HomeMy WebLinkAbout2131-2141 Spinner Ln 06-2187Permit # -.
Job Address: A /.3 / AZ14/
Description of Work: e't n'r-
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
R` Ce7v`O
Date: 4125 14
VN,r4 Z-Al S S..1 & U7 73 1 zd 6
Value of Work: S .S% 06 .
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS NIA- Addition/Alteration C Change of Service Temporary Pole M _
Mechanical: Residential Non -Residential Replacement New * (Duct Layout & Energy Cali:. Required)
Plumbing/ New Commercial: # of Fixtures ji of Water & Sewer Lines # ofGas Lines ' /
Plumbing/New Residential: # of Water Closets NPlumbingRepair - Residential or Commercial 4
Occupancy Type: Residential Commercial
p-
A— Industrial Total Squire Footage: (0 /3
Construction Type: # of Stories: IV # of Dwelling Units: Flood Zone (FEMA form required for other than X)
Parcel #:
ff (
Attach Proof of Ownership & Legal Description)
Owner Name &Address: >a/ "P+ I" fi I i tle w -A -4.9 O w A i
W-6k, • 14 C44o L,1 4/y a , 5; --11,ft) S„ 6;J j- 32 773 Phone.
Contractor Name &Address: _ 1 .,v r4A d•Q Vo 44FA $ "6f&i bo 1 Fe ,13 7f/
fate License Number. L oLg 37.
Phone & Far +{07 8SZ3 *7 G4S' 117ZContact Person: Ay /w ra Phone: *7'44
Bonding Company. NIA
Address:
Mortgage Lender:
Address:
C _ _
Architect/En4 sneer: 41L ' Im'>r Phone: 0-7 Address: ,
Id. Beer Sb 12Z? 044,*W41 F41 Fa:: 407 £358 - 7f SZ Application
is hereby made to obtain a permit to do the work and installations as indicated 1 certify that no workor installationhas commenced prier to the issuance
of apermit 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 theforegoing information is accurate and that all work will be done in compliance with all applicable Was regulating construction
and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENTMAY RESIJI:•I* IN Y 1t< PAYING TWICE
FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LI'sNDkItlN: AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE:
In addition to the requirements of thispermit, there may be additional restrictions applicable) pro that may be found in the public rewords of this
county, and there may be additional permits required from other governmental entities such as = r nagg districm state agencies, or rederal agencies. ce
of permitis verification that I will notify the owner of the property of the CA.
a of -AS - Oho Signature
of Owner/Agent Date 00t
P ' Owner/Agent's Name I
m as
re o otary-State of Florida Date Tp,
M
wner/Agent is _ Personally Known to Me or Produced
lD Law,
FSf mgdt
Date rJWV1,
Y %J eNNryr14- Print Contractor/
Agent's Name y A
IAQ2vv-)L/ Signiture of
No -State of Florida Date -- Contractor/Agent
is Produced ID
0i R
AION APPROVEDBY: Bldg: Utilities: nitial & Date) (
Initial & Date) Special Conditions:
Notary Public
State of FWft ppula J
Vendetta My Commission
DD439119 Date) (Inifiial&
w w
IMPACT FEES
W
NOTIF COMMENCEMENT CEKHfIED COPY
Permit No. r Tax Folio No. MARvA.WIR MOR SE
State of Florida CLERK OF CIRCUIT COURT
County of Seminole SEM N L COUNTY. FLORIDA
The undersigned hereby gives notice that improvement will be made to certain real property, arLIMYI
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) jjAy e, , n ,,
2131-2141 Spinner Lane, Sanford, FL 32773 rom I V-I CUU
2. General description of improvement: Tenant build -out of office space in existing building
3.Owner information
a. Name and address _Sanford Airport Authority, 1200 Red Cleveland Boulevard, Sanford, FL 32772
b. Interest in property _Fee Simple
c. Name and address of fee simple titleholder (if other than Owner) _N/
4. Contractor cy co
Name and address _Winter Park Construction, 221 Circle Drive, Maitland, FL 32751 z= to v 52$
roust!
b. Phone number _(407)644-8923
5. Surety
a. Name and address N/A
b. Phone number _
c. Amount of bond
6. Lender
a. Name and address N/A
Fax number_(407)645-1972 re ru ar
o
M0
Fax number
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(l)(a)7., Florida Statutes:
a. Name and address _Larry A. Dale, President/CEO, 1200 Red Cleveland Blvd, Sanford, FL 32773
b. Phone number _(407)585-4002 Fax number (407)585-4045
8. In addition to himself or herself, Owner designates _Ken Wright, P.A. of
Shutts & Bowen, LLC_to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
a. Phone number _(407)423-3222 Fax number _(407)425-8316
9. Expiration date of notice of commencement (the expiration date is l year from the date of recording unless a
different date is specified) k.t
I)ian Crews V i C.t • ftes iAAO& on AkvWi*&
Signature of Owner
7-4
Sworn to (or affirmed) and subscribed before me this C $Q' day of an I , 20 No ,
by
OtYle CAS
PFTnally Known OR Produced Identification
Tvvle of Identification Produced
wo , JACtIUELINE M. COCKERHAM
re o VNotary Public, StatIATAWOWENT PREPARED BY:
NOTARY PUBLIC • STATE OF F1.OAIDA
ssion Expires:
COMMISSION # DD540279
G,,,,, NAME _ «^' a. EXPIRES 4/1312010
IS^1 Vic. -, BONDED THRU1.888•1OTARY1
ADDR
32773
r 7
CITY OF SANFORD PERMIT APPLICATION / &(ec
Permit #:— o 6 ` rf, 8 ! Date:
Job Address: a l 3 d/ y1
Description of Work:i 'ep r 41
Historic District: Zoning:
Dw. ` ol ds+-t Total Square Footage
Value of Work: S
Permit Type: Building I:Icctrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Addition/Alteration Change of Service •fcmporary• Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing Repair — Residential or Commercial _
Industrial
Construction Type: # of Stories: # of Dwelling Units: % Flood Zone: (FEMA form required)
Owners Name & Address: Sr - !!3 4 di44et e ? 7 T7r
Phone:
Contractor Name & Address:
S11A I.Acen umber: C 0,9/ 7. S 1/
Phone & Far: O-? 3 L7-- Contact Person: '5. .e/b6 Phone:
Bonding Company:
Address:
Mortgage Leader:
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 ofa 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: 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 permit is verification that I will notify the owner of the property of the rcquir,nts of FI rida Lien Law, FS 713
L 115/6
Signature of Owner/Agent Date Signature ofContractor/Agent Date
Print Owner/Agent's Name Print Contractor/A ent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING: UTIL:
Special Conditions:
Rev 03/2006
Im
DEBBIENgg491ContraOraorPdy
ENG: BLDG:
CITY OFSANFORD PERMIT APPLICATION
Permit # : 197II
Job Address: .% Z!__ _s'
Date: to . A ( Z
r —
Description of Work: /rt S14// 4/C 4 D t--4 wofK Total Square Footage
Historic District: Zoning: Value of Work: S %r TfE- o0
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # ofFixtures
Plumbing/New Residential. # of Water Closets
Occupancy Type: Residential Commercial
Construction Type: N of Stories:
Owners Name & Address:
Mechanical Plumbing Fire Sprinkler/Alarm 11001
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
of Dwelling Units: Flood Zone: (FEMA form required)
Phone -
Contractor Name & Address: 0 M, M :a-Jt
IJ 7 S . 06 rr 44 /4 c , n e /A-%e F'L 3;z 7 Zo -S' V s/3 Stale License Number: e 4C Oct'? %vZ
Phone& Fax: 386-736 -/V"(6 - ffN -7SP-5-/ /rContacl Person: :Z14 tA/{ Ald ACK Phone: 3Y4, - 7 fC - L YZ(
Bonding Company:
Address:
Mortgage Lender:
Address:
Archilect/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 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. 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, slate 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 7133, /
Signature ofOwner/Agent Date Signature ofContractor/Agent atc"
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING: UTIL. FD:
Special Conditions:
Rev 03/2006
L,v xi c Get .411,icy Pr'
ontractor/ nl's Namc Signature
of NO(wy.Sialc of Florida Date DEBBIE
BLANTON MY
COMMISSION # DD ISMI EXPIRES:
Februa 25, 2007 Contractor/
Ag t ' FrEonall) IQx r . Co.
Produced
ENG:
BLDG:
CITY OF SANFORD PERMIT APPLICATION
Permit # : & 4 - -Q?z -9 — Date: 4 —10 % 2_
Job Address: al -4% ..a 1 YYV
Description of Work:
Historic District: Zoning: Value of Work: S
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 _6L. # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Jtr Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial il( Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for otherthan X)
Parcel #: (Attach Proof of Ownership & all Description)
Owners Name & Address:
rContractor Name &
Phone & Fax:
Bonding Company:
Address:
Mortgage Lender: _
Address:
Phone:
2d State License NummJl1r:
Person: /Q/Phone:2=442
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 ofa permit and that all work will be performed to meet standards of all laws regulating concoction 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 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 fN 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 beadditional 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 ofthe property of the requirement Florida LiMLaw, Pr fp.
Signature ofOwner/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Date
Date
of Date
Name
CA, a -C l
of Florida Date
Contractor/Agent is _" Personally Known to Me or
Produced 1D
Zoning: Utilities:
Initial & Date) Initial & Date)
ill
Initial &
MODERN PLUMBING INDUSTRIES, INC.
255B OLD SANFORD OVIEDO RD. • WINTER SPRINGS, FL 32708 • 407-327-6000 • fax: 407-327-6023 • www.modernpi.com
TO WHOM IT MAY CONCERN:
I, Frank Bracco, d/b/a Modern Plumbing Industries, Inc., do hereby authorize
the Power of Attorney to sign all applicable documents required for a Plumbing Permit on
the following property:
ank Bracco, Oresident
License CFC050570
State of Florida
County of Seminole
Sworn to and subscribed before me this 2nd day of June, 2006
TIYONY GRICE
Notary Public, State of Florida
My comm. expires June 06, 2008
No. DD 326119
Notary bliC Bonded thru Ashton Agency, Inc. (800)4514854
v
L til=GiVG DEPARTMENT - Re: 2131-2141 Spinner Lance 1
From: RUBEN HYATT
To: BUILDING DEPARTMENT
Date: 7/26/2006 8:13 am
Subject: Re: 2131-2141 Spinner Lance
passed 07-25-06
BUILDING DEPARTMENT 07/24/06 4:03 PM >>>
Interior Commercial Remodel `
Winter Park Construction - Dean 321-436-1334 a a
BP 6-2187 (1`
1
WJIL"NG DEPARTMENT - Re: 2131-2141 Spinner Lance 1
From: CATHY LOTEMPIO
To: DEPARTMENT, BUILDING
Date: 7/24/2006 4:18 pm
Subject: Re: 2131-2141 Spinner Lance
This is n/a for Public Works 7.24.06
Cathy J. LoTempio
Customer Service Rep
Public Works Department
407-330-5681
fax# 407-330-5601
BUILDING DEPARTMENT 7/24/2006 4:03 pm >>>
Interior Commercial Remodel
Winter Park Construction - Dean 321-436-1334
BP 6-2187
OUILUNG DEPARTMENT - Re: Fwd: 2131-2141 Spinner Lance CLEAR 7/25/06 1
From: RICHARD BLAKE
To: BUILDING DEPARTMENT
Date: 7/25/2006 4:53 pm
Subject: Re: Fwd: 2131-2141 Spinner Lance
passed 7/25/06
Richard Blake
City of Sanford
Utility Engineer
407-330-5609
ED WOODS 10:26 am Tuesday, July 25, 2006 >>>
RICHARD BLAKE 07/25/06 8:42 AM >>>
Richard Blake
City of Sanford
Utility Engineer
407-330-5609
BUILDING DEPARTMENT 4:03 pm Monday, July 24, 2006 >>>
Interior Commercial Remodel
Winter Park Construction - Dean 321-436-1334
BP 6-2187
CLEAR 7/25/06
11 Page 1 of 1
BUILDING DEPARTMENT - Re: 2131-2141 Spinner Lance
From: MATTHEW MINNETTO
To: BUILDING DEPARTMENT
Date: 7/27/2006 11:00 AM
Subject: Re: 2131-2141 Spinner Lance
CO completed 7/27/06.
BUILDING DEPARTMENT 7/24/2006 4:03 pm >>>
Interior Commercial Remodel
Winter Park Construction - Dean 321-436-1334
BP 6-2187
file://C:\Documents and Settings\BLANTOND\Local Settings\Temp\XPGrpWise\44C89CE... 8/2/2006
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 • FAX # 407-302-2526
DATE: d PERMIT 0
BUSINESS NAME / PROJECT: S ` -k, k.
ADDRESS:
PHONE NO.: ,q q —2y;3 FAX NO.: C ILI ICONST.
INSP. [ ] C / O INSP.:[ J REINSPECTION I) PLANS REVIEW F.
A. [ 1 F.S. [ 1 HOOD [ J PAINT BOOTH I l BURN PER IT ( J TENT
PERMIT f ] N-K,,PERMjjA4 OTHER I TOTAL
FEES: S COMMENTS:
PER
UNIT SEE BELOW) Address /
Bldg. # / Unit # Sauare 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 Sanford. Florida. 7: -- -
4 cl - Sanford
Fire Prevention Division Applicant's Signature
Florida Energy Efficiency Code For Building Construction
Florida Department of Community Affairs
EnergyGauge FlaCom v 2.11 FORM 40OA-2004
Whole Building Performance Method for Commercial Buildings
Jurisdiction: SEMINOLE COUNTY, SEMINOLE COUNTY, FL (691000)
Short Dese: sanford hangar Project: Phase 1 A Hangar Tenant Improvements
Owner: Orlando Sanford Airport SE Ramp Hangar Dev.
Address: Sanford International Airport
City: Sanford
State: FL PermitNo: 0
Zip: 0 Storeys: 1
Type: Office 'Conditioned Area: 1290 ' denotes lighted area.
Class: Renovation to existing building *fond + UnCond Area: 1290 Does not include wall
crosection areas
Max Tonnage: 3.4 (if different, write in)
Compliance Summary
Component Design Criteria Result
Gross Energy Use 735.17 1,171.35 PASSES
LIGHTING CONTROLS
EXTERNAL LIGHTING
HVAC SYSTEM
PLANT
WATER HEATING SYSTEMS
PIPING SYSTEMS
Met all required compliance from Check List?
PASSES
None Entered
PASSES
None Entered
PASSES
None Entered
Yes /NA
IMPORTANT NOTE: An input report Print -Out from EnergyGauge Com of
this design building must be submitted along with this Compliance Report
4/27/2006 EnergyGauge FlaCom v 2.11 FORM 40OA-2004 1
I hereby certify that the plans and Review of the plans and specifications covered by this
specifications covered by
thkdaak.1
ulation calculation indicates compliance with the Florida Energy
are in compliance with the Fnergy Code. Before construction is completed, this building will be
Efficiency Code. inspected for compliance in accordance with Section
553.908, F.S.
PREPARED BY: Mich, PE BUILDING OFFICIAL:
DATE: 71 vTfao DATE:
I hereby certify that this building i in com fiance
with the Florida Energy Efficiency Code.
OWNER AGENT -
DATE:
If required by Florida law, I hereby certify (') that the system design is in
compliance with the Florida Energy Code.
ARCHITECT:
ELECTRICAL SYSTEM DESIGNER
LIGHTING SYSTEM DESIGNER:
MECHANICAL SYSTEM DESIGNER:
PLUMBING SYSTEM DESIGNER:
Eric D. Kuritzky
Alex Zvonarov, PE
Alex Zvonarov, PE
Michelle Brooks, PE
Michelle Brooks, PE
REGISTRATION
No.
AR0007981
60953
60953
57671
57671
Signature is required where Florida Law requires design to be performed by registered design professionals.
Typed names and registration numbers may be used where all relevant information is contained on signed/sealed
plans.
4/27/2006 EnergyGauge FlaCom v.2.11 FORM 40OA-2004 2
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 06100004
BUILDING APPLICATION #: 06-10000456
BUILDING PERMIT NUMBER: 06-10000456
UNIT ADDRESS: SPINNER LN 2131/2141
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF:
SUBDIVISION:
PLAT BOOK: PLAT BOOK PAGE:
OWNER NAME:
ADDRESS:
APPLICANT NAME: WINTER PARK CONSTRUCTION
ADDRESS: 221 CIRCLE DR SANFORD
DATE: May 18, 2006
03-20-31-5AY-0000-OOEO
PARCEL:
TRACT:
BLOCK: LOT:
FL 32773
LAND USE: OFFICE
TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: SANFORD AIRPORT OFFICE BUILD -OUT
2131/2141 SPINNER LN
FEE BENEFIT RATE UNIT CALC UNIT TOTAL DUE
TYPE DIST SCHED RATE UNITS TYPE
ROADS-ARTERIALS N/A
Office < 100K Square Feet 1,545.00
ROADS -COLLECTORS T/A
Office < 100K Square Feet .00
FIRE RESCUE -N/A
LIBRARY N/A
SCHOOLS N/A
PARKS N/A
LAW ENFORCE N/A
DRAINAGE N/A
CREDIT FEES:
SCI RQAD ARTERIALS
Office < 100K Square Feet 1,545.00
1.350 1000gsft 2,085.75
1.350 1000gsf t .oG
00
00
MI
00
00
w
AMOUNT D 350 lO Ogsft 2,085.
UEN
75-
STATEMENT
RECEIVED BY: Av `e".'7 T/Z SIGNATURE:
PLEASE PRINT NAME)
DATE:
NOTE TO RECEIVING SIGNATORY/APPLICANT• FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. ***
DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
NOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
DAYS OF THE RECEIVING SIGNATURE DATE ABOVE, BUT NOT LATER THAN
CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED,
FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.