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HomeMy WebLinkAbout3601 Orlando Dr 08-22001 371. 60 rir—umvizu JUL 18 2008 p CITY OF SANFORD PERMIT APPLICATION Application #: © S , �2" a Submittal Date: Job Address: Npt O (A rAooD ,m Value of Work: $ 3qo t�. O C Parcel ID: 1 -do - 3u- Soo- o 3 68 - V Ub (; Zoning: Historic District: Description of Work: l N M411 ANSU l 12-lo 2 VIA/ Foe Art 18 SSh1' Slikq Square Footage: ................................. ............................... I .......... V ............. ............................... Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm V 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 ❑ Commercial M Industrial ❑ Occupancy Use Group(s): Construction Type: # of Stories: _L # of Dwelling Units: Flood Zone: (FEMA form required) .......................................................................................... ............................... Property Owner: KFC- 0 1Pr6p(? -Ae_s Iye Contractor: F Le_mA4en. Address: W entle& PkwH SoA arm; Address: 3C)l Al Ott/ NG-e Ai -oSSG.,, 4, /VAi0, , F7L. Phone: 636-_,n 00 0 E -mail: Phone: 7 .) 9- 4 6State License Number: '. e %� Bonding Company: Mortgage Lender: `� '16l Lt t;) ^a1S— �'i 0i (_ Address: Architect /Engineer: Address: Phone: Address: /� Fax: Plan Review Contact Person: _� � e Arv\ AAAL Phone: q0) s&Z- q)1CFax: yd7_cS3a,q?]S E-mail: Jv rr}M/ ZAL& 7 ell-IN C.,h 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 oft e roperty of the requirement. Florida Lien Law, FS 713. Signature of Owner /Agent Date Aitnature of Contractor /Agent I Date Ve NMA aA-, ..I l E 4 e ii Print Owner /Agent's Name Signature of Notary -State of Florida Date Owner /Agent is _ Personally Known to Me or Produced ID APPROVALS: ZONING: Special Conditions: Rev 07.07 of Produced ID UTIL: FD: ENG: Name G 40 O :.nf Florida Dat LEEANN HAVIRD '= MY COMMISSION # DD728965 EXPIRES October 25, 2011 = 153„ „0.. ,FIP,ddaNuk�ttSecvtce.com BLDG: 09 �y� CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407 - 302 -1091 * FAX #: 407 - 330 -5677 DATE: 71;" PERMIT #: BUSINESS NAME / PROJECT: ADDRESS: .3601 S • O;� I�ucl� I, I� PHONE NO.: FAX NO.: CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVIEW F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT ] TENT PERMIT [ ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 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 the City of Sanford, Florida. (/ 1 . Sanfor F' e Pre n 'on Division Applicant's Signature C;m 407737730s THIS INSTRUMENT PRE=PARED By. NAME' ADDR, 0 t r f? p.1 �1K10TICE OF CIaIVINX WCUMENT _ STATE OF; COUNTY on Tn.E UNDER SIGNED Iie rebyZ i.ves hCe that i.rnprpv \ernent will bon d.0 to e�rtaan real ra C � Chapter: 713. Florida Statutes, the fallowing hzfo -rnPr0 n is Provided c rt r P i� �Y. strtd .in accordance with 1) Description of property. (lega.I description of'PfttiOn y, sand idt Street address NO'i ce Of Commencement. MO S. Qrlunc Drivc S nford F 32 73 2) GepGral d.escriplion of imprOvement: scra a ebui d of. a K.FC unit �- 3) ORTer infortnation. m m A) Name and address: IPC ro ernes Inc 457 Weaver arkwa Sti.ile 2UU Wvine, II Gf y _ b) :Plxene ntnnber: M3 -79 3 j � M en cQ c) Na.rne and address Of fee simple titleholder (if other tha pw��ex): �y�n7e �1 -m'� 9 ; S.A. 4) Name And address: 4255 Tr4tte VE�a , �r —_� Sui e_1. {�1pll3YdttII; iC01'giR 3 UU4 Sy r 1)) Phone number: � _.567- G02 S) Sway: a) Name and address: n/a b) Amount of bond c) Phone number; 6) Lender: s, a} Name arxd address: b) Phone number; 7) Persons with ec on 7 Of Flo dan desibttated by Owner 11POIL provided byS whore notices or other documents may be served as � w '� Section 7].3.I3(1)(a)7, Florida Statutes: a, IvlAmrr and address: Sh lb r $oeff ,675 R1�iansii Raacl,iaiteOO,�oswel C3ear�ia ` 30�7G b. Phont number: 7]_U-99f1 -30 0 x3 6 8J S addition to h4n)self, Florida Statutes: the following; persons) to restive a copy Of tltc Lionor's Notine as provided in Scctibn 713.I3(1){b), lorida Statutes: a. Waage and address: h. Phone nurxtber. �� 9) Expiration daft ofnotice of connt»anbr„ment (tlt'r Cxpiratior,, date is one (1) year from the date Of recording utllcss a different (lute is specified) WARNING TO QWNER: ,ANY PAYMENT's MADE BY THE OWNR3 AT- -TER THr, EXPIRATION OF THE NOTICE OT' COMMENCE.NIENT ARE CONSIDZRED IMPROPER PAYMBNTS UNDFIZ C1;IAPTER 713, PART I, SECTION 713,13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PACING TWICE rOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OI'' COMMENCEMENT MUST 13E R2CORDED AND POSTED ON THE JOB SITE 13ErORE TH2 FIRST INSPt-CTTON. Ir' yON INTEND TO OBTAIN FINANCIN(3, CONSULT UViTJI ypUR L13ND,i;R OR AN ATTORNEY BEFORE COMMENCING WOTZK OR 1�CORDING YOC7R NOTICE OF CONYOUR L MEN'g', Signature Of Owner or Ovmcr's Authorized Officer /Dirtctor Partner/Manager fI � ' .) Signatory's Title /Office Johtt McOarth C � --= -^ �--- Curt" 41 O undo, l�I_ —• The lbreggoiug instrurncnt was acknowledged before me this 30 by —%�� r? � - -6 — day of {type ofauth'r rify, -C.g. affcer, trustee, attorney in fact) for c °f person) as -- — - party on. bcb2l'1'of wham instrrinleitl' was execpt'cd). � '�"" � ' � _ (name of Sigr,ature Oflriotaiy Public — State orFl.o ' r Ifl0.i9'�NO9 lr1Y0 •~ r' -' ' - -�. I N4Ali4f:fy ,71UIU•B8$(J,py) �noz'rr:�rl,w:r;,r�rl,rx:l audk� tGZtrxUUORN[) !S!IiRW�yiA1N di f Jun 27 06 10:58p cm 4077379082 P.1 MIS INSTRUMENT PREPARED BY. ADDR. ' }U! N i r!r?ia [_ j{. "NOTICE ®1+ C®NIMTNCEMMENT STATE OF: Florida COUNTY OF: THE UNDERSIGNED hereby gives police 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: (legal description of property, and street address if available) 3601 S, Orlando Drive, Sanford. FL 32773 2) General description of improvement: Scrape /rebuild of a KFC unit. 3) Owner information: a) Name and address: KFC US Properties, Inc. 4575 Weaver Parkway Suite 200, b) Phone number: 630 -791 -1310 c) Name and address of fee simple titleholder (if other than owner): same V-,-14) 5) 6) c xz n=a'i3 m m m, r" :PC rn x z-' n � - Ccc'MC+� Contractor: S-A. Kennet :z �' a) Name and address: 4255 Trotters Way, Suite ] Alpharetta Georgia 30004 r7 .- re rvi rr b) Phone number: 770- 667 -3602 ° z Surety: — • . a) Name and address: a �. b) Amount of bond $ —n/a 7 .0 c) Phone number: �. Lq x: Lender: 3 w^ a) Name and address: b) Phone number: 7 Persons with 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: Shelby Boeff. 675 Mansell Road Suite 200 Roswell. Georgia 30076 b. Phone number: 770 -990- 3000 x3336 8) In addition to himself, Owner designates the following person(s) to receive a copy of the Licnor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a, Name and address: b. Phhone number: 9) Expiration date of notice of commencement (the expiration date is one (1) year from the 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 1, 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 L13NDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signature of Owner or Owner's Authorized Officer /Director Partner /Manager Y. #•d ;'� f ; Signatory's Title /Office John McCarthy CM Orlando, FL The foregoing instrument was acknowledged before me this 32 D-day of O by1i n �LL�a- ✓Z�L�U1 (name of person) as (type of authority, .e.a. officer, trustee, atto-Irey in fact) for` �.� S (frame of party on behalf of whom instrument was executed). Signature of Notary Public — State of .. ly f:SI(1•BBF: i106� OIOZ 1£'8nV :Si1111d X'rf pVja 16iI6SQ(1 # Np1SS1YYIvo) AI,1 a9nHHOSBA-,OI-t �e �