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Home My WebLink About3415 Mellonville Avel rftPd%*01J,12h CITY OF SANFORD PERMIT APPLICATION , Permit # : t O Date Job Address: '-/!S ML'' t_N V/` )q(S cription Work: U<. L Z.I: ou Historic District: Zoning: Value.of-Work.'$--• 10, WV — CP•ermitTyp LE!uilding )(' 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 _ 4UcMcapancyFType: Residential Commercial Industrial Total Square Footage: krstruction.Type: I # of Stories: --(:? - # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Attach Proof of Ownership & Legal Description) Owners Name&'Address: 41A)VIh— 5. f lip//T MGf.Le]r. 7.7 % 3 —Phone:-- it Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: State License Number: 4-057tn s2 Contact Pc66fi: J08-v k '7')j 'phone: 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: 1 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 permit is ve n that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. 2*vl Sigma canner/Agent l Date - Signature of Contractor/Agent Date rY' i d Date My COMMISSIO it DD 164 EXPIRESeou08mbd;, 1y2' E0cea Peaonally Known to Me or Produced ID Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Produced ID _ Personally Known to Me or APPLICATION APPROVED BY: Bldg: rJ tf Cl— 15 —O Zoning: Utilities: FD: Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) y Special Conditions: / /yV57-04 7*7 5 4Dneb Oa/rl D / 40 /7 tr7n L- I fYcla /1 ce— CITY OF SANFORD BUILDING DIVISION OWNER/BUILDER AFFIDAVIT CONSTRUCTION CONTRACTING Owners of property when acting as their own contractor and providing direct, onsite supervision themselves of all work not performed by licensed contractors, when building or improving farm outbuildings or one -family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $25,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action brought under this part, proof of sale or lease, or offering for sale or lease, of any such structure by the owner -builder within 1 year after completion of same creates a presumption that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by or has a contract with such owner and who acts in the capacity of a contractor. The owner may not delegate the owner's responsibility to directly supervise all work to any other person unless that person is registered or certified under this part and the work being performed is within the scope of that person's license. For the purposes of this subsection, the term "owners of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner must personally appear and sign the building permit application. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct, onsite supervision of the construction yourself.. You may build or improve a one -family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved it for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by. county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. I, k N S .:W!9jf , do hereby state that I am qualified and capable of performing the requested construction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed by law on the permitted structure. 0100 Owner/Builber Signature cUnte PrintO'wner/Builde Name m 9C IC71 Z A vgnatureofNotary— tate of Florida Date G) A Owner is cr lly Known to Mc or has Produced ID lam. I STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSSEE FL 32399-0783 THALL, DANIEL STEPHEN LEE STEPHENS CONTRACTORS INC 755 W STATE RD 434 STE E LONGWOOD FL 32750 e- aSTATE OF FLORIDA AC# 0 4 71632 DEPARTblZ=_.OF..._BUSINESS AND CBC057650:'; C2`•_ 011151389 CERTIFIB . . IN CTOR THALL,': LEE STEP_BE i,?R Q S INC IS CERTIFIEDuad•r the provi•ioasos ca.489 t. ixpiratioadates AUG 31, 2004 asp • L0207010025, DETACH HERE AC# 0 4 716 3.2 • ;, STATE.OF FLORIDA SC'DEPARTMENT': OF'.BUSINESS AND'aPROFESSIONAL REGULATION SEQ L0207010025'• i.CONSTRUCTION INDUSTRY LICENSING BOARD X. The BUILDING CONTRACTOR - == Named below''IS CERTIFIED=7 Under the provisions of Cha Expiration date: AUG 31, 200 ,• y,: . 7 THALL, DANIEL STEPHEN , LEE STEPHENS • CONTRACTORS INC °•,,'rjjj :: Vµ:'' r 755 W STATE RD 434 STE E LONGWOOD FL 32750 a7SB BUSH RIN'BINRLEY-SEYER rMVFRNOR nisei AY AS REOUiRED BY LAW SECRETARY I11n.19. 7nni 1.9f1Dm NFWMAN CRANE R ASSnC.1NCIIRANCF Nn ARRn D . 1 /1 o D1 DATE(MMJDWY1 Ac. CERTIFICATE OF LIABILITY INSURANCFs,I,ECSR C PH- 2 06/16/03 rRootcct THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Newman - Crane 6 Assoc . Ins . Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P. O. Box 569946 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE Orlando FL 32856-8946 Phone: 407-859-3691 Fax:407-857-0409 INSURED INSURERA: Great American Insurance WSURERB The Hartford Lee Stephens Contractors, Inc. 755 N. ER 434 Sta. E Longwood FL 31750 04URERC: RWD. INSURER E: COVERAGES THE FOUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE ENSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVYRMSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INBURAINCC AFFORDED BY THE POLICIEB DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL TYPE OF INSURANCE POLICY NUMBER M DA LIMITS GENERAL LIABILITT EACH OCCURRENCE IS500000 A X COMMOMIALGENERALLIABILITY 04-GL-000117697 06/13/03 06/13/04 FIRE DAMAGE (Am wwsm) 100000 CLAIMS MADE ® OCCUR MED EXP (Any one ereon) s excluded X H/NO Auto ,blkt A PERSONAL&AD'VINJURY 1500000 0EN1rRAL AGGREGATE 310000,60 GENLAGGREGATE LIMIT APPLIES PER PRODUCTS-COMNOFAGO 1000000 POLICY I I PRO. 1 I Loc JECT AUTOMOBILELIABILITY SINGLE LIMITANY S AUTOEs vwdyrN ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS Per PWIgn) HIRED AUTOS BODILY INJURY —~ _ . S NONdwNED AUTOS Per e001011N) PROPERTY DAMAGE S Perooddenl) GARAGELIABILITY AUTO ONLY -EA ACCIDENT S S ANY AUTOEAACCOTHERTHANAUTOONLY: AOG L_ S 2 EXCESSLIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S S DEDUCTIBLE SRrMNTION SWORKERSCOMPENSATION AND TORY LIMITS isR B EMPLOYERS! LIABILITY 21WBGGE3755 06/13/03 06/13/04 E.L.EACHACCIDENT _ 100000 4100000 E. LDISEASE-EAEMRA E.t. DIsEAsE-PoucruMrr I s 500000 OTHER DESCRIPTION OF O ERATIONSILOCATIONSNENICLESIEXCW $IONS ADDED BY ENDORSEMENTISPEMAL NtWsoNS 30 days notice of cancellation for workers compensation. THIS CERTIFICATE IS FOR BIDDING PURPOSES ONLY GCKTIFIGATE MOLLICR IN I ADOMONALINSURED:INSURER LETTER, _ GAIVGELLATJVN STEP19-2 SHOULD ANT OF THE ABOVE DESCRIBED POLICIES W CANCELIEO BEPORE THE EXPIRATIO DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL -19_ DAYS W WTTFJI NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SMALL Lee Stephens Contractors Inc 1MP0$E NO' BLI OGJITION ORUAILLITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 755 Nest State Road 434 Ste E REPRESEKTATIVES. Longwood FL 32750 01RA1T n . 1 4/03 2003 2004 O.L.# 04-09515 775 R'X'''t , , 32750 STATE# CBC057650 sT. f878 O CCUPA7 IONA L LICENSE LICENSE FEE $ 70.00 LOCATION: ADMINISTRATIVE FEE $ 1 m, 00755WSR434E a` F,0R10,4 ii,i TRANSFER FEE $ . 00ForTheOccupation _ 3; '; 3 CONTRACTOR/1 TO 5 EMP -0' - PENALTY % $ z'. SEAL ' Z o: :o3 LEE STEPHAN'S CONTRACTORS, INC ;.•••. ..;COUNTY TAX $ 45.00755WSR434EO LONGWOOD FL 32750 ''uu uiuia1N``` LTO$ CITYU(?6f 'MUSK BE&N8$IC000SLY DISPLAYED AT BUSINESS LCLM10h ER 9/ ` C (. \3 A j l(9N - 0 OUC _ PLANS REVIEWED CITY OF SANFORD 000 - •° 2 x..IV i</,!e R9n;a- 4, RA, It! T # OF r -Copy - ci - -2Y. CAP it 2 L If o Fro Lrz S -Z. ' BQ Ci^b - ---- — -- - i ImbFfl M;w M m-_----- 1 op V j t Ulf lye J) V'3 , 3"fj i e T I '' 1-nu T"ALL aw IW I II PROPOSED Ir 2 5TOF- r_ARAGE I I FRAME 168 50. FT. LIVIN[s I e 6- Gov. DECK A8V e I r r 0 1w Z ES IDENCE 0 PROPOSED 1 STORY FRAr1E RE5IUENGE 4382 501 FT. LIVING 1123_ N 5`03'_E _ 225.00' 5 79_ 48' 09' E 91 ` 330 - e - W 0 5 8g' S I Z ' OINT OF 5EG'NNING W I r A w DRIVE LOCATED gY pWNER 1 SITE FLAN 1 = 100' FOR IT-5 RE pESKaN GROUP. INC. 5 r4o ' T1SILD L' E Y I Y. 741E ORl- 'V F;5PG'4S FOR Tu 5 NOT AND CONTRACTOR AFYE ARE ONLY `aUGC E5TED. L ATION- SEPTIC. IF E OIWER ANp LOCATION. IF SFIOwy AND ATED mil. DES 9Y [JTF7ER5. 5191LITY FOR SEPTIC DE,, TO BE DES—ED AND LOG 5 Fd- P IG 5Y5TET•IS ARE DER RED•% T5. CppES. pE51CaN EpER gpEFtC, Rf.UP. R IRNE QTrjew OF EALTN IRE---TS OR Ag j= o rLANS kf VIEWED o M rY DF SANFORr ii a- J _ 3$ 5 S 74 IIII 4g• E III 91350' N l9' 48' 09' U1- - 9WATER FROI"1 AELC) L (-_ATION 24 O LY• 1999 FIELD LOC SILVER LAKE 93 6-13' - - 385. 66' LEGAL DESGIz1PT 1ON: TN. RANGE 31 EAST. SNIP -0 `OU 5T LINE TOWN2• W ALOW THE WE Ff? THE CENTER OF SECTION N N 00' 15' TO THE POINT FLORIDA. RU :115.0g FEET 5Et" IINOLE COUNTY' SAID 5EGTION TH AND 5OUTP 1/4 5EGTION OF THE NORTHEAST 1/4 OF 7H LINE OF THE OF BEGINNING: TNENGE LEAVINCs SAID NOR PINT ON THE S S9. 59' 03 W. PARALLE -101 0 Fla E O A P 7HENGE RUN LINE RiE SAID SECTION i IELLON'ILLE AVENUE: NORTHEAST1/4 OF WAY LINE OF Y RiG IT_OF-WAY LINE. 120.00 FEE LEL EASTERLY RIGHT-- WN N 89" 59' 03' E. PARALLEL NVo- 15' 22' W ALONG SAID EASTERL WAY LINE SECTION I. 41123 FEET VINCzSAIDRIGHT -OF pF SAID `aEG,4- 00' 48' E- THENGELEANORTHEAST114 (a GE RUN S WITH THE SOUTH LINE E 225ID0 FEET: THEN FEET THENCE RUN WITH 71 THENCE RUhI 5 19' 48' 5 00' 15' 0 N 5' W. PARALLEL THENCE RUN 8`j' S9. 03' FEET TO TE 693- 55 FEET: T: TNENGE RU I SECTION -. 330- TER. N 9. 49' 09' iu. 913.51 FEE T 1/4 OF SA AND WA SOUTH LINE OF THE NORTNEAININCz 30 45 ACRES LAND POINTOF6E6INNIN6: — r. r.o,r,r o-rP orww "''r• r-.•r' rr "nr•I+r.r c o II c a}. i5 Ill tell tell 1111 teAe tell aE 1E g1TE DRIVE LOCATED gY pWNER 1 SITE FLAN 1 = 100' FOR IT-5 RE pESKaN GROUP. INC. 5 r4o ' T 1SILD L' E Y I Y. 741E ORl- 'V F;5PG'4S FOR Tu 5 NOT AND CONTRACTOR AFYE ARE ONLY `aUGC E5TED. L ATION- SEPTIC. IF E OIWER ANp LOCATION. IF SFIOwy AND ATED mil. DES 9Y [JTF7ER5. 5191LITY FOR SEPTIC DE,, TO BE DES—ED AND LOG 5 Fd- P IG 5Y5TET•IS ARE DER RED•% T5. CppES. pE51CaN EpER g pEFtC,Rf. UP. R IRNE QTrjew OF EALTN IRE---TS OR Ag j= o rLANS kf VIEWED o M rY DF SANFORr ii a- J _3$ 5 S 74 IIII 4g• EIII91350' N l9' 48' 09' U1- - 9 WATERFROI" 1 AELC) L (-_ ATION 24 O LY• 1999 FIELD LOC SILVER LAKE 93 6- 13' - - 385.66' LEGAL DESGIz1PT 1ON: TN. RANGE 31 EAST. SNIP -0 `OU 5T LINE TOWN 2• W ALOW THE WE Ff? THE CENTER OF SECTION N N 00' 15' TO THE POINT FLORIDA. RU :115.0g FEET 5Et" IINOLE COUNTY' SAID 5EGTION TH AND 5OUTP 1/4 5EGTION OF THE NORTHEAST 1/4 OF 7H LINE OF THE OF BEGINNING: TNENGE LEAVINCs SAID NOR PINT ON THE S S9. 59' 03 W. PARALLE -101 0 Fla E O A P 7HENGE RUN LINE RiE SAID SECTION i IELLON'ILLE AVENUE: NORTHEAST 1/4 OF WAY LINE OF Y RiG IT_OF-WAY LINE. 120.00 FEE LEL EASTERLY RIGHT-- WN N 89" 59' 03' E. PARALLEL N Vo- 15' 22' W ALONG SAID EASTERL WAY LINESECTION I. 41123 FEET VINCz SAIDRIGHT -OF pF SAID `aEG,4- 00' 48' E- THENGE LEANORTHEAST114 (a GE RUN S WITH THE SOUTH LINE E 225ID0 FEET: THEN FEET THENCE RUN WITH 71 THENCE RUhI 5 19' 48' 5 00' 15' 0 N 5' W. PARALLEL THENCE RUN 8`j' S9. 03' FEET TO TE 693-55 FEET: T: TNENGE RU I SECTION -. 330- TER. N 9. 49' 09' iu. 913.51 FEE T 1/4 OF SA AND WA SOUTH LINE OF THE NORTNEAININCz 30 45 ACRES LAND POINT OF6E6INNIN6: — r.r. o,r,r o-rP orww "''r•r-.• r'rr " nr•I+r.r c o II c a}. i5Ill tell tell 1111 teAe tell aE 1E g1TE Sem a County Property Appraiser Get Information by Parcel Number Page 1 of 2 PARCEL DETAIL d 0 > m SILVER LAKE Sc minair Couunty irrK:s L. RD K. First St. 121101ford M 32771 2003 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 2 Parcel Id: 07-20-31-300-004H-0000 Tax District: S1-SANFORD Depreciated Bldg Value: $474,444 Owner: THALL DANIEL Exemptions: Depreciated EXFT Value: $22,286 Address: 3415 MELLONVILLE AVE Land Value (Market): $117,268 City,State,ZipCode: SANFORD FL 32773 Land Value Ag: $0 Property Address: 3415 MELLONVILLE AVE SANFORD 32773 Just/Market Value: $613,998 Subdivision Name: Assessed Value (SOH): $613,998 Dor: 01-SINGLE FAMILY Exempt Value: $0 Taxable Value: $613,998 2003 Notice of Proposed Property Tax SALES Deed Date Book Page Amount Vac/Imp 2002 VALUE SUMMARY WARRANTY DEED 08/1999 03711 0901 $151,000 Vacant 2002 Tax Bill Amount: $11,037 WARRANTY DEED 01/1998 03354 1916 $185,900 Vacant 2002 Taxable Value: $521,359 Find Comparable Sales within this Subdivision LEGAL DESCRIPTION SEC 07 TWP 20S RGE 31 E BEG 415.08 FT N OF LAND CENTER OF SEC RUN W 70 FT TO ELY R/W Land Assess Method Frontage Depth Land Units Unit Price Land Value MELLONVILLE ACREAGE 0 0 2.792 42,000.00 $117,264 AVE N 120 FT E 411.23 FT S 79 DEG 48 MIN 09 SEC E 225 FT S 74 DEG 00 MIN 00 SEC 48 MIN ACREAGE 0 0 .378 10.00 $4 E 693.55 FT S 50.89 FT N 79 DEG 48 MIN 09 SEC W 913.51 FT W 330 FT TO BEG BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 2000 13 5,141 4,571 CUSTOM CONCRETE BLOC $339,012 $344,175 Appendage / Sgft OPEN PORCH FINISHED / 258 Appendage / Sgft BASE SEMI FINISHED / 96 Appendage / Sgft BASE SEMI FINISHED / 96 Appendage / Sgft OPEN PORCH FINISHED / 120 2 SINGLE FAMILY 2000 4 3,418 1,611 CB/STUCCO FINISH $135,432 $137,494 Appendage / Sgft OPEN PORCH UNFINISHED / 128 Appendage / Sgft GARAGE FINISHED / 1679 re_web. Seminole_county_title?parcel=072031300004H0000&cpad=mellonville&cpad_num9/24/2003 Semis ,ole County Property Appraiser Get Information by Parcel Number Page 2 of 2 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 2000 2 $3,700 4,000 BBQ GRILL 2000 1 $463 500 POOL GUNITE 2000 512 $9,472 10,240 ELECTRIC HEATER 2000 1 $770 1,100 COOL DECK PATIO 2000 1,651 $5,346 5,779 IRON FENCE 2000 548 $2,535 2,740 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 our next ear's property tax will be based on Just/Market value. re_web. seminole_county_title?parcel=0720313 00004H0000&cpad=mellonville&cpad_num9/24/2003 i Y NAMEll 5 ADDR State of Florida County of Seminole WYME P1tMI MERK OF CIRCUIT COURT NOTICE OF COMMENCEME99JRWIE CITY BK 0504 PG - 1562 ClfA RWIcF 1A 2003176617 RECt1RDED 10/010 a 61 %3165 PO4 RECWINS FEES 6.90 RECi1RDED BY J Eckenroth 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. Description of property: (legal description of the property and street address if available) 2. General description of improvement: "r,4 0n-- 3. Owner information a. Name and address rvr1P(. 5 _ jjtM.ti b. , Interest in property P-- c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address b. Phone number Lit) -7 - 3 15-- d ZZ Z Fax number q- 2= 5 35. Surety a. Name and address N Lq b. Phone number Fax number c. Amount of bond 6. Lender a. Name and address 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 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 date of recording unless a different date is specified) Signature of Owner S to (or affirmed) and subscribed before me this _ day ofGl-ma' , 20 C)3 by CtHt r EU i:UP1' P na y Known OR Produced Identification MA RYANNE MORSE Type of Identification roduced. CLERK OF CIRCUIT COURT s.......................... E BIRTMEL i SEMINO pAMppp01M937IMWsjMOtiNTY. QAL - SoComroad * M* hDEPUTY 6C RX at Signure Nota ublic, State of Florida s 4„ ,al ° ` Ada N0 Assn" ham' Commission Expires: ; .Qpp32 4254.....s.n.•••a••••au.... • r : U 26 3