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HomeMy WebLinkAbout1657 WP Ball Blvd 05-991 (int remodel) (a)CITI' OF SANFORD PERMIT APPLICATION Permit #: c>S C QA,l11 Date: ICE-Z3-o%l lob Address: 1"5-1 W.P. Ram —RI—go. DescriptionoflVork: (WWvtE a0m) Ilistoric District: Zoning: Value of Work: S -Ab.onn-e-0 Permit Type: Building _ Electrical Mechanical Plumbing Fire Sprinkler/Alann Pool Electrical: New Service - # of AMPS Addition/Alleralion Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. 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 )t Industrial Total Square Footage: 7-o6o Construction Type: _I # of Stories: # of Dwelling Units: Flood "Lone: (FEMA form required for other than X) 32-%*k-3o' Sol - 0")0 - OM10 Parcel #: 34'-30o bO3O - (Attach Proof of Ownership & Legal Description) Owners Name & Address: f,1A9 Sm%k> l.> , IthAQ TPL.ACrE. L4-L , I 9b Houmma. 81UDGE 2D g, Ltie. 7icoi 'dd— `G % S0 . Q+OSWE"s -A 3b Phone: -Ma - G4S - (.SU, 1 , Contractor Name & Address: N.)T,s mAcr skmesw6, W . 20AD 1 - IOIJ O n ,S, t_ ate_ LiicenseNumber: G(7C+ DS3 Z Phone & Fax:7 O-S AA O 1 Z13 Contact Person: 1 7 hONA& Phone. -no- sm-cano Bonding Company: "IA Address: Mortgage Lender: IJ 1A Address: ,p,1 Architect/ Engineer: NwujPSPAtQT1,iEQ-SKw Phone: -n0-394- ibi b Address- "\m LRALmLD 1 11T G rAtt N1 Ib& '?0326 Fax: MO- Sly- 1!_lq 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 perfiorMcda to meet slandar of all to reg atin construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL G A CES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT. I certify that all o e oIgoi g in or anon aicu to d th al Sr ill be done incompliance with all applicable laws regulating construction and zoning. WARNING TQ OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO ATTORNEY BEFORE RECORDING Y.0 R ROT R OF IF YOU INCENp,TQ QBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN 4;:_: NOTICE: In addition to the requirementspinit, there may be additional restrictions appAcable to this property that may be found in the public records of tliiapfi this county, and there may be additional pe rt uired th a@,c such aswait management districts, state agencies, or federal agencies ti Acceptance of pe it is verification that N Ilify the the firemen of Florida Lie Law, FS 713. 3 r, -azzx/ Si at re o Owner/Aeent Date Siena ure of Contractor/Agent Date5ETrF OC4 PA t Q%%iier/ Agent's Na 2adiw I -0` ign Me i1' mota -State of Florida Date TI IVY S. FLANDERS ry Public, Cobb County, Georgia Commissie Expires January27, 2007 Owner/Agent is _/'-. Personally Known to Me or Produced ID i6 - A Print Contractor/Agent' s Name Signature of Notary - State of Florida Date Contractor/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bida. Z O Zoning: ('LZ'a'( Utilities: Z ///e12(A FD: Initial & Date) (Initial & Date) (Initial & Date) (•I Special Conditions, CITY OF SANFORD PERMIT APPLICATION Permit #: 10 S —C 9 ( Date: Job Address: 1(, 57-7 " 6;911 91 VP Description of Work:X.,) I , t sotf Historic District: Zoning: Value of Work: $ ZC OOt o0 Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole Mecbanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cald. Required) Plumbing/ New Commercial: # of Fixtures S # of Water & Sewer Lines E # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than x) Pared #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: Ahre7h /rev, G',4 p Contractor Name & Address: t''PAIWDO, 974 Phone & Fax: 1,6 7—Z95--Z370 ,r Y67—ZIFO 2374, Contact Person: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: State License Number: C F"C 02-362 pmwy, /*f1CJ6S Phone: 907-YG6-et Y3 Phone: Fa:: Application is hereby made to obtain a perm» t to do the work and installations as indicated. 1-certify that no work or installation has commenced prior to the issuance ofa permit and that all work will be performed to meet standards ofall laws regulating construction in thisjurisdiction. I understand that a separate permit must be secured for ELECTRJCAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OWNER'S AFFIDAVIT: 1 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 t is vent, tion that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. e /-;? 70S S.t_g tature of Owner/Agent Date Signature of Contractor/Agent Z8-or i MY COMMISSION l DD 164280I EXPIRES: November 12, 2006 Bonded TAru Budget Notary Services is Pengrtally_ Known to Me or APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Date Zoning: Print Contractor/Agent's Name Date Signature of Notary -State of Florida Date ContractonAgent is _ Personally Known to Me or Produced ID Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) SANFORD FIRE DEPARTMENT D FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, FI.32771 / P. O. Box 1788, Sanford, FI.32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 Plans Review Sheet i Date: November 16, 2003 Business Address: 1657 W.P. Ball Blvd. Occ. Ch. 36 New Mercantile Business Name: New Interior White Box @ 1657 W.P. Ball Blvd. Contractor: Young Contracting Company Architect: Phillips Partnership Reviewed [ ] Ph. (770) 522-9270 FAX. (770) 522-9273 Phone (770) 394-1616 Fax (770) 394-1314 Rejected [ J Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner Comment: Plans reviewed as Mercantile Occupancy Class "C". FD reserves right to require applicable code requirements if occupancy use changes. Application — New Building. 2,000 sq. ft. New Mercantile occupancy Mixed — N/A 1.1 Special Definitions — N/N 1.2 Classification of Occupancy — Class "C" (LESS THAN 3,000 sq. ft.) 1.3 Classification of Hazard of Contents — Ordinary per 6.2.2.2. F.F.P.C. 1.4 Minimum Construction — N/R (NO SPECIAL REQUIRMENTS) 2.2 Means of Egress Components -isles shall be maintained at all Imes 2.3 Capacity of Egress — O.K. Less t-han 40 occupy 2.4 Number of Exits — Two (2) 2.5 Arrangement of Egress — O.K, will field verify, per section 7.5>F.F.P. C. 2.6 Travel Distance — Shall not exceed 75 ' 36- 2.4. SANFORD FIRE DEPARTMENT D FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, FI.32771 / P. O. Box 1788, Sanford, FI.32772 407 302-2520 / FAX (407) 330-5677 Pager (407) 918-0395 21 Dischar from Exits — 4_ 'isle wav t-hrouQh st_oc-_. room, al al_l t- me_s 2.8 Illumination of Means of Egress — O.K.; will field verify 2.9 Emergency Lighting — O.K.; will field verify 2.10 Marking of Means of Egress — O.K.; will field verify 2.11 Special Features — Reserved 3.1 Protection of Vertical Openings — Provide a basic degree of compartments 3.2 Protection from Hazards — N/N 3.3 Interior Finish — Class "B" "A" or "C" allowed per 10.2.8.1 3.4 Detection, Alarm and Communications Systems — Not required 3.5 Extinguishing Requirements — as per iFPA l U, Two (r) 10 B. fre extini rLqu%,yd 3.6 Corridors — 4 Special Provisions 5 Building Services 5.1 Utilities — as per sec 9-1 5.2 HVAC — as per sec 9-2 5.3 Elevators, Escalators, Conveyors (4A-47) — N/A 5.4 Rubbish Chutes, Incinerators, and Laundry Chutes — N/A Sanford City Code — Chapter 9 Fire S _ri' ISO-]"'r', ! Monitoring: Other: NFPA 1 3-5.1 Fire Lanes — Not required 3-6.1 Key Box — required 3-7.1 Bldg. Address Number Posted and Legible: Post address on building 6" in size 2 12/17/2004 14:29 4876657367 COUATN.R OF S$MII%OLB IMPACT FEE STATMOM PAGE 07 STATEIODTP 1 000145 101566BULDINANNIAIONBUILDING PERMIT NUS: 04-10Q01506 DATE: December 17, 2004 UNIT ADDRESS: W.P. BALL BLVD 1657 32-19-30-501-0000-0020 TRAFFIC ZONE-022 JURISDICTION• SUBDIVISION: 31 : RUG: SUP: PARCEL: TRACT: PLAT BOOK: WORTHPLAT BOOK PAGE: BLOCK: LOT: OVUM NAME: ADDRESS: 1080 O OBBRIDDGGEERRDDBBLD TIES 200 ROSWELL GA 30076 APPLICANT YOUNG RO. SWELLROAD ING 00. DGATLhWA GA 30350 ADDRESS: 8215 LAND USE. THE MARKETPLACE 0 SEMINOLE TYPE USE WORK DESCRIPTION: CITY-SANFORD FEE BENEFIT RATS UNIT CALL UNIT TOTAL DUE TYPE-----•-------. DIST__-• SCiUrD --- -RATE - ---UNITS---.TYPE ROADS - ARTERIALS N/A 00 ROADS - COLLECTORS N/A 00 FIRE RESCUE N/A 00 LIBXVL" N/A 00 SCHOOLS N/A 00 PARRS N/A 00 LAW ENFORCE N/A 00 DRAINNIOE N/A SS AMOUNTDUBSTATEMENT I BY. sx OXGMTURE: PLEASE PRINT NAME) DATE EN S'UREE TRECEIVING YPA087 ffi71' MAY RESULTIN YY0 IAABILITY FTo ORTHE' 1 FEB.• DISTRIBUTION: 1-BLDG DEPT APPLICANT 2-FINANCE i - LAND MANPIGPK2NT Nan** PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLE COUlWY ROAD FIRE//RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCE OF A BUILDING PERMIT. ES PAYMEAT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING DEPARTMENT SAONFORDD, FL FI32771 RAP PAYM@NT SHOULD BE BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTY BUILDING PERMIT NUMBER AT THE 'SHOP LEFT OF THIS STATEMElff. TMS STATEMENT IS NO LONG>D1 VALID IF A BUILDING PNWaT IS NOT*** ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665.7356. NOTICE OF COMASNCENOM Permit No. Tax Folio No. State of Florida County of Seminole The undersigned hereby gives notice that improvement will bo made to certain real propery, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of properly. (legal description of the property and street address if available) 1657 W.P. Ball Blvd., Sanford,, FL 32771 2. General description of improvement Mercantile (Suite 1657 Interior Finish) 3. Ovvue r :inforrnation a. Naive and address NAP SEMINOLE MARKETPLACE, LLC. 1080 Holcomb Bridge Road, Bldg. 200, Ste. 150, Roswell, GA 30076 b. Interest in property Owner c. Name and address of fee simple titleholder (if other than Owner) Same as above Contractor ' , , a. Name and address YOUNG CONTRACTING CO., INC. U(, 8215 Roswell Road, Bldg. 400, Atlanta, GA 30350 b. Phone number. 770-522-9270 Fax number 770-522-9273 5. Surety a. Name and address N/A CEBFFflfDF nN,. . b. Phone number Fax number l:l€RKRe r — • •"nit c. Amount of bond S r 6. Lender a. Name and address U S BANK NATIONAL ASSOCIATION c/o FROST BROWN TODD LL _ 2200 PNC Center, 201 East Fifth Street, Cincinnati OH 45202 A : Jeffrey us C, RK b. Phone number 513-651-6893 Fax number 513-651-6891 7. Persons within the States of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 3(1)(a)7., Florida Statutes: a. Name and address TBD b. Phone number Fax number S. In addition to himself or herself, Owner designates Jeff Pape of NORTH AMERICAN PROPERTIES to rcomve a copy of the Lienor's Notice as pro-vided in Section 713.13(l)(b), Florida stag. a. Phone number 770-325-4913 Fax number 770-643-9540 9. Expiration date of notice of commenoenxent (the expiration date is 1 year from tho date of recording unless a different date is specified) n Signature of Owner SIP ) 'bed before me this day of L 111111111111111101U Ia1Rln.D/IIIIU QR Produced Identification 11111 IIPersonallyKn . Type ofIde'itifi O'#iF6auced CLERK OF CIRCUIT COURT a • . MARY INNE tjORSEs SEMINOLE COUNTY17WJ 1436BK05550PG CLERKS # 2004194465 gma e o u1;lic, CLEStateofFlorida kDED 12/ 17 /2004 12:10:42 PfiLregrIFANYS. FLANDERS RECO gilry Public, Cobb County,. Georgia RECORDING FEES 10ford MjComtnissionExpiresJanuary27, 2007 RECORDED BY G Harfo p 6( / - 2 7-a5 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: O PERMIT #: of `Vq BUSINESS NAME / PROJECT: ADDRESS: PHONE NOA; CON ST. INSP. F.A.[] TENT PERMIT TOTAL FEES: COMMENTS: Q 9 p FAX NO-)/ S' D — /.If C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [}Q' F.S. [ ] HOOD [ ] PAINT BOOTH ] BURN PER IT [ ] TANK PERMIT [ ] OTHER pO l Gl,nSs PER UNITBELOW)G 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 # -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 Sa ord, Florida. San ord ire Prevention Division Applicant's Signature CW 9q% 5 NORTH AmER]CAN PROPERTIES January 21, 2005 oW - 2 5"10 - so.. OS• °loll - .tee. City of Sanford Dan Florian, Building Official P. O. Box 1788 Sanford, FL 32772-1788 RE: Prepower Inspection Request for 1657 WP Ball Blvd Seminole Towne Center — Shop E Suite 1657) Dear Dan, Please accept this letter as our written request for a prepower inspection for the Shop E Suite 1657 store located at 1657 WP Ball Blvd in the Seminole Towne Center project. We understand that the building cannot be opened to the public prior to the release of a Certificate of Occupancy by the City. Thank you for your assistance in this matter. Sincerely, NAP Seminole Marketplace LLC By: North American Properties — Atlanta, Ltd ex,PE Authorized Agent io8o Holcomb Bridge Rd., Building Zoo - Suite 150 • Roswell, GA 30076 ph: 770.645•6566 fax: 77o•643.9540 web: www.naproperties.com Atlanta I Cincinnati I Dallas I Ft. Myers I Minneapolis C" P% Agent N rz PAP& Print Owner/Agent C;LpJ_ Date ure of Notary — State of Florida Date Owner/ Agent is Personally Known to Me or 1D CITY OF SANFORD PERMIT APPLICATION Permit #: . 9/1 w n 3" Date: Job Address: l (0 / !-' ry Description of Work: Historic District: Zoning: Value of Work: S 115 1p. Oe7 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 _ X Plumbing Fire 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: Construction Type: - # of S%ries: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: _ Contractor Name & Address: ljc( &. V Phone & Fax: _3_3 S1 Bonding Company: Address: Mortgage Leader. Address: Architect/ Eagiecer: Address: Attach Proof of Ownership & Legal Description) 6 to License Number: G/ALOS y9 304y,( j i3 dyI- oLct Person: Phone: 33y sB8-3o Phone: 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 pemtit 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. EF 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 perntit is verification that I will notify the owner of the property of the require is Florid Lien Law, FS 713. Signature of Owner/Agent Date a ContracWr/Agent Data' Print Owner/Agent's Name Contractor g is Name Signature of Notary -State of Florida Date Signature of No E 610 ' X. W DEBBIE BLAN'0 MY CO, i SION # DD 168491 Owner/ Agentis _ PersonallyLowntoMeor Contractor/Agen isongali i5& fmt~&, 2007 Produced ID Produced I Ay - FL Mtrrt• Discount Assoc Co. APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: Zoning: Initial & Date) Utilities: FD: Initial & Date) (Initial & Date) Leq CITY OF SANFORD PERMIT APPLICATION Permit # : oe — C10i 1 Date: Job Address: Description of Work: w w y-!>aX Oy\ / Historic District: Zoning: Value of Work: 00 .02— Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # ofAMPS 7,00 Addition/Alteration Change of Service TemporaryPole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. 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 6 Industrial Total Square Footage: 7-1000Construction Type: &)UA) # of Stories: # of Dwelling Units: Flood Zone (FEMA form required for other than X) Parcel N: (Attach Proof of Ownership & Legal Description) Owners Name & Address: _NOM AW691t*t> woystmec, i o8a Hoy a Dmo> tagAiie Zoo eW Ile ISO A. 30D S Phone: l-moo-Gc4S- 446 Contractor Name &Address: si G 2 tf . '' ^ L 3 State LJtense Number: ,EC OOOO D FaL — Contact Pctsoo: OMMGI R NLDIV Pbon fi0 S r Bonding Company: Address: Mortgage Lender: Address: 9tFrbheetlEnglneer: . oxDRr) 4 ->"Lt4 Emil n%eei-s, , T*x • Phone: Address: 51K OP&BIA1DY-- PAil-Y-P1h NeWIV-S' e- }. 100e13 FEZ• o2h7-- Application is hereby made to obtaina 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 alltaws 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 theforegoing information is accurate and that all wont will be done in compliance with all applicable lays 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 LEMUR OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. -------- NOTICE: In addition to the requirements of thispermit, there may be additional restrictions this county, and there may be additional permits required from other governmental entities s Acceptance of permitis verification that I will notify the owner of theproperty of theSignature of Owner/Agent Date Print Owner/Agent's Name Signature of Note yState of Florida Date Owner/ Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Initial & Date) Special Conditions: this property tfllt may be found in the public records of naagement , stare agencies, or federal agencies. FS 713. Z—%. O Date Print Co dAgen ' Name •• n 4 Sign9aot Notary-Sra a 6f Florida Date Sandra I Ballam" My t;orrt talon D"207 Contractor/ Agen An $006 Produced l Zoning: Utilities: FD• Initial & Date) (Initial & Date) (Initial & Date)