HomeMy WebLinkAbout2011 WP Ball Blvd 05-737 (elec)CITY OF SANFORD PERMIT APPLICATION
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Permit # : S — 2
J Date: !`" •'
Job Address: ?A Q Fjbi Q .
Description of Work:
Historle District: Zoning: Value of Work: $ IF t tea , ewO
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # ofAMPS ZOO 1 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 Conunercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: MeO_ # of Stories: J_ # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name do Address: OOPM M*84 lO80 OLCOM E-
Aytlin .RE DSO 17asv&RZ, Aft. OC S _Phone:
Contractor Name & Address: 95ZZL7XoLi'
11 30 <issi,9m6-r. A E. t'>coerL . ,01-'K 3V761 State license Number: Ea 000070 a
P I. _11 Y07 6a — 167 3 —Contact Person: T/N %i9Y 1A6jLr__ ?bone: y07 -.2335—
Bonding Company:
Address:
Mortgage Lender:
Address:
ArebiteedEnglmeer:
Address: SUE
Phone: It- 9w" -
Fa:: 1-3J0-144b -026'Z
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 ofa 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 AFEWAVIT: 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 ofthis permit, there may be additional restrictions
this county, and that may be additional permits required from other governmental entities s
Acceptance of permit is verification that I will notify the owner of the property ofthe
Signature ofOwner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent Is _ Personally Known to Me or
Produced ID
9ykTthis p that may be found In the public records of
water manag ent districts, state agencies, or federal agencies.
ofFlorida ew, FS 713.
s o ntrsctor/Agent Date
t:l n1G' CS--. Ce4r-
Q>
frint is Name
Signs -Ste ofFlorida Date
NSandra I Ballaron
MyContractor/Agen , Peaonall to M e dCOMm'stuon DD034287
Produced ID a nA' Ex Tres July 13, 2005
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
CITI' OF SANFORD PERMIT APPLICATION
Permit #: U S _ 3 Date: in -2-R-04
Job Address: 7_nk% LAJJp- ZA - 'R'Lu0 -
Description of Work: U' W w''w &A)
listorie District: Zoning: Value of Work: S.
Permit Type: Building bL Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Electrical: New Service - # ofAMPS 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 Industrial Total Square Footage: ( AR
Construction Type: # of Stories: # of Dwelling Units: Flood Zone. (FERIA form required for other than X)
12G g 32 lot-3o - Sol - OOoo - OMO
Parcel M: ."', A —30 ' (Attach Proof of Ownership & Legal Description)
QOwnerrs name & Address. t1A9 S m%K>okxr, CnAeXreTPLACE L —(- , ID Ao H UAn e. Su DGE 12D
Rom. b 2icoi %so0 20SWE,"1 66 SobV0 Phone: ,1Q- G4S - 6566
State License number: (UiL,
Contact Person: y 1 MtyV1AS Phone: MO $ZZ'g2.1ID
Bonding Company A
Address.
Mortgage Lender: _IJ 1A
Address:
Architect/Engineer. PIW PS PAtQ-Ti,3E26A%P Phone -n p-3q`- 1 bi (0
Address: `CA(Fimm— PAtKOSs'A%t;_ftlAA E,A 'gons FasMD-MY- 131y 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 'I to CAL00act _ nd rid o all laws regulatmg nstruction in this jurisdiction. I understand that a separate permit must
be secured for ELECTR A O , P U I I UI NACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS,
etc. 11 OWNER'S
AFFIDAVIT: I certiNlihat all of the tore gomg informaton)a ratNdtb work will be done in compliance with all applicable laws regulating construction and
zoning WARNING TO OWNER: YOUR FAILURE T O,Ej, RECORD
A
NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTSATTORNEY BEFORE RETSCOR ... YYOURNOTI IQ CaY1v MB ENO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN t1; f
T. NOTICE:
In
addition to the requi en"rthis permit, there may be additional restrictions applicable to this property that may be found m the public records of this county,
and there may be ad i 'nal units ui.d foth o err r re Aal entitiessuch as water management districts, state agencies, or federal agencies. Acceptance of
pe it is verifical t+I will n i e . o r of the requireme ofFlonda Lienaw, FS 713. Si a
ure o caner/Agent Date Signature of Contractor Agent Date EFF "CIN ?
aWc `2 D 5. fl• P in1.
0 mer/Agent's Nam Print Contractor/Agent's Name 0q Oiggnffire
t9' R ,1t49RS Date Signature of Notary -State of Florida Date P , Cobb
County, Georgia Nn CommisspiresJanuary27, 2007 Owcer/Agent
is _ Personally Known to Me or Contractor/Agent is _ Personally Known to Me or Produced ID_ _
Produced ID APPLICATION APPROVED
BY: Bldg: Z O Zoning: FN I%.%Z-VA Utilities:5;4 % O FD: T Initial & Date) (
Initial & Date) (Initial &: Date) (In ial & D te) Special Conditions:
y A Sly fift#~
1.9
JW
CrrY OF SANFORD,
UTII.TTY - ADAnN
P.O. BOX 1788
SANFORD, FL 32772-1788
Project Name: 5%_ 5 Date /Z a`f
Owner/Contact Person: ^-----Phone:
Address: Zo G
Type of Development:
I) RESIDENTIAL
Type of Units (single family
or multi -family):
Total Number of Units:
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1" Z" etc
REMARKS:
2) NON-RESIDENTIAL
Type ofUnits (commercial,
Industrial, etc.):
Total Number'ofBuildings:
Number ofFixture Units
each building):
Type of Utility Connection
individual connections
or central. water meter &
common sewer tap):
9 /--iYfy g
Water Meter Size (3/4",
1 ", 2", etc.)
REMARKS:
CONK MONFEE CALCULATION.• A-"4 f,`c_,
Name - Signature - Date
orrnvrn reins ll//7
i
2)
1) Water System Impact Fees
Equivalent Residential Connection (ERG) -300 Gallons Per Day (GPD)
Residential -
Y S650IUnit - Single family structure, or multi —family unit
containing three (3) bedrooms or more
S487.SWUnit ' - Multi -family wait orMobile Home unit containing
less than three (3) bodrooms. (13is category is
based on on, estimation that
such family units on average require 75%-225 GPD
of the water and sewer service of an average single
family unit}
Commercial
650/ERU - . Fixtures unit schedule from Southern Plumbing Code
will be used. O=.ERU will be charged for connection
and up to tasty (20) fixtures units.
For projects having more that twenty (20) fixture UMt
base for the first ERU. Mmiplc twenty --five (25) -
fixtures units will berated as 125 au twenty-six (26)
fixture units will be rated as 1.3 ERU.)
Sewer Systems Impact Fees
Equivalent Residential Cenaectionsr270 Gallons Per Day (GPD)
Residential -
51,700 Unit - Single Family structure, or multifamily unit
Containing three (3) bedrooms cc more.
S1,275/11n# - Multi -family unit orMobile Home unit containing
less than three (3) bedrooms. (this category isbased on
judgameat/assnmption, estimation that such family umits on
average require 75% of water and sewer service of an
average single tkinfly unit}
Commercial- Industrial- Institutional
S1,700/ERU . .
Fixtures unit schedule from Southern Plumbing Code
will be used. One ERU willbe charged for connection and up to
twenty (20) fixdures units. For projectshaving more than twenty
20) units the Impact fee will be increments of25% based on
multiples of five (5) fixture units above the twenty (20) fixduue
omit base for the first ERU. (Example: twenty five (25) fixture units will
be rated as 125 ERU: twenty six (26) fixture units will be rated as 1.5 ERU}
Shower compartments, domestic 2 2
Sink 2 1'h
Urinal 4 Footnote d
Urinal,l gallon per flush or less 2e Footnote d
Wash sink (circular or multiple) each ser of faucets 2 1 • %
Water closets, flusbometer tank, public or private 4e Footnote d
Water closets, private installation 4 • Footnote d
Water closets, public installation 6 Footnote d
For SI:1 taeir2&4 mm,1 gsDorp-&M L.
a For traps larger than 3 inches, use Table 709.2
b A'show ahead over a bathtub or whirlpool bathtub attachments does not kaease the drainage fixture unit valve
e See section 7091 thought 709.4 for methods of oomputing wit valve of fixtures nm ided in Table 709.1 or for rmng of devices with iniaminem flows.
d Trap size shall be consistent with the fixtures outlet sire. .
e For the purpose of oompubrug loads on building drains and sewers, water closets cc urinals shall not -be rated at a lower•dramage first fixture unit:
unless the lower values are confirmed by testing. • TABLE 709.2 DRAINAGE FIXTURES UNITS FOR FD.'TURES DRAINS OR TRAPS
w:derd Mn&bing codes 0 1997
SANFORD FIRE DEPARTMENT
IF- 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
Date: November 16, 2004 Business Address:2011 W.P. Ball Blvd.
Occ. Ch. 36 New Mercantile
Business Name: New Interior White Box @ 2011W.P. Ball Blvd.
Contractor: Young Contracting Company Ph. (770) 522-9270
FAX. (770) 522-9273
Architect: Phillips Partnership Phone (770) 394-1616
Fax (770) 394-1314
Reviewed [ ] Reviewed wi-th comme t I Rejected [ ]
Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner /f
Comment: Plans reviewed as Mercantile Occupancy Class "C". FD reserves right to require
applicable code requirements if occupancy use changes.
Application — New Building. 1,483 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 -isl s shalil be mantatne_d at alil tim es
2.3 Capacity of Egress — O.K. Less tha 40 oc-cu a-=
2.4 Number of Exits — Two (2) Front and rear
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.
n
SANFORD FIRE DEPARTMENT
D
FIRE PREVENTION DIVISION
300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, FI.32772
407 302-2520 / FAX (407) 330-5677
Pacer (407) 918-0395
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 ofcompartments
3.2 Protection from Hazards — NIN
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 er NFPA 1 U, one 1) 2A 0 B.1
rffu` i
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
Monitoring:
Other: NFPA 1
size
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
2
P Ta , • l C
CITY OF SANFOR.D PERMIT APPLICATION
Permit # : O b — -73`7 Date:
Job Address: doll W r 1 tid
Description of Work.X^j &,x S'f tqC Ovr j2 wt
Historic District: Zoning: Value of Work: $ ZodO# 00
Permit Type: Building Electrical Mechanical Plumbing / Fire Sprinkler/Alarm Pool
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 S # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential Commercial Industrial
Plumbing Repair - Residential or Commercial
Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Qx7 I+ ro, eA/d Ewa
Phone:
Contractor Name & Address: r valb fe C .
OQ%kplpeg 670 3280State Phone &
Fax: 967-Z95r43 %O Ae 07-ZS,1•2374 Contact Person: p/A Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Eegineer: Address:
CFC
OZ36Z9 __ Phone:
407. 9a6 -A 3 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 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. N
TI E: 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 cf this
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance=
4z.
6 n
that 1 will notify the owner of theproperty of the requirements of Florida Lien Law, FS 713. Si
5,
W,WAI/ ture
of Owner/Agent Date Signature of Contractor/Agent 0
Pri
tPri tOwner/A ent's Nana Print Contractor/Agent's Name 9Z -,41 i- fTftstal
9tate•ofr-lot; DEBBIE
BLANTON MY
COMMISSION # DD 188481 EXPIRES•
Febru252007 s ogy
nuI =.rao a or APPLICATION APPROVED BY:
Bldg: Initial & Date) Special
Conditions: Zoning:
s Signature
of
Notary -
State of Florida Date Contractor, Agent is _
Personally Known to Me or Produced ID Initial &
Date) Utilities:
FD: Initial &
Date) (Initial &
Date)
rat .y
q ...y[ ••1 att *71i' gar?^' =h ' ' ` i. , _
s1C:°a1r'nL'
c.,
CITY OF SANFORD PERMIT APPLICATION
Permit #: V J- _ /
QQ 11 Date:
p` Job Address: aoLI w 0.L V(A
Description of Work:
Historic District:
hn eck- Ale,
Zoning: Value of Work: $
Permit Type: Building Electrical Mechanical _&_ Plumbing Fire Sprinkler/Alarm Pool
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 # ofGas 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)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fi4:5,3 It ) 0ii)4' VoL Z O Contact Person:
Bonding Company:
Address:
Mortgage Lender:
Address:
Ambitect/Engineer:
Address:
Attach Proof of Ownership & Legal Description)
Phone -
State License Number:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that oo 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.
A
OWNER'S AFFIDAVIT: I certify that all ofthe 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 ofthe property ofthe
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:
Initial & Date)
Special Conditions:
Zoning:
05
Amum*i 1.
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
SANFORD FIRE DEPARTMENT ,
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
Date: November 16, 2004 Business Address:2011 W.P. Ball Blvd.
Occ. Ch. 36 New Mercantile
Business Name: New Interior White Box @ 2011W.P. Ball Blvd.
Contractor: Young Contracting Company Ph. (770) 522-9270
FAX. (770) 522-9273
Architect: Phillips Partnership Phone (770) 394-1616
Fax (770) 394-1314
Reviewed Reui we- with comme-nt J R
Reviewed by: Timothy Robles, Fire Protection Inspector/Plans ExaminerIT,
Comment: Plans reviewed as Mercantile Occupancy Class "C". FD reserves right to require
applicable code requirements if occupancy use changes.
Application — New Building. 1,483 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 maintai»ed at ali times
2.3 Capacity of Egress —O. Less t-ha 40 oc-cu%nts
2.4 Number of Exits — Two (2) Front and rear
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.
1
SANFORD FIRE DEPARTMENT
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
2.7 ,ischar from xits — 4_ isl_ wav through stogy_ room. a al. Klme_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. & 1
3.4 Detection, Alarm and Communications Systems — Not required
3.5 Extinguishing Requirements — as ner .IFPA lU. one (11 A, 10 B. fre extinguis
a+qI
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 Surinklers_.
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
NOTICE OF CONIlVIENCEN 13M
Permit No. Tax Folio No.
State of Florida
County of Seminole
The undersigned hereby gives notice that improvezuent will bo made to eertam real property, and is accordance with
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. Description of properly. (legal description ofthe property and street address ifavailable)
2011 W.P. Ball Blvd., Sanford,, FL 32771
2. General description of iraprovement Mercantile (Suite 2011 Interior Finish)
3. Ovvne r information
a. Name 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
4 Contractor
Name and address YOUR CONTRACTING CO., INC.
8215 Roswell Road, Bldg. 400, Atlanta, GA 30350 DEC 1 9AvTb• Phone number. 770-522-9270 Fax number 770-522-9273
5. Surety
a. Name and address _ N/A CERTIFIED CDprlv7ARYANNFmopgC__ b. Phone number Fm number OF C prum
c. Amount ofbond 0L E r•
6. Lender BY
a. Name and address U S BANK NATIONAL ASSOCIATION, c/o FROST BROWN TODD, LLC
2200 PNC Center, 201 East Fifth Street, Cincinnati OH 45202 Attn: JaffreX Rush
b. Phone number 513-651-6893 Fax number 513-651-6891 _
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be s ed as
provided by Section 3. 3(1)(a)7., Florida Statutes:
a. Name and address TBD
b. Phone nuaomber Fax number
S. In addition to himself or herself, Owner designates Jeff Pape of
NORTH AMERICAN PROPERTIES to receive a copy of the Lienor's Notice as provided in Section
713.13(l)(b), Florida Statutes.
a. Phone number 770-325-4913 Fax number 770-643-9540 • .. .
9. Expiration date ofnotice of commenoement (the expiration date is 1 year £rbm the date of recording unless a different
date is specified) '
ignattft of Owner ,
S an bed before me this WAy of n n m41AL 11i'IIIIOu
MARYANNE MORSE, CLERK OF CIRCUIT COURT
Personally Kno OR Produced Identification SEMINOLE COUNTY
6•
aTypeofldeatificat°rni"kroduced SK 05550 PG 1439CLERK'S # 2004194468
RECORDED 12/17/2004 12:10:42 PM
RECORDING FEES 10.00ULVKb
ofN Public, State of Florida RECORDED BY G Harford
Cv S OII4es: " tIFFANY S. FLANDERS
1 Nptgry Public, Cocb County, Georgia.
Id My Commission Expires January 27, 2007
4
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES ;C 9
PHONE # 407-302-1091 * FAX #- 407-330-5677 Sykc
PHONE NO: , rlbl Q) — S 7a FAX NO.: C f `76
CONST. INSP. [ J C / O INSP. j J REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. [ J HOOD [ ] PAINT B09TH ( ]
TENT PERMIT f J TANK PERMIT [ J OTHEPON
TOTAL FEES: S (PER UNIT SEE BELOW)
COMMENTS:
nr aL AR
Address / Bldg. # / Unit # Sguare 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 th2Cityof5a ford, F rida.
Sanford Fire P nti n Division Applicants Signature
IV1712MM 14:29 4076657367
COUNTY OF S&EMLE
ndPACT FEE STATEMENT
PAGE 04
WIT TPAN NUMBER- 1: 04 -100 1583
BUILDING PE 161T NUMBER: 04 -10001 83
DATE: December 17, 2004
MIT ADDRESS: W.P. BALL BLVD 2011 32-19-30-501-0000-0020
TRAFFIC ZONR:022 JURISDICTION:
SEC: TWP: RUG: SUP: PARCEL:
FLAT BOOK:
SIOPLAT BOOR PAGE: BLOCK: LOT: OWNER
NAME: NORTH ANERICAN PROPERTIES LLC ADDRESS:
1080 BOLO BRIDGE RD BLD 200 ROSWELL GA 30076 APPLICANT
NAME: YOT CONTRACTING CO. INC ADDRESS:
8215 ROSWELL ROAD BLDG 406 ATLANPA GA 30350 LAM
USE: THE MARKETPLACE A SEMMLE WORRK
DEERRIPTION: CITY-SANFORD FB8
BENEFIT RATS UNM' CALC UtiIT TOTALDUE TYPE DIST
SC® RATE UNITE TYPB ROADS -ARTERIALS
N/A 00 ROADS -
COLLECTORS
N/A 00 FIRE RESCUE
N/A 00 LIBRARY N/
A 00 SCHOOLS N/
A 00 PARRS N/
A 00 LAW ENFORCE
N/A 00 DRAINAGE N/
A 00 AMOUNT DUB
00 STATEMENT RECEIVED
BY.
F_07' SIGNATURE: PLEASE PRINT NAME)
DATE: NOTE TO
RECEIVING
SIGNATORY APPLICANT• FAILURE TO NOTIFY OWNER AND ENSURE TIMELY PAYMENT
MAY RESCW IN YOUR LIABILITY FOR TEE FEB. s** DISTRIBUTION: 1-BLDG
DEBT 3-APPLICANT 2 - FIN7010E 4 •
LAND 14ADAGMUNT PERSONS ARE ADVISED
THAT THIS IS A STATEDOM OF FEES DUE UNDER TEE IEMINNOOLE OFUA BUi
TA'I{1GPERI4IT ' LIBRARY AND/OR EDUCATIONAL NM I PAYMMU
SHOULD BE
MADE TO: gSEMINOLE COUNTY OR CITY OF SANPORD 110ARnONT 1 EASTFIR$
PSTREETSANFORD, FL 32771
PAYMENT SHOULD BE
BY CHECK OR MONEY ORDER AND SHOULD REFERENCE THE COUNTY BUILDING
PERMIT NUMBER AT THE +6P LEFT OF THIS STATE19M. THIS STATEMMT IS
NO LONGER VALID IF A BUILDING PB30UT IS NOT*** ISSUED WITHIN 60
CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE DETAIL OF CALCULATION
AVAILABLE UPON REQUEST. CALL 407.665-7356.
a 1
NORTH AmER]CAN PROPERTIES
January 21, 2005
City of Sanford
Dan Florian, Building Official
P. O. Box 1788
Sanford, FL 32772-1788
RE: Prepower Inspection Request for 2011 WP Ball Blvd
Seminole Towne Center — Shop C Suite 2011)
Dear Dan,
Oy258 • -
Please accept this letter as our written request for a prepower inspection for the Shop C
Suite 2011 store located at 2011 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 ofOccupancy by the City.
Thank you for your assistance in this matter.
Sincerely,
NAP Seminole Marketplace LLC
By: North American Properties — Atlanta, Ltd
fTr E
Authorized Agent
io8o Holcomb Bridge Rd., Building 200 • Suite i5o • Roswell, GA 30076
ph: 77o-645-6566 fax: 77o-643.9540 web: www.naproperties.com
Atlanta I Cincinnati I Dallas I Ft. Myers I Minneapolis
Sigfiiture/f Owner/Agent
x y 2 PAPP,
Print Owner/Agent
S z o j'
Date
ignature of Notary — State of Florida Date DAVIS
Q %•` V F'f A ioAPRtVX. u 0 0? Owner/Agent is Personally Known to Me oro p
I
i.tG • ECEp gEE;..••, i,,
0' 'ON' Co, `.