HomeMy WebLinkAbout228 W 19 St (3)RECEIVED
Permit #
Job Address:
Description of Work:
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Ja , — n r Date:
Zoning:
I Gr— IV-r- S t Z j
Value of Work: S 57. & C)
FEB 17 2006
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 other than X)
Pared 0: W (Attach Proof of Ownership & Legal Description)
Owners Name & Address: ryl
W h
P one: 0 -7 J (O
Contractor Name/Address: (c ,e
Phone I
Bonding
Address:
Mortgage Leader:
Address:
1 -- StateLicenseNumb r: Contact
Person: Be: Architect/
Eagineer: Phone:
Address:
Fax:
Application
is hereby nude to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuanceofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. i understand that a separate permitmustbesecuredforELECTRICALWORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIRCONDITIONERS, 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 constructionandzoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICEFORIMPROVEMENT'S TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORERECORDINGYOURNOTICEOFCOMMENCEMENT. 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 thiscounty. 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 will nfy the owner of the property of the requirements PrN
William N. Ridenour 1Owner/Agent is _ Pe o (
01u6ot
n # DD 066683 w
ProducedID =:jWL 14? Epires Oct ?Z. 2005 q
OFF`• OQ' TIVu APPLICATION
APPROVED BY: Bldg Zoning: al &
Date) Special
Conditions: en
FS 713. Contractor/
Agent is Personally Kj Produced
ID Utilities:
Initial &
Date) (Initial & Date) i
d l Date
r
L PRES r vn t
ommn 0004Otr V Exgres ==
009 Bonded
thru (900)432-4251 Flonds
Ndery_ A .n FD:
Initial &
Date)
Florida Building Code Online Page 1 of 3
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PRODUCT
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User: Public User - Not Associated with Organization -
Application #:
Date Submitted:
Code Version:
Product Manufacturer:
Address/Phone/email:
Technical Representative
Technical Representative
Address/Phone/email:
Quality Assurance Representative:
Quality Assurance Representative
Address/Phone/email:
Category:
Subcategory:
Evaluation Method:
FL 107-R I
06/01 /2005
2004
Simonton Windows
1 Cochrane Ave
Pennsboro, WV 26415
800) 746-6687
Chuck Anderson
1 Cochran Ave.
Pennsboro, WV 26415
800)746-6687
chuck—anderson@simonton.com
AAMA
1827 Walden Office Square
Suite 550
Schaumburg, IL 60173
847) 303-5664
webmaster@aamanet.org
Windows
14
Casement
Certification Mark or Listing
Need Help ?
Referenced Standards from the Florida Section Standard Year
Building Code: ANSI/AAMA/NWWDA 101/I.S.2 1997
Certification Agency:
Quality Assurance Entity:
Validation Entity:
American Architectural Manufacturers
Association
http://www.floridabuilding.org/pr/pr_detl.asp?IPT=107&RV=1 &fm=ROSrch 10/26/2005
Florida Building Code Online
Authorized Signature:
Evaluation/Test Reports Uploaded:
Installation Documents Uploaded:
Product Approval Method:
Application Status:
Date Validated:
Date Approved:
Date Certified to the 2004 Code:
Page: F7 lGo
Page 2 of 3
Chuck Anderson
Chuck—Anderson@simonton.com
PTID _107_RI 1 01 41006_O1Triple Tmull.Ddf
PTID 107 R1 I 05 50949 O1Triple.12df
PTID _107_R1_I 55130 Ol.pdf
PTID 107 RI I S-105R2.pddf
PTID 107 RI I S-130R.pdf
PTID 107 Rl IS-153-1.12df
PTID 107 RI I S-154-1.pdf
PTID 107 R 1 I S-188-2.pd
PTID 107 R1 I S-I89-2.pdf
Method 1 Option A
Approved
07/29/2005
08/24/2005
Page 1 / 1
pp/Seq Product Model # or Model
Limits of UseNameDescription
08-08 ProFinish
100.5040 Integral
Contractor; Mulled triple Casement,
ProFinish Master; 3/4 insulating glass
Luminess 700;
fabricated from two 3/32
107.1 8-08
Luminess 800 -
clear annealed. Non
Vinyl -Integral
Reinforced integral
Mulled triple mullion. C-R50 = DP +/-
Casement
50. Non impact, Not for
use in HVHZ areas.
For sizes up to
36x66.875 or 25.375x80
Casement, insulated glass
08-08 Profinish
ill be fabricated with two
Contractor, sheets, 1/8" annealed. for
Profinish Master, sizes in excess, and up to
107.2 8-08
Luminess 700,
maximum size of 36x80
Luminess 800 he insulted glass will be
Vinyl casement fabricated from two sheets
1/8" tempered. C-R55 =
DP +/- 50. Non impact,
Not for use in HVHZ
yeas:
08-09
Reflections 5500,
Prism Platinum,
Private label
custom (ultimate),
Private label 105x51 Integral mulled
7500, riple casement, 3/4"
Impressions insulated glass fabricated
http://www.floridabuilding.org/pr/pr_detl.asp?IPT=107&RV=1 &fin=ROSrch 10/26/2005
Florida Building Code Online Page 3 of 3
07.3,,
400. with two sheets of 3/32"
Impressions annealed glass. Non-
800, Sears Reinforced mullion, C-
300,-- R50= DP +/-50 Non-
HD@Home impact, Not for use in
6-09, _Services 6100,_
HD@Home
HVHZ areas.
Services 6500,
Luminess 4500,
Vinyl integral
mulled triple
asement
Next_
gt Copyright and Disclaimer ; 02000 The State of Florida. All rights reserved.
i' .W r;.... . w a'n•.: w:,,y .: .0 s.,.. ."`wE'T'IC"' ----- •i— ,^ "
http://www. floridabuilding.org/pr/pr_detl.asp?IPT=107&RV=1 &fm=ROSrch 10/26/2005
i
MODEL DESIGNATION.
Simonton Casement_ Series 08-0g Vinyl, Window
MAXIMUM OV RAt I NOMINAI c17F• Single up to 36' x 80"
DESIGN PRESSURE RATING: Anchors: Positive 55.0 PSF Negative 55.0 PSF
Windows: Design Pressure Ratings Vory: See
Corresponding AAMA Test Report or Dade
NOA or Florida P.E. Evaluation. USABLC' CONFIGURATIONS: X
GENERAL DESCRIPTION:
The head and side jambs ore extruded PVC
which the anchor screw penetrates
is o minimum of 0.070".
MASONRY LINTEL
l
1 SEE NOTE 6
1' x 2'
FURRING
STUCCO
SILICONE J
1a4ULK_._-
114' MAX.
SHIM
SASH
SASH
HE4D JAMB
1" x 6-
SILICONE CAULK
HEAD JAMB
3' x 3/16' TAPCON-1 '
TYPE ANCHOR
1.25' MIN. EMB.. .
SEE NOTE 6
JAMB
MASONRY
SILICONE CAULK
INSIDE STOOL
SHIM
I' x 2- FURRING
DRYWALL
0
0N
N T Y
O .?
oH O
T
E
V D
t u AA
U Z J A
W C L6
C d Y
1'x2' ° vc FURRING
v a DRYWALL
I'
x 6' SILICONE
CAULK SEE
NOTE 6 VERTICAL
JAM8 Ili
gyp
N
of
Q N o
yN GSASH
3 L. O V.1/
4' MAX, u SHIM
Ci OOdOc
0 InaD SILICONE E
c C _ CAULK U) O a Q. I— STUCCO
VERTICAL JAMB
co Z
O
Z
O W
3
O
O
W Z Y L
3 W Zm
V Z NO 1.
This system has been evoluoted for use in locofions adhering to the Florida Building Code and where
pressure requirements as determined by ASCE 7 Minimum Design Looes for Buildings Cc and Other
Structures do not exceed the design pressure rofings listed Herein. 2. For
instollations where the sub -buck is less than 1-1/2' (FBC section 1707.4.4 Anchorage Methods and sub -
sections 7707.4.4.1 and 1707.4.4.2) Topcon type concrete anchors must be used and the 64/12/OZ length must
be such that o minimum 1-1/4' engagement of the Topcon into the masonry wall is obtained.3. When
going to o smaller window size no oncnor screw sholl be in o mortar joint. If a screw rolls in o
mortar joint relocate the screw 2.0' obove or below the mortar joint. 4. When
installing o window below 30' in height the center screws ore eliminated . When installing a window 30' to 60' in heightuse (1) screw of the frome center line. When installing a window above 60' to 80' in height anchor as shown
with (1) screw 3' above and below the frome center line. SCALE: N.T.S. 5. All
interior and exterior perimeter surfaces of the window most be caulked. DWG. ' W.L.N. 6. See
Manufacture's Installation Instructions for additional hordwore anchoring if required. CHK. BY:
R.w. DRAWING NO.:
7. Adjust
Topcon anchor locations, if necessary, to maintain o minimum 2.0' clearance from mnrtnr :., S-tO5R2 I a
W I Or 1
Florida Building Code Online Page 1 of 4
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11 I I I IAN I I r I
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Oveniev; Produs: Searcn Organi_ation Product"
arGi Application
User: Public User - Not Associated with Organization -
Application n:
Date Submitted:
Product Manufacturer:
Address/Phonelemai l:
Technical Representative:
Technical Representative AddresslPhone,email:
Quality Assurance Representative:
Quality Assurance Representative
Address/Phone/email:
Need Help ?
FL143-RI
09/30/2004
Simonton Windows
1 Cochrane Ave
Pennsboro, VlW'V 26415
800) 746-6687
Chuck Anderson _
1 Cochran Ave.
Pennsboro, WV 26415
800)746-6687
chuck_anderson@simonton. c om
AAMA
1827 Walden Office Square
Suite 550
Schaumburg, IL 60173
847)303-5664
webmaster@aamanet.org
Category: Windows
Subcategory: ,a- .•Double Hung
Evaluation Method: Certification Mark or Listing
Referenced Standards from the Florida Building Section Standard Year
Code:
y
101/l.S. 2 1997
Certification Agency:
Quality Assurance Entity:
Validation Entity:
American Architectural
Manufacturers Association
Authorized Signature: Chuck Anderson
Florida Building Code Online Page 2 of 4
Chuck—Anderson@simonion.com
Evaluation'Test Reports uploaded:
Installation Documents Uploaded: PTfD 143 RI 1 Ol 41000 01.12df
PTID 143 RI I O1 41002 01.12df
PTID 143 RI 1 05 30171 Ol .odf
PTID 143 RI 1 05 30226a01.pdf
PTID 143-RI 1 05 30227 01.12df
PTID 143 RI_I 05-30233_Ol_pdf
PTID 143 RI 1 05 30259 Ol.odf
PTID 143 RI_I 05 30260 01.pdf
PTID 143lR1 l 0530261 01.12df
PTID 143 Rl_I 05 30281 Ol.pdf
PTID 143 R1 105 30282 02.pdf PTID
143 RI 1 05r30284 01.12df PTID
143 R1 1 05 30308 Ol.Rdf PTID
143 R1_I 05 30349 Ol.pdf PTID
143 R1 I O5 30359 OI.Rdf PTID
143 R1 1 05 30369TI.Rdf PTID _
143_RI 1 05 30370 01.pdf PTID
143 RI 1_05 30447 01.pdf PTID
143 RI 11 05 30611_0l.pdf PTID
143 R1 1 05 30612 01.pdf PTID
143 R1 I S-101R1 installation.
pdf PTID
143 R1 I S-115R1 installation.
pdf PTID
143 R1 I S-124R installation.
pdf PTID
143 R1 I S-159-2 instal
lation.pdf PTID
143 R 1 I 5-166-2 instal
lation.pdf PTID
143 RI I S-174-2 instal
lati on.pdf Product
Approval Method: Method 1 Option A Application
Status: Approved Date
Validated: 11/02/2004 Page:
Page
1 / 1 Go
pp/
Seq Product Model # or Name Model Description Limits of Use May
not be used in HVHZ. 7-
07 - Reflections 5500; All Sizes reflect Maximum 14.
1 Prism
Platinum; Private Double Hung- Size: 40 x 60 H-R60 3/32 abel (
Customized) Vinyl Annealed Glass Aluminum ltimate;
Sears 9300; Reinforcements in Meeting Rails
or Stiles 47
x 71 H-R50 High-TL 1/8 7-
70 - Reflections 5500; g
DoubleHunnnealed Glass Aluminum 143.
2 Prism Platinum; Private Vinyl
Reinforcement All Rails; 52 Label
Ulitmate; Sears 9300 71 H-R50 High-TL 1 /8 nnealed
Glass Steel
Florida Building Code,Online Page 3 of 4
Reinforcement All Rails and
Stiles; 36 x 60 H-R50 3/32
Annealed Glass
48 x 80 H-R35 1/8 Annealed
Glass Aluminum
Reinforcements in Meeting
Rails or Stiles; 53 x 74 H-
143.3 7-75 - THD @ Home Double Hung -
35 1/8 Annealed Glass
Services Vinyl Aluminum Reinforcements
in Meeting Rails or Stiles; 53
80 H-R40 1/8 Annealed
Glass High Performance
Reinforcement in All Rails
d Stiles
36 x 60 H-R45 3/32
Annealed Glass; 44 x 60 H-
30 3/32 Annealed Glass; 44
60 H-R45 3/32 Annealed
Glass Aluminum
Reinforcement in all Rails
d Stiles; 44.25 x 60 H-R35
32 Annealed Glass
Aluminum Reinforcement in
0.;;17-- ProFinish Meeting Rails or Stiles; 36 x
Contractor; ProFinish 74 H-R50 3/32 Annealed
Master; Luminess 700; Glass Aluminum -
uminess 800; Reflections Reinforcements in all
300;Reflections 5050; Meeting Rails and Stiles; 48
143.4 Prism Ultra Gold & Double Hung - x 80 H-R30 3/32 Annealed
Bronze; Private Label inyl Glass Aluminum
Prestige & Classic; Reinforcement in all Rails
Private Label 7300; and Stiles; 52 x 71 H-R35
Impressions 9400; THD @ 3/32 Annealed Glass Steel
Home Services 6100;_Reinforcement in all Rails
uininess 45`-'
w}M'
and Stiles; 72 x 60 H-R35
TM Twin 3/32 Annealed
Glass; 89 x 60 TM Twin H-
45 3/32 Annealed Glass
Aluminum Reinforcements
in Meeting Rails or Stiles; 72
74 TM Twin H-R45 3/32
Annealed Glass Aluminum
Reinforcement in all Meeting
Rails and Stiles;
36 x 60 H-R50 3/32
Annealed Glass; 36 x 72 H-
5-75 - Reflections 5500; C55 3/32 Annealed Glass
Prism Platinum; Private Aluminum Reinforcement in
Label Uhtmate; Private Meeting Rails or Stiles; 36 x
143.5 1 Label 7500; Impressions Double Hung - 74 H-R55 3/32 Annealed
800: Sears 9300; THD @
Vinyl lass Aluminum
Home Services 6500; Polar Reinforcements in Meeting
Wall ails or Stiles; 52 x 71 H-
C35 3/32 Annealed Glass
Aluminum Reinforcements
fin Meeting Rails or Stiles:
Next
MODEL —LUIC TION Simonton Doublet Hunl Series 40-17 Vinyl Window 2r'ON 1
AWIMUM QK&L"WHAL SIZE Single of, to 52' x 1' 2,
DESIGN IIIESSLIHE RATING Anchors: Positive 50.0 PSF Neoojire 50.0 PSF MASONRY LIMIEL
2.0' tn' Windows: Design Pressure Rotinqt Vary; See MIN. to
Corresponding AAMA Test Report or ILIFIRING _3
1 2' W.,
Dade MOA or Florida P.E. Evaluation.
IC
USABLE CQNFIQ&UQn X 3* . , . . I , I Gfco:
j? stucco TYPE AMC
GENERAL QESCRIPJJON The head and side iambs ore extruded V4
to
PVC. Tire wall Thickness through which SILICONE DRYWALL 4 or
The anchor screw penetrates is a CAULK
8,
minimum of 0.070'. 114- MAX. SHIM SILICONE CAULK
j.
HEADER JAM3'.
3/19' TAPCON TYPE
ANCHOR 1.
25* MIN. EMB.— 114- Mokx. SHIM C -W WtoC, INTERIOR
f7N
HEAD JAMB •SILICONE CAULK N SASHTRACK ; Q,
N 3
1/2' x 3/15- TAPCON C t6 TYPE
ANCHOR 0 NJ ie
STUCCO 0 00 00EXTERIOR
R71C ALJAMB tj In CD SASH
TRACK %.V C E
Cc WC OIL
X
SILICONE
CAULKSILICONE CAULK STUCCO
INSIDE STOOL LU
VITERIOR SHIM SASH
TRACK it MASONRY
I' . 2' FURRING 0 L,
SILL V) DRYWALLRAIL
U) 0
ZC) V) us— Z) 23:
41
37.623, EXIERPUR (
Z SASH
TRACK SILL Ql C) C3L)
Tr z
NOTE
1. This Installation he$ been -vohrofad for use In locations adhering to the Mlid. Building Code --X
and
when pressure reaviremants as determined by ASCE 7 Minimum Design Loods for Buildings and
Other Structures do not exceed the design pressure ratings listed herein. 2.
For inslollolions where the sub -buck is Iota than 1-112' (FIRC section 1707.4.4 Anchorage Methods and
70 7. :,4: momf
1707.4.4.2). Tape" type concrete onchors must be used and the long
sub -
so lion:.1h that minimum 1- /4 engagement of the Topoon, into the masonry wall Is obtained. DATE: 5/14/02 thmustcI3.
All interior and exterior perimeter ourfoces of the window must be caulked. SCALE: M.I.S. 4.
See Manufacture's lnsfn#ollon Instructions for additional hardwore anchoring If required. DwG. Eft; IJH 5.
Adjust Topcon anchor locoflons• it necessary, to mointain a minimum Zoo clearonce from morlor Joints. CNK. ery: R.W. DRAWINC
NO.: 6.
When egress bolonces ore used replace the fosle.ers In The egress balance corer with the appropriate Installation S-124R 52.0" MAX. OVE ALL FRAME WIDTH— screw instead of Inc typical prefabricated hole of that locobon in the jamb. I. or 1
Douglas Morrison BAYER
Prepared By g C ?tnmer Name
E HOME DEPOT
PhoneNumber(407) 625-5192 _ DIAGRAM SHEET Job#
2152715
I1 .. ...
KITCH .........:..: _I,_.:
x BED#1
F3+......................... :.... ..........
DIN ........... BATHr ...............................
x........ ............................ ..........
fib
x :: :: ; . .. ED#2 C-ct-s-e vn,v'
O ...... ...
0 . •.... ...... ..
re.3o) -
x.... .......................J
NOTES:Overall Length
FRONT MEAN ROOF NElOtil•" _ Feet
5. thaw the eudine el the Mum and Indtcale ail wlneows and doo Overall Width
2. N rmber the wedovra b ea ropbcad will lM caro orafstg ram*vcikam Iha Spec Sheet •'Measure Mean Roof Haight ham On ground
exposure CategoryN*
3. M"astue and list tMt d slartoe tram each =fief d IN home to the dosest w!ndow To a point that 13 hefway to the peak to the save
4.k-1k pte which whn*vKa) wiin mnel F.g e.s Coda rsquimuents In the bewkaan ""To be completed by Permit Coordinator
A"'Ail 1 "4V1Cav a eraerlar IkW must meet 1116 Ehnesa Caon neaWremantt
WINDOW SPECIFICATION SHEET - Spec. Sheet #:W 2 3 5 5 3 2
Customer: _A
WINDOW SPECIFICATION
zJgZWS Consultant:
Sheet: of
Date: q
Existing Window New Window
w
Location
Room I Floor)
Style
Code"
Metal
Y/ N
Style
Code"
Series
Code"
C
U
Measurements Grids Pattern' Pattern" Pattern1.2 Window
Glass
Options
Code"
Misc.
Items
Code"
Hinge Locations
Rough Opening
o
U
co
M
j
19
N
co
M
j
c
N
co
M
8 j
c
N
csml, CPC, Bay, Bow,
Patio 6 Garden Ooor
Itrom outside, Lt +.o RI) Width Height UI
D* r e r
2 1, 10T
D (IJ f+ DID tu 1,1T b (. r I Lv
e T N ff' I
N 1 H 01 DU i G( j L. C
t; e fl I D Of av cat 30 ro 1 I c v
3AT- D)i nl DH 100 wT aq yb
e E p Z OD wT 0 01
9 E D Z D ji A/ DH 1 v0 1.T 3D G 1/ j 1-
0 6 --D Z DO Ott 1'00 UT 3 D S
12
Grid Pattern and Location MUST be indicated.
t If a single window or mulled windows require multiple grid pattems, indicate location and pattern in the additional spaces provided.
G., r . ror a,.. , n ....._ _, ...o.. __ ..c...._._----.. _ _ .._. _ - . _ - -
COIOf Of
Window / Door Wraps
BAY / BOW WINDOW
Projection Angle: (Bay: W or 4e)
Bay Window Flankers - DH / Csmt.
Seatboard Material - Birch or Oak
New Interior Casing (Bay/Bow/Garden/Patio Doors)
Clamshell (CL) or Colonial (CO)
SPECIAL CONSIDERATIONS:
Top of Window to Soffit (inches)
O'I/idth of Overhang ( inches )
If tied to Soffit, color of Soffit material
Construct Roof 3 ( Yes I No )
7 There is no guarantee that new shingles will match existing color
GARDEN WINDOWS
WALL THICKNESS 4 (inches)
SEATBOARD MATERIAL
Specify Birch or Oak Veneer or White Pionite
f%oun1ona1 Cnarge for wall IhlCkneSS of 6- or more.
I have reviewed and agree with all of the
job specifications described above.
Customer Signa i•e Date
S 14.03 SFC.W.VW
NOTICE OF COMMENCEMENT
This document prepared by: Name:
12 o`,
lJ
10n Addre 5
a ome J /,
STATE
OF FLORIDA CO OF SE T (Complete Parcel ID #)(p The
undersigned hereby informs all conVa'i" Ai$1d'*JA-Q UAW certain real property, and in accordance with Chapter
713, Florida Statues, the following information is provided in this Notice of Commencement. DESCRIPTION
OF PROPERTY (Legal description of the property and street -address) r a I q t'- t %. L J GENERAL
DESCRIPTION OF IMPROVEMENT: J r.i V VJOEM IFIEDPi RSE
OWNER
NAME & ADDRESS f1f1,144.rt_ A 4S? ' X `1 ST, IaRK OF CIRCUIT COURT lrTH A1
SnN v"7 . L _1 E 0 KTY, FLORIDA OWNERS INTEREST
IN PROPERTY (Fee Simple, Partnership, etc.) 1;j by N NAME AND
ADDRESS OF FEE SIMPLE TITLE HOLDER (If other than owner) gala W1.
V1_L4.tM f CONTRACTOR
NAME &
ADDRESS:'-M LN • S 1•ri— Y c
SURETY (
Bonding
Company) NAME & ADDRESS: Amount of
Bond: other Persons
withinthestateofFloridadesignatedbyowneruponwhontocumentsmaybe served as provided by Section 713.13(
1)(a)7., Florida Statues: Name and
Address In addition
to himself, owner designates the following person to rec . e a copy of the Lienor's Notice as provided in Section 713.13(
1)(b), Florida Statutes: , Name and
Address: Expiration Date
of Notice of Commencement The expiration
date is I year from date of recording unless a different date is specified) lignature of
Owner Prifited Name
of Owner t'r'
t A STATE
OF
P. COUNTY OF 41iLS 3u/. C*r- The foregoing
instrument was acknowledged this ay of 20 by /' who is
personally known to me or has produced (type of identification) as d nti ication and acknowledged that
he/she signed the instrument voluntarily for the purpop ex resse it. S a
otary Public, State of Florida KWTMW K
7NSE, CLERK OF CIRCUIT LUURT CLERK OF
SL1IIN DLE COUNTY SK 06133
Pg 1401 (1 pg ) FILE NUM
20060301 fie REiLMI) W&
MIN6 63t56t38 P14 RECONDINIG FEES
10.00 RECORDED BY
L Winley Print, Type,
or Stamp Commissioned Name of Notary Public p William
N. Ridenour a'=N
o01
ieG;: Commission # DD 066683 o+Oct
22 2005 riF.. oQ
Bonded Thiu r` A9en6c
Bow Co., Im