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2913 Orlando Dr - BC02-000337 (INTERIOR REMODEL) DOCUMENTSC7 PERMIT ADDRESS 01913 ()Aa-mc o 'd'" jSUBDIVISION in CONTRACTOR ADDRESS f O 664e5 i% (p 9 PHONE NUMBER Cij I l 4-7 PROPERTY ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR i A 1 I I PLUMBING CONTRACTOR V (A I A'S 1 J MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE FEE PERMIT # DATE PERMIT DESCRIPTION urLrcK l t( Y w)_. PERMIT VALUATION SO J 000 SQUARE FOOTAGE Q-400 i ty H m CITY OF SANFORD, FLORIDA PERMIT NO. 13"1 DATE 1I'3D'0 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING PLUMBING WORK: OWNER'S NAME Yorkridge Properties 2913 South Orlando Dr., Suite 100 ADDRESS OF JOB Sanford, FL _ Walt's Plumbing, PLUMBING CONTR. Inc. Res. Comm. _XX _ Subject to rules and regulations of Sanford plumbing code. Residential: I Number I Amount Alteration, Addition, Repair l I New'Residential: One Water Closet Additional Water Closet Commercial: Fixtures. Floor Drain, Trap Water PipingU_G Gas Piping Factory -built housing Mobile Home Application Fee Minimum Commercial Permit:_ $25. oo Total A Matter Plumber COMPETENCY CARD NO CZ`7 3- 7 CITY OFSANFPAD Permit Number: 02 ELECTRICAL PERMIT APPLICATION Date: / / - 30 - 01 The undersigned hereby applies for a permit to install the following electrical: Owners Name: )or ecoPere Address of Job: % /3 5. 0l1anWO A1y_ Electrical Contractor: / G' C, G , zr c-. Residential: Non -Residential: Number Amount Addition, Alteration, Repair Residential & Non -Residential) New Residential: AMP Service New Commercial: AMP Service Change of Service: From CPOO AMP Service to JR20 AMP Service Manufactured Building Other: Description of Work: Application Fee: 10.00 TOTAL DUE: I By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code. Applicant's Signature re ©oo / 7:5V State License Number SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 Plans Review Sheet Date: 11/21/01 Business Address: 2913 S. Orlando Drive Occ. Ch. 24 Business Name: Yorkridge Properties, Inc Ph. (Unknown) Contractor: Grey Development Co, Inc, Ph. (407) 322-4729 Fax (407) 324-8822 Reviewed [) Reviewed with comment [ X ]') Rej cted Reviewed by: Tim Robles , Fire Inspector /Plans Examiner cam -:.;. -...- , Comment:.Plans reviewed`as Business MercaniilFF:D 'reserves nght..to..requ rre applicable•code• requirements if occupancy use changes. Sprinkler plans to be submitted for review, permitting, and inspections. If separate certified;contractor does underground fireline, plans -to be submitted ? --- for review, permitting, and inspections. Sealed letter from Engineer of Record stating design - sprinkler system needs to be submitted with construction plans. Fire Alarm plans to lie jsubmitted for review, permitting, and inspections. 1 Application - lRemodel.and.-remove existingconstruction, -Change -of Occupancy from Industrial_to ll%Ierca`ntile. _ = 1. 2 Mixed - N/A 1. 3 Special Definitions -Class "B "Mercantile 1. 4 Classification of Occupancy -Mercantile `B' 1. 5 Classification of Hazard of Contents - Ordinary 1. 6 Minimum Construction - N/R 2. 2 Means of Egress Components - O.K. 2. 3 Capacity of Egress - O.K. 2. 4 Number of Exits - O.K. 2. 5 Arrangement of Egress - O.K., will field verify 2. 6 Travel Distance - O.K. 2. 7 Discharge from Exits - O.K., will field verify 2. 8 Illumination of Means of Egress - O.K.; will field verify 2. 9 Emergency Lighting - O.K.; will field verify SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 2.10 Marking of Means of Egress — O.K.; will field verify 2.11 Special Features — O.K. 3.1 Protection of Vertical Openings — N/N 3.2 Protection from Hazards — N/N 3.3 Interior Finish — Class `B" or "A" 3.4 Detection, Alarm and Communications Systems — as per NFPA 72 3.5 Extinguishing Requirements p NFPA •BC10, 2A10fire extinguisher every 75#:__ 3. 6 Corridors — N/A 4 Special Provisions 5 Building Services 5. 1 Utilities — as per LSC 7-1 5. 2 HVAC — as per LSC 7-2 5. 3 Elevators, Escalators, Conveyors (4A-47) — N/A 5. 4 Rubbish Chutes, Incinerators, and Laundry Chutes — N/A Sanford City Code — Chapter 9 ire' SprinkNrs Required•.also see 3.5.above Sprinklered properties. Fire alarm permits for monitoring required. NFPA 1 3- 5.1 Fire Lanes — Required for fire hose connection. 3- 6.1 Key Box — Required; will field verify(See application attached) 3- 7.1 Bldg. Address Number Posted and Legible — Required; will field verify 2 Memorandum City of Sanford Department of Engineering & Planning P.O. Box 1788 Sanford, FI 32772-1778 Telephone (407)330-5673 Fax: (407)330-5679 September 25, 2001 TO: Building Department Florida Power & Light Co. E-9-1-1 Fire Department Florida Power Seminole County Planning Department Police Department Florida Public Utilities Seminole County Property Appraiser Public Works Department BellSouth Seminole County School Board Utilities Department Time Warner Cable Supervisor of Elections Post Office Navtech RE: New Addresses within the City of Sanford The following are new addresses with in the City of Sanford with existing street names: Tax Parcel Number: 01-20-30-512-0000-0170 Old Address Building # 1 2913 Orlando Drive, Suite #'s 100 - 500 Building #2 2913 Orlando Drive, Suite # 600 New Address 2913 Orlando Drive, Suite #'s 100 - 500 2913 Orlando Drive, Suite #'s 100 - 500 The attached exhibit identifies the location of the buildings/units and provides a listing of each address assigned. If you have any questions regarding the above or pertaining to addresses within the City of Sanford please do not hesitate to contact this office. k you. Russe L. Gibson, A.I.C.P. Land Development Manager Cc: Address File F:\ZONING\ADD\Monthly Memos\Memo New Address - 29130r1ondoDrive-Sept-2001.wpd rJt DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN. P. O. BOX 1788 SANFORD, FL 32772-1788 Project Name: i'rni,GE l '/.'Ti_.S - /,'F.r r7i-At-h0^' Date: Owner/Contact Person: Phone: Address: 2 % 3 S, 0RZ,*"-4 Type of Development: 1) RESIDENTIAL Type of Units (single family or multi -family): Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1", 2", etc.): REMARKS: 2) NON-RESIDENTIAL Type of Units (commercial, industrial, etc.): G Total Number of Buildings: Number of Fixture Units 2eachbuilding) : 8 Type of Utility Connection individual connections or central water meter & common sewer tap): V6 Water Meter Size (3/4" 7lv61", 2", etc.) REMARKS: 8 .'" ( oi.4& %S CO. v, C7 CW6: •-Tv w&Z CONNECTION FEE CALCULATION: ettcotio' S'4_V A/Z L1.4j C y a Name - Signature - Date REVISED —1-/- -6— ia/97 fir -4); '411rater System Impact Fees Equivalent Residential Connection (ERC) - 300 Gallons Per Day (GPO) Residential - 650/Unit - Single family structure, or multi -family unit containing three (3) bedrooms or more. 467.50/Unit - Multi -family unit or Mobile Home unit containinglessthanthree (3) bedrooms. (This category is based on judgement/assumption, estimation that such family units on average require 751 - 225 GPD of the water and sewer service of an average single family unit.) Commercial - S650/ERU - Fixture unit schedule from Southern Plumbing Code will be used. One ERU will be charged for connection and up to twenty (2) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be determined by increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five25) fixture units will be rated as 1.25 eru: twenty-six (26) fixture units will be rated as 1.5ERU.) 2) Sewer System Impact Fees Equivalent Residential Connections - 270 Gallons Per Day (GPD) Residential - 1700 Unit Single family structure, or multi -family unit S1275/Unit containing three (3) bedrooms or more. Multi -family unit or Mobile home unit containinglessthanthree (3) bedrooms. (This category is based on judgement/assumption/estimation that such family units on average require 754 of water and sewer service of an average single family unit.) Commercial - Industrial - Institutional 1700/ERU Fixture unit schedule from Southern Plumbing Code SZ._ will be used. One ERU will be charged for 2 connection and up to twenty (20) fixture units. For projects having more than twenty (20) fixture units the Impact Fee will be increments of 251 based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty-five (25) fixture units will be rated as 1.25 ERU: twenty-six (26) fixture units will be rated as 1.5 ERU.) S 4 E J170- -,<- /. F 4:zS-S0 VALUE TABLE 709.1 - DRAINAGE FIXTURE UNITS FOR FIXTURES AND GROUPS 1PEASLOADFACTORSMINIMUMSIZEOFTRAP (Inches) • !. ala r DRAINAGE FIXTURE UNIT rur ac: a mcn = ca.a mm. I gallon = 3.735 L. For traps larger than 3 inches, use Table 709.2. b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value., e Sec Sec(ions 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices with intermittent flows. d "frap size shall be consistent with the fixture outlet size. For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage future unit unless the lower values arc confirmed by testing. TABLE 709.2 _`) DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS FIXTURE DRAIN OR TRAP SIZE inches) DRAINAGE FIXTURE UNIT VALUE 11/4 1 11/2 2 2 3 21/2 4 3 5 4 6 Standard Plumbing Code@1997 I' S1: I mch 'S.1 mm Y.._ ..u.T-e._... _ .----- __ _ ---- 10 M-91.0 fe.- FL J y JOANN JOHNSON - Kni4W Tent Approval From: RT HILLERY To: JOHNSON, JOANN Date: 11/15/01 1:23PM Subject: Knights' Tent Approval Per our phone conversation today, Mr.Leonard Knight received City Manager approval for a event named America United In Prayer. This Event is scheduled for this Saturday, November 17th, from 10:00 am to 5:00pm at the comer of Mulberry & 13th Street. They will need to pay for a tent permit & Clean up bond. Mr. Knight was also told he must complete a application for the event he wish to have on December 3rd ASAP. Thanks for your Assistance. RT Hillery CC: NICHOLS, MARK; SMITH, GREG; VANDERWORP, TONY CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: O PERMIT #: BUSINESS NAME / PROJECT: 10r ADDRESS: PHONE NO# FAX NO.: L407/ Oa CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ]PLANS REVIEW F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PE MIT [ ] TENT PERMIT I ] 4 TANK PERMIT [ ] OTHER [ ] TOTAL FEES: S (PER UNIT SEE BELOW) Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of t City of Sanford, Florida. 1A- Applicant's Signature adz Component Performance Method for Commercial Buildings Form 400B-97 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs FLA/COM-97 Version 2.2 PROJECT NAME_YORKRIDGE PROPERTIES PERMITTING OFFICE: ADDRESS: _4913 S. ORLANDO DR. _Sanford SANFORD, FL.32772 CLIMATE ZONE: _5 OWNER: _YORKRIDGE PERMIT NO: AGENT: JURISDICTION NO:_691500 BUILDING TYPE: _Mercantile (Retail) CONSTRUCTION CONDITION: Existing Building DESIGN COMPLETION: _Renovation CONDITIONED FLOOR AREA: _5211 NUMBER OF ZONES: 1 MAX. TONNAGE OF EQUIPMENT PER SYSTEM: 14 COMPLIANCE CALCULATION: METHOD B ENVELOPE PERFORMANCE OTHER ENVELOPE REQUIREMENTS LIGHTING INTERIOR LIGHTING LIGHTING CONTROL REQUIREMENTS HVAC EQUIPMENT COOLING EQUIPMENT 1. EER IPLV HEATING EQUIPMENT 1. Et DESIGN 73.70 10600.00 AIR DISTRIBUTION SYSTEM INSULATION 1. Unconditioned Space REHEAT SYSTEM TYPES USED NO REHEAT SYSTEM is USED WATER HEATING EQUIPMENT PIPING INSULATION REQUIREMENTS COMPLIANCE CERTIFICATION: I hereby certifyr*that the plans and specifications covered by this calcu- lation are in,c ''ance with the Florida Ener fi`ciency Code. PREPARED DATE:— J I hereby certify that this building is in compliance with the Florida Energy Efficiency Code. OWNER/AGENT: DATE: 10.00 10.00 1.00 REQUIREMENTS 6.00 CRITERIA 75.36 16154.10 8.50 7.50 4.20 RESULT PASSES PASSES PASSES PASSES PASSES PASSES N/A PASSES Review of the plans and specifica- tions covered by this calculation indicates compliance with the Florida Energy Efficiency Code. Before construction is completed, this building will be inspected, - for compliance in accordanc /with Section 553.908, Flori atutes. BUILDING OFFICIAL: DATE : t - k 3 . c.1 ( I hereby certify(*) that the system design is in compliance with the Florida r Energy Efficiency Code. SYSTEM DESIGNER REGISTRATION/STATE ARCHITECT : MECHANICAL: e e r Rae Pr-- q/ L 3 I PLUMBING ELECTRICAL: LIGHTING Signature is required where Florida law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information'..is contained on signed/sealed plans. BUILDING ENVELOPE SYSTEMS COMPLIANCE CHECK 401.------GLAZING--ZONE 1------------------------------------------------ v- Elevation Type U SC VLT Shading Area(Sgft) North Commercial 1.09 .65 .65 Continuous Ove 256 West Commercial 1.09 .65 .65 Continuous Ove 504 Adjacent Commercial 1.09 1 1 None 16 Total Glass Area in Zone 1 = 776 Total Glass Area = 776 402------- WALLS --ZONE 1----------------------------------------------- -- --- Elevation Type U Insul R Gross(Sgft) North 8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 960 West 811CMU/3/411ISO Btwn 24"oc/5/8"Gyp 0.151 4 1184 East 8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 128 North Mtl Bldg wall/R-11 Batt .084 11 288 Adjacent %"Ply/35/8"Mtl Std@24"oc/Rll/%"G .13 11 4448 Total Wall Area in Zone 1 = 7008 Total Gross Wall Area = 7008 403------- DOORS --ZONE 1------------------------------------------------ --- Elevation Type U Area(Sgft) North 1-3/4 Steel Door -Paper Honeycomb core 0.56 42 Adjacent 1-3/4 Steel Door -Paper Honeycomb core 0.56 105 Total Door Area in Zone 1 = 147 Total Door Area = 147 404------- ROOFS --ZONE 1------------------------------------------------ --- Type Color U Insul R Area(Sgft) Mtl Bldg Roof/R-19 Batt Light .051 19 5211 Total Roof Area in Zone 1 = 5211 Total Roof Area = 5211 405------- FLOORS -ZONE 1------------------------------------------------ --- Type Insul R Area(Sgft) Slab on Grade/Uninsulated 0 5211 Total Floor Area in Zone 1 = 5211 Total Floor Area = 5211 406------- INFILTRATION -------------------------------------------------- --- Infiltration Criteria in 406.1.ABCD have been met. I CHECK 11-1 MECHANICAL SYSTEMS CHECK HVAC load sizing has been performed. (407.1.ABCD) I &-" 407------- COOLING SYSTEMS----------------------------------------------- --- Type No Efficiency IPLV Tons 1. Air Cooled ( >= 65,000 Btu/h 3 10 10 13.50 408.------HEATING SYSTEMS----------------------------------------------- --- Type No Efficiency BTU/hr 1. Electric Resistance 3 1 102390 V 409------- VENTILATION --------------------------------------------------- --- ICHECK i r Ventilation Criteria in 409.1.ABCD have been met. 410------ AIR DISTRIBUTION SYSTEM---------------------------------------- --- CHECK Duct sizing and design have been performed. (410.1.ABCD) I AHU Type Duct Location R-value 1. Air Conditioners Unconditioned Space 6 CHECK Testing and balancing will be performed. (410.1.ABCD) I c/ 411------ PUMPS AND PIPING -ZONE ----------------------------------------- --- Basic prescriptive requirements in 411.1.ABCD have been met. PLUMBING SYSTEMS 411------ PUMPS AND PIPING -ZONE 1--------------------------------------- --- Type R-value/in Diameter Thickness 1. Non -Circulating 0 0 0 412------ WATER HEATING SYSTEMS -ZONE 1---------------------------------- --- e EfficiencyStandb Loss In utRate GallonsPY--------------------- ELECTRICAL SYSTEMS CHECK 413 ------ ELECTRICAL POWER DISTRIBUTION---------------------------- ----- --- Metering criteria in 413.1.ABCD have been met. 414------ MOTORS ---------------------------- ----------------------- ---- --- Motor efficiencies in 414.1.ABCD have been met. 415 ------ LIGHTING SYSTEMS -ZONE 1--------------------------------------- --- Space Type No Control Type 1 No Control Type 2 No Watts Area(Sgft) Type D(Gen 1 On/Off 26 None 0 10600 5211 Total Watts for Zone 1 = 10600 Total Area for Zone 1 = 5211 Total Watts = 10600 Total Area = 5211 Lighting criteria in 415.1.ABCD have been met. CHECK 16. Operation/maintenance manual will be provided to owner.(102.1) c/ Cl )F SANFORD PERMIT APPLICATION 2-0 Permit No.: %."3 Date: It -tZ-o t Job Address: Z4(3$. oFR( tapo 10P-tyC - 5u tT65 toa,11 Co. a r AAN0 " Permit Type: V Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler Description of Work: P—sm o-iC % n4-001C- I m w,.Sri Additional Information for Electrical & Plumbing Permits Electrical: Addition/Alteration Change of Service TemporaryPole N New AMP Service (# of AMPS lic ) Plumbing/Residential: _Addition/ Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Z Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg:%oo 9F Value of Work: $ ZSa f oom Type of Construction: / 06, &4 rr. . Flood Zone: Number of Stories: Number of Dwelling Units: Parcel No.: a f - Zo - 30- dg( z - CSsvo - o tic, (Attach Proof of Ownership & Legal Description) d x ao9 SZT C'CZ l. -+o o = L z$ t o - Contractor/Address/Phone:_ Pc B. x ISI T t L 32-1 > State License Number: C 4-C o 3134 S Contact Person: $ t t.L l Phone & Fax Number: 0 2.3 xt , 4 Z zl Q v Z-3Z4-.S 4 Title Holder (If other than Owner). -. L ru.E Address: Bonding Company: h4P, Address: Mortgage Lender:, Address: Architect/Engineer ., r55 a^. n. ( 1 (,,9^qg..c. PhoneNo.: Address: Z-(S S r t. Fax No.: 6 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 laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING 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 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. hJ4 ,.-- to-ts'- Qf Signature of Owner/ Agent Date Print Owner/Agent' s Name JEFFREY C. BALES Notary Public. State of Florida My comm. expires Jan. 18. 2002 No. CC707510 Bonded thru Ashton Agency. Inc. Owner/Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: / oa h- 1t...—,-%)L C] 10-1;9,.pt Signature of Contractor/ Agent Date Print Contractor/Agent' s Name Florida Date JEFFREY C. BALES Notary Public. Stale of Florida My comm. expires Jan. 18, 2002 Bonded thru Ashton Agency7ln tc. Contractor/Agentis Personally Known to Me or Produced ID Date: fl-- /3-- o ( Special Conditions: l Inanlnllaallaaln111110 mm wnla ollna NOTICE OF COMIVIENCEMENT Permit No. Tax Folio No. C,l - Zo State of Florida County of Seminole z m 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. V.. in 1. Description of property: (legal description of the property and street address if available) Z91Y S. too S,w a,f../l T trc.czcfla 3Z- 2. General description of improvement: 07 3. Owner informatio 77 a. Name and ad ` J s 7acr- ip<o G: cgs; T j<; c v • Box boq 52( o c..a.Nno . C-L. 3ZB to b. Interest in property Fc,- Sc 0-'Z-k.c c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor z a. Name and address 6r9j. t? lam• r. '1 S i b$ (.ca .G A b. Phone number s? - I7-t -'iZ24 Fax number c 5. Surety a. Name and address NA A b. Phone number Fax number c. Amount of bond 6. Lender a. Name and address NA rye r b. Phone number Fax number 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes:' a. Name and address ., n zt b Phone number _ _ Fax number _ in 8. In addition to himself or herself, Owner designates of m to receive a copy of the Lienor's Notice as provided in Section o 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 of recording unless a differeng date is specified) o Signature ofCDOwnerec-,:;tom c Sworn to (or affirmed) and subscribed before me this _( _ day of UCVQV. - -V¢ , 20 CM , by L= 1J I IViCir-11 1 rCi c,/ _ CERTIFIED COPY m Personally Known l/ OR Produced Identification Type of Identification Produced tn ti h • . ` jfr,,.ry Ygnature of NotarVPublic, State of Florida Commission Expires: 612 3 I --ix4 MARYANNE MORSE177O CLERK OF CIRCUIT CnUR'F SEMI E OUNTY RJq l Cr 6 For rTv r:I.Fpr N A'NOV ( o."•: °'; JO ANN M. JOHNSON '7 2Oo1 iT, MY COMMISSION k CC 921808 EXPIRES: March 23, 2004p Bonded TAry Budget Notary Ssryices