178 Lakeside Dr 17-343; PLUMBINGIssas t. •K error by Co cfra.for
P CITY OF SANFORD
WILDING & FIRE PREVENTION
iL PERMIT APPLICATION
n No:
a ue: K
Historic District: Yes No
Residential Commercial
Change of Use Move
r----- -- - • -- -- - — - —
Plan Review Contact Person: AU44 A/ Oj<)
Phone:-467-)-4q-ZW0 Fax•4;7-X'7 2F5 Email:r11-fh
Property Owner Information
Name A-er&, lqur Al
Street: n y y--'A"6V;7Ck L2i rC
City, State Zip: &4GG Title:
YI
p o C-/'. Phone:
40 --0293 - o?aPs3 Resident
of property? : Name /
S &a4&74/X . Phone: 24cl_zzo() Street: )
046. '840X S7)4&_4 7n Fax: 07 e1-Z2FF - City,
State Zip: 4. o J" State License No.: Architect/
Engineer Information a Name:
ylet Phone: Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
All-, Mortgage Lender: Address: Address:
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Application
is
hereby made to obtain a permit to do the work and installations as indicated. 1 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. FBC 105.
3 Shall be Inscribed with the date of application and the code in effect as of that date: 5i° Edition (2014) Florida Building Code Revised: June
30, 2015 Permit Application
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 verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in cffect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
i el
i nature of Owner/Ag t Date
Print
7;;Z
i's Name
t/b 2 - C. - 1 i
Signature of Notary -State of Florida Date
Signature of Contractor/Agent Date
A1c/lGe_1,,T
Print Contactor/AQent's.Name
of Notary -State of Florida
RMWLLWACUM
NOTARY PUKO
STATE OF FLOPJVA
Ow y Known to Me or Contractor/Agent is Personal
Produce IDID Produced ID Type of ID. BELOW
IS FOR OFFICE USE ONLY RV
H LISp/1t,
i
O`
9ro AFF
991084 i "'
rjrr Fela I.n ea'. • 0 C.
STAtE.\ Permits
Required: Building Electrical Mechanical Plumbing Gas[] Roof Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: Flood
Zone: of
Stories' New
Construction: Electric - # of Amps Plumbing - # of Fixtures Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
COMMENTS:
191111113
Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
1/6/2017 SCPA Parcel View:11-20-30-5KB-0000-0690
Property Record Card
f1(Pj1&&ii4&Parcel: 11-20-30-SKB-0000-0690
Owner: SPURLIN CYNTHIA P
OLeO° Y
Property Address: 178 LAKESIDE CIR SANFORD. FL 32773
Parcel Information Value Summary
Parcel 11-20-30SK"000-0690
Owner SPURLIN CYNTHIA P
Property Address 178 LAKESIDE CIR SANFORD. FL 32773
Mailing 178 LAKESIDE CIR SANFORD. FL 32773-
Subdivision Name HIDDEN LAKE PH 3 UNIT 7
Tax District S1-SANFORD
DOR Use Code 01SINGLE FAMILY
Exemptions 00-HOMESTEAD(2011)
o
Legal Description
LOT 69
HIDDEN LAKE PH 3 UNIT 7
PS 38 PGS 79 3 80
Taxes
2017 Working
values
2016 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1 1
Depreciated Bldg Value 87.186 83,717
Depreciated EXFT Value
Land Value (Market) 21.000 21.000
Land Value Ag
Lust/Mjrket Value " 108.186 104.717
Portability Adj
Save Our Homes Adj 31.956 29.017
Amendment 1 Adj
P&G Adj 0 0
Assessed Value 76.230 75.700
Tax Amount without SOH: $1,275.73
2016 Tax Bill Amount $694.07
Tax Estimator
Save Our Homes Savings: $581.66
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value Exempt Values Taxable Value
Schools 176,230 25.500 50.730
City Sanford 76.230 50,500 25.730
SJWM(Saint Johns Water Management) 76.230 50.500 25.730
County Bonds 76.2301 50.500 25.730
County General Fund 76.230 50.5001 25.730
Sales
Description Date Book Page Amount Oualified VacAmp
WARRANTY DEED 8/12010 07437 QU-1 I $100.000 No Improved
WARRANTY DEED 11/1/1999 03767 im 81,600 No Improved
SPECIAL WARRANTY DEED 9/1/1996 03137 0618 60.000 No Improved
CERTIFICATE OF TITLE 5/1/1996 03075 100 No Improved
WARRANTY DEED 1/1/1989 Q Q • 31§¢ 72.500 Yes Improved
WARRANTY DEED 10/1/1988 02011 252.800 No Vacant
Find Comparable Sakes
Land ---
Method Frontage Depth Units Units Price Land Value
LOT I 0.001 0.001 1 I $21.000.00 I $21.000
httpJ/parceldetail.scpaN.orgParcelDetaillMo.aspx?PID=11 12
Pre srp ed by and return to:
Nishad Khan
Attorney at Law
Nishad Khan PL
617 E. Colonial Drive
Orlando, FL 32803
407-228-97 t 1
File Number: DestinationLake
Will Call No.:
ISpace Above This Line For Recording Dotal -
Warranty Deed
This Warranty Deed made this 31st day of January, 2017 between Destination Fund, LLC, a Florida limited
liability company whose post office address is 11623 Sprawling Oak Drive, Windermere, FL 34786, grantor, and JamesD. Murphy, Sr. and Sheree C. Murphy, husband and wife whose post office address is 785 Vercelli Street, Deltons, FL
32725, grantee:
Whenever used herein the temts "grantor' and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns orcorporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Seminole County, Florida to -wit:
Lot 4, Block G, Fairlane Estates, Section 1, according to the map or plat thereof as recorded in Plat
Book 11, Page $0, Public Records of Seminole County, Florida.
Parcel Identification Number: 11-20-30-SAM-OG00-0040
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; -that thegrantorhasgoodrightandlawfulauthoritytosellandconveysaidland; that the grantor hereby fully warrants the title to saidlandandwilldefendthesameagainstthelawfulclaimsofallpersonswhomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to December 3t, 2016.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
DoubleTimee
Signed, sealed and delivered in our presence:
lorida limited liability company
E. TorYes, Authorized Representative
State of Florida
County of Orange
The foregoing ins iment was ACKNOWLEDGED before me this 3 tst day of January, 2017 by Leyda E. Torres, Authorized
Representativ of Destination Fund, LLC, a Florida limited liability company, on behalf of the limited liability company.
He/she L s personally known to me or (XI has produced a driver's license as identification.
Notary Seal] Notary Public
Printed Name:
My Commission Expires:
My Camltt. Ex" the
fF
3.20t0
I011010 WOtldl ttt l0a% ttohf t AtpL
Warranty Deed - Page 2
DoubleTimee
CIO" aft:
PtoraBon Oita:
obburxrttem oats:
BORROWER:
SELLER
LENDER
Conning Agent:
Closing Agant FUG No.:
PROPWM ADDRESS:
Ticon Title Company
617 E. Colonial Drive. Orlando, Flodda 32803
Phone 407-500.3030
COMBINED CLOSING STATEMENT
1Atn7
1131n7
1131n7
G.-washy
Destinsw Fund. LLC. a
lmorlgape
Tkon TAB Cempany
Oestinatlonleke
178 t akeside Deus. Saftni. FloAW 32m
Borrower
OEM CFW"T
Sala Peke of Property 14E.500.00
37S0%ofLoan A"MMt(Points) Payee:' Ito 9a S37E.76 Prooeasieg
Fee Payee:lmoVW 5800. UedeltWft
Fee Payee:lmonp" ' S495.00 ApPW"
Fee E475.00 Credo
RsPW Fes SUA3 Raimpoedon
Fee 125.00 Surrey
Pee Payee: Long S--ft 827S.00 Tda -
eRGooedbp Fee Psyee: sifivo a 9.00 To.
Lenders The Inwmnw Payee: Ticon Tkk Company VOWS Trde.
SGUNO*M fee Payee: Liam Tttls Company 376.00 Recoedino
fees Deed: Mongpe: 3139.
00 TreeesfvTtue
Us5'
50 Momm"
We Insurance Premium Payee: Amaksn b"*1 Us-inu oe G S1.083.00 Prepaid
bnseest Payee:Imonsage S12.45 Nomeomeft
lneunuKe Payee: blloeto go 270.76 Feopany
ass Patna-Motosge SWAM Aom8am
ABM Pares. '"-We* loan
AMMIN 111239.
1E) f/
01,000.00 tender
Cred15 12624
Seller
Credit Title
Mumma Peemian Adjvsanwd County
Taxes y,
a65.00 S330.
00 f113.
20 SUBTOTAL
C0.
9NFROM BORROWER 5/
54,4W.2S ff0E,024A5 sAE,
43e.80 CASH
TO BORROWER TOTAL
ago
s/
54.4E4.25 s154,4E4.25 Seller
Main
CRM 5/
48.500 Sale
Pros of Property Payee:
ProP 9 LW 130.00 TAIe-
Lion Ssaerlt Payee:
AEomeys Mile Fund Senfoss.1 S17S.00 Tide -
Lion Seach Payee:
Tioee Tftle Company 375.00 1,
039.50 Tmnsfsr
7bx Payee
Oeoege County Tax Collector S1.426.31 201E
Taxes Ous Payee:
OW Republic Itoeea 1Neereeety 56C0.00 MOme
only Fee War! Poyeo:
Un a"I PMPWGN of oft"o f4.45S.00 Real
Esters Commission &Ws emko Payee:
Sted worm Realty Group 34.455.00 Real
Estate Com it sion Salim Beaker 487.50 Tkle -
Oentsra TWO b"fDftw Payee:
Tioon TAIe COreiMnY s"
212.5E Payoff
of Float IW19G0e loan f4,456.00 saw
3330.00 Tftls
imuesnoe Pcom-a Musloront DoubleTtme®
Page
1 of 2
OE81T CREW
Couldy Tomes
113.20
SUBTOTAL 104.149.07 3118b0o.00 CASH
FROM SELLER so. cc CASH
TO SELLER fan.sal.9s TOTAL
148.500.00 stee soo.00 Other
Borrower
The
urdefsiprls0 aeraby eerti6es that In" nave oerelimay revieMree flee ClosingOiedawre err odw iew n m stuenlent fam and a" approve and agile to
dfa payment of so feel, Costs. expense and disburownent as NPOO aO on the G Ao O• olaOf setdereant atasemsra form to 00 paid on tndr be"#.
v% foram cv* Oast we Ifave recalled a Copy of the Olsda"m or otaar set l0lernem. 1
d
D. Murphy. - r. shorto, C. IRLrpn Seller
TM
undersigned aewby Cent "fast they have ag f mv*&,W die Dosing Oedosurs at ether sadlsnI" steten M form and dray approve Ord Or" to
dw proa m of sa Iles. oasts, upensss snd ftW_onard w iep - m on der Cia" Oirdowim or wiser t!lIINfISnt suteneem fWm to be paid an their b6"
Vft former am* prat we have raooked a Copy of the Ctosing Obekeme or omen seM and safemem. oes-
ineclon . LLC yew
C. r Aut.
horlled rasentetitrs 1
have rev,swe0 tles Cbsing obdosum. die said "wat statatlerlL ate lendefs closing baWeuorn and eny and as ww fonts mmwo to Ma esCar funds. inffWitanydlsdosmeofthet•'todda tdle onsuranne prerniums bebtg VOW- and 1 agree to dbbarae the escW hinds in acoofdam vrith fhe tanner of this transaction,
and fl0dds law. ticon
T By:.,
r oeuble7lme0
Psge
2 012
Closing file Number. Datinstloal ske Cloths Date: hanary31. 2017 TAX
RE -PRORATION AGREEMENT: If the most recent property tax bill issued does not cover through the dosing
date, then the tax prorations set forth on the settlement statement are based upon an estimate. The basis of
proration as set forth on. the settlement statement is hereby scoepted by the parties to this transaction. It is hereby
understood and agreed that the actual taxes, if different, will be adjusted between the parties upon demand.
Closing Agent is not battle or responsible for adjustment or repro a non of taxes. Closing Agent is not responsible
or liable for additional taxes, other charges or tax refunds, if any. and shall not be liable should any of the
parties to this transaction fall or refuse to re -prorate the tames. AGREEMENT
TO COOPERATE: If requested by Lender (if any). Closing Agent, Title Agent or Title Underwriter. the
parties agree to fully cooperate and adjust for clerical errors, including the exewtion or re -execution of any reasonable
documentation and/or the remittance of any additional sums. HOMEOYMNERWCONDOMINIUM
ASSOCIATIONS: The Buyer(s) acknowledges) the existence of any homeowners
and/or con0ominium association(s) and is aware that monthly. quarterly or annual maintenance assessments
may be due to said assoelation(s). Said association(s) may also haft the authority to regulate and enforce
community covenants and restrictions. The Buyer hereby acknowledges receipt of a copy of any association
estoppel letters for the subject transaction. MISCELLANEOUS:
Closing Agent does not make any representations or warranties nor assumes any liability, with respect
ID the physical condition of the property, or any repairs to the property. Buyer has been advised and enooumged
to secure hazard insurance coverage prior to completion of dosing. If a survey was prepared for the subject
transaction, then the Buyer hereby acknowledges receipt of a copy thereof. The buyer has reviewed said surrey
and accepts We subject to the matters W. forth thereon. Buyer has received and reviewed the proposed deed
and is satisfied with and approves the manner which title is being held. DISBURSEMENT
AUTHORIZATION. ETC.: Closing Agent does not adjust or assume liability for charges for water.
rents, gas, electricity, taxes on personal properly. garbage taxes or tees. license fees or taxes, servicalmaintenance
Corwacts (pest control, appliance maintenance, pool pre, lawn care. alarm systems, etc.). association
assessments or dues, or estoppel information banished by mortgagees or others. The settlement statement
has been reviewed and approved and Closing Agent is irrevocably 3UNVA2ed and directed to Complete the
Closing of the transaction and make disbursement in accordance therewith. In the event of mortgage assumption,
if Seller has received a credit for the escrow account balance, then Seller hereby assigns all right title and
interest in said account to Buyer. Seller. Buyer, and Bonower are used for singular or plurak as the context so requires
or admits. This Agreement is being provided as an inducement for Closing Agent to serve as the dosing agent
and for Title Agent and Title Underwriter to issue title insurance on the subject transaction. CLOSING
OWLOSURE AOt>F OUM 6• CUSTOMARY RF.CrrALSPAGE a.r •IAA ID 1Y0h660i6 peubbT'
inro6
Closing IMe Number: DestinationLake Closing gate: January 31, 2017
The undersigned hereby certifies that they have carefully reviewed the Closing Disclosure or other
settlement statement form and they approve and agree to the payment of all tees. coM expenses and
disbursement as reflected on the Closing Disclosure or other settlenwm statement form to be paid on
their behalf. We further artily that we have received a copy of the Closing Disclosure or other settlement
statement.
Borrowe (s)
D. Muryhy. Sr. S ee . Mumhy
Seller(s)
on F , LI.0
8
a Ir TorrA Authorimd RepMentaave
Settlement Agent
I have reviewed the Closing Disclosure, the Settlement slst•ment. the lender's closing instructions andanyandallotherformsrelativetotheescrowfunds, Including any disclosure of the Florida file insurancepremiumsbeingpaid. and I agree to disburse the escrow funds In accordance with the terms of this
transaction and Florida law.
PACE 04 • LOAN M: 4 018606a
CLOswc DISCLOSURE ADOFT1t1UM s. CUSTOMARY RECITALS D•uM*TbWW
C ES PLUMBIN O/
1,
OF CENTRAL FLORIDA n 9 Irlsr
P. O. Box 574597 •Orlando, FL 328574597 • Telephone (407) 249-2200 a Fax (407) 249-2285
State Certified Master Plumber CFC1426370
PROPOSAL SUBMIT1EDT0 pio DATII
Sheree G. Murphy 2 Q-Z- February 6, 2017
STREET JOB NAME
178 Lakeside Drive Sheree G. Murphy
CITY. STATE, AND ZIP CODE JOB LOCATION
Sanford, Florida 32773 178 Lakeside Drive, Sanford, Florida 32773
TWIBJICIAN DATE OF PLANS JOB H40NE
423) 293-2855 February 6, 2017
We propose hereby to furnish material and labor - complete in accordance with the above specifications, for the sum of:
Three Thousand Four Hundred and Forty Dollars 00/100 $3,440.00
Prymrnt ro be no& as fotl'"m
non Completion of Re -pipe Phase of ProjectUpo
All material is guaranteed to be as specified. All work to be completed in a
workman manner according to standard practices. Any alteration or deviation Authorized Signature
from the below specifications involving extra costs will be executed only upon
written orders, and will become an extra charge over and above the estimate. All
agreements contingent upon strikes, accidents or delays beyond our control. NOTE: This proposal may be withdrawn by us if not accepted within
Owner to carry rue, tomado and other necessary insurance. Our workers are 30 Days.
fully covered by Workmen's Compensation Insurance
WE HFJMY SUBMIT SPECIRCATIONS AND ESMATES FOR.
SCOPE OF REPIPE
1) Re -pipe 1.5 Bath Home Complete with Zum (PEX) pipe.
2) Run new Hot/Cold water lines to all fixtures to include:
1)— 3PC Bath, (1) - 2 PC Bath, Kitchen Sink, Electric Water Heater, Washer and New Main Shutoff,
Ice Maker Line and run new Supply Line to Dishwasher. Replace both P-traps under kitchen sink.
3) Replace (2) Hose bibbs on exterior of home.
4) Supply and install 40 Gallon Low Boy Electric Water Heater.
5) Repair all drywall pertaining to re -pipe.
Remove propane hot water heater (vent through roof will not be removed).
Price includes All Discounts, Permit Fees and Inspections
WARRANTY ON WORKMANSHIP"
25 Year Manufacture Warranty on Piping & 10 Year Warranty on Isolation Valves and Labor
PLsFAsSgWTQH4 l4 if t4 fPsfi(/Ph4R tl.19w wOr Ifetf 0 Mt 09 GLr i mr . ty 00fly tmehOw 1W. we(tr FQmRD Oki of qW /im LNf!l^.9 !!(In4! wit Of
THIS PRICE DOES NOT INCLUDE REPLACEMENT OF THE FOLLOWING, UNLESS SPECIFIED ABOVE:
1) AIR CONDITIONER WATER LINES. 2) SHOWER RISER WATER LINE. 3) FIXTURE PARTS OR FAUCETS 4) SPRINKLER OR IRRIGATION WATER LINES. 5) NO
PATCHING OF TILE, WALLPAPER REPLACEMENT OR PAINTING OF ANY KIND. 6) GROUNDING OF ANY KIND. 7) REPLACEMENT OF MAIN WATER SERVICE FROM
METER TO HOUSE. 8) SOD OR SHRUBBERY.
CONCEALED CONDITION CLAUSE
M'rehaers Pk mbing. Inc. wal require a change order in writing should conditions exist in do ground or in an *x Whg sbueaae whirl we unusual In nature or are different from conditions ordinedy encountered.
There would be an e*a chortle on a change order which would be over and above this quoted estimile. In the ewpd an agreement cannot be reschod this contract will be considered cornpleted as of that date.
AN matenab up to that date and time will be due and Me.
Acceptance of Proposal -THE ABOVE PRICES. SPECIFICATIONS AND CONDITIONS ARE
SATISFACTORY AND ARE HEREBY ACCEPTED. YOU ARE AUTHORIZED TO 00 THE
WORK AS SPECIFIED. PAYMENT WILL BE MADE AS OUTLINED ABOVE. SIGNATURE
DATE OF ACCEPTANCE
SIGNATURE
Permit Wmber.
Folio/Parcel Identification Number: 11-20-30.5KB-0000-0690 GRANT MALOY, SEMINOLE COUNTY
CLERK. OF CIRCUIT COURT & COMPTROLLERPreparedby: Ruth Lisoio. Office Manager 8K• 8857 Ps 502 (1159s)
Michaels Plumbing of Central Florida. Inc. CLERK'S 4 2017012988
RECORDED 02/06/2017 12:29:31 PM
Retum to: Michaels Plumbing of Central Florida. Inc. RECORDING FEES $10.00
PO Box 574597, Orlando. Florida 328574597 RECORDED BY hdevore
NOTICE OF COMMENCEMENT
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 of the property, and street address if available)
Lot 69 Hidden Lake PH 3 Unit 7 PB 38 PGS 79 & 80%
2. General description of improvement (s)
REPEPE 1.5 BATH RESEDENTIAL HOUSE
3. Owner information or Lessee information if the Lessee contracted for the improvement o
Name Sberee G. Murnhy Telephone Number (423) 293-2855
Address 178 Lakeside Circle, Sanford, Florida 32773 O4. Fee Simple Title Holder (if other than owner shown above)
Name Telephone Number
Address Interest in Property.
5. Contractor
Name MICHAELS PLUMBING OF CENTRAL FLORIDA, INC Telephone Number (407) 249-2200 s
Address PO BOX 574597.ORLANDO, FL 32857
6. Surety (if any)
Name Telephone Number
Address Amount of Bond $
7. Lender
Name Telephone Number
Address
8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served
as provided by §713.13(1)(a)7, Florida Statutes.
Name Telephone Number
Address
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 MICHAELS PLUMBING OF CENTRAL FLORIDA, INC Telephone Number (407) 249-2200
Address PO BOX 574597, ORLANDO, FL 32857
10. Expiration date of notice of commencement (the expiration date 1 year from the date of recording unless a different
date is specified)
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 I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING YOUR NOTICE OF COMMENCEMENT.
Sig ture o Signatorys Printed Nam itle Office
Or er Authorized Officer/Partner/Manage 13,13 (1) (d))
The foregoing instrument was acknowledged before me this l day of :2 -17 by S-clf'
year) Name of person
As for JAM 1c5 b fr.r P A X
Type of a only, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed
Signature of Notary Public (Print, Type, or stamp commissioned name of Notary Public)
Personally Known OR Produced ID b C.. RoSS WILLIAMCLARK
Type of ID Produced NOTARYPUBUC
STATE OF FLONDA
Under penalty of perjury, I declare that I have read the foregoing notice of commencement and that the fa GooM01l6ia111110 4 of my knowledge and
belief. Expires 811W2017
DATE: a-(..-/rl
ICEIAELS PLUMBIN ire uok
4 e kls'% OF CENTRAL FLORIDA
POWER OF ATTORNEY
I hereby name and appoint / Lon of
to be my lawful attorney in fact to act for me and apply to the !
building permit for work to be performed at a location described as:
Section: Township: Lot: Block:
Parcel Number: /% —ark -SO ^ 6,8 - 6,060 Q
1)9 3a 2,q .
jhh4z
dress of Job &
qWrner of Property and Address)
97A a/
And to sign my name and do all things necessary to this appointment.
Michael J. Reynolds
Owner to Type or Print name)
Owner's Signature)
STATE OF FLORIDA COUNTY OF Oran e
This instrument was acknowledged before me this —je—day
above referenced individual, and who is persc
as valid identification and who did not take a
A
WITNESS by my hand and official seal this .L da
known to rife or who
Signature of Notary -- AW VIEW
Printed Name of Notary fidi.3.
Commission Number
Commission Expiration
SEAL: _
sFFOOM
Mom
PO Box 574597 * Orlando, Florida 32857-4597
407) 249-2200 * (407) 249-2285 Fax
Department for a
by the