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Home My WebLink About1701 Lowe Ave (2)Permit # : b0 a(,P5 Job Address: CITY OF SANFORD PERb11T APPLICATION a RECEIVED Date: 11101 Description of Work:-T,,h5*J1 an*nlitts q :f-Au%Total Square Footage Historic District: Zoning: Value of Work: S 'A04 goo Permit Type: Building ✓ Electrical Electrical: New Service —# of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Occupancy Type: Residential Commercial Construction Type: # of Stories: Mechanical Plumbing Fire Sprinkler/Alarm Pool — Addition/Alteration Change of Service Temporary Pole _ Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair — Residential or Commercial _ Industrial # of Dwelling Units: Flood Zone: (FEMA form required) State License Number: 6 ` C t%f/oZ % 7S— Phone & Fax:6 �0 `� 9• /i iy Contact Person: Phone: Bonding Company: Address: Mortgage Leader: Address: Architect/Engineer: Phone: 2006 Address: Fax: 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 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 Lii�n�Law, FS 713. —T- Signature of Owner/Agent Date Signature of Contractor/Agent Date --I iq,w*. (" Print Owner/Agent's Name PriContractor/Agent's Nam ClucRi /H04C�G�yldG Signature of Notary -State of Florida Date ture of Notary -State of lorida Date R1A Ann Marie Ackerman MY COMMISSION # DD199812 W= MW Owner/Agent is _ Personally Known to Me or Contractor/Agent is Personally Known't Me or 6oNp� TM�►�OOM$ ProducedID_ Produced ID APPROVALS: ZONING: ON/ UTIL: FD: ENG: BLDG: Special Conditions: Rev 03/2006 Date: June 14, 2006 To: City of Sanford Building Dept. RE: 1701 Lowe Ave. Michelle Flick This to to serve as authorization for Mike Flick to have Power of Attorney and act as agent for SBA Network Services, Inc. in setting up my licensing file, obtaining permits, and signing for the above referenced site. Thomas G. Hoffman SBA Network Services, Inc. License No. CG C062775 SIGNED BY Thomas G. Hoffman WHO IS PERSONALLY KNOWN TO ME. SWORN �T/OyND SUBSCRIBED BEFORE ME THIS '7 DAY OF , 2A& AT OCALA, FLORIDA. Notary Public Ann Marie Ackerman State of Florida WCOMMISSION# DD199012 EXPIRES May 41007 BONDED THRUTROY FAIN MISURANCE INC My Commission expires: v77 NOTICE OF COMMENCEMENT jg�, P motit Number Parcel Number Prepared by: i o %y\ i-iori ��., r. 17 . GC r!/H , F4- :5 -PY 747 ., Return to ; �;a7. ' is tir4x_ `�1Lv'•t! f J l/L. Com. 35/0 l7r_T1V ale- NOT lfr E OF CS)Jv1oJ StateM£NT jFi�l �i v • County of Seminole 111111111111111it1I11111111IIIN111111INIIIN11III11111 PARYANNE MORSE, CLERK OF CIRCUIT COURT, SEMINOLE COUNTY BK Mae Pg 12131 (lpg) CLERKS # 2006097001 RECORDED 06/15/2006 19142t131AN,11 RECORDINS FEES 10.00 • (. RECORDED BY N Bailey CERTIFIED; CUjPY. MARYANNE MORSE r. CLERK OF CIRCUIT COAkT -SEMINOLE CO l N Y, FLORIDA . ,{�CIERK ' 1 ►�u ,.. K. The undersigned hereby gives notice that improvemerit(s) will be•made to certain real property, and in accordance with Chapter 713, Florida Statutes, the, following *info rmation is provided in this Notice of Commencement. L ,Description of Property (legal description of the property, and street address if available) 1701 ' Lowe' Ave;.,,' Sanford • FL 32771.• :l Section 32",In,Twp .19S, Range. 30 E ' i 2. General description of linproverrtent(s) Install`antennas,ana.'eciuipment on _existing communications tower. 3. Owner lnformatiori (Name,.Address„Telephone Number and Fax Number ) y Veiizon ;Wireless 12802 Tampa Oaks..Blvd'. Temple'`Terrace 'FL'' 33637 4. Fee'Simple Title Holder (Name, Address, Telephone Number, Fax'Number), 5. Contractor (Name, Address, Telephone Number, Fax Number), SBA Network Services, -Inc. , Quaifier`Thomas G. Hoffman 2530 NE 36th -Ave.-,_ l OCaa r :•FL' .34470-- "'' Ph: ' 352-629-1774 6. Suret}r(if any) (Name, Address, Telephone; Fax Number, Amount of Bond; W 7. Lender (if any)( Name, Address Telephum one Nber Fax Number)A ' .• f 2.:1 a _�.. _+ . 8. Persons within the State of Florida designated by owner upon notices or other doctu— tray be served as provided by 713.13 (lxa)7;; Florida Statutes. (Name, Address, Telephone Number, Fax Number)' - . 9. In addition to himself, Owner designates the following to receive a copy of the Lienor's Notice as provided in 713.13 (1) (b) Florida. Statutes. (flame, Address:Telephone Number, Fax Number) Contractor': 10. Expiration date of notice of commencement ( the expiration date o e the date of reco ing unless a different date is specified): n f7" Date igned': _ S o caner ' Sworn-/y//p�J_ ybscribed Coro me this �3 day ofby - who is.'- - 117"!W n to me OR has produced as identification. ag �..��.....�"^� '.may _ t • ��i� !' w �G` , t0 Ai ;- Signature of Notary (Notarial seal to appear below)