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Home My WebLink About206 Tech Dr 09-605CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: '7 - (Oos Documented Construction Value: $ 3 000 Job Address: 2 O�G �� di- / �� Historic District: Yes ❑ ' NoI3� Parcel ID: Description of Work: i/00,W , / -2 Zoning: a �c r-- �_—ivp I Plan Review Contact Person: Cow _ Title: 0 C.rJN��Z Phone: l 7' Z-3-32,F - 5 �z - /`tbL Fax: 'I{0 7- 3 Zc - / FL cf E -mail: Af 101'hr_,9z-A0U5-CZL Sav� Property Owner Information �vE r Name Phone: Street: 2-0 7 -a;,-z_ff I)A,f Resident of property? City, State Zip: 3 Z 7 7/, Contractor Information Name & L � Phone: �D 7- 22 Z,-D - / ,�7s- r-.' Street: Si O l ��t Gy o�� / Fax: 'f D `7- 3 Zd —/'f 6 City, State Zip: State License No.: ECOOo / 2 / Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: zz X� Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical 0 New Service - No. of AMPS: Phone: Fax: E -mail: Mortgage Lender: (%- Address: PERMIT INFORMATION Construction Type: t_-L£ZTk /4&4o. of Stories: Flood Zone: Mechanical ❑ (Duct layout required for new systems) Plumbing ❑ New Construction - No. of Fixtures: Fire Sprinkler /Alarm 13 No. of heads: 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 urisdiction. 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. s /z4 f 09 Signature of Owner /Agent Date A. Cl L ? G0 t Le-f(Pllf-S2 Print Owner /Agent's Name ( —16 Notary Public State of Florida Cynthia R Towns My Commission DD797667 or V Expires 06115 /2012 Owner /Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Contract)r/Agent Date _ r Print Contractor /Agent's Name \° Signature of Notary -State of Florida ` Date o ` Contractor /Agent is PersonallyjKnown�to Me or Produced ID Type of ID IF L I1 L- WASTE WATER: BUILDING: rtmie [if mmit all 11W111Ng1111IFifIFnlll III III 11111 Permit No. MANYANNE MUREX:, taoK III i;YRi,Uj-I- lato -f _ Tax Folio No. � `- ' -1�-- 7u -516- U _ �i� SEMINOLE CIA-WY NOTICE OF COMMENCEMENT AK 07107 Fig W751 { 1{H) CLERK'S :14 2.10081369x1 State of Florida RECORDED 12/18/2008 09:221L;?9 AM County of Seminole RECORDING FEES 10.00 RECORDEED BY L Mf., tiley 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. 1. Description of property: (legal description of the property, and street address if available) -n 06, 2. General description of improvement: l / l 1-`� 67(-Ot; "/* Z`;> Z 7rG zJ 3. Owner information: Name: (72 ( — Address: , - b. Interest in property: !. / !r c. Name and address of fee simple titleholder (if other than Owner): Name: Address: ;'4. Contractor Name: 4 &L / /a / ✓t- t: /✓Tr !ri'�� i-�r-.) 'S (:�?�,V/ C- F Phone number: </07-320-- / 5- c. Address: '5 / C' l i5/'t.E5 -1 t �y �-S f S vc tP!'� -d% / -L 5. Surety Name CERTWED r (Jpy Address: xr� b. Amount of bond: $ 6. Lender. Name: Address: n E CLERK Of CIRCUIT COURT Q ! -Iu, FLORIDA b. Lender's phone number: 6i DEPU CLEF 7.a. 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: Name: ,761�1D Address: 8.a. In addition to himself or herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement (the expiration date is 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 L 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 LENDER OR AN ATTORNEY O NC G WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. y Signature of Owner or Owners Authorized Ofiicer/Direc or/Partner/manager Signatory's Title/Office The foregoing instrument was acknowledged before me this day of , (year) , by (name of person) as (type of authority, ... e.g _officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) . S SM MISSION # DD 642636 EX IRES: May 20, 2011 Signature of Notary Public ....... ` 5,ndedTr,Nd0PWIin"Owhe,s Personally Known " OR Produced IdentttCati : , n- ype of Identification Produced Verification pursuant to Section 92.525: Florida Statutes: Under penalties of perjury, I declare that I have read the foregoing and that the fac it tiue t the best of my knowledge and'behef. Signature of Natuia� arson Signing A �..�`w:rPsy�� DEBRAADAMS Rev. date 3/2008 . MY COMMISSION #DD 642638 EXPIRES: May 20, 2011 , ��` ` BB 'I. n�,iJdarrPu�curde+writers L� _� !'. via,° ' 71 A 3 REQUEST FOR PRE -POWER Altamonte Springs, Casselberry, Lake Mary, Longwood, Oviedo, Sanford, Seminole County, Winter Springs Date: % Z -- 3 Project Name:_ L &1&57 �L4,6VZYyNect Address: _'7C>(=- 7''r.E l`f a&w_yd— Building Permit #:_42014-/6" Electrical Permit # 42!9—'— G 0,5 In consideration for authorizing the appropriate utility company to energize the facility, we agree with and understand the following: 1. The facility will not be occupied until a certificate of occupancy has been issued. 2. If the jurisdiction hereafter finds that the facility has been occupied before a certificate of occupancy has been issued, the jurisdiction will have the unilateral right to direct the utility to terminate electrical service without notice. Furthermore, we understand and agree that should the jurisdiction exercise such right, the jurisdiction will not be responsible for any damages or costs which may result from the exercise of such right. Also, in the event any third party claims damages from the exercise of such right, we agree to jointly and individually indemnify and hold harmless the jurisdiction from all such damages and costs, including attorney's fees. 3. The building or structure shall be weather tight and secure. The electrical wiring in the area designated for pre -power shall be complete and in safe order. All electrical services associated with the area will be 100% complete unless specifically approved by the electrical inspector. 4. Interior electrical rooms shall be lockable, if electrical panels are in an area that cannot be locked by doors, the panels shall be equipped with a locking mechanism (approved by the AHJ). The licensed electrical contractor or his licensed representative shall hold the keys(s) for such access to electrical panels to prevent energizing circuits other than those that are safe. 5. If provided, the fire sprinkler system must be operational, per the local AHJ requirements, with water on the system prior to pre - power. 6. This pre -power approval is valid for a maximum of 180 days from date of approval. 7. Check with the local jurisdiction for fees associated with pre - power. h4h-p-L P. Print Nam f O /Tendht Ult Signature of wner/Tenant Notary Public State of Florida Cynthia R Towns My Commission DD797667 9f M1° Expires 06/15/2012 JURISDICTION EMPLOYEE N JURISDICTION: CALLED INTO: (Rev. 3/27/07) Print Name of Gen. Contractor Signature of Gen. Contractor Gen. Contractor License # Cce Print o tr or Signatu e of El. Contractor El. Contractor License # ? Progress Energy ? Florida Power and Light on