HomeMy WebLinkAbout201 North Towne Rd 08-2501CITY OF SANFORD PERMIT APPLICATION ,,� �J
Application #:08_1=191 �o Submittal Date: �((Gy 20
Job Address: 201 60"h / 6(. AC— /PQ�pI , & r' wl �2771 Value of Work: $ �, �ZJ" • (�
Parcel ID: Zoning: Historic District:
Description of Work: G�h�(/, ae 3.5T oYl fY1� /en �d11 ICj �,� %7,�-�— Square Footage:
................................... ............................... J ....................... ...............................
Permit Type. Building ❑ Electrical ❑ Mechanical Plumbing ❑ Fire Sprinkler /Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non - Residential ❑ Replacement,< New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercials Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: LL ``# of Dwelling Units: Flood Zone: (FEMA form required)
............................ �.. %� ...., ./ ......................................... ............................... .
Property Owner: r/ I {��i l Contractor: [%
Addre ✓ TiSt!ilj 1 tl Address: 5401
u c (L 3 / Dr /c "do, a.
Phone: gb7 "9-/05- /MC) E -mail: Phone: 11107'&+'37Z�tate License Number: n,},� �
Bonding Company: ��� Mortgage Lender:
Address: Address:
Architect/Engineer: N�14' Phone:
Address: Fax:
Plan Review Contact Person: Phone: Fax: E -mail:
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. 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.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner /Agent Date
Signature oaf /Contractor /A entt Date
Print Owner /Agent's Name
Prin ntra to &k4 N �00/
Signature of Notary-State of Florida Date
Signature of Notary-State of Florida Date
ANN M. BAKER
Notary Public - State of Florida
' Commis nm pi'es Feb 15, 2009
Owner /Agent is Personally Known to Me or
imissi n� DD 363025
ContrStttOr /Ag�q,is e o n
_
Produced ID
ProdtioeiYYD o�� �� %��tion&1`i3bectr£�sn.
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
UTIL: FD:
ENG: BLDG:
ENERGYAIR, INCORPORATED
Nobody Works Harder
August 28, 2008
City of Sanford
300 N. Park Avenue
Sanford, FL 32772 -1788
RE: AUTHORIZATION TO PULL PERMIT/ Spring Hill Suites Marriott
TO WHOM IT MAY CONCERN:
Please accept this letter as my authorization to allow Dan Jordan, Project Manager at Energy Air,
Inc.to pull the permit for the above mentioned project.
Should you have any questions or concerns, please do not hesitate to contact me.
Sincerely,
aviUdG4 . Kulp
Executive Vice President
CAC043893
ENERGY AIR, INC
DGK:df
State of Florida
County of Orange
The foregoing Instrument was acknowledged before me this 28th day of August, 2008 by
David G. Kulp, Executive Vice President of Energy Air, Inc., A Florida Corporation on behalf of
the Corporation.
NOTARY:
mfa_r ANN K BAKER
e Notary Public -State of Florida
Feb1 ° '2C09
u r4,C:cr rim E eS
`u,, �`= Comrrlssion # DD 363025
„r aN ;
Bonded ByNcji onal Notary Assn.
CAC018270 • 5401 Energy Air Court • Orlando, PL 32810 • 407- 886 -3729 • Fax 407- 781 -1643 • www.energyair.com