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HomeMy WebLinkAbout115 E 21 St (4)Permi ,eJob-A-A Description of Work: / f f.o�✓PL-C E EX! ST% M G W) ►1 p tr,� s ! N ST-AII I �'I.t", W 1 n Cl 0 W t mvw p�vtr-��-0 Historic District: Zoning: Value of_Workr$ 1 d GPermit Type: Building ►/ Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool. &lectr I: New Service — # of AMPS Addition/Alteration V Change of Service Temporary Pole _ Mechanical: Residential Non -Residential Replacement New (Duct Layout & Epergy CalF. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial CQcKgpancy Type: Residential Y" Commercial Industrial Total Square Footage Construction Tyne: 'F(OAV- # of Stories: L # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 3G- ( 9 ` 30 - 3 W - 0 b q N - 00 0 (3 (Attach Proof of Ownership & Legal Description) tOrLners Name_&Address: — 3l7 D Aeen F—Z CP.n��SV07—.322-GQ 9 Contractor Name &""Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Contact Person: State License Number: Architect/Engineer: Phone: Address: Fax: hone: 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 la\�,s rgnilating construction and zoning. WARNING TO OWNER YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PA. TNG 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 maybe a 'tional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit i fication that I ui tify the owner of the property of the requirements of Florida Lien Law, FS 713. CD S / 03 $ Stb. mre-of er/Agent CDate­=7 Signature of Contractor/Agent Date N h GED R G E RR $ Prin. Owner/ g nt's N me IY� AIA 336.03 U LD Signature of Notary -State of F orida Date n CL i �tFr ,tom �t Tye Mar O\kner/Agent is Personally �,nowntlVle Co— °h. �iroduced ID L L APPLICA I ION APPROVED BY: Bldg: �—: Zoning: :Initial & Date) S'PCCla! Conditions: Print Contractor Agent's Name Signature of Notary -State of Florida Date Contractor/A2,--: is Personaiiv Known to Me or Produce" :D (Initial & Date) Lt.::ies: _ FD: (Initial & Date) (IrHtial & Dat: CITY OF SANFORD BUILDING ]fDIVISION 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 presuixie tbat you built or substantially improved it for sale or lease, which is a violation of this exemption. You gray not hire an unlicensed person to act as your contractor or to supervise people working on your hui.I itag. A 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, b' g codes, and zoning regulations. do hereby state that I am qualified and capable of performing the requested co ction involved with the permit application filed. I will assume full responsibility as an Owner/Builder Contractor, and will personally supervise all work allowed b aw on the permitted structure. 04 0 ; 7 n e r /-P Wilder SignatureDate, GEORGE e—KRRI P,ri_p_-0�w'n. eTfflni•1der, Naine r r DD.043740 gcBCiU25 Signature of Notary—State of Florida Date Owner is Personally Known to Memr has Produced ID ,Dr i L)f r5 L. 10 0, IOU's -e Seminole County Property Appraiser Get Information by Parcel Number Page 1 of 1 PARCEL DETAIL t < O D a 0 a ¢' TV21ST T ST Srmin(Jr 0xwnty �.ptrl1ry� �P^'ser j IT V� tYKt t 1101 K. First St. Lanford fl.32771 . 407-AAi-7 SI►A � I 2003 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 1 Parcel Id: 36-19-30-300-064A-0000 Tax District: S1-SANFORD Depreciated Bldg Value: $26,348 Owner: CURRIE GEORGE w Exemptions: Depreciated EXFT Value: $0 Address: 830 DOE DR Land Value (Market): $12,152 City,State,ZipCode: OSTEEN FL 32764 Land Value Ag: $0 Property Address: 115 21ST ST E Just/Market Value: $38,500 Subdivision Name: Assessed Value (SOH): $38,500 Dor: 01 -SINGLE FAMILY Exempt Value: $0 Taxable Value: $38,500 SALES Deed Date Book Page Amount Vac/Imp WARRANTY DEED 03/1992 02532 1025 $34,000 Improved WARRANTY DEED 10/1986 01801 0676 $35,000 Improved 2002 VALUE SUMMARY QUIT CLAIM DEED 12/1984 01603 0394 $100 Improved 2002 Tax Bill Amount: $764 WARRANTY DEED 08/1983 01479 0570 $29,000 Improved 2002 Taxable Value: $36,087 WARRANTY DEED 03/1980 01270 1197 $25,000 Improved WARRANTY DEED 06/1973 01245 1825 $100 Improved Find Comparable Sales within this Subdivision LAND LEGAL DESCRIPTION Land Assess Method Frontage Depth Land Unit Land Units Price Value LEG SEC 36 TWP 19S RGE 30E E 100 FT OF N 78.35 FT OF S 300 FT OF NW 1/4 OF NE FRONT FOOT & 78 100 .000 190.00 $12,152 1/4 OF SE 1/4 (LESS R/W) DEPTH BUILDING INFORMATION Bid Num Bid Type Year Bit Fixtures Gross SF Heated SF Ext Wall Bid Value Est. Cost New 1 SINGLE FAMILY 1920 6 1,390 1,255 SIDING AVG $26,348 $63,874 Appendage / Sgft SCREEN PORCH -FINISHED / 105 Appendage / Sgft OPEN PORCH FINISHED / 30 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=361930300064A0000&cpad=21st&cpad_num=115&4/30/2003 CITY OF SANFORD;BUILDING DIVISION OWNER/BUILDER AFFIDAVIT ELECTRICAL & FIRE ALARM SYSTEMS An owner of property making application for permit, supervising, and doing the work in connection with the construction, maintenance, repair, and alteration of and addition to a single-family or duplex residence for his or her own use and occupancy and not intended for sale or an owner of property when acting as his or her own electrical contractor and providing all material supervision himself or herself, when building or improving a farm outbuilding or a single-family or duplex residence on such property for the occupancy or use of such owner and not offered for sale or lease, or building or improving a commercial building with aggregate construction costs of under $25,000 on such property for the occupancy or use of such owner and not offered for sale or lease. In an action brought under this subsection, proof of the sale or lease, or offering for sale or lease, of more than one such structure by the owner -builder within 1 year after completion of same is prima facie evidence that the construction was undertaken for purposes of sale or lease. This subsection does not exempt any person who is employed by such owner and who acts in the capacity of a contractor. For the purpose of this subsection, the term "owner of property" includes the owner of a mobile home situated on a leased lot. To qualify for exemption under this subsection, an owner shall personally appear and sign the building permit application. State law requires electrical contracting to be done by licensed electrical 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 electrical contractor even though you do not have a license. You may install electrical wiring for a farm outbuilding or a single-family or duplex residence. You may install electrical ,,viring in a commercial building the aggregate construction cots of which are under $25,000. The home or building must be for your own use and occupancy. It may not be built for sale or lease. If you sell or lease more than one building you have wired yourself within 1 year after the construction is complete, the lav will presume that you built it for sale or lease, which is a violation of this exemption. You may not hire, an unlicensed person as your electrical contractor. Your construction shall be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have411censesred by state lawand by county or municipal licensing ordinances. do hereby state that I am qualified and capable of performing the requeion 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. � 3 owner -B ' dei Signature CDate---, GEO,EGG Cyt I?oDs Print own erBui der Name th Signature of Notary—State of Florida Date Owner is Personally Knmvn to Me ori_ Produced ID Dr c u e r!j L, n r?,ftjs � patrias P +• my commission DD043740 yip Expires October 30 2005 ----- ----- ------ ----- e.P1_a.c-e---_�I�.m � gUl>rflING DE�1'f1DN�'Y . VIEWE �Sr7--CQN cJHA11-�E ------------- - -- RE D Is ED w -- -- PLp'Ns ARE IT. F PERMIT ROCEED Tia, T. Ea F; C --P, IGCNSE PSY TD V ?HE ---- ----- — — - - — �� W RKO To NT BOOR cL tT"AL ODE IDE NOUS IsG F,RD �'Isl^ c'CF ^ F ` o.FTER RSQUIRICONTs7�R-UG C-- --- IS 3W C�'Ov TY'ER y THE Pl F`s. p�-Tr1E O[)Vs. -- — — - u : TIC?II CF F'' TIONS OR, OTI1ER\'IOI A .��� u 0 I r t4E l dOo+' 144 �.J L.A. I q r Ll �oC, 3° �3 R �2 CSL:-� EX�sT�1°1 NEYJ 'Dooms yj1N�DvJ w;mows Cst-� Exhjbi+ e� �,Pi S i�) 1 on2 Y-N2,A wt nc�ow i+ A 361 DOUBLE TOP PLATE HEADER— KING STUD - TRIMMER — STUD ROUGH SILL REGULAR STUD CORNER ASSEMBLY i TOP OPTIONAL CRIPPLE PLATE HEADER DESIGN STUDS LCA f A -ROUGH- OPENING NG — ROMGH = OPENING HEADER TRIMMER STUD KING STUD ENUIZ) SF 'poo f CRIPPLE PARTITION WALL SOLEPLATE STUD ASSEMBLY Figure 1. Wall And Partition Framing Members WALLAND CEILING FRAMING —TRAINEE TASK MODULE 27105 105F01.EPS, HEADER KING STUD — TRIMMER — STUD ROUGH SILL— DOUBLE TOP TOP OPTIONAL CRIPPLE PLATE PLATE HEADER DESIGN STUDS -{ 6,1 t' C STUD STUD ASSEMBLY La 1 CORNER ASSEMBLY REGULAR CRIPPLE PARTITION WALL SOLEPLATE STUD STUD ASSEMBLY ElmHEADER ING CORNER ASSEMBLY Figure 1. Wall And Partition Framing Members WALL AND CEILING FRAMING —TRAINEE TASK MODULE 27105 TRIMMER STUD KING STUD rNCf,o SF 'goof 105F01.EPS REGULAR CRIPPLE PARTITION WALL SOLEPLATE STUD STUD ASSEMBLY Figure 1. Wall And Partition Framing Members WALL AND CEILING FRAMING —TRAINEE TASK MODULE 27105 TRIMMER STUD KING STUD rNCf,o SF 'goof 105F01.EPS THIS FENESTRATION PRODUCT COMPLIES * WITH THE NEW FLORIDA BUILDING CODE FOR RESIDENTIAL BUILDINGS WITH A MEAN ROOF HEIGHT OF 30 FT. OR LESS, EXPOSURE "B" (WHICH IS INLAND OF A LINE THAT IS 1500 FT. FROM THE COAST), AND WALL ZONE "5" (INSTALLED NEAR THE CORNER OF THE BUILDING). PER ASTM E1300, THE CORRECT GLASS THICKNESS, BASED ON THE NEGATIVE DESIGN PRESSURE (DP) LISTED BELOW, HAS BEEN INSTALLED IN THIS UNIT. THE GLASS THICKNESS IS BASED ON IT'S WIDTH, HEIGHT, AND ASPECT RATIO. WIND ZONE: 140 MPH OR LESS DESIGN PRESSURE (DP): + 35.3 / THIS PRODUCT MEETS THE REQUIREMENTS FOR STRUCTURAL LOADS, WATER AND AIR INFILTRATION PER ATTACHED AAMA PERFORMANCE LABEL. BE ADVISED THAT IF LOADS ARE PLACED UP TO OR EXCEEDING THE TESTED LEVELS, THIS PRODUCT MAY BE ALTERED IN SUCH A WAY THAT FUTURE PERFOR- MANCE WILL BE REDUCED. * COMPLIANCE MUST INCLUDE INSTALLATION ACCORDING TO MANUFACTURER'S INSTRUCTIONS I AND FLORIDA CODE REQUIREMENTS. MIP -466 j PRODUCT CONTROL NOTICE OF ACCEPTANCE Premdor Entry Systems 911 E. Jeferson, P.O. Box 76 Pittsburgh ,KS 66762 MIAMI-DADE COUNTY, FLORIDA METRO-DADE FLAGLER BUILDING BUILDING CODE COMPLIANCE OFFICE METRO-DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE 1603 MIAMI. FLORIDA 33130-1563 (305) 375-2901 PAX (305) 373-2908 CON•rRAc'rolt LICENSING SVC ION (305) 375-2527 rAX (305) 375-2558 CONTRACTOR 1•: NIf0RCEtN11`NT DI%'ISI0N (3U5) 375-2966 fAX (305) 375-2908 PRODUCI' CONTRO1. DIVISION (305) 375-29U2 FAX (305) 372-6339Your application for Notice of Acceptance (NOA) of: Entergy Series Single Flush(Embossed) Outswing/Inswing Residential Insulated Steel Door -Impact under Chapter 8 of the Code of Miami -Dade County governing the use of Alternate Materials and Types of Construction, and completely described herein, has been recommended for acceptance by the Miami -Dade County Building Code Compliance Office (BCCO) under the conditions specified herein. This NOA shall not be valid after the expiration date stated below. BCCO reserves the right to secure this product or material at any time from a jobsite or manufacturer's plant for quality control testing. If this product or material fails to perform in the approved manner, BCCO may revoke, modify, or suspend the use of such product or material immediately. BCCO reserves the right to revoke this approval, if it is determined by BCCO that this product or material fails to meet the requirements of the South Florida Building Code. The expense of such testing will be incurred by the manufacturer. ACCEPTANCE NO.: 00=0720.05 EXPIRES: 08/25/2003 Raul Rodriguez Chiel Product Control Division THIS IS THE COVERSHEET, SEE ADDITIONAL PAGES FOR SPECIFIC AND GENERAL CONDITIONS BUILDING CODE S PRODUCT REVIEW COMMITTEE This application for Product Approval has been reviewed by the BCCO and approved by the Building Code and Product Review Committee to be used in Miami -Dade County, Florida under the conditions set forth above. APPROVED: 09/14/2000 Francisco J. Quintana, R.A. Director Miami -Dade County Building Code Compliance Office \\s045000I\pc2000\\temp1ates\n0tice acceptance cover page.doc Internet mail address: postmaster@buildingcodeonline.com a Homepage: littp://%vww.buildingcodeoniiiie.coni Premdor Entry Systems ACCEPTANCE NO.: 00-0720.0 APPROVED SEP 14 2000 EXPIRES August 25, 2003 NOTICE OF ACCEPTANCE: SPECIFIC CONDITIONS I. SCOPE 1.1 This renews the Notice of Acceptance No. 97-0204.08, which was issued on August 25`x, 1997. It approves an outswing / inswing residential insulated steel door, as described in Section 2 of this Notice of Acceptance, designed to comply with the South Florida Building Code (SFBC), 1994 Edition for Miami -Dade County, for the locations where the pressure requirements, as determined by SFBC Chapter 23, do not exceed the Design Pressure Rating values indicated in the approved drawings. 2. PRODUCT DESCRIPTION 2.1 The "Entergy" Series Single Flush (Embossed) Outswing / Inswing Residential Insulated Steel Doors — Large Missile Impact Resistant and its components shall be constructed in strict compliance with the following documents: Drawing No 31 -1015 -EW, titled "Entergy Wood Edge Steel door," Sheets 1 through 6 of 6, prepared by manufacturer, dated 2/18/97 and latest revised on 08-21-00, bearing the Miami -Dade County Product Control approval stamp with the Notice of Acceptance number and approval date by the Miami -Dade County Product Control Division. These documents shall hereinafter be referred to as the approved drawings. 3. LIMITATIONS 3.1 This approval applies to single unit applications of a single outswing / or inswing door, as shown in approved drawings. 3.2 Refer to corresponding design pressure table, for water infiltration requirements. 4. INSTALLATION 4.1 The outswing / or inswing residential insulated steel door and its components shall be installed in strict compliance with the approved drawings. 4.2 Hurricane protection system (shutters): the installation of this unit will not rcquirc a hurricane protection system. 5. LABELING 5.1 Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved". 5.2 The door slab itself shall also bear a permanent label, at the door inside edge, with the manufacturer's name or logo, city and state. 6. BUILDING PERMIT REQUIREMENTS 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance 6.1.2 Duplicate copies of the approved drawings, as identified in Section 2 of this Notice of Acceptance, clearly marked to show the components selected for the proposed installation. 6.1.3 Any other documents required by the Building Official or the South Florida Building Code (SFBC) in order to properly evaluate the installation of this system. I Sl�tig 1. L !ti �.�•-�-. Ishaq I. Chanda, P.E., Product Control Examiner Product Control Division 2 of 3 Premdor Entry Systems ACCEPTANCE NO.: 00-0720.05 APPROVED SEP 14 2000 EXPIRES : Auzust 25, 2003 NOTICE OF ACCEPTANCE: STANDARD CONDITIONS 1. Renewal of this Acceptance (approval) shall be considered after a renewal application has been filed and the original submitted documentation, including test supporting data, engineering documents, are no older than eight (8) years. 2. Any and all approved products shall be permanently labeled with the manufacturer's name, city, state, and the following statement: "Miami -Dade County Product Control Approved", or as specifically stated in the specific conditions of this Acceptance. 3. Renewals of Acceptance will not be considered if: a) There has been a change in the South Florida Building Code affecting the evaluation of this product and the product is not in compliance with the code changes; b) The product is no longer the same product (identical) as the one originally approved; c) If the Acceptance holder has not complied with all the requirements of this acceptance, including the correct installation of the product; d) The engineer who originally prepared, signed and sealed the required documentation initially submitted is no longer practicing the engineering profession. • 4. Any revision or change in the materials, use, and/or manufacture of the product or process shall automatically be cause for termination of this Acceptance, unless prior written approval has been requested (through the filing of a revision application with appropriate fee) and granted by this office. 5. Any of the following shall also be grounds for removal of this Acceptance: a) Unsatisfactory performance of this product or process. b) Misuse of this Acceptance as an endorsement of any product, for sales, advertising or any other purpose. 6. The Notice of Acceptance number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the Notice of Acceptance is displayed, then it shall be done in its entirety. 7. A copy of this Acceptance as well as approved drawings and other documents, where it applies, shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at all time. The engineer need not reseal the copies. 8. Failure to comply with any section of this Acceptance shall be cause for termination and removal of Acceptance. 9. This Notice of Acceptance consists of pages 1, 2 and this last page 3. sXo-1 1. LU4Ktl" Ishaq I. Chanda, P.E., Product Control Examiner Product Control Division END OF THIS ACCEPTANCE 3 of 3 r- �REMDOR (ENTERGY BRAND ODD EDGE) i 3'-0 x 6'-8 STEEL DOOR WITH BUMPER THRESHOLD IN A WOOD FRAME OUTS�/ING/INSWING DOORS 37 1/2" M A X 7/16' x 1 3/4' Ig. STAPLES c3> PER SIDE _4 a' \ TOP OF ODOR To g 7(l [_ OF HfNGE 17 1/2' CTYP.> TYR. ON F-IIN= #10 x 1 1/4' MINIMUM EMBEDMENT A (S> PER SIDES ALTERNATE: 3/16' PFH TAPCONS -• w/1 1/2' MINIMUM EMBEDMENT 31 3/16' #8 x 1 3/4' SCREWS -� JAMBS TO THRESHOLD ' C2> PER SIDE — 4' R.H. INSWING L.H. INSWING R.H. OUTSW ING L.H. OUTSWING B #10 x 2' SCREWS C2> PER HINGE KWIKSET 660 DEADLOCK KWIKSET - 200 L❑CKSET 4- S 1/2' 2 43 11/16" TOP OF DOOR T CL OC LOCK 81 1i/lE S M i X — - - #8 x 2" F.H.W.S. #10 x 1 1/4' MINIMUM EMBEDMENT ALTERNATE= 3/16' PFH TAPCONS w/1 1/2' MINIMUM EMBEDMENT C2> 2 THRESHOLD C2> 2 HEADER B ' 4" ❑UTS\41NG CVIE\./ FROM EXTERIOR) 1.> WOOD BUCKS BY OTHERS. MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO THE STRUCTURE. 2.> THE PRECEDING DRAWINGS ARE INTENDED TO QUALIFY THE FOLLOWING INSTALLATIONS. A. WOOD FRAME CONSTRUCTION WHERE DOOR SYSTEM IS ANCHORED TO A MINIMUM TWO BY WOOD OPENING. B. MASONRY OR CONCRETE CONSTRUCTION WHERE APPROVEO AS GOM PI'IWG WITH THE DOOR SYSTEM IS ANCHORED TO A MINIMUM TWO BY soon+rFLn 0 Bulgy ING CODE STRUCTURAL WOOD BUCK. C. MASONRY OR CONCRETE CONSTRUCTI❑N WHERE sv_1s4 0 I_ i`-1%nSIO - DOOR SYSTEM IS ANCHORED DIRECTLY TO CONCRETE PRODUCT ODEdOMPLIA CE OR MASONRY WITH OR WITHOUT A NON—STRUCTURAL HUILOING CEr4o.�OMPLI/WCEOFT+TCE ONE BY WOOD BUCK. ACCEPTANCE NO. b!�-O'72n•oS' 3. ALL ANCHORING SCREWS TO BE #10 WITH MINIMUM 1 1/4' EMBEDMENT INTO WOOD SUBSTRATE. 31-1015-E W SHEET 1 OF 6 REVISION LETTER (_ Permit No. State of Florida County of Seminole NOTICE OF COMMENCEMENT Tax Folio No. 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. 1. Description of property: (legal description 2. General description o.F�i�' ems 3. Ow6r information '•�ya. Name and address 6'6-o) b. Interest in property c. Name and address of fee sunt 'the property and street address if available) M57 0� Al'7g, 3s !' a 5. 300 i ivw c. e 5S #'? w '�-c s77 - titleholder (if other than Owner) cr�xiFlFn COPY 4. Contractor n a. Name and address ,4 1W�IRYAN.NE MORSE /V pERI- OF CIRCUIT COURT rteetunl r (: UNTY. FLORIDA b. Phone number 5. Surety a. Name and address C. Phone number Amount of bond 6. Lender a. Name and address b. Phone number Fax number Fax number Fax number i7r Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.130)(a)7., Florida Statutes: a. Name and address G EoR G S' Lo je,Plb 230 T)oe 1�z 03)e io F -Z, 7.Z 7 6 V I b. Phone number Lj 0 7 3 Z Z- G a 9 In addition to himself or herself, Owner designates Fax number 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 ecording unless a different date is specified) l/' S ature of Owner L) Cit rr� Sworn to (or affirmed) and subscribed before me this I Y� day of 20 by Personally Known OR Produced Identification NOLE Type of Identification Produced L (200 31' 7 X19 YW 5 Wal C M t�tA1TYVOF OMIT 1 tT Signature of Notary Public, State of Florida Commission Expires: CLERK OF SEMI BK 04821 PG 1802 FILE NUM 2003081020 Melissa leu85/13/2883 83:16:52 PIA Commission#DDWim 6 FEES 6.88 a. -3, Expires: Dec 20 &VJVMMDED BY M 401dan "/' OF Fl.O01 Bonded Thru " Atlantic Bonding Co., Inc. NIa101NININaiIIN91 NIaIoil I