HomeMy WebLinkAbout148 Maritime DrvC'E1V E
MAR 2 2 2011
CITY OF SANFORD
BY: BUILDING & FIRE PREVENTION
PERMIT APPLICATION
J J77
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Application No: / 1 Documented Construction Value: $ ., 5,
Job Address:Historic District: Yes No
Parcel ID: Zoning:£ 1(/1lZ t1S=I IS`T2Sr
Description of Work: iivs r c u Z'%z T N 2EPc/'icEYlEr Z iiy/sPGrr /L clivi
Plan Review Contact Person: 6'94 ti- Sugo-&'Z Title: P2LUE< < RRAI)I& M
Phone: 4j07 4HA 233,2— Fax: E-mail:
Property Owner Information
Name ER6y PGi7iVN/NG fl SSac G,p/zr Phone:
Street: n17-V Resident of property?
City, State Zip: 941V FDO-D F L 3277(
Contractor Information
Name 4A464yy-r1 vE' S—ireyicE S)4,u7/oNS LLG Phone: AZ)7 21yA 1S2 l 1
Street: 2S/3 Mlbgg-rzio-L 9z& .—_—V&4p Fax: l/a7 ;z-112 13'3b2_
City, State Zip:O9,/_jgVDo rL_ 2_F OojL State License No.:—&CO3bfS 53
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 Stories:
No. of Dwelling Units: Flood Zone:
Electrical Plumbing
New Service = No. of AMPS: New Construction - No. of Fixtures:
Mechanical g (Duct layout required for new systems) 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 p'qRnit activity levels. Should calculated charges exceed the documented
construction valuev* the exe tea contract is submitted, credit will be applied to your permit fees when the
permit is roil
02 r?(Ji 9 / ZZ/vir
fOw&tKgent i Date Signature of Contractor/Agent Date
I , ( '1 7-0'e A r
Prinr/A$ s'Name 9
rdzt- YOOP
Notary
Public State of Florida Angela
R Matturro w
My Commission DD729602 FIV
Expires j2/09/2011 Owner/
Agent is ' Personally Known to Me or Produced
ID Type of ID APPROVALS:
ZONING: UTILITIES: ENGINEERING:
COMMENTS:
FIRE:
Print
Contraftor/Agent's Name Ott
aye, Notary Public tate of Florida a° ;
S G Maltucci My
Commission DD956309 OrAp
Expires02/2112014 A /
f.A/ Contractor/
Agent is .Personally Known to Me or Produced
ID Type of ID WASTE
WATER: BUILDING:
Rev
11.08
03/09/2011 16:20 TAX)407 323 5718
IEnergy Planning Associates PL. 2H[ASE ORDER
148 Maritime Drive
Sanford, FL 32771 Purcha®e Order ID p09480
Ph 407-302-0001 Fx 407-302-0002 Purchase Order Date 3/9/2011
PO Print )Date 3/9/2011
Page Number 1 of 1
Order From : V230
INNOVATIVE SERVICE SOLUTIONS
2513 INDUSTRIAL BOULEVARD
ORLANDO, FL 32804
USA
Contact Name Buyer
Vendor Phone 877-447-7782 Requisition Nbr
Vendor Fax 407-297-8362 Tax Resale Nbr 69.8012050017-1
Vendor Account Nbr Terms Net 30
Currency USD
FOB FOB Destination, Freight Prepaid
Ship To : BNERQY PLANNING} ASSOCI 131 MARITIME DRIVE
SANFORD, FL 32771
TYSA
I
P.0011001
wb* c0a$a
Line Nbr Reference Description/ Req Date/ Req Qty/ Ship Method Unit Price Extended
Revision ID Mfg ID Taxable Onit of Measure Price
Vendor Part Number
SERVER ROOM AC 3/9/2011
UPGRADE
No
PO Instructions:
QUOTE DATED 219111
Change Nbr: i Change Date: 3/9/2011
1.00 13EST'ro Be gel $4,495.0000 $4,495.00
Line Total: S4,495.00
PO Total: S4,495.00
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