HomeMy WebLinkAbout110 Lake Mary BlvdCITY OF SANFORD PERMIT APPLICATION
Permit No.: 12. Date: ZFlo 2
Job Address: //04 fww li),-, f4a r
Permit Type: Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work: C/'d h t Qi'S oh Yacew
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K t S'Fr Additional Information for Electrical & Plumbing Permits
Electrical: Addition/AI ation _Change of Service Temporary Pole New AMP Service (# of AMPS )D Qx
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
Type of Construction: Flood Zone:
Parcel No.:
nOwner/Address/Phone: a I O
Contractor/,
Contact Person:
Title Holder (If other than
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer V3,4 1U,
Address: • >^
irl o le- sf. n
Total Sq Ftg: 5 Z Aalue of Work: S. S
Number of Stories: Number of Dwelling Units:
Attach Proof of Ownership & Legal Description)
s
e I ter a State License Number:
Phone & Fax Number: 4
7 4Z
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 : C
all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF p O
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 is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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Signatur f Owner/Agent Date Sign of Contractor/Agent Date
Print Owner/Agent's Name
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JO ANN ,1. JOHN50N
MY i;0AUSSION 8 CC 921808
YP!. n..AES• March 23, 2004
3r C:ac o 1.., duaget Notary ServicesFOFc,.
Owner/Agent is C/ Personally Known to Me or
Produced ID
t Contractor/Agent's Name
ature of Notary -State of Florida Date
JO AVN A9.
JOHNSOJMYCOMMISSIONKCC92
EXPIRES: March 23, 20rFoc oa'O~ aoq lhre 9uEpe: Nora Se7Contractor/Agent is 911y%nownA0.
Produced ID
APPLICATION APPROVED BY: !d f S ` -- Date: - Z
Special Conditions:
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April 29, 2002
City of Sanford
Building Department
P.O. Box 1788
Sanford, FL 32772
RE: Boulevard Plaza - City of Sanford
Corner of 17-92 & Lake Mary Boulevard
Dear Sir/Madam:
This letter will authorize Seminole Signs & Lighting to pull necessary permits to install a store front
sign for Jerzy's Coffee Shop (Unit #110-120) at the above referenced shopping center.
Sincerely,
SAND FUR & ASSOCIATES, INC.
P-ct--, C4
Tamera T. Patitucci
Executive Vice President
TTP/ks
SWORN TO AND SUBSCRIBED BEFORE
ME THIS 21-A DAY OF
v=r'& KATHLEEN E STANLEY
MY COMMISSION p ccwfil19
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rvjW &eorFlaIrdery ^'h 8 Bonding Co.
Kathleen E. Stanley - Notary Publi
806 East 25th Street Sanford, Florida 32771 Phone: (407) 321-8200 Fax: (407) 321-9773
0 Website: www.sandefurco.com 0
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PERMIT # 62-[Z43
espresso and fresh ice- drinks
p r e s s o a n d V r e 3 h c d F i n k s WMw
scotchcal digital appll6ua
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ako", custom hammy
seoteheal digital applique
8ovei / 4" milk plcx 7"
131a
y . . )-fo x iti= 0 5 GGKz3/
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Zofb blk anadized metal
light boa exterior
sizes: 20" a
20-
a 6- clear coat bright
Mum. 1
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Rolf , (or whin nn h.o
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w / V depth IIyM ben white letters jerzy's - is
painted 2 colors embossed pan faces w/ black jewelite - illuminated coffee - is reverse
channel letters painted 2 colors - illuminated espresso & fresh ice
drinks - is a routed aluminum box w/ white face illum box - is black
aluminum box white painted 2 colors face illuminated
REVERSE CHANNEL LETTER CHANNEL LETTER
on dCziEicl
amino%
igns
Lighting
446 Sheryl Drive
Delton, FL 32738
407-302-7626