Loading...
HomeMy WebLinkAbout101 Towne Center Cir 06-381 (mech - docs)CITY OF SANFORD PERMIT APPLICATION Permit # : Job Address: Descri a o Historic District: Zoning: Permit Type: Building Electrical Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Construction Type: # of Stories: Date: 1 L Z --oS i Mechanical Plumbing Firc Sprinkler/Alarm Pool Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial Industrial Total Square Footage: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: % 4ff.44 1.1 e6e -12G wHcc e lrlittt e. , n 6 Z e,k sr4i AG=L z 80r7W Phone: i `) %li 743 NE Bonding Company: Address: Mortgage Lender: Address: Architect/ Engineer Address: Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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. 1 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. TICE: 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 Signature of Owner/Agent Date Print Owner/ Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY- Bldg: Zoning: Initial & Date) Special Conditions: of Florida Lien Law, FS 713. Z-Z- as Date Signature of Notary -Stare of Florida Date FLORENCE A. GE GAAv c y _ , MY COMMISSION # OD 16428f EXMx;'T vember12, 200r o c- t6 Aenl rna ( mown to Me or nO --0Initial & Date) Utilities: FD: Initial & Date) ( Initial & Date) q07- 330- y654 Permit # 6 - 3 $ Job Address: % O I Description of Work: Historic District: il" d SyYN}3 t l CITY OF SANFORD PERMIT APPLICATION ii'tt }r Date: _To 06. Town . CGr,k cr Gtr. C rI L Se-1VI C.L for Zoning: Value of Work: s -L, CO.0 • Permit Type: Building Electrical --4— Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service - # of AMPS .;ZOO 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 or Commercial Occupancy Type: Residential Commercial -.A_- Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: N91- )9 - 30 - SLW - 0 10 O - O p 60 Owners Name & Address: SLm r h01 L OW v, G C Gv ttd a00 --i nI Attach Proof of Ownership & Legal Description) Phone: 4o-7 . 3 a 3. I S 43 Contractor Name & Address: Fr a n K —) M ra 1 a ,,,i s or a G A3 4 ic1 th a Lat, - or l a"d, i FL, 31 g% O State License Number: E 9, O6 i 47.% O _ Phone & Fax:40). ac!$ • ro S 9 S aci ro 5163 Contact Person: Frav-- J Mr-1)a,+,rSvrd Phone: 407. 468.A7$3 Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: Fax: 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 ofall laws regulating construction in this jurisdiction. 1 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. 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 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713. / 7& Signature of Owner/Agent Date Signature of Contaac or/Agent Date Frar,K J tA,?1aV^I5y'ra Print Owner/Agent's Name Print Contractor: Agent's Name O rMOZ . 1 13 0 J Signature of Notary -State of Florida Date Signature 4f Notary -State of Florida Date C-: ` 1E BLANTON % ION # DD 188481 E.' . :February 25, 2,^07 Owner/Agent is _ Personally Known to Me or Contractor/Agent-is, -—Personally nown.to MQor Produced ID _ Produced IDA-1=Q APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) 0,14.. A. CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION Interior Commercial Remodel**** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 02/08/06 06-381 101 Town Center Cir ICC Bill The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. J — /- n a0 Engineering (Fire Public Works N A ning _ a OUtilities (Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION Interior Commercial Remodel**** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 02/08/06 06-381 101 Town Center Cir ICC Bill The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. E]En ineering Public Works OUtilities Fire lZoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL 1S CONDITIONAL) DATE: PERMIT #: ADDRESS: CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTIOr4 Interior Commercial Remodel*** o v+ ' W 02/08/06 2 06-381 V sal 101 Town Center Cir V CONTRACTOR: ICC u I a PHONE #: Bill c v15 k C G k C The building division has prepared a Certificate of Occupancy for the above location and is requesting final inspection by your department. After your inspection, please sign off and date the C. O. or submit addendum if it has been denied or approved with conditions. Your prompt attention will be appreciated. DEngineering Fire DPu c Works Zoning Utilities Licensing OlG z ig/o6 CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) RECEIVED SEP 2 4 7.005 o 3al Permit # : I Job Address: Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: 1')1 t'Y i_ t° r,r 4 t`[n 5.15 ervt .+o -4+r,- K >e l onfi n FFtl eAj toolttiee- Permit Type: Building Electrical Electrical: New Service - # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Mechanical Plumbing Fire Sprinkler/Alarm Pool Addition/AIteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) of Water & Sewer Lines # of Gas Lines Plumbing Repair - Residential or Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: a9 — I q — 30— 5 —.W — 010n— CC)0'] (Attach Proof of Ownership & Legal Description) Owners Name & Address: W -1 Phon V, — i Co r ctor Name & Address: i cc 0 0 Oa n e /i CJ State License Number: / / Phone & Fax:V:EzContact Person: Phone: / Bonding Company: 2 j Address: Mortgage Lender: Address: Architect/ Engineer: r4%4_ 1, figa 4 6S n uA Phone: l % Z ' `%8 ` 4,s Lc / Address: i sTF . 7 Fax: 'q i Z Zi y ` ` d 4- C in X Applicationisherebymadetoobtainapermittodotheworkandinstallationsasindicate . rttfy 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 oflhe 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. 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 o I rids ien Law, FS 713. 11a Zi O Sig lure of wrier/Agent Date Sig ore f Cofor/Agent Date Print Owner/Agent' Name int Contractor/Agent's Name d ` c p JR. Sig ure of Nota Sta a of Florid µr ,e D Signature o a t on * $I Nil D 1704C3 C. R. SHOOK, JR. E AWES: December 28, 201, J * * MY COMMISSION i DO 170406 '+ `O. Bonded Thry 8udpq Noury Serviar EXPIRES: December 28, 2006 Owner/ Agent is _ Personally Knownufb pF°' BOWWThm UpetN,4,y Seriftntractor/Agent is _ Personally Known to Me or G CL L, Produced ID roduced ID /QO % y y APPLICATION APPROVED BY: Bldg: oni /Utilities: FD: Initial & Date) nitial & Da t) (Initial & Date) (Initial & D t Special Conditions: IIIIIMill IIIIIIII111111IINUIIIIIUlu IIIUID1111loll THIS INSTRUMENT PREPARED BY: RY NNE MORSE, CLERK OF CIRCUIT COURT NAME J rr NOTICE OF COMMENCEMEN INULI: COUNTY BK 05914 PG 149E Permit No. ADDR. / C'c%on •a-/ ' r State of Florida I T i & go 1 a nA 0 rL RECORDED 09/21/2005 02WII38 PM County of Semmo a RE3rURDIN8 I`EES 10.00 RECUHDED BY D Thonas 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. ption of property: (legal description of the property and street address if available) rrce-I z(') * 29— IC1-?V) - SL\)-i-nt('v Cx'v 2. General description of improvement: 3. Owner information a. Name and address b. Interest in propert% c. Name and address of fee simple titleholder (if other than Owner) 4. Contractor a. Name and address r By 11- ? Ae PL 3 b. Phone number Fax number y ,7f 5. Surety a. Name and address b. Phone number Fax number c. Amount of bond 6. Lender a. Name and address b. Phone number Fax number 7. 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: a. Name and.address b. Phone number Fax number 8. 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. a. Phone number Fax number 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recordin unless a different date is specified) 3--rILgignature 68+ ofper Swo 0 or affirmed) and subscribed before me this /-Z day of , 20 , by e Personally Known OR Produced Identification Type of Identification Produced 0. R. SHOOK, JR. MY COMMISSION I DD 170405 EXPIRES: December 28, 20M m'yeanoP o' BondedThru Budget Notary Semicet Signature o blic, S of Florida Commission Expires: CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHON # 407-302-1091 * FAX #: 407-330-5677 DATE: PERMIT #: Y BUSINESS NAME / PROJECT: R,1-1'- r ADDRESS: a0© O r, P, A PHONE NO.: 'RFS 3 FAX NO.: C; oZ C+rzc [p CONST. INSP. I ] C / 0 INSP.:( l REINSPECTION [ ] PLANS REVIEW [ j F. A. [ j F.S. [ J HOOD [ ] PAINT BOOTH (j BURN PERMIT [ ] TENT PERMIT [ ] T K PERMIT ] OTHER I ] 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, FI. 32771 Phone N -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. Y Sanford Fire Prevention Division Applicant's Signature