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HomeMy WebLinkAbout3653 Orlando Dr 01-2545 com fire sprinklersPERMIT ADDRESS 13(o:� © I CONTRACTOR IEA"�� PHONE NUMBER�-401) (0&� —� PROPERTY OWNER )2- M 0,0 ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR FEE PERMIT NUMBER FEE SUBDIVISION PERMIT # DATE Q IZ-&101 PERMIT DESCRIPTION PERMIT VALUATION / VZ, oco SQUARE FOOTAGE 0.1 CITY OF SANFORD PERMIT APPLICATION • Permit No.: () I ' a5'6 Date: Job Address: .36s3 02 Lq--, D O 6,41- Parcel No.: Description of Work: Type of Construction: Valuation of Work: $ I Y2f 000 Occupancy Type: Number of Stories: Number of Dwelling Units: Owner: Address: City State: (Attach Proof of Ownership & Legal Description) Flood Zone: Residential Commercial Industrial Zoning: Total Square Footage: Zip: Phone No.: Fax No.: Contractor: S w 44d1_i�a. .�P // R �✓�c Gwo L , Address: 2-gOnL Gt/� ���✓o /��v� City: State: jet. Zip: IZ771 State License No.: OO 8S/7odo / 8,5-- Phone No.: yZQ %— 6 $ 9 - 0 y 9 Fax No.: L/0 7- 6 8 6- y3 9.3 Contact Person: _ W A- ��¢� �i4sz� Atli Phone No.: �q�.•� Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender: Address: Architect: Address: Phone No.: Fax No.: 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, 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 requirements of Florida Lien Law, FS 713. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Signature of Contractor/Agent Date 01 Print Contractor/Agent's ame 71-dW,PT11� �'IL4111 Signature of Notary -State of Florida Date -;Y t�+- Marcia A Stivanson =• �MY COMMISSION# CC918646 April EXPIRES BONDED TN TROY FAIN IN URANCE INC Contractor/Agent is 'personally Known to Me or Produced ID APPLICATION APPROVED BY: Z�� �9-- Date: ? - ZO. 0 r Special Conditions: Jul 22 03 10:20a RLLTECH COMMERCI,RL SVCS 386 228 0622 p.2 CITY OF SANFORD PERMIT APPLICATION Permit#: 10-'7— 000nZ33 Date: Job Address: 3�05 3 o r\a..ap (�vt nv-e, Description of Work: ►crook v r'e 40,a_ tease Historic District: Zoning: Value of Work: $ a o O .o 0 Permit Type: Building Electrical _ A Mechanical Plumbing Fire Sprinkler/Alann Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service 'TemporaryPole 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 X Industrial Total Square Footage: Construction Type: # of Stories: # of DwellingUnits: Flood Zone: (FEMA form required for other than X) Parcel q: Owners Neme & Address: (Attach Proof of Ownership & Legal Description) Phone: Contractor Name &Address• ppery.// 4J F t State License �Number: (�Qd �"( 7� Phone & Fax: b`Q3 — gy. p��j'7 ` Contact Person: Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phono: 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 ell 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: l 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: fit addition to the requirements of this permit, there may be additional restrictions applicable to this property drat 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 ofCFloTrida Lien Law, FS 713. Signatutro of Owner/Agdtt E Date Signature of Contractor/A nto Date • - Print Owner/Agent's Name L�/ bi►� -A Print Contractor/A ,e is Name o on 0 Signature of Notarystetc of Plotida o ��' EnDate Signature of Notary -State of Florida Date a, �, n. a ro H�w-yy 00SNpV Owner/Agent is _ Personally Known to Me or _ Produced ID Contractor/Agent cnt is Pers rally Kno n to Me or g ,�v o 2 0 0 N w �Produced IU�21`7 APPLICATION APPROVED BY: Bldg; Zoning: (Initial &Date) Utilities: FD: (initial & Date) (Initial &Date (Initial & Date) Special Conditions: POWER OF ATTORNEY - Date: July 22, 2003 I hereby name and appoint Ernest McQuai - of Associated Electric to be my lawftl attorney in fact to act forme and apply to the City Of Sanford Building Department for a Electrical pe=t . Y for work to be performed at a location described as: Section 1 ownsmp xangc i.J� •..��. Subdivision Walmart #857 - 3653 Orlando Avenue Sanford, Florida 32773 (Address of Job) (Owner of Property and Address) ' b and to sign my name and do all things necessary to this appointment Herbert C. Varner • 1 the fore oing instrument was acimowledged before me this L y of 20 _ Y who is personally known to melwho produced as identification and who did not take oath. State of Flori County of Seal Notary Public, . a, County, Florida �0 MY COM S 0 �OD 88995 C.`: WI-N 1 Pro cs��c �4- orsi�P!saz Coo z adaa�2vfasu:: or^.'iPawc o[ �¢aacy.doc EXPIRES: June 28, 2007 ? i o t i BMWTTw Notaryfubk Underwr@ers 3gc t 139