLED THROUGH '—G ins!A� 152
THE VAX
thIRESHflIp &INTO THE THE THRESHOLD & INTO THE TEST SUCK DEEP ENOUGH TEST BUCK DEEP ENOUGH
WLN FOR A 2" THROW i6rFOR A 1.375" THROW ia, er, RW
DETAIL "F" WINDJAWER AMMOAL ttALL F" FNDURA ASTRAGALSYR
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AS SHOWN. AS SHOWN. DETAIL
„ ”
WigASTRAGAL RETAINER BOLT HOLES ASTRAGAL RETAINER BOIL HOLE
MUST BE DRILLED THROUGH MUST BE DRILLED THROUGH '—G ins!A� 152
THE VAX
thIRESHflIp &INTO THE THE THRESHOLD & INTO THE TEST SUCK DEEP ENOUGH TEST BUCK DEEP ENOUGH
WLN FOR A 2" THROW i6rFOR A 1.375" THROW ia, er, RW
DETAIL "F" WINDJAWER AMMOAL ttALL F" FNDURA ASTRAGALSYR
-2274
seen S j OF __41
3 .25" STEEL
INTERCEPT
SPACER
EXTERiO 2
37
.125" TEMP,
GLASS
• �� '
25" AIR
• : ' • .
SPACE
.125" TEMP.
CLASS
25
�
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SEE NOTE
(ODL)
2 SHT. 7
50"
CLASS SITE
.25" STEEL
INTERCEPT
35 SPACER
25 39 ,125" TEMP.
EXTERIOR GLASS
i.ri •' 25" AIR
* '' ' •� SPACE
jyjw$(pg ZS z � ` .125' TEMP.
4D
V) GLASS
SEE NOTE t" INSLLA1cn rEucrpfn caecc
2 SHT. 7 ,50" (SPECIALTY SAYLITE)
.25" STEEL
125" TEMP.
CLASS
.25" AIR
SPACE
125" TEMP.
GLASS
7 __� �_5,"
GLASS BITE
25" STEEL
INTERCEPT
SPACER 7
INTERIQ�
50"
CLASS SITE
CLASS SITE SEE MOTE
NOTES' 2 SHT, 7
I. SPACING FOR ITEM #44 THE PIN NAIL ATTACHING THE SIDELITE TRIM IS AS FOLLOWS; TOP & BOTTOM (1) AT 2.0" FROM OUTSIDE CORNER
WITH (3) MORE 3.75" O:C, SIDES FROM TOP DOWN; (1) AT 2,75' FROM VERTICAL CORNERS WITH (6) MORE AT 14,0" O.C, MAX.
2. SPACING FOR ITEM #40 WITH ITEM #32; TOP at BOTTOM (1) SCREW IN THE CENTER AND (1) 3.75 FROM EACH HORIZONTAL CORNER,
TOP DOWN, 3.375", 10.75", 18,125, 25.5, 32.875", 40.25", 47.75, 55.125" & 62.5".SPACING FOR ITEM #40 WITH ITEM ¢33; TOP &
BOTTOM (1) SCREW IN THE CENTER & (1) 3.25" FROM EACH HORIZONTAL CORNER. TOP DOWN 3.25 13.75', 28.5', 39.25", 52.0", &
62.625".SPACING FOR ITEM #40 WITH #34, TOP & BOTTOM; (1) SCREW IN THE CENTER & (1) 3.75" FROM HORIZONTAL CORNERS. TOP
DOWN, 4.5", 18.25", 33.0 47.825" & 61.375'. SPACING FOR ITEM /40 WITH ITEM 35, TOP AND BOTTOM (1) SCREW IN THE CENTER do
(1) .75" FROM EACH HORIZONTAL CORNER. TOP DOWN 13.125', 26,25", 39.375" & 52.5".
3. THE SIDELITE IS HELD INTO THE FRAME IN THE 2 PIECE MULLION APPLICATION WITH ITEM #14 (#10 X 2) SPACING AS FOLLOWS; HEADER
AND OUTSWING THRESHOLD; (1) SCREW 3.0" FROM EACH HORIZONTAL CORNER. IN THE INSWING APPLICATION USE ITEM #50 ((I10 X 3")
IN THE INSWING THRESHOLD.SIDES; (1) AT 6.0' FROM EACH VERTICAL CORNER WITH (4) MORE EQUALLY SPACED.
4. SPACING FOR ITEM #41 ATTACHING THE WINDJAMBER ASTRAGAL TO THE INACTIVE DOOR IS AS FOLLOWS; FROM THE BOTTOM UP; 1.0", 3,0",
5.0", 20.0, 38.75" & 57.75", FROM THE TOP DOM: 1.0, 3.0" & 5.0".
S. SPACING FOR ITEM #49 ATTACHING HE ENDURA ASTRAGAL TO THE INACTIVE DOOR IS AS FOLLOWS FROM TOP DOWN; (2) SCREWS AT 3.0"
74,875- .88- APART. THERE
IS ADDITIONAL #8 x 1.70�
5' DECK SCREW T51,75" DOWN FROM THE TOP. ALL HE SCREWS COMING (2) AT
THE ASTRAGAL ARE MED
EXCEPT FOR THE 1.75" SCREW, IT IS CENTERED ON THE ASTRAGAL.
6, THE SIDELITE IS HELD INTO THE FRAME IN THE 1PIECE MULLION APPLICATION WITH ITEM #14 SPACING AS FOLLOWS; HEADER AND
THRESHOLD; (1) SCREW 3.0" FROM EACH HORIZONTAL CORNER, JAMB SIDE;(1) A7 6.0" FROM EACH VERTICAL CORNER WITH (4) MORE
EQUALLY EQUALLY SPACED, AT THE HINGE MULLION THE SIDEUT£ IS HELD 1N WITH (2) ITEM #42 AT EACH HINGE LOCATION, AT EACH
STRIKE MULLION THE SIDELITE IS HELD IN WITH ITEM #42 SPACED 8.0" FROM TOP AND BOTTOM CORNERS WITH (4) MORE EQUALLY SPACED.
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S-2224
8 OF
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THIS INSTRUMENT PREPARED BY a
P90YANNE MURSE, CLERK OF CIRCUIT CART h
el -IA 12L9 ^�L GE OF COMMENCEMENWINULE CULWY
NAME- ,JunBK 05887 PG 0799
Permit No.
3 ��o o 2{: 05151583 : s�
State of Florida �� • Z REL'URDED 09106/2005 09:24:45 AN
County of Sen ' S RECURDINU FEES 10.00
RELUNDED BY D Thomas
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.
—4. Description of property: (legal description of the .property and street address if available) ZoT 27, so4ff
• 5zr.,yvCAE COO IVo
2. General description of improvement: 15 -lye e)sAE C,�
3— Owner information
a. Name and address
lr--
b. Interest in property ec-1 W it /t --
c. Name and address of fee simple titleholder
4. Contractor
a. Name and address 0 !A/Mf (L-
5.
b. Phone number _
Surety
a. Name and address
b. Phone number
c. Amount of bond
6. Lender
a. Name and address
than Owner)
Fax number
Fax number
-2--1
NIRR,I
z° b
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
b. Phone number
8. In addition to himself or herself, Owner designates
Fax number
of
713.13(1)(b), Florida Statutes. to receive a copy of the Lienor's Notice as provided in Section
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified) .
Signature of Owner
Sworn to (or affirmed) and subsc abed before me this day of aLk Cyon , 20 0 `i , by
Personally Known OR Produced Identification
Type of Identification Produced t 0\1 i
Signature of Notary Public, State of Florida
Commission Expires:
DEBBIE BLANTON
MY COMMISSION # DD 188491
February 25, 2007
Discount Assoc Co.