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Home My WebLink About700 Panama PlCITY OF. SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: `'' / Documented Construction Value: $ x%00,00 Job Address: / 0/70j"a / / Ce- Historic District: Yes El NA Parcel ID: -1 37 360 6Q_W- G Zoning: 14,51de,, & l Description of Work: aj2AQC 01. i /ic) l Ccd urs Plan Review Contact Person: Phone: Fax: E-mail: Property Owner Information yinNameAiAh -to t-i/Y S /v[i SSi(n . /rlG Phone: Title: Street: `G%G J / 5t Resident of property? City, State Zip: n ClC. /--Z . 2771-161 Contractor Information Namer-4 %.(r C Phone: Street: 'i 5 p S Ver -Slh, • Fax: y6-7- City, 67' City, State Zip: & a de State License No:: c Architect/Engineer Information Name: NA Phone: Street: City, St, Zip: Bonding Company: A) Ai - Address: Building Permit Square Footage: No. of Dwelling Units: Electrical New Service - No. of AMPS: Fax: E-mail: Mortgage Lender: /Vi Address: PERMIT INFORMATION Construction Type: Flood Zone: Mechanical 13 (Duct layout required for new systems) No. of Stories: Plumbing 11 New Construction - No. of Fixtures: Fire Sprinkler/Alarm No. of heads: 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 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. a, Signature of Owner/Agent Date tv1 LtIT A M 0/#6r Print Owner/Agent's Name Signature f Notary :r i:af I jii a oa oaaaauu uos a1e WILLIAM CHARNLEY J •,, Comm# DD0832075 Expires 10119/2012 r..lnrda Plotan! Assn. Inc na ua-neoesu®aetl Owner/Agent is " Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: C.. Signature of Contractor/Agent Date 44v1a 5 &J` x0/1 Print Contractor/Agent's Name Signature of Notary -State of Florida Date J`U SHEILA MATTERN MY COMMISSION # DD984012 EXPIRES July 31, 2014 407) 3960153 FloridallotaryService.com Contractor/Agent is f/ Personally Known to Me or Produced ID r Type of ID WASTE WATER: BUILDING: SEMINOLE COUNTY MULTI :%URISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: Ila I hereby name and appoint: / No v IY1 ley an agent of:e-c CJS Au I c. Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. The specific permit and application for work located at: 0 pa Gs l 70 Street Address) 3 i - / 5 D-0 a. 0 - 00o0 Parcel Identification) Expiration Date for This Limited Power of Attorney: / 7 ' 1,2— License Holder Name: Ot Q S Al )<6/1 State License Number: (, / bj 9-39? Signature of License Holder: STATE OF FLORID COUNTY OF D%Gt_SI 0, The foregoing instrument was a//cknowledged before me this P qday of 8 20_2, by 13J hci-M who is)] personally known to me or who has produced as identification and who did (did not) take an oath. Signature of Notary rid;; SHEILA MATTERN MY COMMISSION # DD984012 E FIRES July 31, 2014 t4o7jas6- 1(5Wotary o dal o cwysarvlcexom Ae It Aa fern Print or type Notary name Notary Public - State of rL Commission No. Op 9 9L/,o My Commission Expires: 11, 3/ --)0/4 SEMINOLE COUNTY MULTI JURISDICTIONAL Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: an agent of: frD WAR Name of Company) Th r - to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted.by this contractor. The specific permit and application for work located at: I Street Address) Parcel Identification) Expiration Date for This Limited Power of Attorney: q- 14 ( 2 License Holder Name: `jyah XO r7 State License Number: Signature of License Holder: STATE OF FLORIDA COUNTY OF f aluS G The foregoing instrument was acknowledged before me this 5/ day of I&Q& S r , 20A- , by A l X0i-iytAeid who is( personally known to me or who has produced i as identification and who did (did not) take an oath. Signature of Notary SHEILA MATTERN MY COMMISSION # OD984012 EJttPIRESyulii 31, 2014 407) 398 0163 FlondafttarySorvice.com P66t or type Notary name Notary Public - State of Commission No. as My Commission Expires: Tt1 % eliveilrr,; cc m, rt, trust, confidence ,i utility since 196.1 August 31,2012 City of Sanford Building Department To whom it may concern: 700 Panama Place $4200.00 & 721 Panama Place $4200.00 Best Regards, Sheila Mattern Installation Coordinator 2425 Silver Star Road, Orlando, Florida 32804 Service: 407-291-1644 • Fax: 407-291-2631 o Commercial: 407-291-1642 • Fax: 407-522-0445 Main Office: 407-291-1643 • Fax: 407-522-0445 • www.protechac.com