400 Locust Ave 08-2534Q�
CITY OF SANFORD PERMIT APPLICATION
Application #: O U '
l
Job Address: L// /, r f
Submittal Date:
i
Perml� No.
Tax Folio No.R s'- --,5,¢ G - 1da q , pp /,
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
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.
, and street address if
2. General description of improv rcient:
3. Owner information: Name:
`%/1/
'c
Address: —/10/') �,�.?` ,--.�"
b. Interest in property.
c. Name and address of fee simple titleholder (if other than Owner): Name:
Address
4 Contracts
Address:
5. Surety N
Address:
b. Amount of bond: $ ,e l'2'� ; -
OCrC' 47
6. Lender: Name: 11.11.A
MARY€1NNF MORSE, CLERK OF CIRCUIT CLIURT
SEMINOLE CUIJNTY
DK 0'10S7 pq ,061 a; ( 11jg)
CLERK'S # 2(")08100074
RI�C111tDL'D OS /(t3r<t?0(t8 1 :4�:� ;(I pM
REG[101W FEES 10.00
RECORDED by v users
lable)
)4
W
Address: '
b. Lender's phone numbe>' /V
7.a. Persons within the State of Florida designated by Owner upon whom notices or other document CLERK OF CIRPCTIi
provided by Section 713.13(1)(a)7., Florida Statutes: Name: E1 11 F
Address:
8.a. In addition to himself or herself, Owner designates of
Lienor's Notice as provided in Section 713.13 1 to r - iv a copyLVF
( )(b), Florida tatutes.
b. Phone number of person or entity designated by owner: �' -'� ��� n 3 ANIt 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recordil date is specified) ng un ess a di
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE
NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1,
SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOU"OPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE ThIiFIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN ,CONSULT WITH YOUR
LENDER O A7�1 A OR-N&Y ---B. FORE COMMENCING WORK OR RE ORDING I TR NOTI OF
CO .
Si atupwner or wners Authored Officer /Director/Partner/Ma��gr_
_,, ignatory's � tle/Office
T foego' - inatrament was acknowledged before me.this day of �e1, (year), (name
authority, Y ) , y ( me of person) as (type of
ty e.g. officer, trust �, atEt,rney in fact) forj (name of on hch t h
I 1 r 1��Y � • " arn l]iStalrneniwlc Pwar „tart)
I F j/ — �. "►+” P % IATOYA N. BARRETT
(SEAL) ? = NotarY Public - State of Florida
Silua r of Notary kblic ,� My Commis m Expires Feb 2, 2012
PerWnally Known OR Produced Identification r r' Commission N D 750387
Verificatio uant- ta- Sectiozi.,,92.525. Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that
the faG2ws a in it are true to the best of my knowledge and belief. p It j ]r( BY-
Si
�. r.Y- 5;1�..iJl PI rflRED �' � t J � 1 i.'3i �� LI.'�; •. v PIE
e of Natural-Person Signing Above
Rsrv. date 3/2008