102 Mayfield Dr; 17-2509; screen enclosureM AUG i 6 2017
l3
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: 1 -- d SD'3
Documented Construction Value: $ s V'
Job Address: da ill Historic District: Yes No Rj
Parcel ID: l L n < c5 o Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: s oken P1,( U Plan
Review Contact Person: Wh dj'u_ Title:: Phone: `
l- 3 - a l Fax: Email: al IJ0 L)S I de. utm jj
Property
Owner Information NameY,
liii Phone: Street:
l Ua ql ,l t em d.Ll '(n,, .
Resident
of property? : S City,
State Zip: `>rQ/n_O_ ld Contractor
Information Name
On o Y-0 W Phone: q u-i --To- aso o Street: Al''
cm Fax: 4 m -I C) -am City, State
Zi t'i 7 State License No.: (' l Q I Architect/Engineer
Information Name: Phone:
e Street:
Si .
Fax: City, St,
Zip: b4''t— E-mail: Bonding Company:
Address: Mortgage
Lender:
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. 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. FBC 105.
3 Shall be inscribed with the date of application and the code in effect as of that date: 51h 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 effect 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 4oning.
Signam of Owner/Agent `)Date U
Print Owner/Agent's Name
sLe,7
Signature of Notary -St of Florida Date
s Notary Public State of Florid9
Daniel Thompson
y pQ My Commission FF 961080
Fxp,r.03/25/2020
Owner/Agent is Per
Produced ID Type of ID
404-W'0 t/co 6/,7A8 /d
BELOW IS FOR OFFICE USE ONLY
Print Contractor/Agent's Name
l
Date
Signature of Notary -State of Florida Date
o<N','PU`; : TfNAM.DOWNEY
MY COhdMISSION # FF 218930
EXPIRES:,April9,2019o:
Bonded Th u No Public Underwriters
Contractor/Agent is Personaly own to Me or Produced
ID Type of ID Permits
Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps Fire
Sprinkler Permit: Yes No # of Heads APPROVALS:
ZONING: UTILITIES: ENGINEERING:
COMMENTS:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
Property Record Card
Parcel: 32-19-31-516-0000-0820
IrPMW6 Owner: BELL YVETTE A
Property Address: 102 MAYFIELD DR SANFORD, FL 32771
Parcel Information
Parcel 32-19-31-516-0000-0820
Owner BELL YVETTE A
Property Address 102 MAYFIELD DR SANFORD, FL 32771
Mailing 102 MAYFIELD DR SANFORD, FL 32771
Subdivision Name CELERY LAKES PHASE 2
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2006)
Value Summary
2017 Working 2016 Certified
Values Values
Valuation Method Cost/Market Cost/Market
Number of Buildings,--",-- uildings 1 —
v
1
Depreciated Bldg Value 135,745 117,229
Depreciated EXFT Value 350 363 _
Land Value (Market) 30,000 23,000
Land Value Ag
Just/Market Value " 166,095 140,592
MPortability Adj
Save Our Homes Adj 58,435 35,146
Amendment 1Adj—
P&G Adj 0_$0
Assessed Value 107,660 105,446
2016 Tax Bill Amount
Tax Estimator
Save Our Homes Savings:
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $107,660 50,000 57,660
Schools $107,660 25,000 82,660I
City Sanford $107,660 50,000 57,660
SJWM(Saint Johns Water Management) $107,660 50,000 57.660 l
County Bonds $107,660 50,000 57,660
Description Date Book Page Amount Qualified Vac/Imp
UIT
SPEC AL4WARRANTY DEED 7/1/200505845 0013 189,100 Yes ._ Improved
Method Frontage Depth Units Units Price Land Value
LOT 1 30,000.00 1 $30,000
Description Year Built Fixtures Bed
Actual/Effective Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages
1 I SINGLE E 2005 11 t 4
FAMILY i i
2.5 1,234 3,216 % 2,810 CB/STUCCO
FINISH
i $135,745 142,141
Descri lionp
15796
POWER OF ATTORNEY
Date;
I- hereby name and appoint
s ``
of AA C 4 ;( hNM,%fMMl\ to be my lawful attorney -in -fact to
act for me, and apply to the for a ffe, permit
for work to be performed at a location described as:
Parcel ID M Section Township Range _ Subdivision Block Lot
Subdivision Name: o
Owner of Property: I
Project Address:
City: S -Q6 Zip Code:
and to sign my name and do all things necessary to this appointment.
Contractor's License Number)
The foregoing instrument was ackno e d before me this tJ day of
of20L ,by Rob2rarU-ey who
is personally known to me or who produced as
identification and who did not take an oath. Seal
Notary
Public (Print name) ;, ,tpY 7; ^ TINA M. DOWNEY MY
COMMISSION # FF 218930 uF
EXPIRES; Aprd 9, 2019 Aonded
Thru Nuury Public Undarvrltam Notary
Public (signature) - Rev
03/13/13
fX2
REVIEWED FOR CODE COMPLIANCE
PLANS EXAMINER
DATE
SANFORD BUILDING DIVISION
RECORD COPY NJ A ujfyl
A PERMIT ISSUED SHALL BE CONSTRUED TO BE A
LICENSE TO PROCEED WITH THE WORK AND NOT AS
AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET
ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL
CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT
THE BUILDING OFFICIAL FROM THEREAFTER
REQUIRING A CORRECTION OF ERRORS IN PLANS,
CONSTRUCTION OR VIOLATIONS OF THIS CODE
WIND DESIGN STRUCTURAL DESIGN CRITERIA:
ULTIMATE WIND SPEED (3 SECOND GUST) - 130 MPH
BUILDING EXPOSURE - C
BUILDING IMPORTANCE FACTOR = 1.0
MEAN HEIGHT 30' OR LESS
HEIGHT & EXPOSURE ADJUSTMENT COEFFICIENT = 1.29
m
Lu 1i
3"x0.024x1-LB ELITE COMPOSITE S
PANELS OR EQUIVALENT. FPA#: 751.1 I
b XZ.
17-2509
I REBY CERTIFY THAT ESE PL S cV B
VILD/NC ESIGNED FOR AN ULT I AXE- , D EE
130 MPH IN ACCORD CE WIT T ST RA
SANFORD REQUIREMENTS OF HE 5TH ION E 2014
FLORIDA BUILDI CODE.
Off"
Rw&
8/3/
WILLIAM H. S, P.E. 44271
aN
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Q
flL
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24"
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IX2 i
w¢C¢zF-
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2w—'et0o wZwcnx3cn
xSF00 ~Z(n
zUzo ex wZ
2 x O 0 O:D2 O O Q
SWCLIww :' ..
O.w ac cl wJZ
z¢a u c0 DECK
BEAM
ATTACH TO EACH POINT
OF CONNECTION WITH 3
912 TEK USE H-BAR X 3/4
KNEE BRACE DETAIL
UPRIGHT (RISER)
SUPPORT FOR MAIN
BEAMS
z 1:0:0E E:91 ('
I 2X2X_125 ANGLES
SUPER W/6 # 12X3/4 INTO
GUTTER BOTH GUTTER
AND UPRIGHT
UPRIGHTS AT GUTTER DETAIL
2" X 4" STRAP
W/4412X3/4
INTO 2 X 2 &
PURLIN
2X?
IX2
BEAM SCREWS X 3/4
2X4 4 # 12 TEK
2X5 4 # 12 TEK
2X6 6 # 12 TEK
2X7 6 # 12 TEK
2X8 6 # 12 TEK
2X9 8 # 12 TEK
2X10 10 # 12 TEK
GUSSETT CONNECTION
4 4 12 X 3/4 TEK
INTO 2X2X.125
ANGLEINTO
UPRIGHT
DOUBLE
CRIMP
NOTE: SINGLE CRIMP
IS ACCEPTABLE
IX2
fAPCON
3 "X3/8
36" 24"
2X_ BEAM I w
54
3oM
W
o zI,-- ISG o
BEAM SPAN
o
NOTE:
NO SET DISTANCE
BETWEEN BOTTOM
OF KNEE BRACE &
TOP OF GUTTER
4" WIDE X 1/E" STRAP AT EVERY BEAM
W/ (4) # 12X3/4" IN GUTTER LIP. (2) # 12X2"
INTO FASCIA
I--
7" GUTTER p
0o U
RE-
GUTTER CONNECTED TO SOFFIT
FASCIA a 24" QC, MAX W/ Ox
912X2" SELF'1'APPING SCREWS
GUTTER CONNECTIONS
CABLE DETAIL
5-1/2"
00000
0
N
O 0
O 1
FASTEN CABLE TO UPRIGHT & GIRT IN
CORNER AS SHOWN W/8 TEK SCREWS.
THIS 5-1/2" CORNER GUSSET ANGLE BRACKET
CAN BE USED IN LIEU OF A 7" CORNER GUSSET
ANGLE BRACKET.
ABLE
NOTE: IF CONCRETE_
THEN USE 912X3"
FASTEN GUTTER TO FASCIA
EVERY 24" O.C. W/ #I2X2"
FASCIA a
1-LDT TAPCON
3 "X3/8
7" SUPER GUTTER
ENLARGED TOP
VIEW BEAM TO
ATTACH BEAM TO GUTTER
GUTTER W/2"X2"X.125"
ANGLE USING (4) #12X3/4"
IN EACH SIDE
0 o
E BY CERTIFY HAT THESE PL , HAVE
DESIGNED FOR UL T WI Tli SPE'ED
130 MPH EN A ORDANCL WI THE ST CTI
REQUIREME TS OF THE 5T DITION T
FLORIDA LDINGCO
A H. RO TS, . # 42712
HOUSE
WALL
4
ROOF SMB) —
PLAN VIEW
ELEV
12 HEAD W/5" X 3/16" TAPCON MINIMUM 1-1/2"
EMBEDMENT INTO CONCRETE START 6" MAX
FROM UPRIGHT, THEN 24" O.C.
ixz
CONCRETE DECK
MIN (4) CONCEALED #10 X 1-1/2"
WASHER HEADED SCREWS
ROOF PURLIN
12 X 3/4" SMS TO
FASTEN SMB @ 2"
O.C. MAX
1 X2 OPEN BACK BASE RAIL
1) 1 /4"X2" EMBEDMENT
TAPCON
2"X2"X1/8" ANGLE
4) 412 X 3/4" TEKS
1) 1/4"X3" EMBEDMENT TAPCON
MAX 6" FROM UPRIGHT AND 24" O.C.
1 X2 OPEN BACK
BASE RAIL
2X2 HOLLOW
FASTEN 1X2 O.B. TO 2"(X)H"
W/ 410 SMS @ 24" O.C. MAX
6" FROM TOP & BOTTOM
1) 1/4"X3" EMBEDMENT TAPCON
MAX 6" FROM UPRIGHT AND 24" O.C.
1X2OPEN 3
BACK a
BASE RAIL x
v
d 4
n
v
EXISTING 4" CONCRETE
SLAB W/ EXISTING
REINFORCED 8"X12"
CONT.FOOTER
ULT 130-170 MPH
ASD 110-130 MPH
TYPICAL DETAIL
EXTERIOR CORNER
@ BOTTOM
RpD VERTICAL MEMBER
pUR 7A
SMB OR HOLLOW •
ee
2"x4" STRAP W/
2) # 12x3/4" TEKS
INTO PURLIN & —A
UPRIGHT
PURLIN TO POST CONNECTION
START MAX @ 6" FROM END, THEN 24" O.C.
INTO BLOCK WALL:
USE #12 HEAD W/3" X 3/16" TAPCON
FOR SMB CONNECTION:
USE # 12 X 3/4" *
NOTE*:
FOR THIN PAVER DECK, # 12 HEAD
W/4" X 3/16" TAPCON MAY BE USED
IN LIEU OF 5".
4) #12 X 3/4" TEKS
Fm # 12 HEAD W/5" X 3/8" TAPCON
a (1)412 HEAD W/ 5"X3/16" TAPCON MINIMUM
1-1/2" EMBEDMENT INTO CONCRETE START
6" MAX FROM UPRIGHT, THEN 24" O.C.
xz ix2
CONCRETE DECK
THICK PAVERS)
PAVER DECK ATTACHMENT:
MIN (4) CONCEALED
910 X 1-1/2" WASHER
HEADED SCREWS
12 X 3/4" SMS TO
FASTEN SMB c1 2"
O.C. MAX
HOUSE WALL ATTACHMENT/
FACE OF GUTTER:
2X2 pULIN —)
TO BLOCK WALL USE
12 HEAD 2" X 3/16"
M ®® ® X 2 INTO WAIL
2X_B N •° •
2 ?
S„
FASTEN TO BEAM * TO WOOD OR ALUMINUM,
W/ #12 X 3/4" X 4" USE #12 X 2" SCREWS
Q N U
M -
O
I HERE CERTIFY T ,. THESE P S l' VE B
DESI QED FOR AN U TIMATE W D S ED OF
13 H IN ACCO ANCE WIT T STRU L
QUIRED.IENTS F THE 5TH D ON 0 2014
LORIDA BUIL NG CODE:
R/2/7 7
WILLIAM H. P.E- # 42712
if
x DETAIL ONLY USED E°F Tlflrj R %lf/I'kvi
FOR ROOF TO SCREEN WALL
WHEN CARRY BEAM IS r
c 1 x _sue- >t_ ATTACHMENT USE # 12X5 SELF
TAPPING, (4) PER 4' PANEL, (2) IN USE C%';fc l
i Z f_r ?fV
PER T PANEL
d
2X2 TOP PLATE iS1Z
7w
r s=R-s
7/7 Fi.2i1 ,'3E171
LT'.
c
L /) i'i 31F F
X2 CHAIR RAIL
1X2 BASE PLATE
SCREEN ROOM ATTACHMENT
FASCIA
COVERED ROOF DETAIL
FASTEN 3" REC.
CHANNEL TO PANELS
W/ (1) # 12X3/4" EVERY 8"
O.C. MIN. 5 PER T PANEL
TOP AND BOTTOM OF
CHANNEL
INS. ROOF
FASTEN CHANNEL TO FASCIA
W/ (1) #1OX2" EVERY 12" O.C.
IF INTO BLOCK WALL, ATTACH W/ (1)
12X2" TAPCON EVERY 12" O.C.
YHEREBY CFRiTFY 3XAT T1
DESIGNED FORA TIMA
130 MPH IN ACC ANCE
REQUIREMEN OF THE 51
FLORIDA B' DING C
2014
11
W1LL19K1 H. ROBERTS, P.E. 712
CLEAN COMPACTED
18"XI8"X18" DEEP 2,500 PSI
MIN) ISOLATED CONC. FOOTER
ALUMINUM UPRIGHT SIZE
SHALL BE SPECIFIED ON PG. 1
OF THESE PLANS WHEN AN
ISOLATED FOOTER IS TO BE USED
2,500psi (min)
rnlaroc r ONOLITHIC
5 CONT. REBAR FOR FOOTER
O 12"X12" IN SIZE. FOR 12"XI6"
TER (2) # 5 CONT. REBAR SHALL
SQUIRED.
MONOLITHIC FOOTER DETAIL
SCALE: NOT TO SCALE
18 '
c+1 r-%r- %/I rI A
vvi -- IY. 1 .V
ISOLATED CONCRETE
FOOTER DETAIL
SCALE: NOT TO SCALE
CLEAN COMPACTED
ALTERNATE ATTACHMENT:
ATTACH POST TO FOOTER W/
2X2X.125 ANGLE UTILIZING (3)
I2X3/4" INTO -POST & (1) 412X3"
TAPCON INTO FOOTER (2) ANGLES
PER POST. ANY PARALLEL SIDES
PAVER DECK
2,500 PSI (MIN)
CONCRETE MONOLITHIC
FOOTER
1) # 5 CONT. REBAR FOR FOOTER
UP TO 12"X12" IN SIZE. FOR 12"Xl6"
FOOTER (2) # 5 CONT. REBAR SHALL
BE REQUIRED.
I
ISOLATED PAVER DECK
FOOTER DETAIL (OPTIONAL
SCALE: NOT TO SCALE
FOOTER SIZE TABLE
A B SPAN
8" 8" UP TO 16'
8" 12" 16' TO 28'
12" 12" 28' TO 40'
12" 16" 40' & GREATER
NOTE: NOT APPLICABLE ON JOBS W/ /
13
RTIFY TTI
EXISTING CONCRETE SLAB C1R ULTIMA
C ORDANCEXSOFTHE5Ta
WILLIAM
THE 2.614
Legend of Symbols and Abbreviations: ELEVATIONS E: ERrs>i GO' ; peOpol2o REROD: Steel Reinforcing Rod
Boundary Line Brg. Bearing Field Field Measured P.C.P. Permanent Control Point P.T. Point of Tangency
Centerline Cale. Calculated Fnd. Found P.I. Point of Intersection R Radius
Right-of-way Line C.B. Concrete Block Gov't.: Government P.L.S. Professional Land Surveyor R.L.S.: Registered Land Surveyor
Overhead Utility Line, Ch. Chord L.B. Licensed Business P.O.B. Point of Beginning R/W Right-of-way
Easement Line Cone.: Concrete O.R. : Official Records P.O.C. Point of Commencement Sec. Section
A Central Angle Consl.: Construction Pav't.: Pavement P.R.C. Point of Reverse Curve Srr : Septic Tank
ARC Arc Length c/s Concrete Slab P.C. Point of Curve P.R.M. Permanent Reference Monument T.B.M.: Temporary Bench Mark
Blk. Block Elev. Elevation P.C.C.: Point of Compound Curve P.S.I. Point of Street Intersection W/ With
B unda Surve 'o . l'k .i/A/L.
iv/,, rae
I L:5 2t1t; /
QlD. Sd ~ `/ p 3\ FNO. S/S v O ZU v •c
R !00 \ J ,CE oO P. L ar 1 G9P0. ti i WfzL o
N I
o h w 2
V. 89 38 /7. „E PLAT s FiELo -00.
C
q{ `71i'I Qj 0 0 I I D.PA/N/6rE c vvVjc00/ EtP 0 p 1500<4--ewr
m k
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if
00
2
PLAT Way O u.
Rc r f ;FE.4 0 3°.2 30` 3 Eat °' N
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to
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Ept<1 .t41, v !?/.9r p /JiJEr62 LOCS+TEL7
PLAT t'F/.•. 6 3 ,00n,r yA/ro .9s S s+ow..
fir 9
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r vr./'-/ry
VIE EAtE.MEN
FiE[0 i
0 CA PAP 28' 0: . I „" 2 . • •. of W/ cAv
QNIp3ArPa
2g,'
0 -
1 y S ,89 /.71!r/ Pl.QT
Q s sr; 3G3
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L ar SO- r-ELE.-X LA Es , ,s%QSE ; i SG,80•v/s•o•' r cCoeoi,u
To An I.v LAT Boo n- 6s P.4GEs 29 AV,0 20; PvBLrc 11 E4Wos
O.,
CERTIFIED TO: ,may' :-6.y.1 2TGE' C t/.TL9/VT}/ O/Pi9/ I hereby certify that this map depicts a survey performed under and
thasupt thi- YII
T CE /9/p f GSL y eeOfvax> /O/ sieve and is correct i
the
best h
my
knowledge and belief; and that this survey
meets the minimum technical standards set forth by the Florida Board
of Professional Land Surveyors in Chapter 61G17-6, Florida Administrative
Code, pursuant to Section 472.027, Florida Statute SMITH
DRAFTING & SURVEYING, INC. 311
E. RICH AVE. DELAND,
FL DELTONA, FIL St ey E. Smith 386)
734-7047 (386) 789-2855 Florida Registered Land Surveyor DRAWN
BY: L • L . GdO R/C/V REVISIONS: `BAo T ZoFZ o ' ""I Certificate Number 3736 CREW
CHIEF: sus a GeaoE vousE N.
Q. L/iavi.v/EC ,P /0 o
NOT VALID UNLESS SEAL IS EMBOSSED SCALE: .
vc _
SUrzdEy . E EUS+.—ionis Z
0 Sv[Y ice. zoo 5 MG Note: No instruments of record reflecting easements, limitations, owner - DATE:
ships,
reservations, restrictions and/or right-of-ways, if any, have been pro- OCTOBE
2Z004 1 vided to this surveyor, except as shown. No underground installations or WO #
utilities
have been located, except as shown.
REQUIREDEID INSPECTION SEQUENCE
B P# , -) - 2 Sn9 Address: in?- Mh-f
I.BVILDING (PERMIT
Min Max .. Inspection Description
Footer / Setback
Stemwall
Foundation / Form Board Survey
Slab / Mono Slab Prepour
Lintel / Tie Beam / Fill / Down Cell
Sheathing — Walls
Sheathing — Roof
Roof Dry In
Frame
Insulation Rough In
Firewall Screw Pattern
Drywall / Sheetrock
Lath Inspection
Final Solar
Final Firewall
Final Roof
Final Stucco / Siding
Insulation Final
Final Utility Building
Final Door
Final Window
Final Screen Room
Final Pool Screen Enclosure
Final Single Family Residence
Final Building (Other)
10'I[in Max Ins ectionn Descri Lion
Electric Underground
Footer / Slab Steel Bond
Electric Rough
T.U.G.
Pre -Power Final
Electric Final
Min Max Ins ection IDescri ti®n
Plumbing Underground
Plumbing Sewer
Plumbing Tub Set
Plumbing Final
1YdECHANICAL, PERIIRIT,;:
Min Max Inspection Descrij2don
Mechanical Rough
Mechanical Final
Min 1Max
Gas Unde
Gas Roug
Gas Final
REVISED: June 2014
THIsaasu asl>sl lEi1Y lmlll mmlll mm111 mini Imml SINSA -NT j EP ED Y: Name:
GRAFT MALOY, SEMINOLE COUNTY Address: f CLERK
OF CIRCUIT COURT & COMPTROLLER BK
8982 I='s 796 (1F'ss) CLERK'
S r 2017089004 NOTICE
OF COMMENCEMENT RECORDED O8/a1/2017 02:15:34 PM RECORDING
FEES $10.00 State
of Florida RECORDED BY ,ieckenro County
of Seminole / (( rr
Permit
Number: ( Parcel ID Number; 3D' q-3I -lh Ddt d ladz 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. Legal
dpscdoon of the 3
GENERAL DESCRIPTION O IMPROVEMENT: ` Qe,
eJ) :- ! M Q 1:L 1A T-0 OWNER
Address:
A --!I I Fee
Simple Title Holder (if of er than owner) Name: Address:
Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.13(1)(b), Florida Statutes. Name:
Address:
In
addition to himself, Owner Designates Section
713.13(1)(b), Florida Statutes. of
To
receive a copy of the Lienor's Notice as Provided in Expiration
Date of Notice of Commencement (The expiration date is 1 year from 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 1, 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.
IFiYOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under
penalties of perjury, I declare that I have read the foregoing and that the facts stated in It are true to
the best of my knowledge and belief. Owner'
s Sig ature Owner's Printed Name Statute
713.13(1)(g):. The owner must sign the notice of commencement and no one also may be permitted to sign In his or her stead' State
of County of The
foregoing Instrument was acknowledged before me this e12 day of b
YJG / fC e y _ .
Who Is personally known to me Name
of person making statement" OR
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