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CITYOFSANFO PERMI'rAPPLICATION
Permit Na: D 3 �Date:
V Job Address: Iv - 11 (-1-qC
Period Type: s uwd rig Electrical b(eebanical _ Plumblog _ Itrt AlarrsUSprkskkr
Description of Work: AW "mi!)
Additional Inform
Voctrical; _Addilimil elation _Cbange of Sen
PlumbingR2esldemtl : _pdditioNAberadon
PlumbbiWCom reld; Nwulm of Fix tuns Nu
Ono ane Residcmidl P ✓ Conmtercial —
Type of Consiniction: Flood'loi
• PurdNc.:-3C_-11-' 0-300-G5`(G-
Contact person: I ie
Title lkldes (If other
Boating Cmalquy:
Addi=:
Mortgage Lentkr._
Address:
.rtbaiiaeeNF_ngjnc`er
Address:
it Electrical & Plumbing Permits
Temporary Pok ew AMP Serylco (Il of 1
Cos¢truction ( e Clout Plus donall
'Water & r Drainage Linas Number of Cw 1I—
T'otah Sq Pig: Value of Work: S 6
Number of Stories
Number of Dwellizz Leila:
. (Attach Proof of Ownership & Legal Description)
y State License Number: -L'<3G5d3.311
&Fax Number. i4l7-330-/0a/lr; IY77 a
Phone No.:
Pace No.: 1
Application is hereby made to obtain a pemdt to do the wark'and installations as in dicalel. 1 certify that no wmtk or innalls ioo baa
commenced prior to die issuance of a permit and that all 1-1H
l be pciformod to mat standards of all lawn regulating wnsttuction
in this jmtsdicdo i. I aokrstand Ilat a separate permit mented for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS,
POOLS, FURNACES, BOILERS, HEATERS, TANKS, CONDI170NERS, etc.
OWNPR,%b.M---DA Vrf: 1 artily that all of foregoing ormadon is amimto and that all swtk will be done in compliance wits
all applicable laws regulating, construction and zoning. W rG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RPSUUT W YOUR PAYING (F.. FOIA. IMPROVEMI NTS TO YOUR PROPERTY. IF YOU
TNI PND TO OBTAIN FINANCING, CONSULT. WITH Y UR LENDER OR AN ATTORNEY BEFORE RECCMIDINO YOUR
NOTICE OF COMMEINC:EMENT.
In addition to tlx rcgnircmenlc of this permit,
records of Ibis county, and there may
a blie t custricts, elate agencies, or red" agh
is seritcadon that I will notify the
Dale
",,• WALLY E.TATRO
,�Yasrrtya
g, MY COMMISSION Y CC 894967
:! �'• - RESrBecerober 13, 2003
OwncdAgt$t;�iu� PI?M'Iig4NJ40lfbissAM9Mtlror
j\ _ ArRliafat•
APPLICATION APPROVED BY:
Special Conditions: !rr
be additional rcstricdons applicable to this property that may be
nal pernits required from other gmentunental aditi a such as
of the pmpcny of dao mqubenmma of Florida Lien Lav, FS 713.
►-ate
Sigrature of C.onuncta! u
Date
of
+° t
WALLY E.TATRO
MY COMMISSION# CC 894967
I�- E7{p�RES:4ar0al0ar
13.2003
Contracto
f -t- Dane: / — 6 - -�
7L7-r
11 - *....I
CITY OF SANFORD FIR
FEES FOR SEF
PHONE # 407-302-1091 * F
DATE: L/S--
BUSINESS NAME / PROJECT::
PR"G
ADDRESS: V o s w
ARTMENT
407-330-5677
�'i,j
PERMIT #: t/ /
�1
I - q
PHONE NO(tiOrl)�=�0G FAX NO.:�� ) T'0 --!S
[ ] PLANS REVIEW be
)STH [ ] BURN PERMIT [ ]
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECT]
F. A. [ ] F.S.Ars-0 HOOD [ ] PAINT
TENT PERMIT k ] ANK PERMIT] OTHEI
. o
TOTAL FEES: $
Address / 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. Pa
330-5656. Proof of Payment must be made to Fire Prevention
place. I cenify
will corr
Akn `a of the Ci
Sanford Fire Prevention Division
(PER (UNIT SEE BELOW) ^/
A6 P IA S �^of S ea-�—
Fees per Bldg. / Unit
Ave., Sanford, FI. 32771 Phone # -407-
vision before any further services can take
at the above is true and correct and that I
y with all applicable codes and ordinances
of Sanford, Florida.
Signature
w�
Ir
000
SANFORD FIRE DEPARTMENT
FIRE PREVENTION DIVISION
300 N. Park Ave., Sanford, Fl. 327711 P. 0. Box 1788, Sanford, Fl. 32772
(407302-2520 / FAX (4 7) 330-5677
Pager (407) 9184 95
F `D
Plans Review
Date: January 15, 2003 Business Address: 803 W. 2
Business Name: Sanford "Church of God"
Contractor: Sun -State Awning & Graphics Inc
Mike Tannus Engineering.
Reviewed 11 Res iewed with eonuncn i
Reviewed by: Timothy Robles, Fire Protection
Comment: Instillation of (3) Three awnings (flame resid
Flame rating not lost when washed. Instillation exhaust fan
#96
1.1 Application — Reviewed and requirements provided
• Outside Intake shall BE 10' (FT) from exhaust fan
• Top of exhaustfan shall 40 " minimalfrom roof deck
• Exhaust Fan Shall be hinged on top, with quick release
Occ. Ch. 13 Assembly Existing
Ph. (407) 322-7627
Ph. (407) 332-8689
Fax. (407)332-9598
\ I Rejected [ ]
Plans Examine/
certificate received and material verified)
duct work, all shall comply with N.F.P.A.
thumb screws)
• Electrical to fan motor shall be placed inside the conduit ,{end have enough slack to open top offan
• Fire Sprinkler System Shall provide total protection in
• Separate permit required for "Wet Chemical U.L. 300
• Final function test required by Sanford fire department
1
areas(perN.FP.A. #13)
Seminole County Property Appraiser Select by Owner
Page 1 of I
TAX DETAIL
GENERAL
TAX ROLL FOR 2002
Parcel Number: 36-19-30-300-0590-0000
Millage Code Millage Description Rate Tax Bill
"
Owner: CHURCH OF GOD OF 22ND ST &
0100 CNTY COUNTY .49989
0400 SCHL SCHOOL .8479
Address: 803 22ND ST W
1000 CITY SANFORD .65
Tax District: St - SANFORD
1200 Sim 0462
.-
Just Value: $1,382,492
9800 CNTYD BONDS .02086
Assesed Value: $1,382,492
9900 SCHLD BONDS .0521
Sr.ne:
Taxable Value: $0
Total Tax Bill
ini r,
SALES
I LEGAL DESCRIPTION
Sales Deed Sales gook Page Vacantllmprove
LeG
SEC 36 TWP 19S RGE 30E SW 1/4 OF NE 1/4 OF SW
Code Type Date
1l
(LESS SE 1/4 & LESS RD)
http://www.scpafl.orgIV
11/27/02
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CITY OF SANFORD
r
LICENSE DEPARTMENT
P.O. BOX 1788 -
SANFORD, FL 32772-1788
ISSUANCE OF LICENSE DOES NOT IMPLY THAT LICENSEE/PREMISES IS IN COMPLIANCE WITH ALL
CODES. TO AVOID LATE FEES, THIS LICENSE MUST BE RENEWED PRIOR TO THE EXPIRATION DATE.
k: n 4 r a m a '3� N'-'73 - � ! ��, a iu•� _ ... pa 's � �1 l.')�. s �
_ .i •, 1 _ .l s
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.� vNv 3 FATE.� 7"S; -"f 411: •<.7• ':i i:7, i1i ..�. •. - -
ACERTIFICATE OF L
ABILITY INSURANCE CSR WP
DATE(MMIDDIVY)
5AID CLAIMS
i SUNSAWN
01/02/03
PRODUCER
GENERAL LIABILITY
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
City of Sanford
Building Department
300 N Park Avenue
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Jr Rolfe Davis Insurance
S 1000000
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. Box 945255
A
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
!Maitland FL 32794-5255
03/15/02
Phone: 407-691-9600
-- 1 CLAMS MADE 41OCCUP
---- - - ------------ --
INSURED
IrJSUPEPA Travelers Indemnity Company
LIEU ExP (Any one person)
IN5UhEP a Insurance Co of the St of PA
Sunstate Asvnin and Graphic
Design,Inc., A�tn: Alan Hanley
$ Blanket A/I
- - - -------- -- - --- - - -- ----------------
IrJsUPEac Progressive Express Insurance��___
50 Keyes Court
IIJSVPEP U
Sanford FL 32773
$1000000
- -----'--
nISL'PE17 E
�naa'eew�rr
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OT
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRI
HE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
ED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BN
5AID CLAIMS
INSR - '--
LTR TYPE Of INSURANCE POLICY NUMBER
_
-- POLICY EFFECTIVE POLICY EXPIRATION _-- `- LIMITS --
DATE MMIODIYYI DATE MMIDDIYY
GENERAL LIABILITY
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
City of Sanford
Building Department
300 N Park Avenue
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
UACIIoccLorJr 4cf:
S 1000000
FWEUAIIACE(A tonerre)
-'
s300000
—
A
$ COMPAERC1ALCErIEPALLIAetUTv
I680341W1056IND02
03/15/02
03/15/03
-- 1 CLAMS MADE 41OCCUP
LIEU ExP (Any one person)
S5000 _
$ Blanket A/I
PEPSO14ALaADV nuuP;
$1000000
GENEPALAGGPEGATE
s2000000
GEtJ+_AGGPEGAIELIMrIAPPLIES PEP
PPCDUCTS CCW/OPAGG—
s2000000
-
a PCLrC. J Ci LCC
I
(`
AUTOMOBILE LIABILITY
ANY AUTO
CA046417491
06/01/02
06/01/03
cowntJrD SPIGI r t VIT
(1-aaccoer")
s 1000000
--- - —
------
SQUILti'tULIPY
AU OVJTJEDAUTOS
c
$ SCHEUULEU AUTOS
{I`cr per;on)
-
nc.Da.Y t tPY
{Per �cclWl)
S
---
$ HIPED AUTOS
$ nION•O'tiMJE0AUT05
___�_---_-
PPOPEPTY DAMAGF
(Per inx. dent)
s
GARAGE LMBILITY
AU 10 OMv-LFA,'CC:U0.'i
S
A: C
pTHEI? THAN
s
ANY AUTOEA
S
AUTOOM_Y AG 6
EXCECOLIABILITY
L.�CIICCCLPIJE/JCL
S _
AGGPEGAtE ---_
-S�-------
OCCLIP CLAMS MADE
S
S
DfOUCTInLE
S
PL IENSICtJ S
WORKERS COMPENSATION AND
I
$ TOP r LIAt TS EA
EL rACr1ACGIDrNT
S500000
B
EMPLOYERS' LIABILITY
WC6258749
03/01/02
03/01/03
r asrAsr- rAmolovrr
S500000
r I. OIsr CF POLICY ua:T
$500000
OTHER
M
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUS{ONS ADDED BY ENDORSEK
NT/SPECIAL PROVISIONS
*Except as required by Florida Statute.
rFRTIFICeTF NAI-nFR i W I ADDITIONdi INSURED. INSURER LETTERI I CANCELLATION
ACORD 25•S (7197) 11
'/ V — - / tw M%,Vf%U wRrvRrr<Iwn 1U00
I.rY SAN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 8E CANCELLED BEFORE TH,E^EX+PIRATION
DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1Q # DAYS WRITTEn
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL
City of Sanford
Building Department
300 N Park Avenue
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KING UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
AUTHO PRE NTATIVE
Sanford FL 32772
ACORD 25•S (7197) 11
'/ V — - / tw M%,Vf%U wRrvRrr<Iwn 1U00
AWNING & GRAPHIC
DESIGN, INC.
January 2, 2003
City of Sanford
300 N Park Avenue
Sanford, FL 32772
RE: Sanford Church of God
803 22°a Street West
Sanford, FL 32772
To Whom It May Concern:
This letter serves as authorization for Randal Van
Lawsonto process -documents relating to pullingA
listed project.
Please allow the above listed individuals to drop off,
process any necessary documentation.
Thank o l�
4'0k' Nelen, Chair
Snnstate Awning & GTaphic Design, 3nc.
Sworn and subsribed before me this ,2 day of
AV
tate of
County of. (\ 5e, ��
Richard Hawes, or Travis
ig building permits for the above
up, sign for, and otherwise
Date
20P3
/e2- /-3-,D-3
My Commission Expires
FI
GM... 0S3NIN00 W NOISSIMO M 5HLV1*3A11VM
50 Keyes Court Sanford, Florida 32773 (407)330-1044 FAX: (407) 330-1477
PermitNambei 03—W
Iv.C7
Parcel Identification
Prepared by: n _ NMLLko D 19
56 KyF s �o�r
.SA nr�oaA FL ;3P-773
Return to: 1 `
�r15 )zal7e Ij,�'Vc)
S 0 ICNF.S' t!k7tMT
ski rJ- o,A FL- 32'773
NOTICE Or COMMENCEMENT
Slate or
County of s V
The undersigned hereby gives notice than impmvenrengs 1 will
with Chapter 713. Florida Statutes, the following ininti»atiun
I. Descriprin'i�6nofpr14cilr��lcgpl cc i tion o+'thc pn
cyr✓ -Cj j m ( Less 5-1E \ {{`I
2. General dcs�=rip,io�I1(Improve �r�r ;(x) ;�j JAI {
3. Owner OctkTW441'11.;I�er
7 lL)S�'{Fl�f
Name ,lib
Address W Fax
� Ile
4. Fee Simpic f if ther ttf an the wncr sholvI
Name lch
Address '_ I:as
5. Contractor 1q,)N' IVO
Name �i lei,
Address 56 k< --yrs C} Tax
�fA- NW ,FL 3P773
fi. Surety (ifmny
Name \ 'fell
Address \ pax
Am
7. I.ender litany)
Namc Tell
Address Fax
R. Persons within the State of Florida designated by Oa tier
served as provided by §713.13(i)(a)7., Florida Statutes.
Name 'felt
Address I;1C
9. In addition to hinrselfor herscI f, Owncr designates the lit
as provided in §713.13(1)(6). Florida Stalutes.
Name fele
Address Fax
10. Expiration date ornntice of criminen emenf ( cx
unless a different date is specified):
IIIII II111111IIIII111111II IIIN1111111111"11111H11111111
MARYANNE MORSE, CLERK OF CIRCUIT COURT
-001MINOLE COUNTY
K 04675 PG 1710
CLERK'S # 2003011116
RECORDED 01/21/2003 030502 PM
RECORDING FEES 6.00
RECORDED BY J Eckenroth
to certain real Property. and in accordance
Jed in this Notice of Commencement.
and wr-) iy Ial1kJ
t 5 (;�D ji .
Cs e,- Pies,
)tnc Number
Yj)e7- PD
amber
pr7- 3aa`1ti
in Property:
ove)
mc Number
other
Nm»bcr t -•I O-,_ JZi Ifi1 I
:r
ie Number
)her
of bond S
Number
whom notices or other documents may be
Number \
to receive a copy of the Licnor's Notice
7n cr
S i one year I nn the date of recording
LgyM
Date Signed Sipnu nr nfOa•nei lNniLS: per§713.13(F(g)."owner
nnicl sign ...and
It nnc else may he permilled to
sign in lfls or her cad."
Sworn to and subscribed b •far 1 c Ihis s.2 /._ _ day til �--� cwr ...1103 .....
who is y personally known ro nnc OR '\ mroduccd -___--_-----
as identification.
Signaler toy punarial seal mull appear below)
rnnn Re�iavP ar"N
WALLY E. TATRO
MY COMMISSION 1 CC 894961
.,€ EXPIRES: December 13,2013
amad Thm NMty Puhlk UndemrXen
CERTifiLD COPY
MARYANNE MORSE
CLERK OF CIRCUIT O0URT
SEMINOLE COUNTY. FLOWjj
Rl' ti� ti
LRK
JAN 2 1 2003