HomeMy WebLinkAbout215 Towne Center Cir 96-1190; (a) INTERIOR RENOVATIONSA4,j 6wX.e 6& e-- C dV2
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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
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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
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