HomeMy WebLinkAbout120 Larkwood Dr (3)Permit #
Job Address: �� r
Description of Work:
Historic District:
r--►
CITY OF SANFORD PERMIT APPLICATION
Date: /
fiV' L� G f1 �D•
L-11, I
Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS
Mechanical: Residential L---Non-Residential
Plumbing/ New Commercial: # of Fixtures
Addition/Alteration Change of Service Temporary Pole
- Replacement New (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
S(Y�_'- ler,
12-o �
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential 1_ Commercial Industrial Total Square Footage: po
Construction Type: --Z/— # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Cr e -r / �1�� L•L
Contractor Name & Address:
s YY�
��
Phone & Fax:
Bonding Company:
__0_4
Address:
Mortgage Lender:
�(
/ 1
Address:
Architect/Engineer:
(�
(Attach Proof of Ownership & Legal Description)
Phone: C/D % �` Sd ��
State License Number: C, Q
� `
Phone: Lio ' 3 a y ` ` k0b
Address: _/ ��'l T �/1 R Fax: nf+T t1 UU4 _
UUI
Application is hereby made to obtaina permit to do the work and installations as indicated. I certify tha4 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 jun dict�ion.T�I er , tHa a sepi" ate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES BOIL Yl N tfU
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will lie done in +o 'attewith 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 FINANCINd, 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 perm. venfication that [will notify the owner of the property of the req
Signature of OW�r/Agent. Date
Prin w ent's me f_
0
ture -St e o Florida Date
ONI'3JNVenSNINIV3A04inIH1U34N08 ,.�p`.•••.�
90OZ `tZ lagwaldaS
SRIV3 ISZ 100 # NOISSI INW AN * ,
I-' W. p10i1!IJ -H
Owner/Agent is _ Personal 'nown to 'Md br
duced ID
APPLICATION APPROVED BY: BldeiG� ��� t Zoning:
(Initial & Date)
Special Conditions:
uirements ofFlo 'da L' n Law, FS T3.
Signature of C ntracto gent *Dae
Print Contractor/Agent's Name-
( Ic7'L `1'v�L
S.ig ature of Notpof F 8 ' M. JOHNSON Date
* \ ' MY COMMISSION # DO 285622
'x= E,XPIRPS; March 23, 2008
(Initial & Date)
Produced ID
Utilities:
FD:
(Initial & Date) (Initial & Date)
`�
PLAT OF IVEY FOR SHOEMAKER CONSTRUP ON CWPAXY
SEMINOLE COUNTY FLORIDA
DESCRIFT16N
toy
So BLOCK 8,, IOYLLWILDE or LocH Awsom SecTion FoT*t ACCOR01016 TO THE I
THEREOF At *90OR010 IN PLAT BOOK 169 PAGES 99 AND 100 Of THE PUBLIC ACCOW
orltmeNOLK COUNTYP F'LomiOA.
SURVEYOR #$ CERT WICATS
THIS 18 TO C94TIFY TWA? THE UNOCNGIONC09 SCINS A 09448T9490 LAND SURVEYS*
HAS COMPLETCO THE SURVEY Of THE AGOVE 0980*1990 POOPIRNTY AND TO THE 9967
MY 900OWL190SE THE PLAT HIRION DELINEATED 19 A TftV4 AN* CORRECT *gP*9090yky
Of THE SAME,
A. C. DOWNEY SU III:
A. C. DOWNEY. R Of RI 0 LA*O SURVEYOR AO.' 073
yyK
FounDATiOil SURVEY
PLANS REVIEWED
CITY OF SANFORD,
ZX Z
f �f
T
SCREEN, ACRYLIC & VINYL ROOMS SECTION 3A
INTERIOR BEAM (SEE TABLES
3A.13) HOST STRUCTURE OR
FOURTH WALL FRAME
PANS OR PANELS
HALUMINUM ROOF SYSTEM
PER SECTION 7
CARRIER BEAM POST
T -NO -AL -SLOPED -SOLID RO F -ENCLOSURE
SCALE: N.T.S.
ALUMINUM ROOF $YSTEM ST STRUCTURE OR
PER SECTION 7 FOURTH WALL FRAME
USE BEAM TO WALL DET11-
RIDGE BEAM (SEE 7ABLES
3A.1.4)
TYPICAL GABLE SOLID R0 -GF ENCLOSURE
7
SCALE.- N.T.S."
Lawrence E. Benneft, P.E. FL # 16644
coviL ENGINEER - DEVELOPMENT CONSULTANT
P.O. BOX 214368, SOUTH DAYTONA, FL 32121
TELEPHONE; (386) 767-4774
FAX: (386) 767-6558
PAGE
COPYROW n" P.E. 3A-1
NOT TO BE REPRODUCEIN WHOLE OR IN PART WITHOUT THE WRITTEN PERMISSION OF LAWRENCE E. SENNETT
SECTION 7 SOLID ROOF PANEL PRODUCTS4'
COMPOSITE ROOF ANCHORING DETAILS �
#8 x 1/2" S SPACED
EXISTING TRUSS OR RA @ 8" O.C.
OT
SIDES CAULK
ALL EXP ED SCREW HEADS
#10 x 1-1/2" S.M,S. 0 WOOD j
WOOD SCBE 2) PER
RAFTER OR TR SS TAIL lii l i
}may.'
., ....... II
N "�...... •. I
woaa
SCREW SPACED 01 " O.C. :, �'-- R F PANEL
F-XISTING HOST STRUCTURE
WOOD FRAME, MASONRY OR
OTHER CONSTRUCTION
FOR MASONRY USE
1/4"x 1-1/4" MASONRY
NCHOR OR EQUAL Q 24" O.C.
FOR WOOD USE #10 x 1-1/2"
S.M.S. OR WOOD SCREWS Q
%
12" O.C.
TO FASCIA DETAIL
#8 x 1/2" IM.S. SPACED
@8" O.C. DOTH SIDES CAULK
ALL EXPO $ED SCREW HEADS
ROOF PANEL TO WALL DETAIL
SCALE: 3"= 1'-0"
WOOD STRUCTURES SHOULD CONNECT TO TRUSS BUTTS OR THE SUB -FASCIA FRA4iNG WHERE
POSSIBLE ONLY. 15% OF SCREWS CAN BE OUTSIDE THE TRUSS BUTTS. SUB -FASCIA ND THOSE AREAS
SHALL HAVE DOUBLE ANCHORS, ALL SCREWS INTO THE HOST STRUCTURE SHALL H*E MINIMUM 1-1/4"
WASHERS OR SHALL BE WASHER HEADED SCREWS.
HEADER INSIDE DIMENSION SHALL BE EQUAL TO PANEL OR PAN'S DEPTH "t". THE Wil L THICKNESS
SHALL BE THE THICKNESS OF THE ALUMINUM PAN OR COMPOSITE PANEL WALL THI NESS. HEADERS
SHALL BE ANCHORED TO THE HOST STRUCTURE WITH ANCHORS APPROPRIATE FOR HE MATERIAL
CONNECTED TO. THE ANCHORS DETAILED ABOVE ARE BASED ON A LOAD FROM 120.P.H. FOR SBC
SECTION 1606 FOR A MAXIMUM POSSIBLE SPAN OF THE ROOF PANEL FROM THE HO, STRUCTURE.
ANCHORS BASED ON 120 MPH WIND VELOCITY. FOR HIGHER WIND ZONES USE THE F$LLOWING
CONVERSION: `
i
100-123 i30 _140-1150
#8 #10 #12 #12
is
Lawrence E. Bennett, P.E. FL # 16644
CIVIL ENGINEER - DEVELOPMENT CONSULTANT
P.O. BOX 214388, SOUTH DAYTONA, FL 32121
TELEPHONE: (386) 7674774
FFAX; (386) 787.8356
PAGE
(•) COPYRIGHT M4
y
.4 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT THE WRITTEN PERMISSION OF LAWREN* E. BENNETT, P.E.
lit .It C�
UNIFORM LOAD
A B
i GLE SPAWCANTILEVEF
U N I FSA?—''
A B C
2 SPAN
A
UNIFORM LOAD
SECTION 313
UNIFORM6
A B
1 OR SINGU SPAN
UNIFORK41OAD
0
C
3S N
i
X
A B C D E
4 SPAN
NOTES:
1) l = Span Length
a = Overhang Length
2) Ali spans fisted in the tables are for equally spaced distances between supports 4'r anchor points.
3) Hollow extrusions shall not be spliced.
4) Single span beams shali only be spliced at the quarter points and splices shall ti staggered.
SPAM EXAMPLES FOR SECTION 3 TAPLAS
-- — SCALA' N.T.S.
Lawrence E. Bet;�nett, P.E. FL # 96644
CIVIL ENGINEER•T�;301!1)
ELOPMENT CONSULTRIJT
P.Q. BOX 214366UTH DAYTONA, FL 32121
TELIEPH: (386) 767.4774
FAX767
PAGE
C) COPYRIGHT 2004p
NOT TO BE REPRODUCED IN WHOLE OR IN CART WITHOUT THE WRITTEN PERAISSION OF LAWRENCE E. BENI�i T, P.E. �®��y
d
SECTION 3A
EDGE BEAM
I" x 2" OPEN BACK ATTACHED
TO FRONT POST W/
#10 x 1-1/2" S.M.S. MAX, 6"
FROM EACH END OF POST
AND 24" O.C.
FRONT WALL GIRT
1" x 2" OPEN BACK ATTACHED
TO FRONT POST W1
410 x 1-112" S.M.S. MAX. 6"
FROM EACH END OF POST
AND 24* O.C.
SCREEN, ACRYLIC & VINYL ROOMS
ALTERNAtE CONNECTION:
1 1µ4l2" S.M.S.
THROUGH SPLINE GROOVES
WE WA1. HEADER
kTTACHEQ TO 1"x 2" OPEN
SACK W/ MIN. (2) #10 x 1-112"
3.MZ.
IDE WALL GlIRT ATTACHED 7
I x 2' OPEN BACK W1 MIN. (3)
10 x 1-11;x" S.M.S. IN SCREW
OSSES
FRONT AND SIDE BOTTOM
RAILS ATTACHED TO
JAM -5 41A-
vlll%�mr_ 11 v- VVI I X. -
,ONCRETE/MASONRY
,NCHOR$ @ 6* FROM EACH
OST AND 24" O.C. MAX. AND
VALLS MIN. 1" FROM EDGE OF
;ONCRET-E
TYPICAL & ALTERNATE CORNER DETAIL
SCALE: 3"= l' -O*
Lawrence E. Bennett, P.E. FL # 166"
CIVIL ENGINEER - DEVELOPMENT CONSULTANT
P.O. BOX 214M. SOUTH DAYTONA, FL 32121
TELEPHONE: (386)7874r/4
FAX: (386) 7676566
PAGE t Q COPYRIGHT2W
3A-6 NOT TO BE REPRODUCED IN WHOLE OR IN PARI WITHOUT THE WRITTFN PERMISSION OF LAWRENCE E. BENNETT, P.E.
SCREEN, ACRYLIC & VINYL ROODS
COMPOSITE ROOF PANELS:
(4)1 /4" x 4" LAG BOLTS W/
1-1/4" FENDER WASHERS PER
4'-0" PANEL ACROSS THE
FRONT AND 24" O.C. ALONG
SIDES
2" x 2" OR 2" x 3" HOLLOW
GIRT AND KICK PLATE 2" x 2"
HOLLOW RAIL
POST ATTACHED TO BOTTOM
W/ MIN. (3) #10 x 1-1/2"
S.M.S. IN SCREW BOSSES
SECTION 3A
RISER PANELS ATTACHED
CHAPTER 7
TYPICAL UPRIGHT
^ DETAIL
SCALE: 3" = 1'-0"
HEADER ATTACHED TO POST
WA MIN. (3) #10 x 1-1/2" S.M.S.
IN $CREW BOSSES
2"x2",2"x3"OR3"x2"
HOLLOW (SEE SPAN TABLES)
FOR SNAP EXTRUSIONS GIRT
ATTACHED TO POST WITH
MIN. (3) #10 x 1/2" S.M.S. IN
SCREW BOSSES
1" x 2" OPEN BACK BOTTOM
RAIL
1/4"x 2-1/4" MASONRY
ANCHOR @ 6" FROM EACH
POST AND 24" O.C. (MAX.)
Lawrence E. Bennett, P.E. PL # 15644
CIVIL ENGINEER - 09VELOPMENT CONSULTANT'
P.O. BOX 214368, SOUTH DAYTONA, FL 32i2t
TELEPHOO: (386)767.4774
FAX: ON) 767-&.566
PARE
Q COPYRIGHT 7004
NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT THE WRITTEN PERMISSION OF LAWRENCE E. BENNM, P.E. 3A-7
10
SOLID ROOF PANEL PRqqUC.TS SECTION 7
25
Table 7.3.6 Allowable Spans for"24"_PRO=FA19 Composite Pa&ieis
w/ EZ -LOCK for Various
Metals USA Building Products L.P.
Proprietary Products: Aluminum Alloy 3105 H-14 or H-25 Foam Coro E.P.S. 01 Density
3"x48" x 0.024, Roof Panel w/ EZ -LACK
Wind
Region
Upon Structures
Mono -Sloped Roof
1&2 3 4
span span span
crapn R
& Afta-EW Covers
1&2 3 4
span span span
Glass 8 Modular 1166ma
Enclosed
182 3 4
span span q0an
Overhang f
Cantilever
All
Roofs
100 MPH
21'-4"
23'-10"
23'-0"
274"
22'-9"
21'-11"
15-1"
17'-9"
1 -3"
4'-0"
110 MPH
21'-4"'
23'-10"
23'-0"-
B"
20'-11"
20'-2"
13'-9"
15'-4"
1 10"
4'-0"
o WIN
20'-4"
22'-9"
21'-11
17'- 0
19'-5"
18'-10"
12'-6"
13'-11"
1 ' 6"
4'-0"
123 MPH
19'-6"
21'-10"
21'-1"
15'.fit"
18'-11"
18'-3"
11'-8"
13'-8"
1 '-2"
4'-0"
130 MPH
18'-0"
20'-2"
19-5"
15'-1"
17'-9"
16-3"
11'-1"
12'-11"
1 '-6"
4'-0"
140 MPH
12'4"
13'-9"
13'-3"
12'-4"
13'-9"
13'-3"
10'-3"
1 11'-6"
1
4'-0"
150 MPH 1
12'-4"
13'-9"
13'-3"
12'4"
13'-9"
13'-3"
9'-6"
12'-4"
1 '-4"
4'-0"
Wind
Region
-^Open Structures ! --
Mon 451opvd Roof
1&Z 3 4
span span span
Screen Rooms
& Attached Covers
1&2 3 4
span span span
Glass & Modular R
Enclosed
182 3 4
span span span
Overhang I
Cantilever
All
Roofs
100 MPH
23'-5"
26'-2"
25'••3"
22'-3"
24'-11"
24'-1"
17'-5"
19'-6"
1-10'
4'-0"
110 MPH
23'-5"
26'-2"
25'-3"
20'-6"
22'-11"
22-2"
15'-1"
18'-0"
'-5"
4'-0"
120 MPH
22'-3"
24'-11"
24'-1"
19'-l"
21'-4"
20'-7"
131•9"
1 VA"
1 -10"
4'-0"
123 MPH
21'-5"
23'-11"
23'-2"
18'-6"
20'-9"
20'-0"
13'-5"
14'-11"
14'-6"
4'-0"
130 MPH
19'-9"
22'-1"
21'-4"
17'-5'
19'-6"
18'-10"
12'-8"
14'-2'
1 '-8"
4'-0"
140 MPH
13'-6"
15'-1"
14'-7"
6"
15'-1"
14'-7'
11'-3"
13'-3"
1 '-9"
4'-0"
150 MPH
13' 6"
15' 1"
14'-7"
6"
E
15'-'1"
14'-7"
10'-5"
12'-4"
1 '-4"
4'-0"
Wind
Region
-- Open Structures
Mon -Sloped Roof
1&2 3 4
span span span
Screen Rooms
& Attached Covers
1&2 3 4
span span span
Glass & Modular
Enclosed
1&1 3
span span
ms
4
ppan
Ovsrhang I
Cantilever
All
Roofs
100 MPH
26'-5"
29'-6"
28'-6"
25'-2"
28'-1"
27'-2"
19'-8"
21'-11"
21'-3"
4'-0"
110 MPH
26'-5"
29'-6"
28'-6"
23'-2"
25'-10"
24'-11"
18'-2"
2.0'4"
1 '-8"
4'-0"
120 MPH
26-2"
28'-1"
27'-2"
21'-6"
24'-1"23'•.3"
-8
2 "
15'-6"
18'-8"
113'-0"
4'-0"
123 MPH
24'-2"
27'-0"
26'-1"
20'-11"
23'-5"
22'-7"
15'-1"
1 18'-1"
1t-6"
4'-0"
130 MPH
22'•4"
24'-11"
24'-1"
19'-8"
21'-11"
21'-3"14'-1"
15'-9"
15'-11"
16'-5"
4'-0"
140 MPH
15'-3"
17'-0"
16'-5"
15'-3"
17'-0"
16'-5"
13'-0"
14'-11"
14'-5"
4'.07-
'-0"16'-5"
i soMPH
18'-9"
-78"77-7-87-2--
16'-5"
15'-3"
17'-0"
16-5"
12'-5"
13'-11"
1E'-5"
4'-0"
V A -
Wind
Region
Open Structures
Mon -Sloped Roof
1&2 3 4
span span span
Screen Rooms
& Attached Covers
1&2 3 4
span span span
Glass & Modular
Enclosed
1&2 3
span span
a
4
open
Overhang I
Cantilever
All
Roofs
100 MPH
29'-1"
32'-6'
31'-5"
27'-8"
30'-11"
29'-11"
21'-8"
24'_3"
•5"
110 MPH
29'-1"
32'-6"
31'-5"
25'-0"
28'-6"
27'-6"
20'-1"
22'-5"
21'-8"
4'-0"
27'
-11"
2W-1 1
23'-
-6
-8
2 "
1 - "
20'-7"
-1
123 MPH
26'-8"
29'-9"
28'-9"
23'-1"
1 25'-9"
24'-11"
710"
19'-11"
19'-3"
4'-0"
130 MPH
24'-7'
276"
26'-6"
21'-8"
24'.3'
23'-5"
15'-9"
18'-9"
2"
4'-0"
140 MPH
16'-9'
18'-9"
18'-2'
16'-9'
18'-9"
18'-2"
14'-9"
1777
-11'
4'-0-
' -0"1s0
i soMPH
18'-9"
-78"77-7-87-2--
16'-9"
18'-9"
18'-2"
13'-8"
1574"
Note: Total roor panel wwm o room slat" , wall w-1- „m
MUM
08 TM Lawrence E. Bennett, P.E. FL # 16644
Building P r ®d u c t S L. P. CIVIL ENGINEER - 01VE10PMENT CONSULTANT
7815 American way, Groveland, FL 34736 P.O. BOX TELEFHLEPH, SOUTH DAYT FL 32121
O101:: (3881787.447777 4
TEL: (352) 787-7766 x202 FAX: (352) 429-1011 FAX: 1388) 1876556
TOLL FREE: 1-800-342 9077 bkaufmann®matalsusa.cam
PAGE
® COPYRIGHT 2004
NOT TO BE REPROOUCEO IN WHOLE OR IN PART WITHOUT THE WRITTEN PERMISS014 OF LAWRENCE E. BENNETT, F.E. 7�
3A
1/4" x 6" RAWL TAPPER
THROUGH 1"x 2" AND ROW
LOCK INTO FIRST COURSE OF
BRICKS
ALTERNATE CONNECTION OF
SCREENED ENCLOSURE FOR
BRICK OR OTHER NOW
STRUCTURAL KNEE WALL
1" WIDE x 0.063" THICK STRAP
@ EACH POST FROM POST TO
FOOTING W/ (2) #10 x 3/4"
S.M.S. STRAP TO POST AND
(1) 1/4" x 1-3/4" TAPCON TO
SLAB OR FOOTING
2'-0" MIN. —
BEFORE SLOPE I
I
SCREEN, ACRYLIC & VINYL ROOM$
L AND FOl NDNT1ON FOR
SCALE: 3/4" = V-0"
3-112" (TYP. (1) #5 BAR CONT.
ALL SLABS) �--
wflvlTYPE I C TYPE II
FLAT SL E / NO FOOTING MODERATE SLOPE FOOTING
2"/ 12"- 1'-10"
ALUMINUM FRAME SCREEN
WALL
ROW LOCA
BRICK KNE�WALL TYPE S
MORTAR REQUIRED FOR
LOAD BEARING BRICK WALL
4" (NOMINAL) PATIO
CONCRETE SLAB (SEE NOTES
CONCERNIING FIBER MESH)
(1) #5 0 BARS W/ 3" COVER
(TYPICAL)
W
4" MIN.
42) #5 BAR CONT..
TYPE III
STEEP S.LOPE FOOTING
> V-10"
Notes:
1. The foundations shown are based on a minimum soil bearing pressure of 1,500 psf. Beating capacity of soil
shall be verified, prior to placing the slab, by field soil test or a soil testing lab.
2. The slab / foundation shall be cleared of debris, roots, and compacted prior to placement of concrete.
3. No footing other than 3-1/2" (4" nominal) slab is required except when addressing erosion until the projection
from the host structure of the carport or patio cover exceeds 20'-0". Then a minimum of a Type II footing is
required. All slabs shall be 3-1/2" (4" nominal) thick.
4. Monolithic slabs and footings shall be minimum 2,500 psi concrete with 6 x 6 -10 x 10 welded wire mesh or
crack control fiber mesh: Fibennesh o Mesh. InForceT'O e3T"A (Formerly Fibermesh MD) per maufacturer's
specification may be used in lieu of wire mesh.
5. If local building codes require a minimum footing use Type II footing or footing section required by local
code. Local code governs.
(See additional detail for structures located in Orange County, FL)
6. If a carrier beam or fourth wall frame is required use a Type II footing minimum.
SLAB -FOOTING DETAILS
r SCALE: 3/4"= V-0"
Lawrence E. Bennett, P.E. FL # 16644
CIVIL ENGINEER - oEVEL oPMENT coNstA rANT
F.O. BOX 214398, SOUTH DAYTONA, FL 32121
TELEPHONE: (386) 7674774
FAX: (386) 767-6558
PAGE
y CO COPYRIGHT 2804
3A -3g NOT To BE REPRODUCED IN WHOLE OR IN PART WITHOUT THE WRITTEN PERMISSION OF LAWRENCE E. BENNETT, P.E.
Permit Number- MARYFINNE MORSE, CLERK OF CIRCUIT CWRT
Parcel. identification Number SEMINOLE CWNTY
AK 05499 PG 0560
� CLERK
Prepared by: r ` o i er/ ,
„ S tt 2004167799
?_� RECORDED 10/29/M 1200157 PM
RECORDING FEES 10.00
773 RECORDED BY 8 01 Kelley
Return to:
Fy
ot. rte- rY s;l yr,�ar1E: MORSi
NOTICE OF COMMENCEMENT r.'i <>r::;r "' . c;utjpq
State of —�
O � / cif.... _.:.-......�..- _...�..
County of OCT 2 .:9'., 2004
The undersigned hereby gives notice that Improvement(s) 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.
1. Description of property (legal description of the property, and street address if available)
J;2 77/
2. General description of Improvement(s)
e / '
Q�G�Glit o •- e Oil x/tea a
3. Owner information
Name oi7T,-n
Tele hone Number
Address C/ Z OFax Number
Interest in Property:
4. Fee Simple Title Holder (if other than owner shown above)
Name -4 Telephone Number
Address Fax Number
5. Contractor
Name �' 4X`"'� LN Telephone Number ,107 �� `� 9 96 0
Address -S5�� -_ ._� 5/ O 7 Pd�
FaxNumber----
J.a 77Y
6. Surety (if any)
Name .�✓//1 Telephone'Number
Address Fax Number . /
Amount of bond $
Lender(if any) N/,4
Name Telephone Number
Address Fax Number
Persons within. the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by §713.13(1)(a)7., Florida Statutes.
Name _11 A Telephone Number
Address Fax Number
9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as
provided ink3(1)(b)orida Statutes. 9 y 6
Name /Telephone Number y10
Address Fax Number Y,9 7 3�a 039
ti Al 3� 77Y
10. Expiration date of notice of commencement (the expiration date is one year from the date of recording
unless a different date is specified):
idnf //1, � . 4 ���E . -I :Z— �
Date Signed Signature Qf Owner Note: per §713.13(1)(g), "owner
must sign ...and no one else may be permitted to sign in
j
his or her stead."
Swonr to and subscribed before me this �y of �._ 200* by
who is personally nown to me OR produced
as identification.
S' 0-
Vncodirlal seal to appear Blow)
h•^^"'Y" R Clifford Miller
YCOM ISSION;r DD129751 EXPIRES
'•c•a> September 14, 1006
BONDED TNRU TROY WM INSURANCE. INC
Form Revised: 12100 for 19_ to 20_