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1727 PARK TERR W - HVAC .s�Lyr , ' iv CITY OF ATLANTIC BEACH • 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 ;"%0;3»%' INSPECTION PHONE LINE 247-5814 MECHANICAL RESIDENTIAL HVAC - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ACRS18-0350 Description: 5 Ton 60K BTU HVAC Unit Estimated Value: 10000 Issue Date: 8/28/2018 Expiration Date: 2/24/2019 PROPERTY ADDRESS: Address: 1727 W PARK TER RE Number: 172020 0372 PROPERTY OWNER: Name: STANFORD MELANIE ALEXANDER TRUST Address: 1727 PARK TER W ATLANTIC BEACH, FL 32233-5611 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: Homewise Improvement Solutions Inc. Address: 385 Commerce Way Longwood, FL 32750 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. MECHANICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904) 247-5845 / c FOB ADDRESS: f 1 a nG r V Te r • 11 1 . PERMIT 5(f O3d 0 PROJECT VALUE $ ( 0 0 0 O C) C7 ARI# REQUIRED _Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only k1EW AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity Tons Per Unit Heat: Unit Quantity BTU's Per Unit Seer Rating Duct Systems: Total CFM REQUIRED ZEPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION Air Conditioning: Unit Quantity I Tons Per Unit 5 Heat: Unit Quantity I BTU's Per Unit (;•O Seer Rating I Duct Systems: Total CFM (1 /4 REQUIRED IRE PREVENTION Fire Sprinkler System Quantity (Requires 3 sets of plans) Fire Standpipe Quantity (Requires 3 sets of plans) Underground Fire Main Value (Requires 3 sets of plans) Fire Hose Cabinets Quantity (Requires 3 sets of plans) Commercial Hoods Quantity (Requires 3 sets of plans) Fire Suppression Systems Quantity (Requires 3 sets of plans) +IRE PLACES MISCELLANEOUS: Prefabricated Fireplace Qty Automobile Lifts Gas Piping Outlets Boilers BTU's Elevators/Escalators LL OTHER GAS PIPING Heat Exchanger Quantity of Outlets Pumps # Vented Wall Furnaces Refrigerator Condenser BTU's # Water Heaters Solar Collection Systems Tanks(gallons) Wells )THER: STo n 4] S-ee rA ( c r -t to I a c� rv.).n-f- . X C-t c - cf-ic 'n M1 o cAu G'1- W0 C . ermit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read fis application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or ot. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. 'roperty Owners Name M C*i 2 C h a-n-F o r d Phone Number 9 U 3191.41 C "1 tri'39 ,Iechanical Company t-f c* r L( C Office Phone c�3 I K Fax 'o. Address: $?S Com ffti)A Le_ c.,) Gv-( City (,fin a State( Zip 327j) ,icense Holder (Print): Wi 1a M 1) Ho 'State Certification/Registration# CAC 0143915- Totarized Signature of License Hob e t ,. PATRICIA WATKINS � �9 w ...(y.1:7s " gist: PATRICIA wows + "WI IWMI 8qb N Rifts • /Ay 3 N P -$talc of Floc 17560 ,�..� E# }" Mt COM.6100011Wri,201 E, Mar6,2 . Of 1 ecs �� CalAmluh0s I If 111403 Anndgtt thr =.ayi t Commission I ff 1 560 Bovied through National Notary Assn . ..•�- - or"•,.. Bonded through National t art upa • • • • L-IMIT-ED P-U ER OF ATTORNEY • DATE: t q • Combs` /4j1W, hereby name and appoint C Q to bemylawful attorney.infact toact for meand apply toCAA-A-/ 0-f f frira permit for work to be performed ata location described as: Parcel: 11 Oa 0 - 0'31 2- Subdivis • ion V16-rt YLAy • a C ► K • - - • a�- Address of Job fy\-QA CIX (1>1 r2ct„/C, TT.►- tr.) } '+l crlt.G.. C21 r•h G 3 1:2 3- .. Owner of Property and Address • and to sign my name and do all things necessary to the appointment • • • //II/ signature of Certified C ntractor P PATRICIA WATKINS • (4144p•► ''k4 Notary prppc State of Florida Acknowledged: M9 C .Expires Mar 6,2019 a� Commission•#r FF 175603 • Sworn to and subscribed before me this 2 day of �ry�y't A.D.20 1 g w,,,�,.�Itxough National NotaryAasn• Notary Public,State of Florida • • , . DUCT INSPECTION AND SEALING CERTIFICATION.. . , As requiredbythe 2010 Florida Energy Code Section 101.4.6.1.1 , • (TO BE ATTACHED TO AIR HANDLER) Address of Install: \cA� '`? '" Cw `" "� �`' Manufacturer&Model#of Equipment: aliAGAG P\/ -.C...-( 8 U b 01 P t I\J P E C 5 C-1)k \ -3 z 3` _5-• (yr 11 SEER I..1 VE2TEi2 t- p Permit No.: Contractor Name: License#: Date Performed: O q. 2_3. I $ • I hereby certify that the ductwork at the above address associated with an HVAC equipment change-out has been inspected and sealed in accordance with the 2010 Florida Energy Code,Section 101.4.6.1.1 by the following allowable method(s): • Check all that apply: Where needed,all the existing and accessible ducts (minimum of 30 inches clearance)have been sealed using reinforced mastic or a code-approved equivalent seal. °Ductwork was found to be located within conditioned space where further inspection and • sealing is not required. (Exception 1, Section 101.4.7.1.1) • °Ductwork was inspected at the time of install and we found that all joints or seams were already sealed with an approved'fabric and mastic. (Exception 2,Section 101.4.7.1.1) rbe duct system was tested and repairs were made as necessary. (Exception 3,Section 101.4.7.1.1 V U► Duct system tested by S e(-c""""S (Company and/or individual) /4 a..icciLi ,j v- Lt_C._ (Date) "C— (Date) 04 L3 I ' Cris Il a Ji.. Printed Name of Authorized Company Representative Representative's Title: a • 04. 2.3 8" Signature of Authorize, Company Representative • Date Signed • .u...iCERTIFIED`') www.aftridirectory.org Certificate of Product Ratings AHRI Certified Reference Number:9114954 Date:07-23-2018 Model Status:Active AHRI Type:HRCU-A-CB Series:AVZC18 Outdoor Unit Brand Name:AMANA Outdoor Unit Model Number (Condenser or Single Package):AVZC180601A' Indoor Unit Mode!Number(Evaporator and/or Air Handler):AVPEC59D14A' The manufacturer of this AMANA product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh:52000 SEER: 17.00 EER(A2)-Single or High Stage(95F): 11.00 Heating Capacity(H12)-Single or High Stage(47F):53000 HSPF(Region IV) 9 60 t"Active'Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or oflenng for sale;OR new models that are being marketed but are not yet being produced.'Production Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate an involuntary re-rate The new published rating is shown along with the previous(i.e WAS)rating DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed in the directory at www.ahrldirectory.org. TERMS AND CONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or in part,be reproduced;copied;disseminated; entered into a computer database;or otherwise utilized.in any form or manner or by any means,except for the user's individual, personal and confidential reference. AIR-CONDITIONING,HEATING, CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The information for the model cited on this certificate can be verified at www.ahrldlrectory.org.click on'Verify Certificate'link we make LIc 1,.•ur•;' and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above,and the Certificate No.,which is listed at bottom right. --- ©2018Air-Conditioning. Heating,and Refrigeration Institute CERTIFICATE NO.: 131768412717649813 Au■.d CERTIFIED ' VA=.ahritirectory.ory Certificate of Product Ratings AHRI Certified Reference Number:9114954 Date:07-23-2018 Model Status:Active AHRI Type:HRCU-A-CB Series:AVZC18 Outdoor Unit Brand Name:AMANA Outdoor Unit Model Number (Condenser or Single Package):AVZC180601A' Indoor Unit Model Number(Evaporator and/or Air Handler):AVPEC59D14A' The manufacturer of this AMANA product is responsible for the rating of this system combination. Rated as follows in accordance with the latest edition of ANSI/AHRI 210/240 with Addenda 1 and 2,Performance Rating of Unitary Air-Conditioning&Air-Source Heat Pump Equipment and subject to rating accuracy by AHRI-sponsored,independent,third party testing: Cooling Capacity(A2)-Single or High Stage(95F),btuh:52000 SEER: 17,00 EER(A2)-Single or High Stage(95F):11.00 Heating Capacity(H12)-Single or High Stage(47F):53000 HSPF(Region IV):9.60 ahn c r rActive-Model Status are those that an AHRI Certification Program Participant is currently producing AND selling or offenng for sale;OR new models that are being marketed but are not yet being produced.'Producbon Stopped'Model Status are those that an AHRI Certification Program Participant is no longer producing BUT is still selling or offering for sale. Ratings that are accompanied by WAS indicate en involuntary re-rate. The new published ratno is shown along with the previous(i.e WAS)rating. DISCLAIMER AHRI does not endorse the product(s)listed on this Certificate and makes no representations,warranties or guarantees as to,and assumes no responsibility for, the product(s)listed on this Certificate.AHRI expressly disclaims all liability for damages of any kind arising out of the use or performance of the product(s),or the unauthorized alteration of data listed on this Certificate.Certified ratings are valid only for models and configurations listed In the directory at www.ahrldlrectory.org. TERMS ANDCONDITIONS This Certificate and its contents are proprietary products of AHRI.This Certificate shall only be used for Individual,personal and confidential reference purposes.The contents of this Certificate may not,in whole or In part,be reproduced;copied;disseminated; entered Into a computer database;or otherwise utilized,In any form or manner or by any means,except for the user's individual, personal and confidential reference. AIRCONDITIONING,HEATING. CERTIFICATE VERIFICATION &REFRIGERATION INSTITUTE The Information for the model cited an this certificate can be verified at www.ehrldlrectory.org,click on'Verity Certificate'link we make life better" and enter the AHRI Certified Reference Number and the date on which the certificate was issued, which Is listed above,and the Certificate No.,which Is listed at bottom right. — -- ©2018Air-Conditioning, Heating,and Refrigeration Institute CERTIFICATE NO.: 131768412717649813 7/20/2018 �.a,>�� P 4erty Appraiser-Property Details STANFORD MELANIE ALEXANDER TRUST Primary Site Address Official Record Book/Page Tile# 1727 PARK TER W 1727 W PARK TER 16769-01735 9409 ATLANTIC BEACH, FL 32233-5611 Atlantic Beach FL 32233-5611 STANFORD MELANIE ALEXANDER STANFORD MELANIE ALEXANDER 1727 W PARK TER Property Detail Value Summary RE# 172020-0372 2017 Certified 2018 In Progress Tax District •i USD3 Value Method CAMA CAMA Property Use 0100 Single Family i. Total Building Value !$251,645.00 $205,272.00 #of Buildings 1 , Extra Feature Value $7,869.00 $8,180.00 For full legal description see Land Value(Market) $350,000.00 $500,000.00 Legal Desc. • Land&Legal section below Land_ Value(Agric.) $0.00 $0.00 Subdivision 03134 SELVA MARINA UNIT 08 Just(Market)Value $609,514.00 $713,452.00 Total Area 14506 Assessed Value $327,141.00 $334,010.00 The sale of this property may result in higher property taxes.For more information go to SaveCap Diff/Portability Amt $282,373.00/$0.00 $379,442.00/$0.00 Our Homes and our Property Tax Estimator.'In Progress'property values,exemptions and Exemptions $50,000.00 See below other supporting information on this page are part of the working tax roll and are subject to change.Certified values listed in the Value Summary are those certified in October,but may Taxable Value $277,141.00 See below l include any official changes made after certification Learn how the Property Appraiser's Office values property. Taxable Values and Exemptions—In Progress If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box. County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value Assessed Value $334,010.00 Assessed Value $334,010.00 Assessed Value $334,010.00 Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 Homestead(HX) -$25,000.00 Homestead Banding 196.031(1)(b)(HB) -$25,000.00 Homestead Banding 196.031(1)(b)(HB) -$25,000.00 Taxable Value $309,010.00 Taxable Value $284,010.00 Taxable Value $284,010.00 Sales History Book/Page Sale Date r Sale Price Deed Instrument Type Code I Qualified/Unqualified I Vacant/Improved 16769-01735 3/19/2014 $100.00 WD-Warranty Deed 'Unqualified Improved 09607-00863 4/11/2000 $128,571.00 WD-Warranty Deed Unqualified Improved 05091-01102 11/20/1979 $100.00 QC-Quit Claim Unqualified Improved 04533-00243 12/7/1977 $500.00 CT-Certificate of Title Unqualified Improved 04138-01034 4/22/1976 $85,000.00 WD-Warranty Deed Unqualified Improved 03509-00456 5/4/1973 $10,000.00 WD-Warranty Deed Unqualified Improved Extra Features LN I Feature Code I Feature Description Bldg. :Length Width ,Total Units 'Value 1 FPPR7 Fireplace Prefab 1 1 i 0 0 ' 1.00 1$530.00 2 POLR3 Pool 1 0 0 1.00 $7,650.00 Land &Legal Land Legal LN Code Use Description Zoning ' Front Depth Category I Land Units I Land Type I Land Value (LN Legal Description 1 , 0100 RES LD 3-7 UNITS PER AC I ARS-L i 114.00 0.00 i Common i 1.00 I Lot I$500,000.00 I 1 34-85 09-2S-29E 2 SELVA MARINA UNIT 8 I 3 LOT 17 BLK 12 I Buildings Building 1 Building 1 Site Address Element Code Detail 1727 W PARK TER - 1---1 Atlantic Beach FL 32233-5611 Exterior Wall 6 6 Vertical Sheet ,; usi A Roof Struct 3 3 Gable or Hip I Building Type 0103-SFR SPLIT-LEVEL Roofing Cover 3 3 Asph/Comp Shng ' ADT Year Built 1974 Interior Wall 5 5 Drywall _ B Building Value $205,272.00 Int Flooring 19 19 Marble A h----:, _._.. v 5 Base Int Flooring 12 12 Hardwood F Gross Heated Effective Heating Fuel 4 4 Electric -°--\—= TYPqArea Area Area __ Heating Type 4 4 Forced-Ducted I ADT H Base Area 994 994 994 Air Cond 3 3 Central L�._ Base Area 675 675 675 Finished upper 675 675 641 I I Element !Code story 1 Addition 525 525 472 Stories 12.000 I https://paopropertysearch.coj.net/Basic/Detail.aspx?RE=1720200372 1/2 7/20/2018 Property Appraiser-Property Details Finished Open 107 0 32 Bedrooms 5.000 Porch Baths 3.000 Unfinished 304 0 122 Rooms/Units 1.000 Storage Addition 380 380 342 Total 3660 3249 3278 2017 Notice of Proposed Property Taxes Notice(TRIM Notice) Taxing District Assessed Value Exemptions Taxable Value Last Year Proposed Rolled-back Gen Govt Beaches i $327,141.00 $50,000.00 $277,141.00 $2,204.19 ' $2,259.03 $2,142.97 Public Schools:By State Law $327,141.00 $25,000.00 ; $302,141.00 $1,345.31 $1,280.17 $1,304.80 By Local Board $327,141.00 $25,000.00 $302,141.00 $664.09 $679.21 $644.10 FL Inland Navigation Dist. $327,141.00 j$50,000.00 $277,141.00 $8.65 $8.87 $8.31 Atlantic Beach $327,141.00 $50,000.00 $277,141.00 $873.03 $894.75 $850.32 Water Mgmt Dist.SJRWMD $327,141.00 $50,000.00 $277,141.00 $78.01 $75.49 $75.49 Gen Gov Voted $327,141.00 $50,000.00 $277,141.00 $0.00 $0.00 $0.00 School Board Voted $327,141.00 $25,000.00 $302,141.00 $0.00 $0.00 $0.00 Urban Service Dist3 $327,141.00 $50,000.00 $277,141.00 $0.00 $0.00 $0.00 Totals $5,173.28 $5,197.52 $5,025.99 Just Value Assessed Value Exemptions Taxable Value Last Year $597,039.00 $320,413.00 $50,000.00 $270,413.00 Current Year $609,514.00 $327,141.00 $50,000.00 $277,141.00 2017 TRIM Property Record Card (PRC) This PRC reflects property details and values at the time of the original mailing of the Notices of Proposed Property Taxes(TRIM Notices)in August. Property Record Card (PRC) The PRC accessed below reflects property details and values at the time of Tax Roll Certification in October of the year listed. 2017 2016 2015 2014 •To obtain a historic Property Record Card (PRC)from the Property Appraiser's Office, submit your request here: More Information ontact Us I Parcel Tax Record I GIS Map I Map this property on Google Maps I City Fees Record https://paopropertysearch.coj.net/Basic/Detail.aspx?RE=1720200372 2/2 iiiii. CREDIT L1PPi ir I rr^•' offices: I Q Orlando hanYa Heatinga Air Condltloning and Q Tamp Z1 a Longwood Florida,32750 ph: 407.715.6305 Florida Licenses CAC043975 and CFC1426424 — `4 s / I / Home I: U Nary � — Mr./Mrs. � rCivGC _ 0 Work I: Sime y . I l C oryt� Zip Cell I. C( G, " Sr ss 3 Efh�l' E Des!vw. �y * Equipment Specifications&Scope System Purchase Details /1 G si� � ( c 1 Y1 Design a photovoltaic and/or other requested / �(� renewable energy systems for the location listed above. n TC The Design will meet or exceed the standards set forth �� ���^J by the State of Florida Solar program or the Customer's 2'� o C,. Jrl7 power company.The design and installation will meet or / exceed the standards required by the city or county where/5)41f . Q v am.,, CO the Customer is located. I 4,1 4) a 50( The system will substantially conform to the installa layout as provided by the installer. Unless specified5' HO! otherwise in the quote and or on this contract.GREEN SCENE INDUSTRIES LLC will install its standard systems 6' )Rn including direct mounting to roof using flashing.L-Feet and standard roof sealing materials. The customer )L t� acknowledges that site changes may be necessary due to Initial* obstructions or other unforseen issues. CASH OR FINANCE PAYMENT SCHEDULE MP Obtain all appropriate permits,at their cost added to the Total investment $ /! Clw contract price,with the appropriate jurisdiction where the Intimal Deposit $ AR Customer or project resides.Obtain,complete and submit all necessary interconnection agreements. Upon ryOrder of $ )TA rt Upon Completion $ Additional Information or CustomerjSpecial Request: Due Upon Approval $ a,/E )d r� -a4 L�1 �`0�OUC� �OAn 4C(101-?Ailere.\ Credit Card I Exp. CVC: Ctrs.Authorizatlon — I. AunK2 QATION You me underspred Cuw rrwr.aueorue Green Scene Industries LIC,herein alter Green Scene Industries LLC to be your contractor.HVAC contractor arrior 1p soar mrraoor kr es ore Won to be performed at your nmr or business You understand and agree Oral Green Scene Industries LLC has the right and obligation to Worm work pr ow roe roreonabp amount ant cwt tee agreed upon once constitutes a final contract price mal you agree to pay.You understand nut Green Scene Irxlustnes LLC fen rights we not be wanedcompromised or tainted by any agreement to accept less than the agreed upon pace or work and services pertorrted.You specrtruury authorize Green Scene PF florae LLC to retail an agreed equipment and cervices to the andress Wad above You authorize Green Scene Industries LLC to conduct all the work described herein.nckldng suet eaf.By signing nos connect.You kw undersigned Customer,understand and agree Ilial you wit pay Green Scene Industries LLC the cost of work lined in Mrs contract Although ae warming engneeaq and inspections are inductee in he work.nothing in Ina agreement gives he property owner the right to refuse to sign!mance paperwork at he wbstarOat mrrerleton on as won_Because Green Scene Industries LLC does not have any control as to the scheduling or timing of all bursting department or government inspections and pormts,the homeowner is hereby prevented from delaying the payment as a result of inspections or building department delays. 2. PRICE The puce n the Grid Toa or Total rwestmenl as defined in the Contract You are Ultimately responsible and liable to Green Scene Industries LLC la lull and complete payment d re Grand Total Due upon appmt'ar 3. tarrEp_PDY/ER0F_ADONNEY You.the undersigned hereby grant Green Scene Industries LLC ardor as agent with a Limned Power of Attorney to sign Notice of Commencement on you,Doha? cum ,perpermsdoents,h omierarners assoc am n documents,and/or any otter documents necessary to obtain permss and%om r goverrent approvals i Io compieie the eWaaabon d pr epurlent as agreed Inon this contract s. ?ANENT Upon completion of the nstalebon 04 the set contrail,the customer shall pay Green Scene Industries LLC lull amount of the contract try check,Yea.MasterCard a A arca n Express In the case of customers who have Ilnaced heir prgeCl through a third party finance company Utgy IdUill 11111$dialaty ren all 122mpfeSan aist.t10BOSt_fel4led pag0rllnfznk ar me Imre of etslallawn Folie to properly execute the Marie paperwork at the limed installation shall constitute breach of the contract and failure to pay for services. The customer agree Vial payment shag not be delayed pending city,town.ands county inspections.Failure to make n timely payment to Green Scene Industries LIC ed result in the tang a construction hen.Green Scene Industries LLC agree to meet all munapal inspection requeernents.Shoed you default on any payments owed pursuant to this contract. Interest shall accrue from he dale payment,s due al the rrwimum rate permuted under Fkrda law,II Green Scene Industnes LLC is compelled to institute collector-1 proceedings reaaoreble aermey lees coats,and eepeees connected with such scion shall be bane by you,including appellate level fees ond cools. 5. AUTHORq,AT19N AND ACCEPTANCE4E OONTRAU TERMS YOU AND GREEN SCENE INDUSTRIES AGREE THAT THE ASSIGNMENT OF BENEFITS,TERMS, CONDITIONS AND CONTINGENCIES SET FORTH ABOVE AND ON THE REVERSE SIDE OF THIS CONTRACT ARE SATISFACTORY AND ARE HEREBY ACCEPTED.Green Scene mdusmes is hereby arN4naed lo perform all of the work described herein.By sgn,rg below,you re representing hat you have the authorrry to eller into the contract You undersand and agree that you entering rib a binding,legal contract won Green Scene Industries LLC that you hereby authorize Green Scene Irdusnes LLC to perform all the oak,antd hr you oil pay Gee.,Scene Innlwtries LLC according to he payment terms outlined in this contract You hereby agree that this contract is not considered bonding on Green Sour nduseets LLC orb approved by Green Scene lyduuiries LLC management 6- NOTICE TO ALL RESIIIENTIA4 CUSTOMERS DO NOT SIGN THIS DOCUMENT IN BLANK.YOU ARE ENTITLED TO A COPY OF THIS CONTRACT AT THE TIME YOU SIGN IT KEEP IT TO PROTECT YOUR LEGAL RIGHTS YOU THE CUSTOMER MAY CANCEL THIS CONTRACT AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF SIGNING THIS DOCUMENT SEE ATTACHED NOTICE OF CANCELLATION FORM LOCATED W SECTION 12 ON THE BACK FOR FURTHER EXPLANATION OF THIS RIGHT.IF THIS CONTRACT IS NOT CANCELLED BY YOU WITHIN THREE DAYS IT WILL BECOME BINDING ON YOU.SHOULD YOU CANCEL THIS • CONTRACT ANYTIME THEREAFTER.YOU WILL IN BREACH AND WILL BE RESPONSIBLE TO THE COMPANY FOR ITS DAMAGES AS SET FORTH MORE FULLY ON THE REVERSE AND YOUR DEPOSfT WILL BE APPLIED IN SATISFACTION OF SUCH DAMAGES CaI*Ianrr Sl0l,saa* uI`r/ Customer Signature Desired Inman Dau and Tama WUaas Caliente Primed Name 7/2 /j, Customer Printed Nam* Reprwnative Dale Doc # 2018179675, OR BK 18475 Page 1169, Number Pages : 1, Recorded 07/31/2018$10. 00 01 :21 PM, RONNIE FUSSELL CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10. 00 NOTICE OF Co�upT� ENCEMENT (PREPARE Tax Folio No. V.1 o?r , o— o ' SCounty of '',. .- -•-.,. State off - To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real prpparty,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OP • COF1f11ENCEM NT. o�- a5 0� e being improved: S Legal description of property 1�� R Z - �� `sr cls.. em. N?awl t-rsc-a.. - • Address of property being improved: \-iZ,c'1 . . __ a - - `t-N., 3 Z+ _ General description of Improvements: A• - --,.. - '., - • Owner ' - - - - - .-.__..�_-n.._ •Address _ �� -5-2.-z.-&::, woe,-- or - - 1.-\ �� 'a c‘ Q�- - Owner's Interest in site of the improvement Fee Simple Titleholder(if other than owner) �� Name • Address - ��� Contractor - - _ _ � ^-L • Address `.. -.-�= `.' c� o �t �It�.�te • • Phone No. FaX No. - Surety(If any) U. • • ount of bond$ • • � Address �• • Phone No. Fax No. - • • Name and address of any person making a loan for the construction of the Improvements. • • Name- 1 Address V► C Phone No. Fax No. Name of person within the State of Florida,other then himself,designated by owner upon whom notices or other documents may be served: •• • Name lak. . . Address NONIL� Phone No, Fax No. • In addition to himself,owner designates the following person to receive a copy of the LlUanor s-Notlea as Provided in......... • Section 713.06(2)ib),Florida Statutes.(FN in at Owner's option). l • PATtilakNAf�11u Name . = �t - Notary ll�+o=ripe d Hilda Address My Comm Exotns Mir • 6,20/9 Phone No. . Fax No. "x,,�_'.,�s Commission di.FF 115505 •�o"`t4• t(gI(�yyrg�l National Notary Assn . Expiration date of Notice of Commencement(the expiration date is one(1}.year from the-datT" different date is.specified): THIS SPACE FOR RECORDER'S USE ONLY • �4I "J.Alf. ' SII/ /r</ tI DATE] a..•.r 5,:....... ....-: . .. Bera.- _ da of •••.b, •2►.C• '- hi IC' County of Duel.State of Florida has pe • -ly t•eared { • im CM - self-' - - ' p�j111C1A• hselff herself end efnmrs that all etatertrnts an;...;-17=.� ` ,Ian �prl 00115 • era true and accurate S. '� oZD ' \- '- . '','„•:"„:'' d wNatiOnaiN °' eon+w1 Nothry Panne.Large.State of - - -. ...urdyof -r.�-.c`-"- • it4yconun cion expires: ..-+ L - — --— - _ --- STATE OF FLORIDA OUVAL COUNTY I,UNDERSIGNED Clerk of the Circuit my Courts,Dural Canary,Merida DO HEREBY CERTIFY the pittrin end foregoing, as it -- consisting of_.L_page;is a true end correct copy of the original as k appears on record end file in the office of the Clerk of Circuit &County Courts of Duval County,Roride. WITNESS my hand and sealerk of C cult,&CountyCoyftg at JecksorrriNe,Florida,this the day (.- 'AD.,20 RONNIE F SSELL ail - Circuit and C.0 , Court- 4/ru2ICoun,, lori.a Deputy Clerk 4