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Home My WebLink About269 Towne Center Cir - BC01-001879 (HOT TOPIC) INTERIOR REMODEL DOCUMENTSd PERMIT ADDRESS 2(o 9 SUBDIVISION En En CONTRACTOR ADDRESS PHONE NUMBER PROPERTY Q;s L gj T C% P-U, ADDRESS PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR (SOrd MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE a, 4 PERMIT # O /* O DATE PERMIT DESCRIPTION PERMIT VALUATION ` r Z SQUARE FOOTAGE / 8 l INSPECTOR REdUEST FOR FINAL INSPECTION CERTIFICATE OF OCCUPANCY/COMPLETION INTERIOR REMODEL TO A COMMERCIAL BUILDING"" DATE -3 - Q I PERMIT # 01 (0. p 7C1 ADDRESS aC ci Town e C ems, -ice C Q PROJECT J G SP I/)-Ie, Te Cam, ' C-1 CONTRACTOR The Building Division has received a request for a final inspection and a Certificate of Occupancy for the above referenced address. We would appreciate a final inspection of the site by your department. Approval by your department would result in a granting a C.O. for the address. If you have any issues that the contractor will need to address, please submit a statement for denial of C.O. or a conditional agreement to be attached to the C.O. Thank you for your coo Engineeri Public Works Zoning Utilities Licensing Conditions: ( to be completed only if approval is conditional) INSPECTOR REQUEST FOR FINAL INSPECTION CERTIFICATE OF OCCUPANCY/COMPLETION INTERIOR REMODEL TO A COMMERCIAL BUILDING"" DATE -8 - Q PERMIT # ' V I a 0 7GI ADDRESS aCoGl Towne C e-,, er C Q- PROJECT t-6 J t G Se vt I I T ne CeI4ej-' (qC.I CONTRACTOR ' L,CA Lvi n The Building Division has received a request for a final inspection and a Certificate of Occupancy for the above referenced address. We would appreciate a final inspection of the site by your department. Approval by your department would result in a granting a C.O. for the address. If you have any issues that the contractor will need to address, please submit a statement for denial of C.O. or a conditional agreement to be attached to the C.O. Thank you for your cooperation. Engineeri Public Works Utilities Licensinq Conditions: (to be completed only if approval is conditional) INSPECTOR REQUEST FOR FINAL INSPECTION CERTIFICATE OF OCCUPANCY/COMPLETION ' INTERIOR REMODEL DATE -S - Q I PERMIT # V 0 7C1 TO A COMMERCIAL BUILDING`**"- ADDRESS a Towr, e C e-4 -kr C v - PROJECT TJ L /Sem ,le, T,-e riri CONTRACTOR `' I_ G P r nl Pr ,,.i ' , ' L:, L.- LA- The Building Division has received a request for a final inspection and a Certificate of Occupancy for the above referenced address. We would appreciate a final inspection of the site by your department. Approval by your department would result in a granting a C.O. for the address. If you have any issues that the contractor will need to address, please submit a statement for denial of C.O. or a conditional agreement to be attached to the C.O. Thank you for your cooperation. Engineering Fire Public Works Utilities 1 / -Licensing INSPECTOR REQUEST FOR FINAL INSPECTION CERTIFICATE OF OCCUPANCY/COMPLETION INTERIOR REMODEL TO A COMMERCIAL BUILDING**** DATE-9-8 - Q V. p PERMIT # ADDRESS cyc Town e C ems, -kr C PROJECT J t L S I Ie, T\,.jne Cc 4,-' Ac-1 ) CONTRACTOR__t Lp n 1 rPr- The Building Division has received a request for a final inspection and a Certificate of Occupancy for the above referenced address. We would appreciate a final inspection of the site by your department. Approval by your department would result in a granting a C.O. for the address. If you have any issues that the contractor will need to address, please submit a statement for denial of C.O. or a conditional agreement to be attached to the C.O. Thank you for your cooperation. Engineering Fire Q Public Works Zoning Utilities Licensinq Conditions: (to be completed only if approval is conditional) CITY`OF SANFORD, FLORIDA APPLICATION FOk BUILDING PERMIT 7,!_q W.— PERMIT ADDRESS TO-WE CE)JTGQ_ Ce •. 0.4f M Q 1 J Total Contract Price ?f Job Describe Work A c Ple( Type of Construction Number of Stories Occupancy: Residential PERMIT NUMBER Total Sq. Ft. l LVVU rLV111Z kLr.J/ Lam/ Zoning Commercial {. Industrial LEGAL DESCRIPTION (please attach printout from Seminole County) TAX I.D. NUMBER OWNER HOT 'TOPIC IAJC ADDRESS E • • .j L CITY fill-41T2y STATE TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY BONDING COMPANY ADDRESS CITY ARCHITECT ADDRESS _ CITY MORTGAGE LENDER ADDRESS CITY STATE STATE STATE STATE PHONE NUMBER ZIP 1919 ZIP ZIP ZIP ZIP CONTRACTOR C,JFLi J:JPS V "T •- - Ce S PHONE NUMBER QQ''j •Z j Q ADDRESS 4"70S r-r„ j %e e4AM*QC0 ST. LICENSE NUMBER v'? Zevc l9q CITY e-"AJD0 STATE FL,. ZIP Z 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. ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. F5 d l0 U 7 d O 1. C4 a O C N C C4 3 O E ac4 ro c Z >• ra 0 W r C O W O ro y tU J"a O N ?I Z 04 E-H 4 0Ry- V C, y-CA-, &- C . Signature of Owner/Agent & Date Sig a of ivy aw:,e Foci G • c ,. C ER OF THE PROPERTY OF N O 10 n r M U 0) tractor & Date M, a `< 1 NisHF+ Type or Print Owner/Agent Name Type or Print Contractor's Name v 9 y • O M Signature W'—Notary & Date Signature of Notary & Date Official Seal) (Official Seal) I ' Martha M oueris My Commission CC073077 Expires September 22, 2003' Application Approved BY: —/s— Date: S"— /— FEES: Building Radon Police Fire Open Space Road Impact Application PERMIT VALIDATION: CHECK CASH DATE BY ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) M d THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE 1- TWO Fire & Security Grinnell Fire Protection NOVEMBER 7, 2000 SANFORD BUILDING DEPTMENT 300 NORTH PARK AVE SANFORD FLORIDA 32771 TO WHOM IT MAY CONCERN: Grinnell FireProtection 4708 Parkway Commerce Blvd Orlando Florida 32808 Phone (407)299-3430 Fax(407-2994727 1-800-799-8707 PLEASE ALLOW THE FOLOWING INDIVIDUALS TO OBTAIN PERMITS FOR GRINNELL FIREPROTECTIONTOINSTALLFIREPROTECTIONSYSTEMSINTHECITYOFSANFORD, SEMINOLECOUNTY, FLORIDA. MIKE DONOVAN GENE ROBINSON KATHY JACOBS BUTCH CARPENTER MIKE OLIVER JOSEPH J. NEMCEK CLAY SETLIFF SS#264-85-5715 SS#243-21-9235 SS#467-02-5788 SS#264-65-9178 SS#267-83-2499 SS 198-38-2135 SS451-80-7229 CONTRACTORS LICENSE NUMBER: 607672000199 RON JAC S STATE OF FLORIDA BEFORE ME APPEARED RONALD L. JACOBS TO ME WELL KNOWN TO ME TO BE THE PERSONDESCRIBEDINANDWHOEXECUTEDTHATRONALDL. JACOBS EXECUTED SAID INSTRUMENTFORTHEPURPOSESTHEREINEXPRESSED. WITTNESS MY HAND AND OFFICAL SEAL, THIS _7 DAY OF NOVEMBER 2000. NOTARY PUBLIC STATE 01>FLORIDA ej tN' marina M QueftMycorr"i"On CC8730771N.'"'00 Expires September 22, 2003 A Two INTERNATIONAL LTD. COMPANY THIS CERTIFIES THAT: BUSINESS ORGANIZATION: OFFI- ,tom{"fi•c? ':r,rs, CE OF TREASURER DEPARTMENT•OFINSURANCE TALLAHA§SEE, FLORIDA STATE FIRE MARSHAL CERTIFICATE OF COMPETENCY RCN JACOBS 4708 PARKWAY COMMERCE BLVDORLANDO* FL 32808 GRINNELL FIRE PROTECTION SYSTEMS CONTRACTOR II IS LIMITED TO THE EXECUTION OF CONTRACTS REQUIRING THE ABILITY TOLAYOUT. FABRICATE. INSTALL& INSPECT. ALTER. OR SERVIC- WATER SPRINKLER SYSTEMS* WATER SPRAY SYSTEMS, FOAM -WATER SPRINKLER SYSTEMS• FOAM -WATER SPRAY SYSTEMSSTANDPIPES, COMBINATION STANDPIPES AND SPRINKLER RISERS,, EXCLUDING PRE-ENGINEEREDSYSTEMS. I I I I I '-• 07 17 00 OT 15 071 607672000199 1209050004 250.00 ISSUE DATE TYPE CLASS COUNTY LICENSE OR PERMIT NUMBER APPLICATION I TAXES A FEES 061301 02 INSURANCE COMMISSIONER EXPIRATIONDATE FIRE MARSHAL MARSH USA R IFG"IMNCENCRTIFICAfy..:'•+I..r.G..4..::Yatciv..b.rI_.--. «_,... ...i...Kir OF PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS Renee Mickens C40 Marsh USA Inc. NO MONTS UPON THE CERTIFICATENOLOER OTHER THAN THOSE PROVIDED IN THE Risk Management Casualty Dept., 41 st FL POLICY. THIS CERTIFICATE DOES NOT AMD, EXTEND OR ALTER THE COVERAGE 1166 A% wwe 0t the Americas AFFORDED BY THE POLICIES DESCRIBED HEREIN. Tel: 212- 345-3074 Fax 212-345-5626 New York, NY 10035-2774 COMPANIES AFFORDING COVERAGE COMPANY 80- GRINN- BLANK-00/01 A AMERICAN HOME ASSURANCE CO. INSURED COMPANY GRINNELL FIRE PROTECTION SYSTEMS CO. B WORKERS COMPENSATION, SEE ATTACHED SCHEDULE COMPANY C COMPANY D COVERAGES THIS IS TO CERTIFY THAT POLICES OF INSURANCE DESCRIBED HEREIN MHAVE BEEN ISSUED TO THE INSURED NAMED HEREIN FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT W mH RESPECTTO WHICH THE CERTIFICATE MAYBE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TALL THE TERMS, CONDITIONS AND EXCLUSIONS OF SUCH POLICES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS. CO POLICY EFFECTIVE i POLICY EXPIRATION LTR TYPEOFINSURANCEPOLICYNUMBERDATE (MMMD/TY) ! DATE (MEDOIYY) I UMTS GENERAL LWILITY GENERAL AGGREGATE 10.000,000 X PRODUCTS - COMP/OP AGO 10,000,000 A COMMERCIALGENERALLIABILITYRMGL612362007/01/00 10/01/01 CLAMS MADE OCCUR PERSONAL A AOV INJURY 0001000EACHOCCURRENCE 5 2.000,000 OWNERS ACONTRACTOR-S PROT i FIRE DAMAGE oIIB BIB 1,000,000 I MEDEXPmnS10,000 A AUTOMOBILE LIASILRY AW AUTO ALL OWNED AUTOS SCHEDULED AUTOS i HIRED AUTOS I NON-OWNEO AUTOS ( RMCA5347953 ( A/S) RMCA 5347952 ( TX) 07/01100 07/01 / 00 i i 10/ 01/01 10/01/ 01 I COMBINED SINGLE LIMIT 500,000 X BODILY INJURY PB P oD) s X BODILYINJURY Parsociel") a X PROPERTY DAMAGEs GARAGE LIABILITY ANY AUTO i AUTO ONLY _ E ACCIDENT S OTHER THAN AUTO ONLY: CH NT AGGREGATE A EXCESS LIABILITY I BE 7394784 UMBRELLA FORM I OTHER THAN UMBRELLAFORM07/01/00 10/01/01 EACH OCCURRENCE 3,000,000 AGGREGATE 3,000, 000 S A B WORKERS COMPENSATION AND iSEE PAGE TWO EMPLOYERS LIABILITY THEPROPRETOWI• PARTNERSA.XECUTNINCL E OFFICERS ARE: EXCLI 07/01/00 07/ 01/01 107/ 01/01 I10/ 01/01 I X i TOV LIMITS ER R ELEACHAccIDENTi 1,000, 000 EL DISEASE -POLICY LIMIT 1,000,000 0. DIN ASEFACH EMPLOYEE 1,000,000 I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE POLICES DESCRIBED HEREIN BE CANCELLED BEFORE THE EXPIRATION CATE THEREOF. THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO MAL -__Q GAYS WRITTEN NORC! TO THE CERTIFICATE HOLDER NAMED HEREIN. BUT FAILURE TO MML SUCH NOTICE SWILL IMPOSE NO OBLIGATION OR LVLBINIY OF ANY KID UPON THE POURER AFFORDINGCOVERAGE rts AGENTS ORRERESENTATNES. Kalhaiine S. O'Leary A M ). 0:6p. OF: 06AAM DDITIONAL INFORMATION DATE(uniou"") NYG000"7865-03 06/26/00 PRODUCER COMPANIES AFFORDING COVERAGE Renee Mickens do Marsh USA Inc. Risk Management Casualty Dept., 41st FL COMPANY 1166 Avenue of the Americas E Tel:212-345-3074 Fax 212-345-5626 New York, NY 10036-2774 COMPANY F 58880-GRINN-BLANK-00/01 INSURED GRINNELL FIRE PROTECTION SYSTEMS CO. COMPANY G WORKER'S COMPENSATION COVERAGE 7/1/00 - 7/1/01 INSURANCE POLICY # A) AMERICAN HOME ASSURANCE CO RMWC 5275025 8) NATIONAL UNION FIRE INSURANCE CO. RMWC 5275026 B) INS. CO. STATE OF PA RMWC 5275027 B) IRMWC 5275028 LLINOIS AL INS. CO. 8) ILLINOIS NATIONAL INS. CO. RMWC 5275029 B) At SOUTH INSURANCE CO. RMWC 5275030 A) AMERICAN HOME ASSURANCE CO. RMWC 5275031 COMPANY H 7/1/01 - 10/1/01 STATE INSURANCE POLICY # CA RMWC 5275071 NV, OR RMWC 5275072 AR, FL, MA, TN, VA RMWC 5275073 IL, LA RMWC 5275074 NY, WI RMWC 5275075 GA RMWC 5275076 ALL OTHER STATES RMWC•5275077 INCLUDES COPYRIGHTED MATERIAL OF ACORD CORPORATION WITS ITS PERMISSION. Fire & Security Grinnell Fire Protection DATE: 7-19-01 SEND: SILVER STREAK TO: SANFORD BUILDING DEPTMENT 300 NORTH PARK AVE SANFORD FLORIDA 32771 407-330-5660 ATTN: JOANNE OR MARY REF: HOT TOPICS @ SEMINOLE TOWN CENTER QTY DESCRIPTION Grinnell Fire Protection 4708 Parkway Commerce Blvd Orlando Florida 32808 Phone (407)299-3430 Fax (407) 299-4727 1-800-799-8707 CONTRACT 7-055926 DWG # REVISION 3 SPRINKLER DWGS FP-1 1 PERMIT APPLICATION 1 LICENSE 1 WORKMEN'S COMP. / LIABILITY INS. GRINNELL FIRE WILL PAY THE PERMIT FEE @ TIME OF PERMIT PICK-UP RETURN (1) COPY OF DWGS OR LITERATURE WITH STAMP OF APPROVAL RESPECTFULLY SUBMITTED JEREMY N. COOK DESIGN DEPARTMENT TL Grinnell A Tvr % INTFRNATIrWAI I Tn rnRAPANV A JUL-19-01 09:21 AM PROFESSIONAL BUILDERS 14178810639 P•02 Tax Folio No. lit No. , NOTICE OF COMMENCEMENT 1 or bb D IS and ht actordanex tr+lthChaplet 71 Florida Stetuta, the rottowityadomiy+ed bueby dive n4lic! that improvement vdll bD rt>sde to eettaln teal ptope y, ration 11provided to thin Notice orCoftnencmenl. w___ wfwwww.fly! tle 1 teaatptifut of the Property end elreetddd u fsvNlabG) _. • - 4 - - -- - Qenenl dcloriptton of Invmvemotlt: owncr'a lnfortrtation: Warm e: 111teirt in Froyartr Nameand address oi ee airmie titleholder of other Dan Dtilte rr* w _ J •• t J _ _ entmwr. Phone Surety: Arr,ount or Londer. e• nuumm . Phone Nvmbor peraonl within the Slat° or Ilvrld desismted by Owns Urm+ whom notkea a other doeuntenu raybe a rvod w prodded by Section 113.) 3ilj(1)7.• Plorldr 6tatutaa: Name: i Phone?lumber: of in add+lion to ltirlyelf, Owne deai natoatorece{ve a wpy offife i;e ur'e )vOt16G a prpvidcd h+ salon 7id.17(1xb)'Floflda St.tuta, - Phone Tlurrider Sxpintion deu of notice ofaommetaeenret (Iho a piration data h 1 year from tM d•K of n M/ unlcae. different date to apecined)t m v TEOf Il fA xo by WTY OF day or t' " - a bebrs r>c thte --- asidentiueapon endforogoiosinsImmcntwa1acbloWie4gehurodueedwlolapersonallybt0 to or who P y FAR not) %O C an oath. LDNE7'CE ES7RADp tEneture r COMM ii 11859813 NOTARY pwUC . IA NOTARY SEAL) Q % LOs AtMLES CORM prim Name ponxni:slon Ewdnc 016. lost eoeee•e.ee.a•e+7'+e+ CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: % ,3 D I PERMIT #: -xL IS BUSINESS NAME / PROJECT: go T TO Pi c- / 61n rn n d l) 611-4 JaR i - ADDRESS: oZ & C7 7o w h d C1(n TA L- @. ,`n PHONE NO.: L%07 - ) 5 e. - 3 `-3 0 FAX NO.: CONST. INSP. [ ] F. A. [ ] F.S. TENT PERMIT [ ] ClOINSP.:[ ] REINSPECTION [ ] HOOD [ ] PAINT BOOTH TANK PERMIT (] OTHER [ 1 _ PLANS REVIEW [ ] BURN PERMIT [ ] TOTAL FEES: $ S O (PER UNIT SEE BELOW) COMMENTS: Ao 4 !I,1 C g 1m if, h T--- Address / Bldg. # / Unit # Sauare Footage Fees per 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. 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 1 will comply with all applicable codes and ordinances of the Cityof Sanford, Floridq, Sanford Fire Pr6ention Division / , Applicant'2!!!tu, CITY OF SANFORD MECHANICAL PERMIT APPLICATION Permit Number: (0 / / R7 Date: 7 /;1_0 /O / The undersigned hereby applies for a permit to install the following equipment: Owners Name: 140 )-viJrr- S Address of Job: Mechanical Contractor: / 7 B 6001 V Residential Non -Residential Ado Nature of Work: act wc• Or - SG , p cry Y4C Job Valuation: S11 X D Application Fee: 10.00 TOTAL DUE: By signing this application, I am stating that 1 am in compliance with City anford Mechanical Code. 6U! KA icant Signature State License Number 111897 11)0;;$ LIMITED POWER OF ATTORNEY I hereby name and appoint of Date: bj to be my lawful attorney 1 in fact to act for me and apply to ' 1 i S ,for a permit for work to be performed at a location described as: Section Lot Block, Township Subdivision Address of Job) Owner of Property and Address) and to sign my name and do all things necessary to this appointment. rt Ohi. 0,45 (01380 'RrQP#3 0 or Print name of Certified Contractor add License 1 n Contractor) o'Acknowledged: Sworn to and subscribed before me this b] Day of Q A.D. Notary Public, State of Florida TONYA Y. WAYEOQO'..* MY COMMISSION# DD001501 Sea]) EXPIRES: Feftary 15, Zoo5 A oaod TAru No" PWk UndonnMn My Commission Expires: Feb. i 5 i BOOS Range ti 7 JJ `• / No.: _ 1 . oAaam4: . Permit Type: Building Description of Work OF SANFORD PERMIT APPLICATION Date: Z O i O-Of Electrical Mecbanical Plumbing Fir., MarsulSprinkler, t -% I- v i-# v i Ae e e ... —4 r Additional Information for Electrical & Plumbing Permits Electrical: —Addition/Alteration Change of Service Temporary Pole _New AMP Service (Il of AMPS i Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines m Occupancy Type: Residential lt m`mercial _ Industrial Total Sq Ftg: Value of Worlc: S Zing Type of Construction: Flood Zone: Number of Stories:_ Number of Dwelling Units: Parcel No.: Contact Person: ' Title Holder (If other than Owner): Address: Bonding Company: Address: Mortgage Lender: Attach Proof ofOwnership & LegW Description) State License Number.(!:f31C a —gj Phone & Fax Number. D/9 Architect/Engineer Phone No.: Address: Fax No.: Application is hereby made to obtain apermit to do the work and installations as indicated. I certify that no work or WAWk dm has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulstIng consouction 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 ofthe 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 COMN IENCENIENT. 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 enlities 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 441 --7 A a> Si of Owner/Agent Date rRD •7o 14,41solu Print Owner/Agent's Name et.0 71119 p/ Signature ofgotary- a of Flo Date C: FiC:IAL NOTARY SEAL O R SHOOK JR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC7998M MY COMMI P. DEC 202002 Owner/Agent is Personally Known to Me or Produced ID of F1Deda Lien Law, FS 713. Date e JDU,0GAJ Print Contra Agent's Name 12, (Wo S' ture of Notary -State orida Date JO ANN M. j&HNSW4 MY COMMISSION 0 CC 911sQ8 EXPIRES: March 23.2004 Bonded Thru Buigo Noun/ Scrvr, as Contractor/Agent is Personally Known to Nk or G Produced IDR D/_ 4C6 Z 5-CZ Z92Z<o 0 APPLICATION APPROVED BY: 6 Date: ty— r Special Conditions: As ... C> lr5 Tee 2 c!'Pv'ua r/rs c - 1 f 4) professional builders July 23, 2001 Building Department City of Sanford 300 North Park Avenue Sanford, FL 32771. Re: Power of Attorney Dear Sir or Madam: 2041 South Stewart Spr/nguffid, M/SSouO-t 65804 417.881.5151 FAX 417.881.0639 This letter serves as authorization for George Duncan to sign on behalf of Chris Leslie Lakin, License # CB-0055283, in regards to sign permits for the project Hot Topic, space MO1 in the Seminole Town Center, Sanford Florida. President Notary: Subscribed and sworn before me this - 3'e-P day of July, 2001. My Commission Ex] SHERRY L. COPELAND Notary PWft one cowb Sena or mi"Wri MY CVMMWSW Expires June 23, 2005 JUL-19-01 01:49 PM PROFESSIONAL BUILDERS FAX NO. 14178810639 P . 05 Oct. 01 2M 04. 52PM P2 S MON" if ,tl ZraK 4reb te INW U• 0 Tim Landvlk July 5, 2001 C.W.I. Siena Via Airborne 2nd Dey 17875 Haygen Sk Riverside; CA 92505 phone 0'. OMOO-3255 Reference: SIGN REVIEW Hot Topic Seminole Tom Cst1tr #3625 space 11: 001 Sanford, FL - Dear Mr. Landvik: The Tonenfe sign design and Construction drawings have been reviewed. and "Y are apprevsd ae noted. One set of plans marked with review comments is enclosed for your records. The Tenant Is responsible for informing his vendor of pertinent lease requirement$, procedures for checking in with the appropriate Landlord Representatives at the site, and as Mali Rulm and RequWl". stnce'ay. Monica Burkett Tenant Coordinator (317) 2W7072 Copy. Mall Manager, Central Files. Tenant File Ta+o.rl"k 115 West Weswit" "t w,ftepok, mwe 46204 317.636.1600 00"bro".00% J. OM4 re 3W WWBW- IFMUVXW 2 r1rKxrowfw3mmP" SMCAlMVMANr9qW§LACKftM TOA44MTJM MDRMxt!wmww J%Illkg^ 30CURBCWWM r;.--wl PAV., 13aft n r r SANFORD BUILDING DEPT. THESE PLANS ARE REVIEWED AND CONDITIONALLY ACCEPTED FOR PERMIT. A PERMIT ISSUED SHALL BE CONSTRUED TO BE'A LICENSE TO PROCEED WITH THE WORK AND NOT AS AUTHORITY TO VIOLATE, CANCEL. ALTER, ?OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL CODE`?. NOR SHALL ISSUANCE OF A t4ERh.rr PREVENT TrrE BUILDING ' DEPT FROM THEREAF=TER REOUIRING A CORREC- TION OF ERRORS ON THE F:-ANS. CONSTRUCTION OR OTHER V101-ATION-7 OF THE CO005 1 City of Sanford ~ Mode! Co'1es. in effect: j Standard Building Code 1.997 ed. Standard P!umbing Code 1997 ed. Standard Mechanical: Code 1997 ed. National Electrical Code 1996 ed. See City'Code AMENDMENTSFL. Accessibility Codes 1997FL. Energy Code 1997' FINAI V ' 1 • 1 PERMITv-xi PLANS REVIEWED -- _ CITY OF SANFORD • of Iall mill Hui 1III Jul pill 111111111#1113111111111U1 No. TaxFolioNo. MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTYNOTICEOF COMMENCEMENIIK 04124 PG 0662 CLERK'S # 2001720792 of r% B Rw12A RECORDED 07/09/20U1 .12:19:29 PM my of RECORDING FEES 6.00 RECORDED BY S Coah undersigned hereby give notice that improvement will be rrmde to certain real property, and in accordance with Chapter 713, Florida Statutes, the following rmarion is provided In this Notice of Commencement General description of improvement: Owner's information: Name:_ Address: Intertat i v rtpty of the property, Ind scree ;tddresa if tom!-T a t l!£ J t a, •ilT% tom Name and address ofAo simple titleholder (if other thanOwner): Contractor: Surety: Lender: dress: P one Number: Fax Number: Amount of Bond- S f y Name: IvI " Address: Phone Number: Fat Number: Persons within the Statc of Florida designated by Owner upon whom notices or other documents may bo sorvcd as provided by Section 713.J 3(I Xa)7.. Florida Statutes: Address: Phone Number: n, Fax Number: In addition to himself, Owner designaks / V of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Phone t. Expiration date of notico of commencement (thoexpiration date Is 1 year ftom the date of recording unless a different date is specified): ATE OF ` 1 IUNTY OF I2f e foregoing instrument was acknowledged before me this w• o did (did not) take on oath. NOTARY SEAL) HIS INSTRWANT rkEPAkD day of ( WI 20 v' by t. OM who is personally known tome or who has produced as Identification and eeeN+ee 3 LONETTE ESTRADA - COMINI # 1165969 ignature W •..,'-»•- ' - NOTARY PUBLIC - CALIFORNIA t;lt(1 ifILD GOPV LOS ANGELES COUNTY _ psi My Commission Expires Dso.20, , NAM E 1 1 C-4 ADD . I, x '%z MARYANNE MORSE PrirgCW OF CIRCUIT COURT SEMINOLE COUNTY. FLORIDA DE,PL rYCLERK JUL 0- 92001 Pik July 5, 2001 professional builders Building Department City of Sanford 300 North Park Avenue Sanford, FL 32771. Re: Power ofAttorney Dear Sir or Madam: 2041 South Stewart Springfield, Missouri 65804 417.881.5151 FAX 417.881.0639 This letter serves as authorization for George Duncan to sign on behalf of Chris Leslie Lakin, License # CB-0055283, in regards to permits and licensing for the project Hot Topic, space MO1 in the Seminole Town Center, Sanford Florida. Notary: Subscribed and sworn before me this 64— day of July, 2001. Not ublic Sighature Commission Expires: SHERRY L. COPELAND No" PWW Greens County no Of Mssouri My ComrnWWw Expires June 23. 2W5 t CITY OF SANFORD PERIVDT APPLICATION Permit No.: O (M Date: Job Address: C1 f6e Parcel No.: (Attach Proof of Ownership & Legal Description) Description of Work: 1— Type of Construction: n , Flood Zone: Valuation of Work: $ g1l0 Occupancy Type: esidential Commercial jIndustrial Number of Stories: I Number of Dwelling Units: Zoning: Total Square Footage: V Owner: Address: 0CAJ, e S}S City::ra Ia o State: ON- Zip: RID 6x) r Phone No.: \ ' %' (9a(70 Fax No.: 2 to au- 2 3 0 ontractor: 'L ddress: ity: - State: "n Zip: O tate License No.: hone No.: 2 Fax No.: Contact Person: a Phone No.: 310 jlf/W DX19 Title Holder (If other than caner): 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 apermit and that all work will be performed to meet standards of alllaws 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 thiscounty, 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 verifici •on that I will notify the owner of the property of the Pr Berm lt b aturdo can / en A at 14 ATT PP ' - / A is Name Print Contractor/Agent's Name 7 L.` ` J . 4 L c 3/V l(::—q" r—h --) 9 I 0 I Signature of Notary -State of-Rmift Date ignature of Notary- to of Florida Date EVHYN G. Commission6 11 KE 3793 ANN M. JOHNSON u MY COMMISSION A CC 921808 m Notary Pubic - Ca! I!cm:a S EXPIRES: March 23, 2004 N pF,oP—Bcndej Thru Budget Notary Services Y Los An3. s Ccuniy My Ce„a• r. Eti,`; s"'z716,=w Own /Ugetit i' s Perso Ily=Knowmto=Me or Contr ctor/Agent is 'Personally Known to Me or Produced ID p i. 1 .1c Sroduced ID f-Jt> L I ZS32g Z?a IiI HV ro APPLICATION APPROVED BY: / / b- Date: l t CITY OF SANFORD PERMIT APPLICATION Permit No.: O I ( / Date: Job Addres-s.4 WN CaftkkrC1r 1 e Parcel No.: Description of Work: Type of Construction: 1C Valuation of Work: $ q1 1 2 1. Occupancy T Attach Proof of Ownership & Legal Description) i Flood Zone: ial V Commercial Industrial Number of Stories: I Number of Dwelling Units: Zoning: Total Square Footage: I Owner: 4q: :nw eA (Vyg W Address: - 'b-1 ObS -Q • Q. VA City: M0?,9,.1!0M State: C Zip: go 50 Phone No.: ' !au • (0300 Fax No.: /ZIO ' 3Ju- m(p . Contractor: ddress: City: — State: Zip: hone No.: Fax No.: Contact Person: Title HolderVfth, Address: Bonding Company: Address: Mortgage Lender:_ Address: Architect: Address: S State License No.: Phone No.: 2?' Q X i PhoneNo.: 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 ELECq - qI AL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, C. 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 isverifica on that I will notify the owner of the property of the require ents of FloridaLien Law, FS 713. I oY apl `iv Er Rer its r y Signature ofOwner/Agent / t / / _ rta, l "n ttt Priht Owner/ Aaefit's Name J Print Contractor/Agent's Name Signature of Notary -State of-Fiartff Dat Ih• V- CiI0i ignature of Notary-$Ute of Florida_ Date E,w, JOANIJ M-_ JOHNSONMV Co%%IissioNCC921808tS, 20041.hru:0.Y SdNti05t:,. F: :•rear. _ _ Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID / p Produced ID 1r -3Z9 2 ?mod APPLICATION APPROVED BY: 6 /,e T'f Date: CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: G 16,16 1 BUSINESS NAME / PROJECT: A 0% -FL) P I L PERMI'I H: l)/-IY// ADDRESS: oZ L 9 Tow„ ji- c4n i,iN e,',,- PHONE NO.: J/ D - 3 2F - 10 3 0,0 FAX NO.: CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ] TENT PERMIT [ ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ PER UNIT SEE BELOW) COMMENTS: S d g 104A r V 1 .S H It l T 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit Townit eidniA£w eS .-' 3G Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 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 correst.aud at I will comply with all a icabl! Bodes and nances of the City of! 'W-r #a. Sanford Fire PrevIE tion Division --- I - / Appl-S;S-r,nature DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN. P. 0. BOX 1788 SANFORD, FL 32772-1788 Project Name: I IcT - °rC 'hoae ) Owner/Contact Person: Address: w %'u-"J Type of Development: 1) RESIDENTIAL C , , 2 (f I- 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 Date: s- Phone: Type of Units (commercial, Co/`rr7industrial, 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: /V /3 „b.,-QL Lvr`T•i yG .. CONNECTION FEE CALCULATION: V d a? r'ac -T GAG; Name - Signature - Date REVISED __3-k207'9_67 q7 BP200IO2 CITY OF SANFORD 6/11/01 Application Miscellaneous Information Inquiry 11:16:00 Application nbr . : 01 00001879 Property • • • • : 269 TOWNE CENTER CIR Code Freeform information HISB NEEDS: ORIGINAL POA FOR MATT DAY TO SIGN HISB AS AGENT• HISB 2) CONTRACTOR TO BE REGISTERED• HISB 3) NOC HISB GAVE INFO TO MARY ANN - 6/11/01 VIA HISB PHONE• JJ Press Enter to continue. F3=Exit F12=Cancel Display note at Print Date Permit Insp C•0• flag 6/11/01 Y Y Y Y 6/11/01 Y Y Y Y 6/11/01 Y Y Y Y 6/11/01 Y Y Y Y 6/11/01 Y Y Y Y 6/11/01 Y Y Y Y Bottom CITY OF SANFORD PERMIT APPLICATION Date: T- /'' )/ Permit No.: Job Address: Permit Type: ),C_ Building Description of Work: Cr Additional Information for Electrical & Plumbing Permits Electrical: _Addition/Alterati _Change of Service Temporary Pole _New AMP Service (# of AMPS ) Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional) Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines Occupancy Type: _Residential Commercial _Industrial Total Sq Ftg:50 alue of Work: $ Type of Construction: Flood Zone: Number of Stories:_ Number of Dwelling Units: Parcel No.: Owner/Address/Phone: Contractorr//A,ddr`e-ss/Ph Contact Person: Title Holder (If other tl Address: Bonding Company: _ Address: Mortgage Lender: Address: Architect/Engineer Address: LOA Attach Proof o Owncrship & Legal Description) License Number: Fax Number: — 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: 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 FOP, 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 uirements of Flori Lien Law, FS 713. Sign ta ure of Owner/Agent Date 7;Q&fffi5iftontradRrrXgcnt Date ram ,.'-R•-% Print Owner/Agent's Name Signature of N - tate of FI da Date Jr ( Nl ttiOTARYSEAL 0 R SHOOK JR NOTARY %'U8i1C STATE OF FLORIDA C:I,vfISSION NO. CC799800 MY COMM ION EXP. DEC. 28,2002 Owner/Agent is Personally Known to Me or Produced ID Print Contractor/ nt's Name II Signature of Notary-Stateof Florida Date Y •' i<M ;NN 'A. JC iNSON ArfY '; .`s diSSiON # CC 921808 s, E L'iF March O, M9JeOFFtOµeUnANd Contractor/ - or Produced ID 5;t5 3Z J O r APPLICATION APPROVED BY: Date: Special Conditions: Seminole County Property Appraiser Database Information Pagel of 3 SEMINOLE COUNTY APPRAISAL DATA Assessed values shown are NOT certified values and therefore are subject to change before being finalized for ad valorem tax purposes. ax Parcel Id 29-19-30-5LW-0100-0000 LDis;rict S2-SANREDVDST Owner SEMINOLE TOWNE CENTER LP Own/Addr C/O SIMON PROPERTY GROUP L P Address 11P0 BOX 7033 ity,State,ZipCodelIINDIANAPOLIS IN 46207 Property Address 11200 TOWNS CENTER CIR Dor 111501-SUPER REG SHOPPING C Exemptions „- VALUE SUMMARY Value Method Income Number of Buildings 1 Depreciated Bldg Value $0 Depreciated EXFT Value $0 Land Value (Market) $0 Land Value Ag $0 Just/Market Value $64,784,620 Assessed Value (SOH) $64,784,620 Exempt Value 0 http://ntweb.sepafl.org:8080/owa/... /seminole_county_title?PARCEL=2919305LW0100000 07/10/2001 SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION ` a 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 Y' 407 302-1022 / FAX (407) 330-5677 Pager (407) 918-0388 Plans Review Sheet Date: 6/6/01 Business Address: 269 Towne Center Cir. Occ. Ch. 25 Business Name: Hot Topic Ph. (310) 328-6300 Contractor: Ph. Reviewed [ ] Reviewed with comment [ X ] Rejected [ ] Reviewed by: H. A. "Pete" Tucker, Fire Protection Inspector Comment: Plans reviewed as Mercantile Occupancy. FD reserves right to require applicable code requirements if occupancy use changes. Any alterations to Fire sprinkler and/or fire Alarm systems require plans to be submitted by certified contractors for review, permitting, and inspections. 1.1 Application — Interior Renovation. Type IV Const., 1817 sq.ft. 1.2 Mixed — N/A 1.3 Special Definitions — N/N 1.4 Classification of Occupancy — Mercantile 1.5 Classification of Hazard of Contents — Ordinary 1.6 Minimum Construction — N/R 2.2 Means of Egress Components — O.K. 2.3 Capacity of Egress — O.K. 2.4 Number of Exits — O.K. 2.5 Arrangement of Egress — O.K., will field verify 2.6 Travel Distance — O.K. 2.7 Discharge from Exits — O.K., will field verify 2.8 Illumination of Means of Egress — O.K.; will field verify 2.9 Emergency Lighting — O.K.; will field verify 2.10 Marking of Means of Egress — O.K.; will field verify 2.11 Special Features — N/A I SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, FI.32772 407 302-1022 / FAX (407) 330-5677 Pager (407) 918-0388 3.1 Protection of Vertical Openings — N/N 3.2 Protection from Hazards — N/N 3.3 Interior Finish — Class `B" 3.4 Detection, Alarm and Communications Systems — as per NFPA 72 ( See Comments ) 3.5 Extinguishing Requirements — as per NFPA 10 3.6 Corridors — N/A 4 Special Provisions 5 Building Services 5.1 Utilities — as per LSC 7-1 5.2 HVAC — as per LSC 7-2 5.3 Elevators, Escalators, Conveyors (4A-47) — N/A 5.4 Rubbish Chutes, Incinerators, and Laundry Chutes — N/A Sanford City Code — Chapter 9 Fire Sprinklers: Required; also see 3.5 above ( See Comments) Monitoring: Required by a U.L. listed Central Station for all mandated fire sprinklered properties Other: NFPA 1 3-5.1 Fire Lanes — Required if building is more than 150' from street; exception: building has fire sprinkler system. 3-6.1 Key Box — N/A to Renovation 3-7.1 Bldg. Address Number Posted and Legible — Required; will field verify CITY O`- SAN70RD. FLORIDA 1. PERMIT NO- O I DATE 1 ev THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL- LOWING ELECTRICAL WORK: OWNER'S NAME P p -f \ 2 b I. C, ADDRESS OF JOB TO W ti Q ` Q,1{e v V- ELEC. CONTRA -0_nv 1, (Q c+y l S/Rasidenfial Non-n:identiaL Subject to rules and regulations of the city and national electric coda. Number AMOUNT teration Addition Re air Chanve f Service Residential Commercial Mobile Home Factory Built Housing New Residential 0-100 Amp Service 101-200 Ame Service ZO1 Am and above New Commercial Amp Service Application Fee J IF- TOTAL II u By signing this application 1am stating 1will he in compliance with the mg rtic a lion 110• 0 10. Building Official Master Electrician STATE COMPETENCY NO.VC O0o1"" Try-Cor Electric, Inc. ELECTRICAL CONTRACTORS P.O. BOX 580234 ORLANDO, FLORIDA 32858 407) 839-4699 FAX (407) 839-3994 AUTHOWZED SIGNATURE FORM Qualifier's Name Certification Number (s) Company Name Address City, State, Zip Frank Trytek ECOOO 1326 Try-Cor Electric Inc. 3220 371h Street Orlando, Florida 32839 Phone: ` 407-839-4699 I hereby authorize the t 1 T Planning, Zoning and Building Departm it to i sue permits for the anove referenced company to: u horize erson) Location Address: -a(129 O )n,&QLI p r _ I certify that the above person is authorized by the company and I understand that .am -fully responsible and liable for all acts performed cyder- Sd permits. Signature of Qualifier Signature of uthorize gent S orn to and subscribed before me this __ day of My commission expires Susan C Spensieri MY COMMISSION # CC755682 EXPIRES g October 31, 2002 BONDED THRU TROY FAIN INSURANCE INC CITfOF SANFORD, FLORIDA PERMIT NOE& I — 187 DATE 7/ tp/ol THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE FOL. LOWING PLUMBING WORK: OWNER'S NAME 40t _10P, I '' l' C II - i ADDRESS . OF JOBa WN F C' "' eE ` 4 oZ' GORDON MILLER PLUMBING, INC. PLUMBING CONTR. Res. Comm. Subject to rules and regulations of Sanford plumbing code. Residential: Alteration, Addition, Repair New Residential: I Number Amount One Water Closet Additional Water Closet Commercial: Fixtures. -Floor Drain, Trap Sewerr Water Piping Gas Piping Factory -built housing ' Mobile Home Reinspection APPLICATION FEE 1 10100 Minimum Commercial Permit: S-45ADS* Aml Po a Total Master Plumber COMPETENCY CARD NOS OX300 2