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HomeMy WebLinkAbout1207 Royal Oak Drive - Roofing Permit 2006 P~rmit#~OCo ():J.~51 CITY OF WINTER SPRINGS PERl\1IT )...PPLICATION ) tf.o Date CITY (. Type of Permit: (Check all that apply) _l3uilding _ Electrical 1 t.1'"\J I Fence Pool Contract Value: \tJO()- Orphan _R.O.W. Arbor Permit # _ Plumbing Shed Pods S ~echanical Roofing _ Sign tic Permit # (Fee Simple) Owner's Na:ne_~ \ c: .~ (XC ~,\ Phone #(4D1 J 859 - 22 ~(o Mailing Address \ 2-D ]~ \ DQ LLr . Construction Address Sa me QrS a m\jt~ Lot # Living sq.ft. 1st. floor IB S-O Living sq. ft. 2nd. floor 1000 Living Other sq. ft. Sq. ft. Of: <;Iarage -8- L-I D Rear Porch .30.- Other non-conditioned Subdivision ~ I Section_ Township Range Contractor Company Name: O\Nfrty Address Phone # License # Bonding Company Architect/Engineer Mortgage Lender Work Description Expires Electrical: Contractor License # Work Description -+C/u Expires Address Phone # Amperage Amperage Voltage Phase T-Pole: Yes_ No Address Mechan.ical: Contractor License # Work Description Expires Phone # Contract Amount $ System Type EER SEER Plumbin2: Contractor License # Work Description # of: Fixtures to be added Sewer Water Heaters_ Vacuum Breakers_ UGWater Drains Commercial Fixtures: As defined by 2004 Florida Building Code Fixture Unit-Table 709- T709 Expires Address Phone # Contract amount $ OTHER: Type License# . Work Description Contractor Expires Phone Address Contract Amount: Swimming Pool Lot Grading Type: A, B, Will Existing Drainage Be Altered? Yes, Distance from edge of pool to: Rear Yard, Engineering Division may require a survey for final inspection. C, Other No. Side Yard 1, Side Yard 2. S:\COMMUNITY DEVELOPMENT\BUILDING\FORMS\PERMIT APPLICA nON REVISED l10305.DOC Fence Type of Material for Fence , . Linear Feet ofFence to be Installed Phone # --.- ~ Fence Height Contract Amount $ .. Sign: Name of Business OwnerlManager Installer/Sign Co. Existing Sign (Y IN) Phone # Phone # Description Proposed Sign Description Size of Sign Type of Sign x Contract Amount $ Construction Outdoor Advertisement (on-site) Outdoor Advertisement (off-site) Real Estate Other Identification OFFICE USE ONLY CALCULATED VALUE PERMIT FEES Building Permit Plan Review Electrical Permit Mechanical Permit Plumbing Permit Right-of-Way Permit Arbor Permit Other PERMIT TOTAL: IMPACT FEE TOTAL IMPACT FEES Transportation Impact Police Impact Fire Impact Other Community Dev: Reviewed By Date: Approved: YES NO Engineering: Reviewed By Date: Approved: YES NO Fire Marshall: Reviewed By Date: Approved: YES NO Building: Reviewed By Date: Approved: YES NO WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING A NOTICE OF COMMENCEMENT. APPLICANT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BE DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONING. I FURTHER UNDERSTAND THAT WORK MUST COMMENCE WITIllN 60 DAYS AND BE COMPLETED WITIDN ONE YEAR FROM DATE OF ISSUANCE OR THE PERMIT WILL EXPIRE. (:OMPLIANCE CERTIFICATION: I CERTIFY THAT THE POOL CONSTRUCTION WILL COMPLY WITH ALL APPLICABLE N.S.P.I. DESIGN REQUIREMENTS AND THE POOL COMPLIES WITH SECTION 424 OF THE 2004 FLORIDA.BUILDING CODE. OWNER MUST SIGN ALL PERMIT APPLICATIONS. EXCEPTION: CONTRACTOR PROVIDE AN "OWNER SIGNED" CONTRACT OR A NOTARIZED POWER OF ATTORNEY, FROM THE OWNER. GRANTING AUTHORITY TO THE CONTRACTOR SIGNATURE i""'O/l,, Chyrel Jackson 1 ~ .; My Commission 00295803 ~O;f\-O~ Expires March 02, 2008 l)Lt.rl\~ -.... (Contractor) e foregoing instrument was acknowledged Befo e this day of 20---.:.... By who is personally known to as identification and who did (did not) talC oath. Notary ( seal) CITY OF WINTER SPRINGS, FLORIDA ~H" :;:::r': ' '~ :;"\J'E: ::,~ 1126 EAST STATE ROAD 434 WINTER SPRINGS, FL 32708 Atl~ n p, 2006 TELEPHONE: 407.327.1800 FAX: 407.327.4755 OWNERS MUST PERSONALLY APPEAR AT THE BUILDING DMSION TO SIGN TmS DOCUMENT AND APPLICATION 1 OWNER STATEMENT OF FACT F.S. 489.103(7) Disclosure Statement STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LlCENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXE!vfPTION TO THAT LAW. THE EXE!vfPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR WITH CERTAIN RESTRICTIONS EVEN TIIOUGH YOU DO NOT HA VB A LICENSE. YOU MUST PROVIDE DIRECT, ONSITE SUPERVISION OF THE CONSWCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE FAMILY OR TWO FAMIIL Y RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING PROVIDED YOUR COSTS DO NOT EXCEED $25,000. THE BUILDING OR RESIDENCE MUST BE FOR YOUR OWN USE OR OCCUPANCY. IT MAY NOT BE BUILT OR SUBSTANTIALLY I!vfPROVED FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT OR SUBSTANTIALLY IMPROVED YOURSELF WITHIN ONE (1) YEAR AFTER THE CONSTRUCTION IS CO!vfPLETE. THE LAW WILL PRESUME THAT YOU BUILT OR SUBSTANTIALLY IMPROVED IT FOR SALE OR LEASE. WHICH IS A VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON TO ACT AS YOUR CONTRACTOR OR TO SUPERVISE PEOPLE WORKING ON YOUR BUILDING. IT IS YOUR RESPONSffiILITY TO MAKE SURE THAT PEOPLE E!vfPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. YOU MAY NOT DELEGATE THE RESPONSffiILITY FOR SUPERVISING WORK TO A LICENSED CONTRACTOR WHO IS NOT J;.,ICENSED TO PERFORM THE WORK BEING DONE. ANY PERSON WORKING ON YOUR BUILDING WHO IS NOT LICENSED MUST WORK UNDER YOUR DIRECT SUPERVISION AND MUST BE E!vfPLOYED BY YOU, WHICH MEANS THAT YOU MUST DEDUCT F.LC.A. AND WITHHOLDING TAX AND PROVIDE WORKERS' COMPENSATION FOR THAT EMPLOYEE, ALL AS PRESCRIBED BY LAW. YOUR CONSTRUCTION MUST CO!vfPL Y WITH ALL APPLICABLE LAWS, ORDINANCES, BUILDING CODES AND ZONING REGULATIONS. BY SIGNING THIS STATEMENT, I ATTEST THAT: Initial to the left of each statement HAVE READ, UNDERSTAND AND AGREE TO THE EXEMPTION PROVISION OF FLORIDA ATUTES 489.103 7 AS STATED ABOVE. I HAVE ACCESS TO THEADOPTED CODES. I HAVE ADEQUATE KNOWLEDGE AND QUALIFICATIONS TO SAFELY PERFORM AND DIRECTLY SUPERVISE THE WORK. THIS PROPERTY IS NOT AN APARTMENT, CONDOMINIUM OR RENTAL PROPERTY. THIS STRUCTURE IS NOT BEING BUILT OR SUBSTANTIALLY IMPROVED WITH THE INTENTION TO SELL, RENT OR LEASE. I UNDERSTAND THAT THERE IS NOT STATED A TIME FRAME TO SELL, RENT OR LEASE AN OWNER BUILDER STRUCTURE WITHOUT BEING INVESTIGATED. I UNDERS'rANDFOR ANY UN-LICENS;eD PERSON I HIRE, I MUST DEDUCT F.I.C.A. WITHHOLDING TAX AND PRO E W ' RS' COMPENSATION INSURANCE OWNER'S SIGNATURE: y.; ~.,.~ r=\ CONSTRUCTION ADDRESS!( /2--0 7 i<.c~~m ~ mE FOREGOING INSA..~ WAS ACKNOWLED 0 BEFORE ME c THIS 8 DAY OF , 20.Db BY ---1Yu C'J\a.J2..Q c.... 0 DUCED AS IDENTIFICATION AND WHO DID R DID NO AKE AN OATH NOTARY SIGNA STATE OF FLORIDA, COUNTY I. D:\doalwonMormslSTATBMBNT OF FACI' 2005 I':~ -t\ Chyrel Jackson . ~ ; My Commission D02115803 ~:y:.~ ~ 0; ",0'" Expires March 02. 2008 CITY OF WINTER SPRINGS Building Division 1126 East SR 434 ' Winter Springs, FL 32708 Office: 407-327-5963 Inspection Line: 407-327-7596 Permit #: ROOF 200602554 Issue Date: 08-AUG-2006 Parcel #: 1721315FF00000490 Site Address: 1207 ROYAL OAK ROOFING Lot #: 049 Contractor: (OB) OWNER Owner: (OWN) Epps Hontah T 8753 Coralbell Ln Charlotte, NC 28213 License #: OWNER / BUILDER Work: ORPHAN RE-ROOFING WORK Description: REROOF 26 SQ ARCH SHINGLES WITH A PITCH OF 6/12 Value of Work: $1,500.00 Square Footage: Floor Footage Total: Construction Type and Occupancy: Code Sprinklers: Description Fees: Code Account Description ROOF SBC PERMBG ROOF Total: Amount $45.00 $45.00 Paid $0.00 $0.00 Due $45.00 $45.00 Notice This permit becomes null and void if work or construction is not begun within six (6) months after its issuance, or if the work authorized by this permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. Certification I hereby certify that I have read and examined this document and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~.~ Signature of Contractor Ofl.'/-J rJ OL'Y' I ~ (J~o.~ M\Gt\A~.oo _. T S j::;n",,\ ~f 8J/5')~ 8'l\)O<O A~ s)n ) Ore:, P ftI'\ r / r iJ' Date YL FLAS~I,Jb .;. ~\06e. "e..,,~ "- ",t,~\ , I) s.pe dt1 ()~ ") SET)? _CPI City or Winter Springs MISCELLANEOUS CASH RECEIPTS Date! Time : 08/08/06 10:50 P:~ymer.t : $45,00 Receipt ij : 1138394 Check/Credit Card #: C.lerk rHSC COPYRIGI1o'1' KIVA 1997 - 2006 : dasc.:mo PA i Ii ___k\.~ _~~_.,...,....,.--__ -~-'-,..---'-~-- ~~.-','_7"",-:-.-------.~.~~-",3"'~"~~:;-- . RE-INSPECTION NOTICE CITY OF WINTER SPRINGS BUILDING DIVISIOt{ Customer Service Office: (407) 327-1800 Ext. 305, 307, 326 Schedule inspection Line (407) 327-7596 Contractor: OW^ ~ r / t:.pfS Permit Number: 0(0 - ad- )S"<...f Lot Number: LfCf Address: J 2-0, ~-'IC \ OA ~ D "- / Or,! - I~ r Date: 8) I 1 ) oeo , Inspection Performed: Remarks / Comments: y ov r- r: 1 q 5 t, J '" j ~'d (t R dy 0 r ~ ~ ~ ~ I "" ') S' I j .... }' () /- cL.;""7" ( (I../ 5~ '"' j) yo'-' rv'loJ 5. . r"f p )q(' ~ ; -+- a ""' ci '.... ,,-+; 1\ I -+- f or ~ C;o~Z.8 RE-INSPECTION FEE: $ W q , V c..~ NOTE: RE-INSPECTION FEES MUST BE PAID PRIOR TO RE-INSPECTION. THIS NOTICE AND ALL APPROVED PLANS MUST BE ON SITE FOR ALL INSPECTIONS AND RE~INSPECTIONS. PLEASE NOTE ADDITIONAL PAGES~ y ~ . \. 8:30 a.m. · (407) 327-5973, 5974, 8988 / / Page 1 { -1:.:: . . REr~r',l" :" ,-, CITY OF WINTER SPRINGS PERMIT APPLICATION JUN 0 3 2005 Type of Permit: (Check all that apply) _Building _ Electrical _ Plumbing --L Mechanical '-- :---1 .::3 - tJt) {/Q I _Fence Pool - Shed ~ Roofing rontnctValuf": 0 - _Orphan _R.O.W. P.O.D.S. _Sign Arbor Permit # S tic Permit # Permit # J OOE>~'tlL Date Time CITY OF- \"~H'Il'1 LI< ~'Jl '~i:~'j!-~ PQrrTlItllng . KHTl :\ (Fee Simple) Owner's Name /lJIMJ1-CL t::pt2r ~hone# -It)7~3-:J7J-22- * MailingAddress /:;j{)7~r;tJL u/lK~. ll/--/\.~~?66 Construction Address 3 ~ J4)' ;:f t5 0.( C . Lot # Living sq.ft. 1st. floor I /3c1y!f'T Living sq. ft. 2nd. floor / IlbtJ J~' Living Other sq. ft. Sq. ft. Of: Garage i"t7b ,)L- Entry Rear Porch 22..1) Other non-conditioned Subdivision41 Zoning Section_ Township Range " cO'$Jl-;J/I.!/(I hd Gp~J Phone # A 2- fl.b License # Bonding Company Architect/Engineer Mortgage Lender Work Description '2 h Address Expires Address Address /::? () j7 Xo VaL CJ /l-;( ~. Workman's Comp Expires Electrical: Contractor Address License # Work Description Amperage Expires Phone # Amperage Voltage Phase TMPole: Yes_ No Address Mechanical: Contractor License # Work Description System Type Expires Phone # Contract Amount $ EER SEER ,t;~ Plumbin2: Contractor License # Work Description # of: Fixtures to be added Sewer Water Heaters _ Vacuum Breakers UG Water Drains Commercial Fixtures: As defined by 1'994 Standard Plumbing Code Fixture Unit-Table 713.1 Address Expires Phone # Contract amount $ OTHER: Type Lic~nse# Work Description Contractor Expires Address Contract Amount: . Swimming Puul Lot Grading Type: A, Wili Existing Drainage Be Altered? Distance from edge of pool to: Rear Yard, Engineering Division may require a survey for final inspection. C, Other No. Side Yard 1, Side Yard 2. "------- C:\docs\words\Pennit Application 7_22_ 02DJA (407) 327-5963 Building Division I<lM3JlT 3 MDt ..,.11 to tIItZ . ~..... ~.. 0'1*"00'. 11"1lII~ , FL 32708 ----~ Fence ,-. Type of Material for Fence Linear Feet ofFence to be Installed Fence Height Contract Amount $ Sign: Name of Business Phone # Owner/Manager Installer/Sign Co. Existing Sign (Y IN) Phone # Phone # Description Proposed Sign Description Size of Sign Type of Sign X Contract Amount $ Outdoor Advertisement ( on-site) Construction Outdoor Advertisement (off-site) Identification Real Estate Other OFFICE USE ONLY CALCULATED VALUE PERMIT FEES Building Permit Plan Review Electrical Permit Mechanical Permit Plumbing Permit Right-of-Way Permit Arbor Permit Other IMP ACT FEES Transportation Impact Police Impact Fire Impact Other PERMIT TOTAL: IMP ACT FEE TOTAL Community Dev: Reviewed By Date: Approved: YES NO Engineering: Reviewed By Date: Approved: YES NO Fire Marshall: Reviewed By Date: Approved: YES NO Building: Reviewed By Date: Approved: YES NO WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR ATTORNEY BEFORE RECORDING A NOTICE OF COMMENCEMENT. APPLICANT: I CERTIFY THAT ALL THE FOREGOING INFORMATION IS ACCURATE AND THAT ALL WORK WILL BE DONE IN COMPLIANCE WITH ALL APPLICABLE LAWS REGULATING CONSTRUCTION AND ZONING. I FURTHER UNDERSTAND THAT WORK MUST COMMENCE WITHIN 60 DAYS AND BE COMPLETED WITHIN ONE YEAR FROM DATE OF ISSUANCE OR THE PERMIT WILL EXPIRE. COMPLIANCE CERTIFICATION: I CERTIFY THAT THE POOL CONSTRUCTION WILL COMPLY WITH ALL APPLICABLE N.S.P.I. DESIGN REQUIREMENTS AND THE POOL COMPLIES WITH SECTION 1803.1.3 OF THE 1997 STANDARD BUILDING CODE. OWNER MUST SIGN ALL PERMIT APPLICA nONS. t:: . ION: CONTRACTOR PROVIDE AN "OWNER SIGNED" CONTRACT OR A NOTARIZED POWER OF ATT .- FROM THE OWNER, GRANTING AUTHORITY TO THE CONTRACTOR. ~IGNATURE IGNATURE (Owner/Agent) The foregoing insgument was acknowledged Before me this '3ll day of -JU NE 20C25-By ~1C.+tAE- L ,p eQP~ who is personally known to me and/or has produced as ide tifi d ( e an oath. Notary (seal) (Contractor) The foregoing instrument was acknowledged BefOlc..me this day of 20_By who is personally known to me and/or has produced as identification and who did (did not) take an oath. Notary (seal) Ollt...L' " 'D02*'O 7) 327-5963 1126 EAST SR 434 WINTER SPRINGS, FL 32708 Building Division .,.,,~"'....- -.... ~~~~.""......_r=_>>=_...,.~_ =~_"'~~~"'''''''~ - - - ~ - ,., y -" ~'7=""'-=- - l')/ED [ CITY OF WINTER SPRINGS, FLORIDA 1126 EAST BfA TE ROAD 434 WINTER SPRINGS, FLORIDA 32708 TELEPHONE 407-327.1800 FAX 407.3Z7~7SS STATEMENT OF FACT JUN 0 3 2005 . } l v., I 01- WINTER SPRINGS f........iUifl8 K'- J STA TE LA W REQUIRES CONSTRUCTION BE DONE BY LICENSED CONTRACTORS. YOU HA VE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LA W. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU.DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRTUCTlON YOURSELF. YOU MAY BUILD OR IMPROVE A ONE FAMILY OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR OWN USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE (1) YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LA W WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS A VIOLA TION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTy OR MUNICIPAL LICENSING ORDINANCES. ANY PERSON WORKING ON YOUR BUILDING WHO IS NOT LICENSED, MUST WORK UNDER YOUR SUPERVISION AND MUST BE EMPLOYED BY YOU, WHICH MEANS THAT YOU MUST DEDUCT F.I.C.A. AND WITHHOLDING TAX AND PROVIDE WORKER'S COMPENSATION FOR THAT EMPLOYEE, ALL AS PRESCRIBED BY LA W.YOUR CONSTRUCTION MUST COMPLY WITH ALL APPLICABLE LA WS, ORDINANCES, BUILDING CODES, AND ZONING REGULA TIONS. I HA VB READ AND FULLY UNDERSTAND THE PROVISIONS OF THIS INSTRUMENT rL OWNER'S SIGNATURE, ~~n --*CONSTRUCTIONADDRESS' /~ RCIC;o..L ()AK Xh. THE FOREGOING INSTRUMENT WAS ACKNOWLEDGE BEFORE ME THIS~it:!JU~~BY M let{ AE..L 'P, EPfS ~ KNOWN TO ME AND WIlO ~U~ AS IDENTIFICA TION AND WHO DID (OR DID NOT) TAKE AN OATH NOTARYASTOOWNER~~ ;?- r;;;;~. COMMISSION NUMBER AND EXPIRA TlON STA TE OF FLORIDA COUNTY OF ...., PIIIIIc. .....fI..... . u,eom".tI'Ol' ......_ C'OO1mission '00110870 .. " .ow""'. ..,,~....~ ""'.<11 .' ......... _'0 'lPl....~............' '.......,.~. ~m ; .1 ) . J" "'- "It 11 ~'" ~"";C!;;VED L". '~.,,~ !t,~_ it JUN 0 3 2005 "I " vi- vvIN1ER SPRINGS Permitltng - Kim LF20S-04 R20S-04 GENERAL POWER OF ATTORNEY (With Durable Provision) NOTICE: TillS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCU- MENT, YOU SHOULD KNOW THESE IMPORTANT FACTS. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOu. YOU MAY SPECIFY THAT THESE POWERS WILL EXIST EVEN AFTER YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOu. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOu. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO. , TO ALL PERSONS, be it }cnown that I, t*n+f\ h T1~~ of(QtD\ f). b1(Ac~/n ~- C}'OIoJt~ rt df))Q)- . '. , the undersigned Grantor, do hereby make and grant a generarpower of attorney to vn. ,dI,:(2l ER~~ of [~0,a--+ ~1;tfryu ( l! [let at/d) ,fL Z~",~ and do thereupon constitute and appoint said individual as my attorney-in-factlagent. My attorney-in-factlagent shall act in my name, place and stead in any way which I myself could do, if I were personally present, with respect to the following matters, to the extent that I am permitted by law to act through an agent: (NOTICE: The grantor must write his or her initials in the corresponding blank space of a box below with respect to each of the subdivisions (A) through (0) below for which the Grantor wants to give the agent authority. If the blank space within a box for any particular subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for matters that are included in that subdivision. Cross out each power withheld.) [ j-/t1 (A) [ H~ ~ (B) [ He ] (C) [ ] (0) [ ] (E) [ ] (F) [ ] (G) Real estate transactions Tangible personal property transactions Bond, share and commodity transactions Banking transactions Business operating transactions Insurance transactions Gifts to charities and individuals other than Attorney-in-FactlAgent (If trust distributions are involved or tax consequences are anticipated, consult an attorney.) e 1992-2001 Made E-Z Products. Inc. Page 1 Rev. 10/01 This product does not constitute the rendering of legal advice or services. This product is intended for informational use only and is not a substitute for legal advice. State laws vary. so consult an attorney on all legal matters, This product was not necessarily prepared by a person licensed to practice law in your state. ATAK I , -, t:7. ., :.. "'. . [ -tie ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] (H) Claims and litigation (I) Personal relationships and affairs (1) Benefits from military service (K) Records, reports and statements (L) Full and unqualified authority to my attorney-in-factlagent to delegate any or all of the foregoing powers to any person or persons whom my attorney-in-factlagent shall select (M) Access to safe deposit box(es) (N) To authorize medical and surgical procedures (Pennsylvania only) (0) All other matters Durable Provision: (P) If the blank space in the block to the left is initialed by the Grantor, this power of attorney shall not be affected by the subsequent disability or incompetence of the Grantor. Other Terms: My attorney-in-fact/agent hereby accepts this appointment subject to its terms and agrees to act and perform in said fiduciary capacity consistent with my best interests as he/she in hislher best discretion deems advisable, and I affirm and ratify all acts so undertaken. TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY EXECUTED COpy OR FACSIMILE OF THIS INSTRUMENT MAY ACT HEREUNDER, AND THAT REVOCATION OR TERMINATION HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE OR KNOWLEDGE OF SUCH REVOCATION OR TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY, AND I FOR MYSELF AND FOR MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS ANY SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY ARISE AGAINST SUCH THIRD PARTY BY REASON OF SUCH THIRD PARTY HAVING RELIED ON THE PROVISIONS OF THIS INSTRUMENT. /" / Signed under seal this /'- ( Signed in the presence of: {j1;1vJ:JC0ttN~A-j ~iL~' ,I . . _.'.ti~l( Witnes State of /~ (),~Tti (/J/2f..''-V/) } County of /~1 em L <9J /) LV..? C" On 511/J I ;2.1 ( 26 C ~ before me, day of , 20 0 r- Attorney-in-Factl Agent tt~41 t:ab WITNESS my. hand and offici~ /1" / ,..--J jJ j i ,,/:'1 //J/ / ~ Signature\ ..../JL(./.J./c'"' 1// ~/J/}J 2ft}{) ,. '1--t~D7 Affiant _Known-Lproduced lD - "TYpe of ID A[ (()t.... .;2 C,ll 3J)~ (Seal) Pa~e 2. Seminole ~ounty Property Appraiser Get Information l)y,Parcel Number Page 1 of 1 PROPERTY APPRAISER SEMINOLE COUNTY FL 1101 E. FIRST ST SANFORO,FI..32771.1468 4fJ7'OOS-75Ofil GENERAL 17-21-31-5FF- . . W1-WINTER Parcelld: 0000-0490 Tax District: SPRINGS Owner: EPPS HONTAH T Exemptions: Address: 8753 CORALBELL LN City,State,ZipCode: CHARLOTTE NC 28213 Property Address: 1207 ROYAL OAK DR WINTER SPRINGS 32708 Subdivision Name: FAIRWAY OAKS UNIT 1 Dor: 01-SINGLE FAMILY SALES Deed Date Book Page Amount Vac/lmp WARRANTY DEED 08/2003 05014 1598 $138,000 Improved QUIT CLAIM DEED 12/2001 04304 0611 $100 Improved CERTIFICATE OF TITLE 04/1988 01946 1994 $100 Improved QUIT CLAIM DEED 06/1987 01867 0205 $100 Improved WARRANTY DEED 12/1982 01429 1575 $125,000 Improved QUIT CLAIM DEED 07/1982 01409 0583 $100 Improved WARRANTY DEED 03/1982 01384 0118 $113,500 Improved WARRANTY DEED 09/1981 01356 1522 $1,522,700 Vacant Find Comparable Sales within this Subdivision LAND 2005 WORKING VALUE SUMMARY Value Method: Number of Buildings: Depreciated Bldg Value: Depreciated EXFT Value: Land Value (Market): Land Value Ag: Just/Market Value: Assessed Value (SOH): Exempt Value: Taxable Value: Tax Estimator Market 1 $146,195 $800 $35,000 $0 $181,995 $181,995 $0 $181,995 2004 VALUE SUMMARY 2004 Tax Bill Amount: $2,781 2004 Taxable Value: $148,756 DOES NOT INCLUDE NON-AD VALOREM ASSESSMENTS Land Units Land Value LEGAL DESCRIPTION PLAT LEG LOT 49 FAIRWAY OAKS UNIT 1 PB 23 PGS 96 TO 98 Land Assess Method Unit Price Frontage Depth LOT o o 1.000 35,000.00 $35,000 BUILDING INFORMATION Bid Num Year Bit Fixtures Base Gross SF SF Heated SF 2110 CB/STUCCO , FINISH Bid Value Bid Type SINGLE FAMILY Appendage / Sqft Appendage 1 Sqft Appendage / Sqft Appendage / Sqft Appendage / Sqft 1981 10 1,335 2,885 Ext Wall $146,195 GARAGE FINISHED 1489 OPEN PORCH FINISHED 1 18 SCREEN PORCH FINISHED 1 204 UPPER STORY FINISHED 1 775 OPEN PORCH FINISHED 1 64 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New FIREPLACE 1981 1 $800 $2,000 Est. Cost New $161,541 . , http://www.scpafl.org/pls/web/re_web.seminole_ county _title?parcel=1721315FF00000490&cpad=ROY A... 6/3/2005 111111111111111 n &11111.111118 1.0 11.11. '. . . ....... . JIlARYANNE~~ Si~lT . COURT . SEJlftNOl..E CIlJNTY . BK OS749 PG 1413 CLERK'S * 200S091639 RECORDa> 06/03/200'5 10,14:49 AN RECORDING FIB 10.00 RECORDED BY t holden PERMIT NUMBER).. {)OS-CJ LC;7! TAX FOLIO NO. NOTICE OF COMMENCEMENT STATE OF COUNTY OF THE UNDERSIGNED herby gives' notice that improvement will be made to certain real property and in a<;cordance with C~pter 713, Florida Statutes, the following inforInation is provided in this Notice of Commencement. . > 1. Description o~ pro~erty: (legaIaes'Cripnol).'oj.property, including address if available). J. l.. of- It- 6 ell - H.J,~* '7-/1 ;//5 r r-6 (} a0 /fl. 6 / Z-()~ f:?CC(~ CJ./J/-M ~~ ~~o, 2. General descrJ;ption of improvement: KC-:- 4'cr;p . '., t7 uJlt~J'~ 3. Owner informatich{: Y\,... k /f' ~ /20/ ~if1 tt< tfif. d..I/} -2 - a. Name and address: /,j / Ie..-~ lYuL ~"~ J 2.- ./C, b. Interest in property: OCt.. kCr c. Name and address of fee simple titleholder (if other than owner): A/./)- " 5. Surety a. Name and address: ~'a. Amount of bond $ . , 4. Contractor: (name and address) S~ CO f/J~ZM..-' 6. Lender: (name and address) 7. Persons within the state of Florida designated by owner upon whom notices or other documenl~'ni.ay be served as provided by Section 713.13 (1) (a) 7., Florida Statutes: 8. In addition to himself, owner designates the following person (s) to receive a copy of the ~enor'~ Notice as provided in SeJ:tion 713.13 (1) (b), Florida Statutes: 9. Expiration date of notice of commencement (the expiration date is (1) year from the date of rec~rding unless a different date is specified) SWORN to and subscribed before me by C'Y\ ~ C 'v\(\ Q \ f. r p ~ who is persominy known to me oltf pi'Ocl.u.ce ) ~entificatio2Y and wl).o 4id~ take an oath, this ,3 day of ,\0\'..Q.. ,!20~. . ~~ ~!tt~~:;::." . .. ~ "SP.~i.l. ".. ~/? rr.....~.yo=-~~l.lTy CLtkK ) .iit"A'L }J'" ~:' . c::.~ ~ ~~- '_4!{ f,~ I ,:'-" ,: ~ t~.~ .:< :,} .-i 0 ~ "~~- I \ . "';..,. ti .,J'. ~ ' . ~'11-;' t.~ -- l.. -.,.1 y-':r :,., ,.. '. ".< .. '.~,: "- . . .... (. ~ ".' .). Q;f, ..ii~ .~ . "', , ,'Oil',' f, ::;~ BEnPllD ORmNTED LEG)iLY TO alMPLY WlniRECORDING REQlllREMIlNTS'" '-/'~ ~ ~wner' s si~ture) m \ c. n CL\ f.W"'":/ (owner' s name) ". \;2Dl <L~C\\ ffi\-\:Y,' (owner's aadress) --....-"--p~ -......, .'7 ",,', ,'-- .-.",!...,.,.",.~~;..."..-;-- ";:~~:" ~,.:~......"""",..,.-~~......;..;>"!. """'" _.;~", .0:-' ' ~.~'.'J!Il"1'f'''''''-lJIII)'''''.,:,~..-....,--."-~,, -. ~. !"" ;~ --.,. '. '-"'-';, t 1t~. .. I RE-INSP'ECTION NOTICE J! CITY OF WINTER SPRINGS BUILDING DIVISION Customer Service Office: (407) 327-1800 Ext. 305, 307, 326 Schedule inspection Line (407) 327-7596 Contractor: r1 rY tJl:;~ e,):y~ Permit Number: tPa::;sC1:?1 71 Address: /;r:;"") Zfj (/ftL ~e ~ ( Inspection Performed: b/1 /" J ~ Lot Number: Date: ~/~~ ~v VfLL 67ft2C 'FeY( ~. - <-/'~~~c >--d<U RE-INSPECTION FEE: $ """""0 ~- NOTE: RE-INSPECTION FEES MUST BE PAID PRIOR TO RE-INSPECTION. THIS NOTICE AND ALL APPROVED PLANS MUST BE ON SITE FOR ALL INSPECTIONS AND RE~INSPECTIONS. PLEASE NOTE ADDITIONAL PAGES: 0 Y ,~ N --Y~. BUILDING INSPECTOR Inspector Contact Available 7:30 a.m. - 8:30 a.m. · (407) 327-5973, 5974, 8988 Page 1 l.