HomeMy WebLinkAbout519 E 1 St (2)Oct 04 05 01:41p Chuck Hensel
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CITY . of BANi'tDRD PrJtW • APPLWATION
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JobAddttas5' i Ck E FIRST S i . is >J j -j
Desaiptioe of Wot•&: IZ �, ►�i+ac>�. W t N 0 e w S
7An*. Value of Werra S
407 294-4080
�a4a.t C�
P. 1
RECENED
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ry
Permit Type. Building'-%—Ekah-al Nimbiawcai Fhtntbiag Fite SprinkiedAlatm _ Pool
EkeWW: New Service - # of AMPS AdditioWAherstiva Change of getvim pole
c ear},
Mechnnieal: REwd=W Nm -Residential ReplaceramTetnp
! New _ , (Duct layout & Eaagy Te-pc
Required)
Plumbing/ New Comtnarclal: # of Fixbucs # of Water & Sewer Lines # of Gas Lines
PlambittWNew Residenliai: # of Water Ciesets Plumbing Repair - Redden" or Gommemial
0-nPancy Type: Rasidendai N/ Coal Taduscial Tole! Square Footage:
Consaveti- TyPe # of Sloe,= � # of DweRIng Units Flood! Zmte: (FEMA latm required (brother than X)
Patel #: (Attaob PmOfe(Ownership & LnM Ikscriptim)
Owoert Name do Addrns: ��.� i f1i4 t� Q e .�
Cosuvcwr Naate & Address; M,
Pbobe &taz:,_l
goading Coowpsul
Address: R --!v
1l16rtgago header.
Address
Addrm:
Contact
h
Sftk
Phase: 1�1
Fa::
Appli cAtion is hereby made to obtain a permit to do the work and installations as wdicued. I ontify that no work or installation has commenced prior to the
isatance of a permit and that all vm* will be perfouaed to meet standards Of all laws regulating aomatructiOn in this jtuiedkdart. I und2vAnd that a
scparatg-
Permit must be secured few ELECTRICAL WORK, PLUMBING, SIGNS. WELLS, POOLS, FURNACES, BOILERS HEA
AIRCO1NDMONERS, etc. > TSS. TANKS. and
OWNER'S AFFIDAVIT: i certify that a or" fantgoiag iatmmation u acc=w MW that as work will be doac in comphucc with all Wiiirabk laws ragulnaag
comtructial and marina. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMQvCEMENT MAY RESULT N YOUR PAYLNG
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE Or COMMENCEMENT.
this UCtm l ao"t Oe t� �r is of this permit, time may be a"tiooal rentictiOns appdceble to airs pupaty that may be fmd in the public rc mess of
Y PCMIUS trQuisset from Other govaameatal entities such as warn mmageatmt districts smte a(paeies, Oa fedi rat aacueit-i
Acceptance Of Peaait is vt 'ficad" that I will aatify the Owner of the property of the requueramts da Lim Law. FS 713.
Signature of Owrte/Agent Date Stew -u �cdCaznwtwc
Agcas Date
Print Owner/Agent's NameConm=}r/A ' es e
,r
Signaram Of NotayState of Florida Oeste Stgnatee Of N
Data
Owms/Agatt is _ Prna>slly Known to Me or ID C®autovAgent is _ Personally Known w Me err
—""d1aCd Produced ID
APPLICATION APPROVED BY: Bldg;N,
mmg. (Initial & Date) Utilities -
(Initial M
(tmr;.t $ Date) f
Specisi COnditinm: ! Con►r^d ° a
�
-{
' •{ .. - Dain: l � #•� s ��s�
I hereby name and appoint• e� �--
ofL6& I to be my lawful attorney
in fact to act for me and apply to for
pest for work to be performed
at a location descn-bed as: Section Township_ Raoge
j,oG ALL S of IST S'T(t.Fss W loo Fr) -t-At '%. of S Api vN•S t- E t05)='r W
Lot _ Block Subdivision
S F VA-<- ST AbJ o N S 0i -K I q CSA- hL+A) t- 'Tu cKEk c AjDt> PO I PC
3 a ob)
Co eraEr2-.-T ^JC F/4je t s(497s : I ^ C- r
(owns ct Propa:y =d Addr=)
.I. • • J• U ' .rr/• .rl • • • •.1.• J. . wr .1 • If .1•
.......... wa
Iryr'
j1.; �... r •.f � •111
i
Swam to and -bed bcfi= me this
Dayof L�•
(=
Notary Pnbiic�m eFlodda
�.
(seal)
My Commission E*=
.
CFNRLES� HENSEL •••••••••�
Comeau DD0422M
'�
�oeda0 ftU (800)492.4254'
Florida Notary Asan., Inc
w..•......................••t r—
Seminole County Property Appraiser Get Information by Parcel Number Page 1 of I
http: //www. sepafl. org/pls/web/re_web. seminole_county_title?parcel=3 019315151400001... 10/19/2005
A
,I
DAVID JOHNSON, CFA, ASA
2 11 14 22
�~
PROPERTY
E 1ST ST
APPRAISER
SEMINOLE COUNTY FL.
,2 1: 2.414 22
...
1101E. FIRST ST
SANFCMD, FL 32771-1 468
1
`.3 1 1 J21
214A-
9
Ar.
407-665-7508
4444 a 1; 21 4444r17
2006 WORKING VALUE SUMMARY
GENERAL
Value Method: Market
Parcel Id: 30-19-31-515-1400-0010
Number of Buildings: 2
Owner: COOPERATING PARISHES INC
Depreciated Bldg Value: $4,125,002
Own/Addy: BRAM TOWERS
Depreciated EXFT Value: $12,000
Mailing Address: 519 E 1ST ST
Land Value (Market): $52,8
City,State,ZipCode: SANFORD FL 32771
$0
Land Value Ag: $0
Property Address: 519 1ST ST E SANFORD 32771
Just/Market Value: $4,189,802
Facility Name: BRAM TOWERS
Assessed Value (SOH): $4,189,802
Tax District: S3-SANFORD-WATERFRONT REDVDST
Exempt Value: $4,189,802
Exemptions: 40 -HOME FORAGED
Taxable Value: $0
Dor: 74 -HOMES FOR THE AGED/A
Tax Estimator
2005 VALUE SUMMARY
SALES
2005 Tax Bill Amount: $0
Deed Date Book Page Amount Vaclimp Qualified
2005 Taxable Value: $0
Find Sales within this DOR Code
DOES NOT INCLUDE NON -AD VALOREM
ASSESSMENTS
LEGAL DESCRIPTION
LAND
PLATS: Pick...
Land Assess Frontage Depth Land Unit Land
LEG ALL S OF 1 ST ST (LESS W 100 FT) + N
Method Units Price Value
1/2 OF ST ADJ ON S + E 105 FT OF S 1/2
SQUARE FEET 0 0 26,400 2.00 $52,800
OF VAC ST ADJ ON S BLK 14 CHAPMAN +
TUCKERS ADD PB 1 PG 24
BUILDING INFORMATION
Bid Year Gross Est. Cost
Bid Class Fixtures Stories Ext Wall Bid Value New
Num Bit SF
1 REINFORCED 1972 99 119,852 12 CONCRETE BLOCK -STUCCO - $3,928,430 $5,798,420
CO MASONRY
Subsection / Sgft OPEN PORCH FINISHED / 556
2 MASONRY 1972 10 4,749 1 CONCRETE BLOCK -STUCCO - $196,572 $317,052
P I LAS MASONRY
Subsection / Sgft OPEN PORCH FINISHED / 55
EXTRA FEATURE
Description Year Bit Units EXFT Value Est. Cost New
COMMERCIAL ASPHALT DR 2 IN 1979 32,928 $10,932 $27,330
WALKS CONIC COMM 1979 1,335 $1,068 $2,670
NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad
valorem tax purposes.
*** Ifyou recently purchased a homesteaded property your next ear's property tax will be based on Just/Market value.
http: //www. sepafl. org/pls/web/re_web. seminole_county_title?parcel=3 019315151400001... 10/19/2005
Division of Corporations
Page 1 of 2
�e w:4, ,
r
z zrro
r �r�z rr�Yc�rA MU -My
�.
Florida Non Profit
COOPERATING PARISHES, INC.
PRINCIPAL ADDRESS
519 EAST FIRST ST
SANFORD FL 32771
Changed 05/15/2000
MAILING ADDRESS
519 EAST FIRST ST
SANFORD FL 32771
Changed 05/15/2000
Document Number
FEI Number
Date Filed
714338
596247573
03/28/1968
State
Status
Effective Date
FL
ACTIVE
NONE
T ' 1 A
I%-UP—IJLUIUU YAUCHL
Name & Address
BOYD,ARLENE
639 ELWOOD STREET
DELTONA FL 32725
Address Changed: 02/24/1987
Officer/Director Detail
Name & Address Title
GOODING, KENNETH
349 CADDIE DR D
DEBARY FL 32713
NICHOLAS, MILDRED
314 SATSUMA DR D
SANFORD FL 32771
ESSLINGER, PAM
2101 HONTOON RD D
http://www. sunbiz.org/scripts/cordet.exe?a1=DETFIL&n 1=71433 8&n2=NAMFWD&n3... 10/19/2005
Division of Corporations
DELAND FL 32720
SHINNER,FRED
978 WHITEWOOD DR P
DELTONA FL 32725
ASHWOOD, DOUGLAS
808 HEMLOCK TERR V
DELTONA FL 32725
RHOADES, MARY
106 CRYSTA VIEW S D
SANFORD FL 32773
Annual Reports
Previous Filing Return to List I Next Filing
No Events
No Name History Information
Document Images
Listed below are the images available for this filing.
04/12/2005 -- ANN REP/UNIFORM BUS REP
04/19/2004 -- ANN REP/UNIFORM BUS REP
04/25/2003 -- ANN REP/UNIFORM BUS REP
03/25/2002 -- COR - ANN REP/UNIFORM BUS REP
01/24/2001 -- ANN REP/UNIFORM BUS REP
05/15/2000 -- ANN REP/UNIFORM BUS REP
02/24/1999 -- ANNUAL REPORT
02/13/1998 -- ANNUAL REPORT
02/06/1997 -- ANNUAL REPORT
01/29/1996 -- 1996 ANNUAL REPORT
Page 2 of 2
THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT
Corporaftoits Inquiry
fY Cale a-Ations.Heb" .
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Report Year
Filed Date
2003
04/25/2003
2004
04/19/2004
2005
04/12/2005
Previous Filing Return to List I Next Filing
No Events
No Name History Information
Document Images
Listed below are the images available for this filing.
04/12/2005 -- ANN REP/UNIFORM BUS REP
04/19/2004 -- ANN REP/UNIFORM BUS REP
04/25/2003 -- ANN REP/UNIFORM BUS REP
03/25/2002 -- COR - ANN REP/UNIFORM BUS REP
01/24/2001 -- ANN REP/UNIFORM BUS REP
05/15/2000 -- ANN REP/UNIFORM BUS REP
02/24/1999 -- ANNUAL REPORT
02/13/1998 -- ANNUAL REPORT
02/06/1997 -- ANNUAL REPORT
01/29/1996 -- 1996 ANNUAL REPORT
Page 2 of 2
THIS IS NOT OFFICIAL RECORD; SEE DOCUMENTS IF QUESTION OR CONFLICT
Corporaftoits Inquiry
fY Cale a-Ations.Heb" .
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da f O j�o d2 '+ �� j4 a rlCi-t S141
NOTICE OF PRODUCT CERTIFICATION
CERTIFICATION NO: NI004855/C
DATE: 02/18/02
CERTIFICATION PROGRAM: Aluminum
COMPANY: Thermo Window
CODE: T-378-1
The "Notice of Product Certification" is valid only when Administrator's Seal is applied to the upper left hand
portion of this form and a certification label is applied to the product. This certification seal represents product
conformity to the applicable specification and that all certification criteria has been satisfied.
The product described below is approved for listing in the next published issue of the Directory of Certified
Products. ,Please review, and advise NAMI immediately if data, as shown, requires corrections.
COMPANY NAME AND ADDRESS
PRODUCT DESCRIPTION
Thermo Window Industries
Series "D.H."
235 W. Martin Avenue
Double Hung Aluminum Prime Window
Longwood, FL 32750
DH/CG/1/4"GL
STP PSF
Frame: W- 4'6" Sash: W-4'3" Int -105.0
H- 610" H-211" " Ext -l05.0
SPECIFICATION PRODUCT RATING
AAMA/NWWDA 101/LS.2-97 DH -C70
Product Tested By: National Certified Testing Laboratories
Report No: NCTL-210-2664-2(Structural)
Expiration Date: June 30, 2005
Administrator's Signature: Q . QED -mow P ,�
T
NATIONAL ACCREDITATION AND
MANAGEMENT INSTITUTE, INC.
P.O. Box 366
Berkeley Springs, WV 25411
TEL: (304) 258-5100
FAX: (304) 258-5111
Thermo Window Industries
Structural Performance Test Report
NCTL 210-2664-2
Model "D.H." Aluminum
Double Hung Window (1/4" glass)
Test Date: 05/16/01
NATIONAL CERTIFIED TESTING LABORATORIES
NATIONAL CERTIFIED TESTING LABORATORIES
1464 GEMINI BOULEVARD • ORLANDO, FLORIDA 32837
PHONE (407) 240-1356 • FAX (407) 240-8882
STRUCTURAL PERFORMANCE TEST REPORT
Report No: NCTI,-210-2661-2
Test Date: 05116101
Report Date: 06/19/01
Client: Th.er•m.o Wi.n.doiv In.dust.►•ies
235 iP. Martin. Ave.
Longwood, I'h 32750
Test Specimen: Th.er'm.o iPi.n.dou% Lidust.ri.(s Model, "D.IL"Alr.irr►.i.n.rtm. Double hung Pri.nie
Window (I)II-C70).
Test Specification:.4All1:l/N11111"DA 101/.I.S.2-97, "I'�ilun.ta►� �Specificali.ons for:llunrir►iirn,
Vinyl (Pt C), and i,11ood iili.ridocvs an.d Glass Doors."
TEST SPECIMEN DESCRIPTION
General,: Th.e speci.rnen. tested was a. on.e over on.e side load aluininum. double luing prime
wirl.doic' nleasiii-iilg 5d" widex 72" Il.igh. ot,er'all. The tol) sash rrl.e(isilJ•ed 50-7/8" ic'rde by 35„
ti.igll.. Tt1.e bottom. sash. rlieasu.red 50-7/8" wide x 35-7/8". 7'h.e top daylight. ope».i.ng m.easilr•ed
48" x 32" and the bottom. daylight, opening 7►ieasure(1 18" x 30-112".. The frame Inas thermally
broken. using poured ilrelhan.e ther•n►.al barr•iels, debri.dged to 1/8". Both, sash ivere r'emorable
vi.a a single block and tackle balan.ce wi.t.hlocking till shoe located in. each..jarnb track. One (1)
inet,al, cam type sweep loch was located a.l..5" from, each, end of the lop and bottonl. ra.i.ls. 771.e
keepers were extruded onto the meeting rail, head an.d sill. A rigid parting ui.nyl ivas located at
each. jamb an.d the head. .4 plastic cap was used at, dw top of the sash. stiles. A plastic security
stop was snap -fitted at 4" from the exter'lor' meeting rail on. the top sash. stile. Th -e frame was of
double scr•e(v coped cor•n.er• construction.. The sashivas of single screw coped corner- construction,
Th.e fr•a.m.e was fin, mounted to the test buck using six (6) (#8 x 1-5/8) flat head screws.
Glazing: Bothsash were cl►aanelglazed using I/T'thi.ck annealed glass (vitll a flexible uinyl
glazing bead.
Weatherseals: A double strip of polypi.le weatherstrip (0.180") h.igh was located at, each sash.
stile. .4 single strip of cen.ter fin. cveatheistnp (0.190" high) ivas located at, the sill. A single strip
of centerfin. wea.th.erstrip (0.370" ]sigh) was located at the sill and bottom. rail. A double st►•il) of
center fin. weatherstrip ((1.370" h.igh) was located at the top rail. ,1 single strip of cen.ler• fill.
iveatherstrip (0.450"li.igh) was located at the exterior meeting rail,. A single strip of bulb vinyl,
wea.t,hei•st,rip (vas located at, th.e sill and 1n.tenor ineeti.ng rail. A polypi le adli.esi.i7e back dust. pad
(0.350"high) m.easu.ring approxi.rriately 2"x 7/ 16" was located at. each. en.d of t.lie exte►•i.or
ineeti.rlg rail.
PROFESSIONALS IN THE SCIENCE OF TESTING
V
Thermo Window Industries
2. -
NCTL-210-2664-2
Weeps: One (1) weep notch, m.easu.ri.rrg 2" leg 1reigh.t was located at each end of Me center
vertical sill leg.
Interior & Exterior Surface Finish: Brown. painted a.lu.ini.nurn..
Sealant: The frarne and sash, corners were sealed with a silicone sealant.
Screen: An insect screen. ineasuri.ng 42-314" wide by 5'O" -high was of but. -type corner
construction with nylon corner keys. 77te screen, employed fiberglass mesh cloth, with a. h.ollot.v
vinyl, spli,n.e, two (2) pull tabs and two (2) retainer springs.
TEST RESULTS
Par. No. Title of Test & 161etlrod
Aleasured
Allowed
2.2.1.6.1. Opera.ti.ng Force
0.6 % (0.003")
<I00%
Top Sash. Up
13 lbf
-15 IV
Unum.
19 lbf
45 lbf
Bottom. Sash Up
12 lbf
45 lbf
Douro.
17 lbf
45 lbf
2.2.1.6.2 Deglazing - ASTM E987
Exterior Sash
Top Rail (70 lbf)
,Ueet.ing Ra.i.l. (70 lbf)
Left Hand, Stile (50 lbf)
Right. Hand Stile (50 lbf)
Interior Sash
Meeting Rail (70 lbf)
Bottom. Rail, (70 lbf)
Left Hand. Stile (50 lbf)
Right Hand Stile (50 lbf)
2.1.2 Air Infiltration - ASTM 1;283
1.57 psf (25 mph)
2.1.3 * IVa.ter Resistance - AST161 E547
5.0 gph.7 ftf
WTP= 10.5 psf
2.1.4.2 ** Uniform. Load Str•tcctura.l. - AST11 E330
45.0 psf Exterior
45.0 psf Interior
0.6 % (0.003 ") <100%
0.4 % (0.002") <100%
1.0 % (0.005') <100%
1.4 % (0.007") <100%
0.2 % (0.001")
<100%
0.4 % (0.002")
<I00%
0.6 % (0.003")
<I00%
12.0 % (0.060")
<100"%
0.17 cfm./ft8
0.3 cfm/ft.9
No Leakage No Leakage
0.015" 0.203"
0.019 0.20.3"
Thermo Window Industries 3 _
OPHONAL PERFORMANCE
]'at-. No. Title of Test & Method pleasured
NCTL-210-266,1-2
Allowed
4.3 * Water Resistance - ASTAI E5,17
5.0 gph./ fts
IV71'= 11.25 psf No Leakage No Leakage
4.4.2 ** Un.iform. Load Structural -1 SPU T'330 Permanent Set
105.0 psf Exterior 0.109" 0.20,3"
105.0 psf 1n.terior 0.188" 0. 203"
Tested with. and uu.th.out scr(,,en.
No glass breakage or perv►ra.n.eut, damage ca.usi.r►.g the' ►►m►.i.t to be inoperable
TEST COII'LETEE) (15/ I G/01
The tested specimen tn.eets (or exceeds) the per•forrnance levels specrfied it,. 'I able 2.1 of A:lp1,11
NIVIVDA 101/I.S.2-97 for air i.r►.fi.11ra.l.i.om The listed results were secured by u.si.ng the
designated test, methods and indicate compliance uri.lh the performance requi.rernents of the
referenced specification paragraphs for 1h.e DII-C35 produce designation.
Detailed drawings were ava►:lable for laboratory retards and conr.parison to the test, speci.m.en at
the time of Ous report. A copy of this report, along with, representati.ue sections of the test
speci.m.en, will, be retained, by NCTL, for a. period of four (4) years. The results obtained apply
only to the specimen. tested. No con.clusi.ons of ai►y kind regarding the adequacy or ir►.adequacy
of the glass in the test, speci.m.en may be drawn from. this test.. 77uls report does not constitute
certification of the product which, may only be granted by a certifica.t.ion program. validator.
NATIONAL CERTIFIED TESTING LABORATORIES
DAN CONYERS
Labora.tor;y Manager
y
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`w 5 3��8 ��81� s E R, i �,� G� Y� 109®"0 i � p ^ - %,, . n� p a t-7 g Y Taft I�-� o t o
D (> C F 7d
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SU, sH- Z
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H M I I #Qsp:=6LA.
PLANS REVIEWED
MY OF SANFORD
4
r( u, A C-fr.
,5-f Rv C,Tu 9A L
MOLL 6ADZ AND
-r., ANCHOA
)A gAD : I LL
. 12:5*
THER.mo ,vn-,ZDor1i', riTC. -
:ZiS W_Mavin ivy
Lon -wood, Florida 32750
X07 tirL57�R �t c 11♦SD��wir.S
RICHARDSO�\i
i = L\7GI\LI,RI\TG
131 1ELYk STT,EE7
CALAXCO FLO'.110A 32101
(407) 425 • 4002
LIC# 00012310 IDa (1 212:1
Sw —, Ivy?
3
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-B
Ed —TYPICAL EDGF DISTAiVCF:
0
Cone & chock = 12 d ( 12 anchor Diameters )
Sd
f;
�Y
D
For lesser edge distance dccrcasc spacing br
Multiplying with the factor below
F:DGF. DIST. 12d=3^ 10d=2-1/'2" 6d=1 -L2"
FAC:folt 1.00 0.36 0.71 0.50
TYPICAL EDGF IN ROOD
B
NO RFDUCrlON FACroii IS REQUIRED
A I- P.'
WINDOW VIIDTH X
fi
TYPICAL ELEVATION
FASTENI,IZ (ANCIIOR) LOCATIONS
LOCjklJONS IN liI?AD &. SILL
A - no more than 3" from each end of hea(I &
sill rrlerllber-
LOCA'FION IN JANII3S
I3 - na more than 3" from head end or sill end
nlembers
U - no more than 10" on center
Ev
Ed —TYPICAL EDGF DISTAiVCF:
0
Cone & chock = 12 d ( 12 anchor Diameters )
Sd
FAS-I'FNFR SPACING IN MASONRY
L-1
RJ
For lesser edge distance dccrcasc spacing br
Multiplying with the factor below
F:DGF. DIST. 12d=3^ 10d=2-1/'2" 6d=1 -L2"
FAC:folt 1.00 0.36 0.71 0.50
TYPICAL EDGF IN ROOD
l
NO RFDUCrlON FACroii IS REQUIRED
ANCHOR
NOTE: Anchor, use full enilxdrncn( in concrete
Beyond the covering (stucco, tiles, cte. )
INSTALLATION INSTRUCTIONS
ttit_�c ISE—n.t'✓�z.! w,TvDoi.•'
—.'.N W00ID atnc%
t,.11N�oW
4
C'i4u LK $c'- i �J�E1,J �JOJD '
Bt-t'� � ►q�.5'Y oPEut�G I
,
SECTION Y—Y
1. Application of the window unit in wood frame construction opening
requires a minimum a # 8 pan head wood screw with a minimurn 2"
embedment into the wood framing.
2. Application of the window unit in concrete block construction opening
requires a 3/lb' DIA.ITW Tapcons with a 1-ilt embedment to block.
3. Application of the window unit in concrete construction opening
require a ,3/j�; DIA.ITW Tapcon with a 2" embedment to concrete.
C41ALK E CU ijoob b AC -K
�! I � MRS FLY oreNr N G �_
Chu LK
uINDo1a FLS -N( j.
wooD ri tc ci /1' I2 /4 „ Th PCArJ
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4
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s
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WooD 3uC
SkIMS RS P-Ei Q'D
WINDOW
SECTION Z -Z
wl"bow SE
`CC�LK KE'T-vEE- U Wl, boQlANC--c
fLE CAST S I L_L-
SECTION X -X
4- For specific location and number of fasteners for each window size refer
to detail drawing sheet # 2. CT" " tS S;f_tFsS.r)
S. All fasteners should be coated for corrosion resistance, or be stainless
steel.
-
All sealants used for installation and sealing should conform to AAMA 800-
92
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NOTICE OF COMMENCEMENCYANNE MORSE, CLERK. OF CIRCUIT COURT
THIS INSTRUMENT PREPARED BY: BK INo1 E rlU+iTlr
05963 PG 1 053
Permit No.NOME c ti�� A �sL, T °�• # `00518.34'32
State of Florida RECORDED 10/21/200 i 11:47:40 AN
County of Seminole
AD Piv. RECORDING FEES 10.00
RECfORDFD BY L McKinley
The undersigned hereby gives nonce t at unprovemrtnade 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) ;�. ►,Z I` S_4 S���eSS�'+
y W Ila. �e S► . 0 -- V 1015 af- 5161 �I=V�C, 40;x'<301& BLIL r4 CI-, E.,rc,
2. General description of improvement: ^�
3. Owner information
a. Name and address
5'r 4
b. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
a. Name and address Ytl SS , tr C1) 3�LLDc )C1 Ld1,^ pmo) \,g
�Q,('L
b. Phone number km � -IL-to ak9 / Fax number �.Ip` l _ �I C> C�
Surety
A
a. Name and address (r'PR� �rP1p [ tr'rtp�
..T�-OQTT
- .kMr. t.Y:4V!A-iA1Tl4¶fe
b. Phone ur r „uvavn. ra
c. Amount of bond
Lender
a. Name and addres,<
b. Phone number Fax 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 OCT 2- 1 0
b. Phone number Fax number
8. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the of r ording urilss a different
date is specified) `
/ /, . f
Signa e of Ownef4-z)_it 4 3o P.
Sworn to (or affirmed) and subscribed before me this day of , 20, by
Personally Known ✓ OR Produced Identification
Type of Identification Produced =�v '••••
mow.
iftwe"O° awu,� owhg�
sI L.I...&....SN3
Signature of Notary Public, to of Floe VuL V 1 ' ;
Commission Expires: `
Permit # :
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
-72 i
1wz0. 1N jrflb1
Zoning: Value of Work:
Date:
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. 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 ocher than x)
Parcel #:
Owners Name & Address: -> 0
� 1 i ( ! &-J, 5,4
Contractor Name & Address: 1 , \ OS t A t �'. 00 ,)S 1
(Attach Proof of Ownership & Legal Description)
Phone:
Ne-
State(License Number d' (0 6 -A 7
Phone & Fax: K�7 410 - o4 � I Contact Perso1ekC-�W,4 S �_ Phone:
Bonding Company: q/
Address:
Mortgage Lender: /4 A
i
Address: S
Architeet/Engineer: t ++C o S �a� C., . ; "a -c— .Ph
Phone:
Address: _B 1 a tt r, ._ �sZlh►+
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 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 erm verifi at I 'll Q1tify the o ` e of the property of the requirements of Florida Lien Law, FS 713.
tg wner/Agen Date Signature of Contractor/Agent Date
P 'nt wner/Age is Name Print Contractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date - --
Owner/A ent is Pe o all Kn wn to Me or
GNAMW
6>�ItM It�1�IZOOi C .l J
�rel�%49�4' Zoning:
°fn Florida Notary Assn. Inc (Initial &Date)
w.auu........ — ................t
Special Conditions:
Contractor/Agent is _ Personally Known to Me or
Produced ID
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)