HomeMy WebLinkAbout204 W 18 St (2)CITY OF SANFORD PERMIT APPLICATION
v
a' Permit # :_ 0 j 3 c l( Date: 0
Job Address: OILSA W I t "- SAI_
Description of Work: h'LS (,utr,tp(y t I tom
Historic District: Zoning: Value of Work: S %Aql 0 • GO
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 Wateslsittsets 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 q: 36 ^ V 1 — ao - n(p — occie — Q's y 0 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: * / w /ties.. , g
Phone:
Contractor Name & Address:
v Pot. AL State License Number: 06C.4• 14 k I i -•
Phone & Fax: 401 1 4 S L Contact person: I' Phone• aao, L to 4 47ZF i Bonding
Company: g2 05 • :• V
Address: _
i,Y -- /• Mortgage
Lender: :: i.• '•''.' Address:
Arcbitect/
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 my 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 permit is verification that I '11 notify the owner of the pro of the requirements of Florida Lien Law, FS 713. 3
i%v 314fl or Signature
Owner/Agent Date Signatur fContractor/Agent Date CRY5M
L Fi=- P_WkE aOA Print
Owner/Agent's Name at Contractor/Agent's ame Q
0 Signature
of Notary -Star lorida Date tgnaTure of Notary-Sta a of logd_ 11 a
a =
a
tiOlINl1/seuldx3 4V . zt
wT ooe 'i lr.t,4" wner/Agent is tdally Known to Me or Contractor/Agent is _ Personally Known to Me or c _ Produced
I APPLICATION APPROVED
BY: Bld 2 Zoning: Initial & Date)
Special Conditions:
Utilities: FD:
Initial & Date) (
initial & Date) (Initial & Date) J
Architectural Testing
A,
11 July 2002
Mr. Marsh Fernbaugh, Director of Testing
Alside, Window Company
3773 State Road PERMITAlaon, Ohio 44309-1365
V.
OFFICE.
RE: Wood Installation of 0601/0631 Double Hung Window, 3' 8" by 6' 5"
Dear Mr. Fernbaugh: PLANS REVIEWED
CITY OF SANFORD
At your request, I have performed ap installation fastener analyses into wood
framed walls for Alside double hung windows, Model 0601/0631. The testing of the
actual windows was done under ATI project 01-32348.03 and 01-32348.04. The tests
determined that a 3' 8" r de by 6' 5" high window has an allowable design wind pressure
D.P.) of 40.0 psf.
To provide this D.P. in a wood framed wall requires 6, #8 screws, each 0.164" in
diameter. There should be 3 screws through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The 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. The supporting wood framing can be Southern Pine,
Douglas Fir, Hem -Fir, or Spruce -Pine -Fir. If there are any questions about this analyses,
please advise me.
ANR:am I
cc: 01-41462.02
01-32348
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
Sincerely yours,
ARCHITECTURAL TESTING, INC.
Allen.N. Reeves, P.E.
Director — Engineering Services
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Overview Product Search Organization Product
Searcn Application
User: Public User -Not Associated with Organization -
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Date Submitted:
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Address/Phone/email:
Technical Representative:
Technical Representative
Address/Phone/email:
Category:
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Evaluation Method:
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Need Help
FL1233
1126/2003
Alside, Inc., Division of AM
3773 State Road
Cuyahoga Falls, OH 44223
Marsh Fembaugh
3773 State Road
Cuyahoga Falls, OH 44281
mfembaugh@alside.com
Windows
Double Hung
Certification Mark or Listing
Section Standard Year
1707.4.2.1 ANSUAAMA/NWDA 1997
101 IS-2
American Architectural Manufacturers
Association
Marsh Fembaugh
mfembaugh@alside.com
Method 1 Option A
http://www:floridabuilding.org/pr/pr det1.asp?IPT=1'233&fm=R0Srch - - 7/2004
r _ _G ... -t = . _ter`'
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Application Status: Approved
Date Validated: 11/26/2003
Page: F— Page I / 1
Can
4.=
pp/Seq Product Model # or Name Model Description Limits of Use
Replacement: 0601:52x84 DP25,44x77
2x84 DP25, 4407% VP35,44x60 DP55
P35, 44x60 DP55 0),40x60 DP55
1233.2 601 60), 40x60 0),36x72 DP55
P55 (+/-70), 5),52x61 " C" package
6x72 DP55 +/-65 P35 +36/-50
0601:52x84 DP25,44x77
cemeReplacement: P35,44x60 DP55 (+/-
2x61 (+36/- 0),40x6O DP55 (+/-
1233.1 601 0 ; 3 cam
locks/keepers, "DP"
0),36x72 DP55 (+1-
5),52x61 " C" package
It latch w/"H Key" P35 +36/-50
ice. i:°SESs.''Sii.7"—''+'SL&'af^ "'"'+" ,r,cs•• -
r,+;?3PZi4'".,'A 1'e7A.afil3jtiC«'.'2'..a"`'-f
Aft
Copyright and Disclaimer; 02000 The State of Florida. All rights reserved.
flnrdal,,,;l lina.nrQbr/ur detl.asu?IPT=1233&fm=ROSrch
sa
7/23/2004
i
ASTM E 330-97 TEST REPORT
Rendered to:
ALSIDE WINDOW COMPANY
SERIES/MODEL: 0601/0631
TYPE: PVC Double Hung Window
Title Summau of Results
Positive Design Wind Load Pressure 36 psf
Negative Design Wind Load Pressure 50 Psf
Positive Structural Test Pressure 54 psf
Nipalive Structural Test Pressure 75 ps Reference
should be made to ATI Report No. 05-30390.01 for complete test specimen description
and data.
rchltectural Testing /
ASTM E 330-97 TEST REPORT
Rendered to:
ALSIDE WINDOW COMPANY
3773 State Road
Cuyahoga Falls, Ohio 44223
Report No: 05-30390.01
Test Date: 0/08/02
Report Date: 07/08/02
Expiration Date: 05/08/06
Project Summary' Architectural Testing, Inc. (ATI) was contracted by Alside Window
Company to perform tests on a Series/Model 0601/0631, PVC double hung window at their
facility in Cuyahoga Falls, Ohio. Test specimen description and results are reported herein.
Test Specification: The test specimen was evaluated in accordance with ASTM E 330-97, Test
Method for Structural Performance of Exterior. Windows, Curtain Walls and Doors by Uniform
Static Air Pressure Difference.
Test Specimen Description:
Series/Model: 0601/0631
Type: Poly Vinyl Chloride (PVC) Double Hung Window
Overall Size: 4' 4" wide by 5' 1" high
Bottom Sash Size: 4' 0-3/4" wide by 2' 5-9/16" high
Top Sash Size: 3' 11-3/4" wide by 2' 4-9/16" high
Finish: All vinyl was white.
Glazing Details: The sash were glazed using 13/16" thick insulating glass fabricated from
two sheets of double -strength glass, 1/8" thick each, separated by a metal spacer system.
The glass was set from the interior against a double -sided adhesive tape and secured with .
snap -in vinyl glazing beads.
130 Derry Court
York, PA 17402-9405
phone: 717.764, 7700
fax: 717.764.4129
www.archtest.com'--
r
1,05-30390A1
Page 2 of 4 +
Test Specimen Description: (Continuet)
Frame Construction: The PVC frame was of mitered and welded corner construction. _
Snap -in PVC adapters were located at the head and sill.
Sash Construction: The PVC sash were of mitered and.welded comer construction.
Weatherstripping:
DescriRtiO Ouanti Location•
0.1.50" high by 0.187" 1 . Row Bottom rail exterior side, lock rail
backed pile with center fin
0.240" high by 0.187" 3 Rows Top sash stiles, top rail
backed pile with center fin
0.240" high.by 0.187" 2 Rows Bottom sash stiles, bottom rail
backed pile with center fin
0.240" high by 0.187" 1 Row Head and sill inserts
backed pile with center fin
0.350" high by 0.187" 1 Row Bottom sash stiles, exterior side;
backed pile with center fin exterior meeting rail
Closed cell foam pad 2 Each comer of the sill at the exterior
jamb track
Drainage:
Description
7/8" wide by 1/8" high
weephole with weep cover
1/2" wide by 1/4" deep
weepslot
1" wide by 3/16" high
weephole
3/8" wile by 1/4" deep
weephole
5/8" wide by 1/8" high weephole
uanti Location
2 5" from each end of exterior sill.
face, draining the sill hollow.
4 Each end of interior sill track
2 Sill intermediate vertical wall,
draining the interior sill hollow
4 1-1/2" from each end of bottom rail
and exterior meeting rail glazing
channel
4 Each end of sill screen tracks
05-30390.01 r-•
Page 3 of 4
c
Test Specimen Description: (ContinAl)
Hardware:
DescriRtio Ouanti Location
Metal sweep cam lock 3 Interior meeting rail, one & 12" from
and keeper each end*and at midspan, with metal
keepers on the exterior meeting rail
Plastic spring -loaded tilt latch 2 Top comers of the top sash
DP" plastic spring -loaded 2 Top comers of bottom sash engaging
tilt latch (recess mounted, fixed "H Key" metal brackets applied to
with two screws per latch) the interior jamb track
Metal pivot bars 4 Bottom comers of each sash
Coil balance system 4 One per each jamb track
PVC sash stops 4 Top and bottom of each jamb track
Reinforcement: The interior meeting rail was reinforced with a rectangular shaped formed
steel measuring 0.680" x 0.715" x 0.050" (reference drawing #UY008812). The exterior
meeting rail and top sash stiles were reinforced with a rectangular shaped formed steel,
measuring 0.635" x 0.265" x 0.050" (reference drawing #UY007812). The bottom sash
stiles were reinforced with a rectangular shaped formed steel, measuring 0.650" x 0.450"
x 0.046" (reference drawing #UY008812).
Installation: The window .was installed into a 2 x 10 wooden test buck constructed of
Spruce -Pine -Fir construction grade lumber. The unit was fastened to the test buck with six
8 x 2-1/2" long screws, one each at the top, bottom, and midspan of each jamb. The unit
was sealed to the test buck * at the interior and exterior perimeter with a silicone caulking,
with the exception of an approximate 4" long void at each interior sill comer.
R
t ,, r" z'",z ram• ''?a r F-_03-30390.01
i.tCy • ; ti£r_,Y x *`
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Test Results: -.._ . P
The results are tabulated as follows: --
Title of Test Results
Uniform Load Deflection
Measurements reported were taken on the meeting rail)
loads were held for 52 seconds)
36.0 psf (positive) 0.74"*
50.0 psf (negative) 0.8811*
Exceeds L/175 for deflection.
Uniform Load Structural
Measurements reported were taken on the meeting rail)
loads were held for 10 seconds)
54.0 psf (positive) 0.07"
75.0 psf (negative) 0.18"
0
Allowed
0.27" max.
0.27" max.
0.19" max.
0.19" max.
Detailed drawings, representative samples of the test specimen, and a copy of this report will be
retained by ATI for a period of four years. The above results were secured by using the
designated test methods and they indicate compliance with the performance requirements of the
above referenced specification. This report does not. constitute certification of this product,
which may only be granted by the certification program administrator. This report may not be
reproduced except in full without the approval of Architectural Testing.
For ARCHITECTURAL TESTING, INC:
i
Digitally signed by Lynn George.
Lynn George
Project Manager
LG:nlb
05-30390.01
R
a, .77, /fL - -
Allen N. Reeves, P.E.
Director - Engineering Services
2s" 'ZOdZ
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A -
I4— Z DOCUMENT
CONTROL ADDENDUM #05-30390.00 Current
Issue Date: 07/08/d-:`-- Report
No.: 05-30390.01 Requested
by: Marsh Fernbaugh, Alside Window Company Purpose:
ASTM E 330 testing of a Series/Model 0601/0631, PVC double hung window.
Issued
Date: 07/08/02 Comments:'
Florida P.E. seal required on report. I
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or-
11b terrioer'
balances
AW DIAMCM TAPCai
vnmav
SOLID SHIN OR DLOCKM 41
41
3/16' DUIETER TAPCM VITH A SOLID NASMWNDDMMOf1-1/4' PENETRAT101
DID NASOM (TYPICAL)
YHaRIZONTAl
is7•'• a;:` .' plea
SECTION
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Notes The fasteners shown In these two views (6 Total per wk-40w) are capable of
wFthstammhp the wind pressures In the table with appropriate factors of safety.
i'I
ATI-Test Report A Hung Window eDos le
P ee (D.P.) Vbwf
05-30137A1 36' x 72' 47.0 psf.
05-30137A1 40' x 60' 47A psf.
01-32349.03 L .04 44' x 77' 40A psf.
05-30390M 52' x 61' t 36.0 i - 5U psf
LEFT JAMB SHOWN
VERTICAL SECT1nN '
a
PROJECT NO. PROJECT NAHE• MODEL 0601/0631 WINDOW INSTALLATION DRAWING ,
O1-41462 1
115-34 CLIENT, ALSIDE WINDOW COMPANY _ MASONRY WALL INSTALLATION FASTENERS
05/08/02.2
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Architectural Testing
A,
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Mr. Marsh Fernbaugh, Director of Testing
Alside, Window Company
3773 State Road
Akron, Ohio 44309-1365
15 October 2002
RE: Masonry Installation of 0601/0631 Double Hung Window, 4' 4" by 5' 1"
Dear Mr. Fernbaugh:
At your request, I have performed an installation fastener analyses into masonry
block walls for Alside double hung windows, Model 0601/0631. The testing of the actual
window was done under ATI project 05-30390.01. The fastener analyses provides 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 masonry block wall requires 6 Tapcons, each 3/16 in
diameter. There should be 3 Tapcons through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The minimum embedment of the Tapcons
into solid masonry must be 1-1/4".
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.
ANR:anr
cc: 01-41463
Sincerely. yours,
ARCHITECTURAL TESTING, INC.
Allen N. Reeves, P.E.
Director — Engineering Services
S D cTs,ac. Z o 0 2
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
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A rchitectural:Testing
10 December 2002
Mr. Marsh Fembaugh, Director of Testing
Alside, Window Company
3773 State Road
Akron, Ohio 44309-1365
RE: Masonry Installation of 07HP, Single Hung Window, 3' 8" by 6' S"
Dear Mr. Fernbaugh:
At your request, I have performed an installation fastener analyses into masonry
block walls for Alside single hung windows, Model 07HP. The testing of the actual
windows was done under ATI project 01-43263.01. The fastener analyses provides a 3'
8" wide by 6' 5" high window with an allowable installation design wind pressure (D.P.)
of +/- 30.0 psf.
To provide this D.P. in a masonry block wall requires 6 Tapcons, each 3/16" in
diameter. There should be 3 Tapcons through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The minimum embedment of the Tapcons
into solid masonry must be 1-1/4".
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.
Allen N. Reeves, P.E.
Senior Project Engineer
a bFc Iy,C ZcaZ
ANR: am
cc: 01-41462.b2
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
Illlllllllm
h., , y __ .iINew -
Archltectural Testing
11 July 2002 ^ -
Mr. Marsh Fernbaugh, Director of Testing
Alside, Window Company
3773 State Road
Akron, Ohio 44309-1365 •.
RE: Wood Installation of 0601/0631 Double Hung Window, 3' 8" by 6' 5"
Dear Mr.. Fernbaugh:
At your request, I have performed an installation fastener analyses into wood
framed walls for Alside double hung windows, Model 0601/0631. The testing of the
actual windol?vs was done under ATI project 01-32348.03 and 01-32348.04. The tests
determined that a 3' 8" wide by 6' 5" high window has an allowable design wind pressure
D.P.) of 40.0 psf.
To provide this D.P. in a wood framed wall requires 6, #8 screws, each 0.164" in
diameter. There should be 3 screws through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The 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. The supporting wood framing can be Southern Pine,
Douglas Fir, Hem -Fir, or Spruce -Pine -Fir. If there are any questions about this analyses,
please advise me.
ANR:anr
cc: 01-41462.02
01 ' 32348
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
Sincerely yours,
ARCHITECTURAL TESTING, INC.
457_ ;V' /eu-u
Allen N. Reeves, P.E.
Director — Engineering Services
Architectural Testing
Y.
Mr. Marsh Fernbaugh, Director of Testing
Alside, Window Company
3773 State Road
A1Qon, Ohio 44309-1365 ,.
RE: Wood Installation of 0601/0631 Double Hung Window, 3' 8" by 6' 5"
Dear Mr. Fernbaugh:
11 July 2002
At your request, I have performed an installation fastener analyses into wood
framed walls for Alside double hung windows, Model 0601/0631. The testing of the
actual windows was done under ATI project 01-32348.03 and 01-32348.04. The tests
determined that a 3' 8" wide by 6' 5" high window has an allowable design wind pressure
D.P.) of 40.0 psf.
To provide this D.P. in a wood framed wall requires 6, #8 screws, each 0.164" in
diameter. There should be 3 screws through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The 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. The supporting wood framing can be Southern Pine,
Douglas Fir, Hem -Fir, or Spruce -Pine -Fir. If there are any questions about this analyses,
please advise me.
ANR:anr
A
cc: 01-41462.02
01-32348
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax:717.764.4129
www.archtest.com
Sincerely yours,
ARCHITECTURAL TESTING, INC.
Allen N. Reeves, P.E.
Director — Engineering Services
vc. y Z ea z.
Architectural Testing
11 July 2002
Mr. Marsh Fernbaugh, Director of Testing
Alside, Window Company
3773 State Road
Akron, Ohio 44309-1365 .
RE: Wood Installation of 0601/0631 Double Hung Window, 3' 8" by 6' S"
Dear Mr. Fernbaugh:
At your request, I have performed ap installation fastener analyses into wood
framed walls for Alside double hung windows, Model 0601/0631. The testing of the
actual windows was done under ATI project 01-32348.03 and 01-32348.04. The tests
determined that a 3' 8" wide by 6' 5" high window has an allowable design wind pressure
D.P.) of 40.0 psf.
To provide this D.P. in a wood framed wall requires 6, #8 screws, each 0.164" in
diameter. There should be 3 screws through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The 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. The supporting wood framing can be Southern Pine,
Douglas Fir, Hem -Fir, or Spruce -Pine -Fir. If there are any questions about this analyses,
please advise me.
ANR: am
t
cc: 01-41462.02
01-32348
130 Derry Court
York, PA 17402-9405
phone: 717.764.7700
fax: 717.764.4129
www.archtest.com
Sincerely yours,
ARCHITECTURAL TESTING, INC.
Allen N. Reeves, P.E.
Director — Engineering Services
Architectural Testing
11 July 2002
Mr. Marsh Fernbaugh, Director of Testing
Alside, Window Company
3773 State Road
Akron, Ohio 44309-1365
RE: Wood Installation of 0601/0631 Double Hung Window, 3' 8" by 6' S"
Dear Mr. Fernbaugh:
At your request, I have performed an installation fastener analyses into wood
framed walls for Alside double hung windows, Model 0601/0631. The testing of the
actual windows was done under ATI project 01-32348.03 and 01-32348.04. The tests
determined that a 3' 8" wide by 6' S" high window has an allowable design wind pressure
D.P.) of 40.0 psf.
To provide this D.P. in a wood framed wall requires 6, #8 screws, each 0.164" in
diameter. There should be 3 screws through each window jamb frame, one near the top,
one at the midheight, and one near the bottom. The 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. The supporting wood framing can be Southern Pine,
Douglas Fir, Hem -Fir, or Spruce -Pine -Fir. If there are any questions about this analyses,
please advise me.
ANR: am
t
cc: 01-41462.02
01-32348
130 Derry Court
York, PA 17402-9405
phone: 717.764,7700
fax: 717.764.4129
www.archtest.com
Sincerely yours,
ARCHITECTURAL TESTING, INC.
464' 'V' /az'c-
Allen N. Reeves, P.E.
Director — Engineering Services
LEMOMM- P-OWER OF ATTORNEY
I hereby name and appoint " I e.K e- O-LA
of YI I gA to be my lawful attorney
in fact to act for me and apply to for
a I Ory1c., permit for work to be performed
at a location dmcnl)ed as: Section Township_ Range_
Lot 5Y-ST- Block Subdivision N-e- C - C4
A—)
Address of Job)
V,A C e. e-
Omff of ft*eM and Address)
and to sign my name and do all things necewary to this appoinuneot
TMw or P name of CddEW Coma= rid I J=
I(Si mom of Caufad Cmvamr)
Acknowledged: -
Sworn to and subscribed before me this
Day Of ZIC&jz, A.D.
Notary Publi;Sm ofFkdda
Seal)
MY commission Expires:
MY CwMUIw W01071
E Pil`93 APOI 94 2005
Charles • Hensel
MY Commission D" M
NoF Expires ADni 04 ?(w
R.
w
Permit Number
Parcel Identification Number &o 19 JO VY4 0000 05-%/0
Prepared by:
Return to: Mid State Construction
P.O: Box 1214
Winter Park, Fla. 32790
NOTICE OF COMMENCEMENT
State of Ek rlda-
County of 15teplt. L
IIIIIIIIIINMNIN9iNNIHNN1U6119gpNt111N11
MMYANNE MORWI CLERK OF CIRCUIT COURTSEMINOLECOUNTY
BK 05659 PG 1428
CLERKI S *' 2005048369
RECORDED 0/23/eg 1P:171% PNRECORDINGFEESjoge
The undersigned hereby gives notice that improvements) 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)
L0" Sqe 5-9- 6;
52 d NtrrfI+
2. General description of Improvement(s)
3. Owner informatio
Name Cr-IS1rF t t-'' ei'd" Telephone Number Address .2.
o 4 w Fax Number Interest in
Property: 4. Fee
Simple Title Holder (if other than owner shown above) Name Telephone
Number Address Fax
Number Contractor Mid
State Construction Name P.
O: Box 1214 Telephone Number 7 ° Q Address Winter
Park, Fla. 32790 Fax Number , Z L `E Sjd 6. Surety (
if any). nOOc NamM Telephone
Number M,R 2 3 J Address. Fax
Number - CERTIFIED, COPY Amount ofbond $ IVERRVANNE MORSE
7. Lender (
if any) CLERK OF CIRCUIT COURT Name Telephone
Number SE OUNTY. FLORIDA Address Fax
Number 8Y D UTY
CLERK 8. Persons
within the State of Florida designated by Owner upon whom notices or other documents may be served 1 as
provided
by 713,13(1)(a)7, Florida Statutes. Name 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 in
713.13(1)(b), Florida Statutes. Name Telephone
Number Address Fax
Number 10. • Expiration
date of notice of.commencement (the expiration date is one year from the date of recording unless different date
is specified): 3 a/ /
s Date Signed
Signature of qWner Note: per 713.13(1)(g), "owner ; must sign...
dnd no one else may be permitted to sign In his or
her stead." Sworn to
and subscribed before me this g0t day of , 200= by S E`
t r•t r(a, who is personally known to
me OR produced as identification. qv tary
a
Darien Clark
My Commiselon
DD0728711 gnatuLre o
NoExplreehlmemberle,4006 Revised 5/24/
04