HomeMy WebLinkAbout214 Laurel Ave (2)RECEIVED
V
CITY OF SANFORD
OCT 2 1 2olo BUILDING & FIRE PREVENTION
PERMIT APPLICATION7
Application No: Documented Construction Value: $ sq S_
Historic District: Yes No 0JobAddress: Zaarej kil—e-
ParcelID: Zoning:
Description of Work: AJ— reatox-C 4GLb d,-et; rl_S id 5& q do V/u
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Plan Review Contact Person: 07 o t-ep Title: Pfione:;
3 (o --3 "X — U"_ Fax: 3 5(o —. 33 E-mail:h4jeAi2/V/?LbA% Name
Omf-6" 14
Street:
City,
State Zip: &Vv Property
Owner Information QQ,
ac Phone: Resident
of property? : M0 j
Contractor Information Name
6_n oolle4n OPhone: Street: mo-
v xofk7non Fax: 360-_TM -(?0 7J City, State
Zip: --State License No.: Architect/Engineer
Information Name: Phone:
Street: Fax:
City, St,
Zip: E-mail: Bonding Company:
Mortgage Lender: Address: Address:
PERMIT INFORMATION
Building Permit
Square Footage:
Construction Type: No. of No. of
Dwelling Units: Flood Zone: Electrical 0
New Service —
No. of AMPS:, Plumbing W
New Construction -
No. of Fixtures: Mechanical 13 (
Duct layout required for new systems) Fire Sprinkler/Alarm [3 No. of heads:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no.t
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 FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION.. 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.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
0
Sign re of Owner/Agent Date
C.
Print Owner/Agent's Name
oNtY P" KIMBERLY A. KMETT
APE $ Notary Public - State of Florida
0
My Comm. Expires Mar 9.2014
aF Commission # 00 969299
Owner/Agent is Personally Known to Me or.
Produced ID Type of ID
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
S&nature of Contractor/Agent date
ge L:1 XI-) //1e
Print Contractor/Agent's Name
1QMBERLY A. KMETT
Notary Public - State of Florida
My Comm. Expires Mar 9.2014
Commission # DD 969299
Contractor/Agent is Pers n
Produced ID Type of ID
WASTE WATER:
BUILDING:
1%
Rev 11.08
POWER OF ATTORNEY
Date: /0—
I hereby name an appoint _Susan Frison
Of X/To F9 to be my lawful attorney
In fact to act for me and apply to the City of Sanford Bldg Dept for an f" ermit
For work to be performed at a location described as: 214 Laurel Ave. Sanford FL 32771
Spartan Five Holdings LLC 153 Ashby Cove Lane, New Smyrna Beach FL 32168
Owner of Property and Address)
And sign my name and do all things necessary to this appointment
cFe
Type or rynt name,,pf Register of Certified Contractor and Contractor's License Number
Signature of Register or Certified Contractor
The foregoing inst um nt was acknowledged before me thisZ, day of Gam@- 2010
Y
Who is personally known to me/who produced
III
it,11111iiiiiiiAsidentificatioarcoidn
KIMBER7KMETTNotary PublicMyComm. ExIF101Commisslon
State of Florida
County ool eminole
Notary Public
Kimberly Kmett
KEN MULLEN PLUMBING, INC.
LicenSed Insttredf . St. Lic. #CFY:043021
Established igss
Office: (386) 738-9299
Fax: (386) 738-9297
1404 Yc -toWn St., Suite E - DeLand, FL 32724
knwlienplwnbuig@ctl.rr.com
Name /Address
Spartan #5 LLC
Susan Frison
214 Laurel Ave.
Sanford, Fl
Date Estimate I#
9f24l24t0 225
Description QtY
Scope of work- Move kitchen sink supplied by owner
Replace (2) tub drains
Install new'4" C/O plug
Supply and Install (2) Right front toilet scats -white
Turned on water and checked plumbing
Signature
Thank you for your consideration!!!
ETWO::::=$595-00