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HomeMy WebLinkAbout4585 St Johns Pkwy 05-3081 (int buildout)CITY OF SANFORD PERMIT APPLICATION Permit #: 0J _ 5 ID Q Job Address:(-1 S ',RS S—C 1Jr Description of Work: Historic District: Zoning: 5 a - C7 S RECEIVF Date: .IJ Value of Work: $Q0 RE r 4 J CUU`l Permit Type: Building Electrical Mechanical Plumbing /Fire Sprinkler/Alarm Pool 2009 Electrical: New Service - # of AMPS Addition/AIteration 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 a Plumbing Repair - Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: _I # of Stories: i # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: - - - C-CDC> O - CC> C (Attach Proof of Ownership & Legal Description) Owners Name & Addregi - r in. c% (1k n 1 & L_ Contractor Name & Address: v ry > \C_ 0 \ 1 — (`uZ C ' — S io `State License Number: L { lZJ G41 1 Pbooe& Fa::-)al Contact Person: \Rc11,A Phone:]i1-lt1-ZS?l Bonding Company: n y Address: U 1 t Mortgage Leader: p / Address: Architect/ Engineer: Phone: Address: Fa:: 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 apen -nit 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: 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 govemmental 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 require m I ride Lien Law, FS I Signature of Owner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Signature Of o of Flo 'd to IIEBLANTOMY COMMISSION # DD 188481 EXPIX:: February 25. 2007 Owner/ Agent is Personally Known to Me or Contractor/A 1400-a•NOVftonally-Knowa t ivi Co. Produced ID _ Produ _ e ><- p o r) 0 1 1 n Zb 0 f'Nt( - APPLICATIONAPPROVEDBY: Bldg: Zoning a, ix Utilities: z FD:. Initial & Date) (Initial & Date) (Initial & Date) (Initial te)l Special Conditions: IPy aIMPACTFM CITY OF SANFORD PERMIT APPLICATION Permit #: aS 3 D8 Date:, Job Address: k-C S. , t t5(U171 t /r Spa Description of Work: ga'A"- Cr a i<r V Historic District: Zoning: Value of Work: $ gbu'c) Permit Type: Building Electrical Mechanical J\1 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 # 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) Parcel #: Owners Name & Address: Attach Proof of Ownership & Legal Description) Phone: Contractor Name & Address: r f- S4- _ Ce -g rs W , 7 Z '3'Pz State License Number: i l oo y4 Phone & Far: Contact Person: •e, Phone: S+i 1 - 24 p 8'e. Bonding Company: Address: Mortgage Lender: Address: Architect/Engincer: Address: 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. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING. SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS. cic. OWNERS 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 I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. Signature ofOwner/Agent Date Signature of Contractor/Agent Date Print Owner/Agents Name Signature of Notary -State of Florida Date Owner/Agent is_ Produced ID Personally Known to Me or APPLICATION APPROVED BY: Bldg: Special Conditions: initial &. Date) Zoning: iA h b 1ne+. P nt o racto gentName ignaturc of N me of FloridDEEBIE BLANTON MY CC&IMSSION # DD t a EXP' { 00 Contractor/Ag t is Personally a5 o 7 Produced I d NOTARYL Notery Discount Assoc. Co. tilitics: FD: Initial & Uate (Initial & Date) (Initial & Date) COUNTY OF SEMINOLE IMPACT FEE STATEMENT STATEMENT NUMBER: 05100009 DATE: August 01, 2005 BUILDING APPLICATION #: 05-10000925 BUILDING PERMIT NUMBER: 05-10000925 UNIT ADDRESS: ST JOHNS PARKWAY 4585 28-19-30-513-0000-0020 TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: PLAT BOOK: PLAT BOOK PAGE: BLOCK: OWNER NAME: LCG SANFORD II LLC ADDRESS: 1850 SIDEWINDER DR 2ND FL SANFORD APPLICANT NAME: COURNOYER BUILDERS ADDRESS: 1015 WOODCREST AVE CLEARWATER LAND USE: ST. JOHNS PLAZA/CHINA STAR TYPE USE: WORK DESCRIPTION: CITY-SANFORD SPECIAL NOTES: CHINA STAR RESTAURANT TRACT: LOT: FL 32771 FL 33756 FEE BENEFIT RATE UNIT CALL UNIT TOTAL DUE TYPE DIST SCHED RATE UNITS TYPE ROADS-ARTERIALS CO -WIDE ORD Restaurant - Sit Down* 4,340.00 1.115 1000nsft 4,839.10 ROADS -COLLECTORS NORTH ORD Restaurant - Sit Down* 878.00 1.115 1000nsft 978.97 FIRE RESCUE N/A 00 LIBRARY N/A 00 SCHOOLS N/A 00 PARKS N/A 00 LAW ENFORCE N/A 00 DRAINAGE N/A 00 CREDIT FEES: SCI ROAD ARTERIALS Retail < 50K Square Feet* 2,962.00 1.115 1000gsft 3,302.63- SCI ROAD COLLECTORS NORTH Retail < 50K Square Feet* 600.00 1.115 669.00- AMOUNT DUE 1,846.44 STATEMENT l l l (A , Cl o .-- _— RECEIVED BY: `1 GNATURE: PLEASE PRINT NAME) DATE: x 1 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, LAM yr Ora ur _wv_, ays _w. -_ - 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. CITY OF SANFORD PERMIT APPLICATION Permit # : n ci - 3a81 Date: 4,' 16- 0 S Job Address: '19f,5 c5Olity, S Y k V Description of Work: tla. VD'^,:N Historic District: Zoning: Value of Work: S 2 00-0 Permit Type: Building Electrical Mechanical Plumbing A 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 Calci Required) Plumbing/ New Commercial: # of Fixtures 10 # 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: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: I (Attach Proof of Ownership & Legal Description) Owners Name & Address: Phone: L 5 c I( Iy- v ib , e; . ContractorName &Address: ut r l t U Lt1r, b vue ze ( NcG 1. j.s State License Number: f C I y1% -3 U p7 Phone & Fax: Contact Person: Lk i 5 Q Phone: Yt,7 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 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, cic. 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 pennits required from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance of permit isverification that I will notify the owner of the property of the requireme is of Florid Lie Law, FS 713. S -05 Signature of Owner/Agent Date Sig re f Contrac r/A ent Date L K 15 (2( t VRr 4 ^ I'b--o5 Print Owner/ Agents Name t Contra tor/ ents Name ' / Y ' Signature of Notary -State of Florida Date 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: DEBBIE BLANTON Contractor/ g t t IIN96651155GR115 *41 M04011191 Produ ed E :'tz.:3: February 25. 2007 1-800- 3•t:OTl4:1Y tt.Kotay Discount Assoc. Cc initial & Date) Utilities- FD: Initial & Date) ( Initial & Date) CITY OF SANFORD PERMIT APPLICATION Permit # : 5 3 Date: Job Address: Description of Work: .6L a e . t._o e d &— Historic District: Zoning: Value of Work: $ Permit Type: Building lectrical Mecha ' I _mbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alte Change of Service Temporary Pole_ Mechanical: Residential Non-ResidentialNew (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 Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: Attach Proof of Ownership & Legal Description) Phone: Contractor Name & Address: .0. 7—A, FF G'o v T l 7 74 7 ` dS T t/ 77 / 72 7 2 State License Number: Phone & Fax: 410 '7 ' D / 17 & 11;— Contact Person: 0941-/ % /- Phone: 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 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 constriction 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, 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-AA1131oe Signature ofOwner/Agent Date SIgnaturc of Contract& Agent Date Print Owner/Agent's Name Signature ofNotary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg - Initial & Date) Special Conditions: Zoning: Pi, IC nliactor/Agent's a ignatur ol' Nto41Jv,eof b 09NCEA )EGRAV PetcMY COMMISSION # DD 164280 EXPIRES: November 12,,2006 IrygJhrKwContractor/AgcihnMNor ProducedIDInitial & Date) Utilities: Ctii Initial & Date) ( Initial & Date) CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHOIyE # 407-302-1091 * FAX #: 407-330-5677 DATE:x-h los PERMIT #: of; BUSINESS NAME / PROJECT: ADDRESS: 8 10 PHONE N FAX NO.:r !1 I CONST. INSP. [ ] C / O INSP.:[ 1 REINSPECTION [ ] PLANS REVIEW F. A. [ J F.S. [ ] HOOD [ ] PAINT BQ0 H [ ] BURN PE T TENT PERMIT J NK PERMIT (] OTHER [ TOTAL FEES: $PZ7h'05 PIER UNIT SEE BELOW)-i1 uA / O,)4- COMMENTS: Address / Blde. # / Unit # Square Footne Fees per BldR. / Unit 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, Fl. 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. Sanford Fire Prevention ivision Applicant's Signat POWER OF ATTORNEY Date: S - DS-y, 7 do herby authorize Sj c c - ss.. c to pull the permit for L S5T Type of permit job address Signature DE3BIE BLANTON Mv t t_ ;SION al+ DD 188491Notary !"ebruary 25, 2007 I OOG,! NDinay t ry Discount Assoc. Co Personally known to me or drivers license # ^. 1 l 1 State of Florida, County of„_;_, o) y__ on a day of HO......Mal.UaimmW.4"nW'DannmasInMamWn--mr- rir,.- ra st air atblNiN NQLM"'NT Perrinit No. Parcel I.O,`` State of Florida NAItYANNE p1URSEs CLERK OF* CIRCUIT -COURT- -- WINULE COUNTY BK 05836 PG 0061 CLERK' S # 2005129398 RECURDED 08/O1/2005 00 13M PM RECURDINU FEES 10.00 RECURDED BY D Thomas THE: UNDERSIGNED hereby give notice trtat the Improvement wlil BemadetocenetnrealproperlyinaccordancewithChapter713. Florida Statues, the following information is provided in this notice of rorrimencsment. I. 0esc iptlon Yproperty (logo) desc4pr/on ofproperyand address if available(), 2. General descri lion of rn r -A _ ........................_.. _.—.. 3. Owner information ar) Name stud address `' v mL..a.t Go..;,, o 1.` b) Interest in property_ _ c) Name and address of fee simple title or if other then, 4. Contractor (name and address) .. •t3tie2 _ ;,\a[',.x:tc .F k 1a1 V-^" an 5 surety a) Name and address D) Amount of Bond _ 6. I_enaer (name and aactress) 7 Pearson within the $tote of Florida designated try owner upon who notices or other ,io:u.. :r Served as provided by Section 713.13(1)(a)(7), Florida Statutes. Name and address es tj—\A e (7' _ - -.. _..... _ . _... a. In addition to nim or henwlf. owner designates r :bwt%, rt.. _._ ...... _ .. Of , to receive a cop of thn Lienor's Nrt.c:e 713 12(1)(b), Florida Statues. 9. Expiration pate of notice of commencement (the Gate of recordir+g unless a different dater is specified) Siyr ! r•r . . STATE nF FLORIDA The 101:owing instrument was acknowledged before me It, _ day --- who is sonelly known torn r Fmducad -- ... _ .. ._ by _.. t—-1-...1 ----- -- as identi Notary sign3tlre .......... ... _.. ...._._._._ ARe' ra or4ing. return to* Naine primesd _—__._...._.... . Name .,_.. _ _ .__— Title or_...-- AdC- ess ._.__._..._. _.._ serial number, if ar+y__,...._.... _..._ City ram Brian Z. ap ply Commission ississionDD253589 suI: Jrno OepvrtrnHrtlForrnr 7-9ir1NOTICtc OF t;OMMGVCFV.ENT.oOc Explires September 28 2007 YY NEB Mp tSEt CRCP!a'` CO\Z i nOR tHIS I TRUMENT PREPARED D ' , \ C sS P r R pR\DP MNAME {' S jow S a Seminole County Property Appraiser Get Information by Parcel Number Page 1 of l PARC-T^ 711', .l DAvID JOHnsON. CFA. ASA PROPERTY ST JOHNS P APPRAISER o SEMMO E COuMYR- 1101 E. FIRST ST sANFoRo. FL 32771-1468 W407-665-7506 Z O: 2005 WORKING VALUE SUMMARY Value Method: Market GENERAL Number of Buildings: 1 Parcel Id: 513-0000- Tax District: Depreciated Bldg Value: $353,622SANFORD Owner. LCG SANFORD II LLC Exemptions: Depreciated EXFT Value: $14,229 Address: 1850 SIDEWINDER DR 2ND FL Land Value (Market): $768,402 City,State,27pCode: PARK CITY UT 84060 Land Value Ag: $0 Property Address: 1681 RINEHART RD SANFORD 32771 Just(Market Value: $1,136,253 Facility Name: ST. JOHNS PLAZA Assessed Value (SON): $1,136,253 Dor. 11-STORES GENERAL -ONE S Exempt Value: $0 Taxable Value: $1,136,253 Tax Estimator SALES 2004 VALUE SUMMARY Deed Date Book Page Amount Vac/imp 2004 Tax Bill Amount: $10,499 CORRECTIVE DEED 07/2004 05395 1575 $100 Vacant 2004 Taxable Value: $512,268 WARRANTY DEED 04/2004 05324 0003 $790,000 Vacant DOES NOT INCLUDE NON -AD VALOREM Find Comparable Sales within this DOR Code ASSESSMENTS LAND LEGAL DESCRIPTION PLAT Land Assess Frontage Depth Land Unit Land LOT 2 WAL-MART SUPERCENTER ON Method Units Price Value RINEHART ROAD SQUARE FEET 0 0 42,689 18.00 $768,402 PB 65 PGS 31 8 32 BUILDING INFORMATION Bid Bid Class Year Fixtures Gross Stories Ext Wall Bid Est. Cost Num Bit SF Value New 1 MASONRY 2004 10 8,415 1 STUCCO WITH WOOD OR $353 622 $358 098PILASMETALSTUDS Subsection 1 Sgft CANOPY / 72 Subsection I Sgft CANOPY 1459 Subsection I Sqft CANOPY / 24 EXTRA FEATURE Description Year Bit Units EXFT Value Est. Cost New COMMERCIAL CONCRETE DR 4 IN 2004 325 $634 $650 COMMERCIAL ASPHALT DR 2 IN 2004 14,718 $11,911 $12,216 FACE BLOCK WALL 2004 210 $819 $840 ALUM FENCE 2004 66 $193 $198 POLE LIGHT ALUMINUM 2004 3 $672 $672 NOTE: Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. Ifyou recently purchased a homesteaded property your next ear's property tax will be based on JustWarket value. htti)://www.sct)afl.org/i)ls/web/re web.seminole county title?PARCEL=28193051300000... 6/22/2005 DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY — ADMIN P.O. BOX 1788 SANFORD, FL 32772-1788 Project Date ZV_-0 6- Owner/Contact Person: Phone: Address: '/4_9S 57` QToHNs Type ofDevelopment: 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 ", 2", etc.): REMARKS: 2) NON-RESIDENTIAL Type of Units (commercial, Industrial, etc.): Total Number of Buildings: Number of Fixture Units each building): Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1", 2", etc.) REMARKS: CONNECTION FEE CALCULA770N.- 2 . SOi'i DOD,Te,A-L c rtN Q-s cwT 2.760/W e'50s 44/96v Name - Signature - Date arrnorn mina 2) Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD) Residential - S650JUnit - Single family structure, or multi —family unit containing three (3) bedrooms or more. S487.50/Unit - Multi -family unit or Mobile Horne unit containing less than three (3) bedrooms. (This category is based on judgment/assumption, estimation that such family units on average require 750/*-225 GPD ofthe water and sewer service of an average single family unit} Commercial S650/ERU - Fixtures unit schedule from Southern Plumbing Code will be used One ERU will be charged for connection and up to twenty (20) fixtures units. For projects having more that twenty (20) fixture unit base for the first ERU. (Example: twenty-five (25) fixtures units will be rated as 125 eni: twenty-six (26) fixture units will be rated as 1.5 ERU.) Sewer Systems Impact Fees Equivalent Residential Connections-270 Gallons Per Day (GPD) Residential 1,700 Unit Single Family structure, or multi -family unit Containing three (3) bedrooms or more. S1,275/Unit - Multi -family unit or Mobile Home unit containing less than three (3) bedrooms. (Phis category is based on judgment/assumption, estimation that such family units on average require 75% of water and sewer service of an average single family unit} Commercial- Industrial: Institutional S1,700/ERU Fixtures unit schedule from Southern Plumbing Code will be used One ERU will be charged for connection and up to twenty (20) fixtures units. For projects having more than twenty 20) units the Impact fee will be increments of 25% based on multiples of five (5) fixture units above the twenty (20) fixture unit base for the first ERU. (Example: twenty five (25) fixture units will be rated as 1.25 ERU: twenty six (26) fixture units will be rated as 1.5 ERU} Standard Pbunbing coda 01"7 FIXTURES TYPE DRAINAGE FIXTURES UNIT VALVE AS LOAD FACTORS MINIMUM SIZE OF TRAP(INCHES) Automatic clothes washers, commercial (a) 3 2 Automatic clothes washers, residential 2 2 Bathroom group consisting. of water closets, lavatory, bidet and bathtub or showers 6 Bathtub (b) (with or without overhead shower or whirlpool attachments) 2 1 '/z Bidet 2 1 'A Combination sink and tray 2 1 '/2 Dental lavatory 1 1 'A Dental unit or cuspidor 1 1 '/4 Dishwashing machine, (c )domestic 2 1 '/2 Drinking fountain s 1 '/4 Floor drains 2 2 Kitchen sink domestic 2 1 '/z Kitchen sink, domestic with food waste grinder and/or Dishwasher 2 1 '/s Laundry tray 1 or 2 compartments) 2 1 '/z Lavatory 1 1 '/4 Shower compartments, domestic 2 2 Sink 2 1 '/z 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 '/2 Water closets, flushometer tank, public.or private 4e Footnote- d Water closets, private installation 4 Footnote d Water closets; public installation 6 Footnote d For SI:1 Inch-25.4 mm,1 gallon-3.78S I- a For traps larger than 3 inches, use Table 709.2 . b A showerhead over a bathtub or whirlpool bathtub attachments does not in== the drainage fixtures unit valve e Sea sections 709.2 thou& 709.4 for methods of computingunit valve offinues not listed in Table 709.1 or for ratingof devices with imermittent flows. d Trap size shall be consistent with the fixtures outlet size. e For the purpose of computing loads on building drains and sewers, water closets or urinals shall not be rated at a lower drainage first fixture unit unless the lowervalues are confirmed by testing. TABLE 709.2 DRAINAGE FIXTURES UNITS FOR FIXTURES DRAINS OR -TRAPS FL% wm Drain or Trap Size inches Drainage Fixtures Unit Value 1 '/ 4 1 1 '/, 2 2 3 2 '/ 2 4 3 5 4 6 CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION Interior Commercial Remodel**** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 12/02/05 4585 St Johns's Pkwy COURNOYER BUILDING Q(BS csa 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. p OEngineering t- C ' ) OPublic Works OUtilities ring Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) op . , CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION Interior Commercial Remodel**** DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: 12/02/05 05-3081 4585 St Johns's Pkwy COURNOYER BUILDING o;Alkvt Ob*, r- 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. ? ngineering00 OPublic Works OUtilities Fire vim Wing /0 Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL) CERTIFICATE OF OCCUPANCY REQUEST FOR FINAL INSPECTION DATE: PERMIT #: ADDRESS: CONTRACTOR: PHONE #: Interior Commercial Remodel**** 12/02/OS 05-3081 4585 St Johns's Pkwy COURNOYER BUILDING The building division has prepared a Certificate of Occupancy for the abovelocationandisrequestingfinalinspectionbyyourdepartment. After yourinspection, please sign off and date the C. O. or submit addendum if it hasbeendeniedorapprovedwithconditions. Your prompt attention will beappreciated. OEngineering PAblic Works N q 0 OUtilities Fire Zoning Licensing CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL 1S CONDITIONAL) jr ^'J . DATE: PERMIT #: ADDRESS: CERTIFICATE OF OCCUPANCY , REQUEST FOR FINAL INSPECTION. 1 Id1 W , O Interior Commercial Remodel**** a W 12/02/05 1 CONTRACTOR: PHONE #: 05-3081 ~ I 4585 St Johns's Pkwy = V COURNOYER BUILDING 0 1 1 I 1 I 1 I I I 1 1 1 1 1 1 1 1 1 0 v Oi 1 p a W E 0 o 1 i Zi G C W O d d 1 cle 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. OEngineering OPublic Works Wire Zoning Licensing CONDITIONS: (TO BE C' M Pl74' ONLY IF APPROVAL IS CONDITIONAL) i 00C 11Q 01 CITY OF SANFORD Address Misc. Information Inquiry 12/06/05 16:47:01 Location ID . . . . . . . Parcel Number . . . . . . Alternate location ID . . Location address . . . . . Primary related party . . Type options, press Enter. 5=View detail Opt Description CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES CUSTOMER SERVICE NOTES 279435 28.19.30.513-0000-0020 4585 ST JOHNS PKWY Land Capital Group Free -form information SW DEV FEE $850.00 WA DEV FEE $325.00 BP05-2268 PD 5-13-05 3/4"WA METER SET FEE $190.00 PD 6-9-05 REC#7811 GARBAGE THROUGH PROPERTY OWNER BILLED ON ADDRESS 4581 THROUGH 4589 ST JOHNS PKWY...SB/EM 10/13/05** F2 Address F3=Exit F5=Special Notes F9=Parcel Notes F12=Cancel F16=Related pty data