HomeMy WebLinkAbout1 Red Cleveland Blvd UNTI 204- BC04-001486 (INTERIOR REMODEL) DOCUMENTSPERMIT ADDRESS
CONTRACTOR
ADDRESS \R
m
4
PHONE NUMBER \0 a, Olt;
PROPERTY OWNER Jr Q •
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
FEE
PERMIT NUMBER FEE
SUBDIVISION
PERMIT # QA- y p DATE •a
PERMIT DESCRIPTION Za,r Q
PERMIT VALUATION
SQUARE FOOTAGE
jp
Ij
ermit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement . New (Duct Layout ,& Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
PIumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential
t
Commercial u Industrial Total Square Footage:
Construction Type: S W # of Stories: # of Dwelling Units: Flood Zone: (FEMA form requlred for other than X)
Parcel #; (
Attach Proof of Ownership & pp / c a ` . `
Lnegal Description)
Owners Name & Address: L (/t I Ma -0 arKl i n D 1 M SI ole, i 6 U
Sn q '
n
Phone:
Contractor Name & Address: _ MQrkk C_On. }J-1J- LlLlf)VJ l_(i• MiAl /)n nninlG C%1IIf)0 Nim
Phone &'Far. `IV
Bonding Company:
Address: N I f
Mortgage Lender: .
Address: ) w
Architect/Engineer:
i
Address: 14 5
0 Contact Person:
I gee
Application is hereby made to obtain a permit to do the work and installations as indicated. I certi (that n*o work oor t
1
issuance of a permit and that all work will be lah°n c°mmencePrior to he
performed to meet standards of all.laws regulating construction in this jurisdiction. I understand that a separate
Permit must besecured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, andAIRCONDITIONERS, 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 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
this county, and there may be additional permits required from other governmental entiti ucl
Ac
cel
of pe it i' s -
nq
m
P Pe — wily nodwner of the property of require
ow Signature of O er/A ent bate n;
z
w
N Print Own r/Agent's me \ Printlo
E Signature of Notary -State of Florida DateE Signa
U
Owner/Agent is
I)L Personally Known to Me or
Produced [D
3-11-o4 - APPROVED BY: Bldg. ' — ' i
mss (Initial &.Dat'e_)/
Special Conditions:
this property that may be found in the public records of
management districts, state or federal agencies.
3, aN-py
of Contractor/Agent Date
14A IKI ,gsfr , L(( c Vl > A
tractor/Ager ' am - 1
ay,rn r
of NY -State of Florida Date
SS
3
Contractor/Agent is X Personally Known to Me or .2
Produced[D _-
3 , Utilities FD-
Initial & Date) (initial & Date) (Initial & Date) -
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.
State of Florida; County of.Seminole.
The undersigned hereby gives -notice that improvement will be made to certain real property,
and in accordance with.Chapter 713, Florida Statutes, the following information is provided
in this Notice'of Commencement.
1. Description of property: (legal description of the property and street -address if available)
1100 RED CLEVELAND BOULEVARD,-SANFORD, FL, 32773
2. General description of improvement:
ALPHA RETAIL – BUILD OUT / REMODEL
3. Owner information -
a. Name and address:
LARRY A. DALE, PRESIDENT / CEO,
SANFORD AIRPORT AUTHORITY,
1200 RED CLEVELAND BOULEVARD,
SANFORD, FL 32773
b. Interest in property: FEE.SIlVIPLE
IIIIIillll1011ll11111HM1.-IMI1ddN111®8llllall
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SENINOLE COUNTY
BK 05229 PGS -1513-1514
CLERKS S # '.2004039191
RECORDED 03/16/2881 84i29j23 RM
RECORDING FEES 10.58
RECORDED BY L."inley
c. Name and address of fee simple titleholder (if other than Owner)
NOT APPLICABLE
4. Contractor:
a. Name:
MARK CONSTRUCTION TODD JORGENSEN
1969" Corporate Square Drive - Longwood, FL 32750
b. Phone number: (407)-031=6275 Fax number: (.407) 332-5311
5. Surety: • NOT.REQUIRED.-
a. Name and address
b. Phone number:
c. Amount of bond •
6. Lender NOT APPLICABLE
a. Name and address
b. Phone number: "
Af§ INSTRU(ANT- PREPARED R
NAMEL.APj-Y OAL-f—
ADDR. _11"'
1-1- ?2-773
Fax number:
CERTIFIED CQPY
WkYANIiE MORSE
fiLERK OF CIRCUIT "CAURT
E .{rt UN
Fax number:`;;-
Vi
A\RR •fjJj{ef.
mss]
7. 'Persons within the State of Florida designated by. Owner upon whom notices or other
documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes:
a.. Name and address RECEIVED
LARRY A. DALE, PRESIDENT & CEO
SANFORD AIRPORT AUTHORITY
1200 RED CLEVELAND BOULEVARD
SANFORD, FL 32773
b. Phone number: (407) 5854000
8. In addition to himself or herself, Owner designates
Fax number: (407) 4844040
MAR 17 2004
MARK CONSTRUCTION CO.
STEPHEN H. COOVER of HUTCHINSON, MAMELE,'& COOVER, P.A. to receive a
copy.of the Lienor's Notice -as provided in Section 713.13(1)(b) 'Florida Statutes.
a. Phone number: (407) 3224151 Fax number (407) 330-0966
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of
recording unless a different date is specified)
Signature of Owner
Sworn to (or affirmed) and subscribed before me this A&ay of
by.
Personally Known Z-61Z-Produ d Identification.
Type of Identification .Produced
Signature ofNotary Public, State of Florida
Commission Expires: ",5z 7' Dto
Ann R Gifford
r_ MYCOMMISSION# -DDID3515 EXp,pZ
eoNo on
uuy 2 .2006
TWyFAININ kMCk WC
2004,
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADMIN
P.O. BOX 1788
SAN -FORD, FL 32772-1788
Project Name: u7y S oP c9 ic....0 — gR 47
Date
Owner/Contact Person: Phone:
Address: C 4AV40Na p• f v-r 2 0
Type of Development:
1) RESIDENTIAL
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
Type of Units (commercial,
Industrial, etc.):
Total Number of Buildings:
Number of Fixture Units
each building): a 4Q L-hBM/G
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS:
CONNECTION FEE CALCULA 770N.-
rv crn vna
3/J-Af
No '10.0 7l °w#-?X,Q
04 SEwLA' SEES
Name - Signature - Date
je,, /7 c' 3/2 r/04
FILE No.586 04101 '04 15:49 ID:ORLANDO SANFORD AIRPORT FAX:4073225834 PAGE 1/ 1
CITY OF SANFORD PERMIT APPLICATION
N/y!
Permit# :O4 _100 Date; lJ'C " ' C)
lob Address: 1_26L--,te d,
1C,
d '1yd . cFo r d FL 3.-0:73
Description of Work: TCA Acdel
Historic District: Zoning: Value of Work: s 3m i = .00A
Permit Type. Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS __ Addition/Alteration
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Replacement
Change of Service Temporary Polc _
New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Plumbing(New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential
L
Commercial Industnal Total Square Footage: Lsw
Construction Type -I. al ` #
of stories: - tt of Dwelling Unita: Flood "Lone: (FEMA form required for other Man X)
Parcel a:
Owners Name & Address:
Attach Proof of Ownership & Lcgsl Description)
220 RAd r.1 &AA-_ln„d ? tWnt
Phone:
Contractor Name & Addmsa: Mar K Ccnshrt A r_t t og Cn. l f
CaX O rL 3QState Llcease Naraber:C.
7 5 rL 431- basPhare & Fox
Bonding Company: A
f
Address -
Mortgage Lender: N A
Address:
Architect
Address
Application is hereby made to obtain a permit to do the work and installations as indicated. i t:ortify 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 ennstruction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, W F.I.LS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: t certify that all of rho foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction sad 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 govornmenuil entities such as water management districts, state agencies, or fodoral agonies.
Accepmacc of permit is
Dt natun
tcxr%
nt Ow
Yrs
OwnerlA
Prod
APPLICATION AP
Special Conditions:
that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713-
CITY OF SANFORD PERMIT APPLICATION ,
y ,, //
Permit # :04 -14&o
r
Date: t.J'l' - o l - C -4`t-'
Job Address: 1201.1 -Red o-nd ItVd. SQItTDrd, FL 3Q77 -I3
Description of Work: ltY l '
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS Addition/Alteration Change of Service Temporary Pole
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 Industrial Total Square Footage: 0500
Construction Typef"
s# of Stories: 2 # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name&Address: r\ r ^ kir orf t l..L pr;+,. 2•M Red CLQ.VE' 1V
Sa.r.-oc ck, FL 3a-1-774 Phone: 5g5 - Fp I O
Contractor Name & Address: Mar.K ConS-+r"C-±1 ort Co. t l4 cecl Corw(
LorNaL000d.Fi_ 3Q-750
If
State License Number.CG / ^
1
Phone & Fax: 6g)8i-6a7 .33a- 531 Contact Person: IOGi[ AQa [ Ey- Phone. `t tJ7 831' loot.? 5
Bonding Company:
Address:
Mortgage Lender: N %
Address:
Architect/Engineer: MC -Mt 1L&V-k 1-1r ck t-iscJS Phone: 7 331
Address: 145 W . Pine. Ave • Lonq wont' - FL --3Q15b Fax: 40-7 j,
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 he 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.
p •OA1Q10'9 -O-q-
ISnature of Owncr/Agent Date Signature of Contractor/Agent
tan C tr'w5 SSAvt' c -e -Pres. /Aol.'Y r.
p t Owncr/Agent's Name / [ Print Contractor/Agent's Name
QCgAktqn .l- e4
of Notary -State of FI r, Date Signature of Notary -State of Florida
JA 1naEn1e IcSTATE OF
LORItOAAM
COMMISSION # DD100603
EMPIRES 031lV-?I 6 '
Date
Date
Owncr/Agent is o+Wi,4sBMIj'RMTtWMe or Contractor/Agent is _ Personally Known to Me or
Produced ID _ Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-,51677
DATE: O PERMIT #: OSI —
r\ BUSINESS NAME / PROJECT: t t
ADDRESS: =*— 90--C c -
PHONE N Q a 31 —Ga7 AX NO.:
CONST. INSP. ( ] C / O INSP.:[ l
F. A. [ ] F.S. J HOOD ( ]
TENT PERMIT E I
TANK PERMIT [
TOTAL FEES: $
REINSPECTION [ ] PLANS REVIEWPAINTBOOTH [ ] BURN PE MIT[ ]
OTHER 2 QLA I Q
I (PER UNIT SEE BELOW)
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
H.
12.
13.
14.
15.
16.
17.
18.
19.
20.
Square Footage Fees per Bldg. / Unit
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 correct and that
will comply with all applicable codes and ordinances
of the City of nford, Florida.
00001000t;4
Sanford Fire Prevention Division Appli a s Signature