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174 Lakeside Cir 17-386 Back doorEC E IVE CITY OF SANFORD FEB 8 2017 BUILDING & FIRE PREVENTION D PERMIT APPLICATION BY• / / Application No: Documented Construction Value: S "1 Job Address: LF-c Skcke- C1 r Historic District: Yes Non Parcel ID: 1 1 • Z(7 • lb' S LV-6- 0000 ' OU-1 d Residential t Commercial Typc of Work: New Addition Alteration® Repair Denlo Change of Use Move Description of Work: REPLACE I„r,y-__ CI _ _ r '6_ —Pvt Yr- Sk Z'e_ Plan Review Contact Person:MEGAN CONSTABLE Title: AGENT Phonc: 352-300-3360 Fax: 352-861-7587 Einail• PERMITSPLUSLLC@GMAIL.COM Property Owner Information Name 1,1Cl'ni Phone: `b - - S(PZZ Street: '- t` uot! to Eck- Ct t' Resident of property')` : YES City, State Zip: Contractor Information Name LOWES - PETER A CAFARO Phone: 352- 300-3360 Sheet: PO BOX 781933 Fax: 861-7587 City, Slate Zip: ORLANDO, FL 32878 State License No.: CGC1508417 Architect/ Engineer Information Name: NIA Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: NIA Mortgage Lender: Address: Address: WARNING TO OWNER: YOUR FAIIAMF 'ro REcORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE; FOR I:NIPROVEi IF;NTS TO YOUR PROPERTY. A NOTICE•, OF coMt%tENcEMEN't- 11UST• BE RECORDED AND POSTED ON T11E JOB SITE BEFORE TIIE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WIT'It YOUR I.ENDER Olt AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CONIMENCE NIENT. 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. 1 understood that it separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FIIC 1053 Shall be inscribed wills the date orapplicatiun and the code in effect its of that date: 5w Edition (2014) Florida liuilding Code Revised: rune 30. 201S 1'am11 Application 4*1 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 orthe property of the requirements *(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 emuted 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 or submittal. The astral 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 zoning. Srgmaure oror rer1A8W Oak Signature; MEGAN Print 0n=rfA9au'a Norm Prue sir=m or NouryStm or rtwwa Date Owner/Agent is Personally Known to Me or Produced ID Type of ID or 1-al1win DW 2 1-1 t CHRISTY M GALAS MY COMMISSION #FF049697 EXPIRES September 29,20e7 407)398.0153 FloridallotaryService.com Contractor/Agent is tic Personally Known to Me or Produced ID Type or ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building [3 Electrical Mechanical Plumbing[] Gas[:] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No tut of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING:yo Z -9. -M UTILITIES: WASTE WATER: ENGINEERING: FIRE: 13UILDING: I COMMENTS: n"aw: lure ". tots Pamir A 0=3ies O a o* o 0 s 0 M ti O un a+ CL STORE COPY rootage of the i-rofect Area, and the labor which may be estimated based on the amount of Goods required to fulfill the contract (including waste). E this Contract below, Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be once the Installation Services are performed.. NOTICE OF ARBITRATION AGREEMENT This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED RE- VIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS AC- TION ADJUDICATION found in the Terms and Conditions of this Contract. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES e applicable SUB -TOTAL 3497 TAX 0 DELIVERY 0 ORDER TOTAL 3497 BALANCE DUE Work is to commence upon reasonable availablity of Contractor which is anticipated to be [fill in date]. Estimated completion date is &q 1 iTfill in date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price appearing on this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incident to installation necessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to custom- er. DO NOT SIGN THIS CONTRACT UNTIL COMPLETE AND YOU HAVE READ THE TERMS AND CONDITIONS OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME OF SIGNATURE. NOTICE TO OWNER: -ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001- 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCON- TRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF Store 1657 Project No. 497272731 for ROBERT FLANNERY Page 3 of 7 IMPROVING HOME IMPROVEMENT P. O. Box 781993 Orlando, Florida 32878 Phone: (407) 393-9161 Facsimile: (407) 407-393-9151 Limited Power ofAttorney u` Date: ` To: Building Dept. From: Peter Anthony Cafaro 111 I hereby name and appoint, Megan Constable, Gregory Galas, Naomi Mason, Anne Romano, Donna Malvar, Joshua Galas, Alivia Terriaca, Michaela Spena, Phillip Romano, or Sabrina Sierens, a permit service for Lowes Home Centers, to be my lawful attorney in fact to act for me to register my license and apply to: Sani Z' c[ for a C-)nbl/ permit for work to be performed at: Lot: t'-01 Blk: AASec: I I Twp: Rge: 22 6 Subdivision:\ P1 , K Parcel or Altkey: Il a030 S KVS b006QXo -7 Address of Job: I n y Lae c-ACY -e Ci c Owner of Property: and to sign and do all things necessary to this appointment. Thank you for 7e; e. Sincerely, r Anthony Cafaro III Mary State Qualifier C1508417 State of Florida County of Orange The foregoing instrument w owledged before me by Peter Anthony Cafaro III, who is personally known to me and who did not take : scZrnibeefore Sworn to ands methisdayofg-eb 2017, Notary :"•`...'N° .CHRISTY M GALASEALMy C mission/29/2017• My COMMISSION #FF049697 t ,'V 0 a,. d;.• EXPIRES September 29, 2017 InG±)398•ot53 FtondoNotoryService. com RECORD COPY City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # # 1 7- 3 8 6 Project Location Address 174 LAKESIDE CIR 3 LDIA/ SANFORD As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuildin-g.org. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 1. Exterior Doors Swinging MASONITE FIBERGLASS 8228.8 Sliding Sectional Roll U CE Automatic Other 2. Windows DATE Single Hun Horizontal Slider Casement SANIFORE BUILDING DIVISION Double Hung A PERMIT Fixed LICENSE TO PROC EED WITH THE WORK AND NOT AS Awning ASQE ANY OF TH Pass Through CODES. NOR SHALI ISSUANCE OF A PERMIT PREVENT Projected REQUIRING A COI IRECTION Mullions CONSTRUCTION OR VIOLATIONS OF THIS CODE Wind Breaker Dual Action Other MEGSIVEn June 2014 K FEB 8 2017 I BY: Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal S. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates En ineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature Applicant's Name MEGAN CONSTABLE Please Print) June 2014 Florida Building Code Online Page 1 of l r BCIS Home I Log In I User Registration t Hot Topics I Submit Surcharge I Slats B Facts I Publications I FBC Staff I SCIS Site Map I Links I Search a 0ctProduApproval dbprUSER: PuDDt User t ata Product Aooroval Menu > earch > Application Ust Search Criteria Refine Search Code Version 2014 FL# 8228.8 Application Type ALL Product Manufacturer ALL Category ALL Subcategory ALL Application Status ALL Compliance Method ALL Quality Assurance Entity ALL Quality Assurance Entity Contract Expired ALL Product Model, Number or Name ALL Product Description ALL Approved for use in HVHZ ALL Approved for use outside HVHZ ALL Impact Resistant ALL Design Pressure ALL Other ALL S.— h _ Aro.6—fi— FL# Tvoe Manufacturer Validated By 5LaAuji FL8228- Affirmation Masonite International National Accreditation & Approved R7 FL#: FL8228.8 Management Institute History Model: Fiberglass Side -Hinged Door Unit 804) 684-S124 Description: 6'-8" Glazed Outswing Single or Double Door w/ or w/o Sidelites Category: Exterior Doors Subcategory: Swinging Exterior Door Assemblies Aooroveo oy vorn. nppryvars oy vorn snap oe reweweo ano ra0neo uy the n& anclor the wmmhs5oon or necessary. Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487.1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mad to this entity. Instead, contact the office by phone or by traditional mad. If you have any questions, please contact 850.487.1395. *Pursuant to Section 455 275(I), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address of they have one. The emaois provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please cock bete . Product Approval Accepts: Credit Cart) Safe http:// www.floridabuilding.oriz/r)r/pr_app_lst.aspx 2/6/2017 149- OVERALL FRAME MOTH cr • - MA% l lO'n",?e" Q C) 0 SIDE -HINGED FIBERGLASS DOOR UNIT 2 1 " MAX 36 375" MAX. O.L 0. — PANEL WIDTH 37 5" MAX. Q Q 6'-8" GLAZED DOUBLE DOOR WITH / WITHOUT SIDELITES W/ASTRAGAL FRAME WIDTHC) GENERAL NOTES ~ t EVALUATED FOR USE IN LOCATIONS ADHERING TO cc THE FLORIDA BUILDING CODE AND WHERE PRESSURE ti a UREQUIREMENTSASDETERMINEDBYASCE7. MINIMUM Z DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES. _ DOES NOT EXCEED THE DESIGN PRESSURES LISTED U 2. WHEN INSTALLED IN THE HIGH VELOCITY HURRICANE ZONE (HVhZ). H Z Lr) HURaoRICANEPROTECTIVESYSTEM (SHUTTERS) IS REOUIREO. ^ Q 3. WHEN INSTALLED IN THE WINO -BORNE DEBRIS REGION. • J ? c Q W EXCLUDING THE HIGH VELOCITY HURRICANE ZONE (HVHZ). p = HURRICANE PROTECTIVE SYSTEM. IS NOT REOUIREO ON W W PANELS WITH IMPACT GLASS. BUT IS REOUIRED ON PANELS = h L: x WITH NON -IMPACT GLASS Ip W 4 POLYURETHANE CORE FLAME SPREAD INDEX OF 50 aANDSMOKEDEVELOPEDINDEXOF60PERASTME84. POLYSTYRENE CORE FLAME SPREAD INDEX OF 15 '3 L AND SMOKE DEVELOPED INDEX OF 115 PER ASTM E84 2 cggcs 5 PLASTICS TESTING OF FIBERGLASS FACING g y dd TEST DESCRIPTION DESIGNATION RESULT b mW W b y VC 'M O 6. PLASTICS TESTING OF LITE FRAME MATERIAL O TEST DESCRIPTION DESIGNATION RESULT DOUBLE DOOR UNIT W/SIDELITES a AdknJ=wWZ 3 3 i 3 m CadUdmw Ni6a -&1 0immn COMPARATIVE TENSILE STRENGTH AFTER WEATHERING ova Z 4500 HOURS XENON ARC METHOD I Offi21ilYa O i z 7. IMPACT GLAZING LAMINA—,- MIAMI DADE BCCO NOA 09-0127 13. < J Wwa. goo W LIav)0 Z D w 0 J lJ~ NaUU I y VIZa COi = OOOL,I I NNOI¢ OILiL—j rn ^ ^ < SINGLE DOOR UNIT DOUBLE DOOR UNIT SINGLE DOOR LINR SINGLE DOOR UNIT SINGLE DOOR UNIT W/SIDELITES DOUBLE DOOR UNIT W/SIDELITES WITH SIDELITE WITH SIDELITE O U Ol ¢ Z oATE 115107 SCALE N T.S. i• owc La SWS CHK LIT KURT BALTHAZOR ORAWHC NO. FLORIDA P.E High Darn Threshold Design 156533 DWG-MA-FL0162-07 sHLcr I a 3 WAILS SELF IGNITION TEMP ASTM 01929 752 'F > 650 'F RATE OF BURNING ASTM 0635 0 56 IN/MIN SMOKE DENSITY ASTM 02843 53.4R TENSILE STRENGTH- ASTM 0638 3.2R OIFF SELF IGNITION TEMP ASTM 01929 740 'F > 650 'F RAtE OF BURNING ASTM 0635 0 77 IN MIN SMOKE DENSITY ASTM 0284y ly.4R TENSILE STRENGTH' ASTM 0638 7.50X OIFF TABLE OF CONTENTS SHEETS DESCRIPTION t TYPICAL ELEVATIONS do GENERAL NOTES 2 ANCHORING LOCATIONS & OETal3 3 ANCHORING LOCATIONS h DESIGN PRESSURE RATING WHERE WATER INFILTRATION PERFORMANCE IS REOUIREO TO BE ISR OF DESIGN PRESSURE CONFlG MAX WIDTH INSWING OUTSWING INSWING OUTSWING OUISWING• 37.5 52.0 -52.0 550 -550 190 -t9.0 40 -400 550 -55.0 XX 71 52.0 -52 0 55.0 -55.0 t 9.0 -19.0 40.0 -40 0 55 0 -55 0 0% or XO 75 52 0 -52 0 55.0 -55.0 19.0 -19 0 40.0-55.0 0XO I t 2.5 52.0 -52 0 55.0 -55 0 19.0 - 19 0 40 0-55 0 0%x0 t 49 52 0 -52.0 55 0 -SS O 3- SEE DETAI c" 3" 6' i L SEE OETaII 3. i 6 t 1 8 x 2- 1/ # 10 x 2" i0 x 5/8" 10 x 5/8" 8 x 2-1/2" I , # 10 x 3/4'. 0 #10 x 3/4" 10 x 2' FRAME / DOOR DETAIL "0'" DETAIL "C" TYPICAL 1.375' T INSWING THRESHOLD 0.962' 1 T OUTSWING THRESHOLD 0'11 0w Y SEE DETAIL 1.0. J C1 W WO: in O u'1f 18 x 2-1/2" DETAIL "E" ASTRAGAL ATTACH ASTRAGAL RETAINER BOLT STRIKE PLATE TO FRAME AS SHOWN. IJS' aRI..osT 1 HIGH DAM O/S THRESHOLD V Ce u1ND_ lJtGo - 1'L Rel(edEn: DalB .J/2s// EE DETAIL C 6 ASTRAGAL RETAINER BOLT HOLE MUST BE DRILLED THROUGH THE THRESHOLD & INTO THE STRUCTURE DEEP ENOUGHQiFORA1.375" THROW DETAIL "F" ASTRAGAL 0.124• ANNEALED OECURATIK INSERT 000SAFLEXIOC (OPTIONAL) 0124 ANNEALD— 0124' TEMP, DOW 832 EXLEM ---V V-- 1NTMO6 TYPICAL GLAZING DETAIL IMPACT RATEDIMPACT RATED GSSDOW832 Dow 832 6 % 1- 1/2• PHS i-h Dow EXIE906 I[ IgeIOB TYPICAL GLAZING DETAIL NON —IMPACT GLA55 N,T. S, 01 SEE DETAIL C" SHT 2 ATTACHMENT DETAIL 1, ANCHOR ANALYSIS FOR LOADING CONDITIONS PREPARED, SIGNED AND SEALED BY LUIS R LOAAS, PE FLORIDA #62514) WITH THE LOWEST (LEAST) FASTENER RATING FROM THE DIFFERENT FASTENERS BEING CONSIDERED FOR USE. JAMB, HEAD, AND THRESHOLD FASTENERS ANALYZED FOR THIS UNIT INCLUDE 10 WOOD SCREWS OR 3/16" TAPCONS. A PHYSICAL SHIM MUST BE PLACED IN SHIM SPACE AT EACH ANCHOR LOCATION. TAPCON EDGE DISTANCE MIN 2-5/8". 2, MULLIONS TO BE 2-1/2" X 4-3/8" STRUCTURAL GRADE FJ PINE ON CONTINUOUS HEAD AND SILL UNITS BACK TO BACK JAMB UNITS JOINED WITH 1" X 1 /2" LONG CORRUGATED FASTENERS LOCATED 3" FROM EACH END AND MAXIMUM 7" O.C. OR #10 X 2" FLAT HEAD WOOD SCREWS LOCATED 6" FROM EACH END AND MAXIMUM 12" O.C. 3 THE WOOD SCREW SINGLE SHEAR DESIGN VALUES COME FROM ANSI/AF&PA NDA FOR SOUTHERN PINE LUMBER AND ACHEIVEMENT OF 1-1/2" MINIMUM EMBEDMENT. THE TAPCON MUST ACHIEVE MINIMUM EMBEDMENT OF 1-1/4". 4. WOOD BUCKS BY OTHERS MUST BE ANCHORED PROPERLY TO TRANSFER LOADS TO STRUCTURE. 5. MINIMUM DESIGN VALUE STRENGTH OF ANCHORS 171 LBS. 1 I 6" 3 I r e 3^ 6" a 1 I }; W v a SEE DETAIL D" SHT. 2 W n II " z _ '^ G II I I I I 6- 6" —I I I I i u N 0 I II II II II I K0 a 6' 1.—6{ IjF1— -{_— s 6' l NARnWGRF crwirnl II F 1. KWIKSET SERIES 400 GRADE 3 CYLINDRICAL LATCH AND SERIES 980 GRADE 1 DEADLOCK HARDWARE TO BE INSTALLED AT 5-1/2" CENTERLINE. 2, 4" X 4" FULL MORTISE BUTT HINGES. MINMIN — MA^ SHIM CL —I I— 4" TYPICAL WOOD BUCK ANCHOR INSTALLATION 1 25' iMIN — M.25" AXSHIM CL TYPICAL MASONRY ANCHOR INSTALLATION AabldunbKW Ca61m6xilk. Rev6 . W —T. R Rev= sure. N.T S owc er. SWS REQUIRED INSPECTION SEQUENCE BP# 1-1 - 3S;(., Address: BUILDING PERMIT Min Max Inspection Description Footer / Setback Stemwall Foundation / Form Board Survey Slab / Mono Slab Pre our 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) ELECTRICAL .PERMIT Min Max I Inspection Description Electric Underground Footer / Slab Steel Bond Electric Rough T.U.G. Pre -Power Final Electric Final Min Max Inspection Description Plumbing Underground Plumbing Sewer Plumbing Tub Set Plumbing Final MECHANICAL PERMIT Min Max Inspection Description Mechanical Rough Mechanical Final Min Max Ins ection Description Gas Underground Gas Rough Gas Final REVISED: June 2014 THIS INST7 PEN ,P qEPARED BY: Name: f°M t'Iws Ilc. Address: NOTICE OF COMMENCEMENT Permit Number: t 7 b Parcel ID Number. It 0(070 GRANT 11ALOYr SE11INOLE COUNTY CLERK OF CIRCUIT COURT In COMPTROLLER BY, 8862 Ps 1293 (1Pgs) CLERK'S : 2017016543 RECORDED 02/15/2017 02:42:32 P11 RECORDING PEES $10.00 RECORDED BY hdevore 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: ( egal description of tr property nd street add r if available) 0 Walen.L.r a N 3 -L& t7 C(38 Na p 7q a 7-I LuKa,AeL;c- +n • A F I'3oZ7 2. GENERAL DESCRIPTION OF IMPROVEMENT: rCO LCG wiAAOw *&-A0Or5 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE I ROVEM NT: Name and address:&,, f\ AbeA 1 16 nn Cn1 1-7/"1 t s e-oS, d`rcj l Interest in property: m .o. tooX ", Fee Simple Title Holder (if other than owner listed above) Name: 4. CONTRACTOR: n Address: () ' Phone Number. 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name: Phone Number. Address: 7. 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)(a)7., Florida Statutes. t Name: Phone Number. Address: 8. In addition, Owner designates of to receive a copy of the Lienoes Notice as provided in Section 713.13(1xb), Florida Statutes. Phone number. 9. Expiration Date of Notice of Commencement (The expiration 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 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. Signature of Owner apCessee, or Own or lessee's (Pent Name and Provide SignatoryNe OM09) Ugnized iAt Oe 7r/P rMtanager) ` State of 6—d Countyof The fMingument was acknogwlleedged before me this trk day of 20by i Y/u( Who is personally known to me OR wh n