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HomeMy WebLinkAbout215 Towne Center Cir 96-1190; (a) INTERIOR RENOVATIONSA4,j 6wX.e 6& e-- C dV2 ZON E CONTRACTOR ADDRESS PHONE # LOCATION 3-- OWNER.l.LJ ADDRESS PHONE # PLUMBING CONTRACTOR ADDRESS PHONE # 6 `,-)l / ELECTRICAL CONTRACTOR ADDRESS PHONE # MECHANICAL CONTRACTOR G O (mil 'C7C" ADDRESS PHONE # MISCELLANEOUS CONTRACTOR ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS (__) FINISHED FLOOR ELEVATION REQUIREMENTS ) ARCHITECTURAL APPROVAL DATE: PERMIT. # JOB COST $ 2-3 FEE $ STATE NO. )- 13 FEE $ FEE $ S FEE $V0 SUBDIVISION: LOT NO. BLOCK: SECTION: SQUARE FEET: -73 S-s MODEL: OCCUPANCY CLASS: I INSPECTIONS ITYPEDATEOKREJECTBY FEE $ ENERGY SECT. CERTIFICATE OF OCCUPANCY ISSUED # DATE: EPI: FINAL DATE PERMIT ADDRESS CITY OF SANFORD, FLORIDA APPLICATION FOR BUJLDING PERMIT 1 1k111.Ip 1'ri= Total Contract Price of Job _ Describe Work C Type of Constr ion _F Number of Stories ? Occupancy: Residential TZ PERMIT NUMBER'- Total Sq. Ft.j Number of Dwellings Commercial Flood Prone (YES) (NO NSA Zoning Industrial LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I. DD. NUMBER MOLL- / I CC R ij P-M 21 " _:!:0 -- CJ LW' (DI(O - OWNERI MII C T eJ 3,1A (Zt (.:M. ` (Tf` jP PHONE NUMBER 7'ZFi j t lItp ADDRESS i 3 116W. ?ww,-TC'J 1. CITY STATE 'TN ZIP 46?04- TITLE HOLDER (IF OTHER THAN OWNER.) ADDRESS. CITY STATE BONDING COMPANY ADDRESS CITY ARCHI ADDRE CITY MORTGAGE LENDER ADDRESS CITY N` A 4 STATE STATE ZIP ZIP ZIP CONTRACTOR Q/Qu_[k400h w C4C1dS PHONE NUMBER Y i-G4 r 344 ADDRESS Ltgx-1 ST. LICENSE NUMBER C[ti fir%0 CITYg , Q,,n STATE 1 ZIP S'ti O i 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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER' S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. A COPY OF THE RECORDED COPY OF,THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE 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. a 3 0 a) Z Q r- i H n '- i 0 w r. 0 u o ro : n a) J N 0, o a) >4 Za4E~ CCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE OWNER OF THE PROPERTY OF HE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. I10 -< ( D O D o a Signature of Owner gent & Date Signat re of Contractor & Date o w c IC ( - • • H '1. Ana I i s (.Q, d it -e C Z Tyke o Print Owner Agent Name T or Print Contr Name d w, C U-41 t N - j f n o E ro Signature oY]Notary & Date Sig o n Offic , se ONNA M. iRM ,Cl ARUEN&Ks4WM LEY NOTARY My comm Exp. 9/26/97 PUalBC o Bonded By Service Iris No. CC i08029 Owl 111000" NOTARY PUBLIC, STATE OF FLORID4 MY COMMISSION # CC476424 EXPIRES: June 26, 099 r Application Appro e Date: FEES: Building PY: Radon j Police Fir Open Space Roa Impact Application - C PERMIT VALIDATION: CHECK CASH DATE 1 G. BY ORIGINAL ( BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX F CE) GOLD (CO. ADMIN), 1 THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE GREAT SOUTHERN CONTRACTORS GENERALCONTRACTORS February 28, 1996 City of Sanford Building Department To Whom It May Concern: I, Kenneth M. Tumlin, the license holder For Great Southern Contractors hereby authorize Charles O'Meilia to sign for my firm in receipt of building permits for all future projects. My state contractor's certification No. is CB CO28108. Thank you for your assistance with this matter. Very truly yours 7ENNET M. TU President Notorized Bg' ` Witnessed By 7 Date: ELAIN M TUMLIN My Carmasbn CC409059 ExPk" Sep. 22, 1998 Mded by RAJ OF FLO" 8W-422 15W 492 Rocky Brook Court, Casselberry, FL 32707 • (407)699-9399 • FAX (407)695-7536 r------ ----'---' --- - o, 7U0[o' STATE OF FLORIDA DEPARTMENT OFBOS|NESS'AA'ND PROFESSIONAL REGULATION C0NST INDUSTRY LICENSING BOARD 07 3 /94 CB COZ81O8 94900231 THE CERTIFIED BUILDING C0NTkAClOQ NAMED BELOW IS CERTIFIED UNDER THE PAOV|S|ONfLDF CHAPTER 489 FS FOR THE YEAR ' TUMLIN, KENNETH MICHAEL GREAT SOUTHERN CONTRACTORS INC 492 ROCKY BROOK CT CACD[LBERRY FL 327O7 GOVERNOR DISPLAY IN A CONSPICUOUS PLACE SECROETARY, B.P.R. COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE (MM/DD/YY) DATE (MM/DD/YV) GENERAL LIABILITY BODILY INJURY OCC S COMPREHENSIVE FORM BODILY INJURY AGG S PREMISES/OPERATIONS PROPERTY DAMAGE OCC S UNDERGROUND EXPLOSION & COLLAPSE HAZARD PROPERTY DAMAGE AGG S PRODUCTS/COMPLETED OPER BI & PD COMBINED OCC S CONTRACTUAL BI & PD COMBINED AGG S INDEPENDENT CONTRACTORS PERSONAL INJURY AGG S BROAD FORM PROPERTY DAMAGE PERSONAL INJURY AUTOMOBILE LIABILITY BODILY INJURY Per person) S ANY AUTO ALL OWNED AUTOS (Private Pass) BODILY INJURY S ALL OWNED AUTOS Per accident) Other than Private Passenger) HIRED AUTOS PROPERTY DAMAGE S NON -OWNED AUTOS GARAGE LIABILITY BODILY INJURY PROPERTY DAMAGE S COMBINED EXCESS LIABILITY EACH OCCURRENCE S UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM S WC STATU- OTH- WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY A • 830-16043 01-01-96 04-01-96 EL EACH ACCIDENT S 500,000 THE PROPRIETOR/ INCL EL DISEASE POLICY LIMIT S PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE - EA EMPLOYEE S 500.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS CITY OF SANFORD P.O. BOX 1788 SANFORD, FL 32771 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3 () DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPS TATIVE MORSEJAMJKK , A`Y. k-r--> 2 m c l— 2- +-IJ`=E _ 5•;,1 FG'OP•i 1GR`=;E II.i: A :Fi`•IC'`r" :1 ii+5?7655 P. 2 IiArIONWIDE INSURANCE CF1,TiFi'1ti'1'E OF iNSURANCE N atIOnw!de i , on your .sic: The that the insurance affoLded by the policy or policies numbered and described- bfplaNr is i-v farce as of effective date of this certificate. This. Certificate of Ins-urance does not -mwnd, extend, or otheroyise alter the Term and Conditions of TnsuraTLce coverage contained in a n v policy ar policies numbered and described below, Certificate Hold .er N'gn10 '%-nd yddx+:ass: CITY OF SANFORT"' PO Box 1788 SANFORD, FL =12171 9 Insured 's Name and Address: GREAT SOUTHERN CONTRACTORS, INC. 492 ROO= BROOK CT CASSELBERRY, FL 32707 I i P01. / 1;i50 1 POLICY I POLICY 1 1 TYPE OF INSURANCE ISSUiti j EFFECTIVE I EXPIRATION j LIMITS OF LIABILITY 1 caMPA4,'f ; OA;E I IXI GENERAL LIABILITY NA :`0''1W10E' MUTUAL INSURANCE COt1PANY { IIXI Premises - Operations 1 77PR17602(r-0001.1 8-30-95 j 8-30-96 {General Aggregate 3,000,000 I I{Y,I Products - C,vupler,ed j lPr. Comp. Op. Agg 3,000,000 I Operation<.. j i I I 1IXI Personal ano j jEach Occurrence 2,000,000-I Advertisiliq Injury I j IAny One Person Or Organization 2,000,000 I IXI Medical E::penSN 1 j j IAny One Person 5,000 I IIXI Fire Daniaje - ria1 j I 1 IAny One Fire 50,000 { Ij_I Other Liability I I 1I jl_I builders Risk I 1 77PR1750'-000'1t?.j I 3-30-95 j 8-30-v ;Limit of LiAbility 1 Special Catise of Lct:s Deductible f AUTOMOBILE LIABILITY l,liIdlE! 11,1jllr' t!=Rr 11 (.Q19 F'AFII IjXI $USNIESS -AUTO 77-,-6107C-0001E( B-3i;-95 1 8-30-96 ;Bodily Injury I II_I GARAGE j I j I (Each Person) l_I Owned i I I I (Each Accident) j jIXI Hired IProperty Damage IIXI Non -Owned I Each Accident) I Fill-in Either I I Combined Single I I Combined Single Liiii is 0r j j Limit 2,000,0001 Split Limits' EXCESS LIABILITY j1Xi Umbrella Form I??CUl?6020i0003F i 8-30-95 1 U-30-9E (Each Occurrence 1,000,0001 Aaclregate* 1,000,OOOI Insurance in force .,r..' for h czar-''i.s indicco-j d by X. Description of v,,e*at or 51U<,c:,tYUs/ Vehicles/Restriction Effective Date c,f 0ertificate: 0B!z-2.0-95 Authorized Representative: mes R Morse 1600674 Date Certificate Zs_ecI.: Z-29-3h' Countersigned at: Altamonte Springs, FL Cas. 3640-A (6-89) 6 0 P.T 9l0119 CITY OF SANFORD, FLORIDA PERMIT NO. q (0 Ya'z- DA THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOLLOWING H.A.R.V. MECHANICAL EOUIPM NT: 6L OWNER'S NAME ADDRESS OF JOB 11064 % Ow^/ Caa/ mic SPA-'- MECHANICAL CONTR. o}c 7-Z o.-/zdit- RESIDENTIAL COMMERCIAL Subject to rules and regulations of Sanford mechanical code. NATURE OF WORK LINT FUEL B.T.U. INPUT OUTPUT VALUATION 2 800 APPLICATION FEE I I I M U'J AL Master Mechanical/ COMPETENCY ARD NO.', f CITY OF SANFORD, FLORIDA PERMIT NO v I DATE y THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAM 641- %Z /ZEE _ It-t__ ADDRESS OF JOB 76" CIVT/e ,SL!/p ELEC. CONTR S'T 7F ZL,:-G%2/GResidenfia) Non-residentiaL,)-- Subject to rules and regulations of the city and national electric codes. Number AMOUNT Alteration Addition Repair Change of Service Residential Commercial Mobile Home Factory Built Housing New Residential 0-100 Amp Service 101-200 Amp Service 201 Amp and above New Commercial 60 Amp Service Application Fee r I TOTAL By signing this application I am stating I will be in compliance with the NEC including Article 110, Section 110-9 and 110- 10. Building Official Master Electrician EROO /i 7-70 STATE COMPETENCY NO. Ai'Go I- i l l--/ / 9.6 CITY OF SANFORD FIRE -DEPARTMENT FEES FOR SERVICES PHONE # : 407-322-4952 DATE : / / ? /T 6 PERMIT # : t! BUSINESS NAME: ADDRESS: PHONE NUMBER:( ) PLANS REVIEW 21 TENT PERMIT BURN PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $ 2 COMMENTS: con S T 7 3 5 Sg 6v4ct j.0 C--j Fees must be paid to Sanford Building Department,,300 N. Park Avenue, Sanford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention before any further services can take place. I certify that the above J information is true and i correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention *picat4s,Signature a CITY OF SAtNFORD 6191-5 Ql FIRE DEPARTMENT 1 303 SOUTH FRENCH AVENUE SANFORD, FL 32771 J. T. "Tom" Hickson Administration: (407) 322-4952 Fire Chief Fire Loss Mgmt.: (407) 322-9400 t bate'., O WHO IT `MAY'::.CONCERN As Fire inspec to - fors The City of _Sanford F.l e , epa tme'nt , I hereby certify that I lave inspected a`nd found the fo llo'win'gfN business in g enera:l c.omplianiC6'with the Fire"4re"vent ion and Protection codes of the City of Sanford: a may/- J/ Sincerely Vincent Fio ett nspectnrf 5E. R Q d . Sanford.Fir'e Dyevpartment 9411 j Jv Z` a id Y V Y A