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HomeMy WebLinkAbout136 Commerce Way (2)Y 1 n CITY OF SANFORD PERMIT APPLICATION Permit #: ' / Date: Job Address: j4j4!; 5,q AJ Eco:) ) rL •7/ Description of Work:. HiLZ.EI� Historic District: Zoning: Value of Work: $ I Sod Permit Type: Building Electrical MechanicalPlumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service TemporaryPole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Commercial V' Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for ot:Iter than X) Parcel #: 35-- % 41'-7t 0 - 4)egsr (Attach Proof of Ownership & Legal Description) Owners Name & Address: E457F2/1/ 1SQ'rePd S j,./C A9 Jam; y /©yc, Asp/g((" YA��/ � Phone: Contractor Name & Address:Nbi/fl711/E G��//C_c� SClLB 7 /0/V S 151NOUS—F901— ELILOCEVAIZD G 1—RA /D FL itDGl� State License Number: Phone &Fax: /J7 4 Contact Person: 4_ER0y Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Phone: Address: Fax: 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. 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 pubiic records of this county, and t re may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. d >1 C14 a�A �tiiae of a it i verific ion t rjjt7w tify,the owny of thepropertyof the requirements of Flor Lien LawFS 713. aw d Ln CN N is tg t rey e of wner/Agent Date Signature o ractor/Agent Date _� QazGG�GG, ���'lC S�l�6� � q cWn •0 CD Print er/Agent's Na e Prin to gent's Nameco - K�� 'Y > -• t of Florida o ignature of Notary -State of Florida Date / Signatur of Notary -Stat OPP' S G Mag9ddF My Commission DD520839 Expires 02/21/2010 '•,,��.�� 0oOw per/Agent is _,,Personally Known to Me or Contractor/Agent is Personally Known to Me or .. at "TL fit 12sr9i I/L�� t��c Produced ID Produced ID APPLICATION APPROVED BY: Bldg: Zoning: (Initial & Date) Special Conditions: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) POWER OF ATTORNEY TO WHOM IT MAY CONCERN: 2315 Industrial Blvd. Orlando, FL 32804 State License # CMC 056883 Phone: (407) 296-5211 Toll -Free: (877) 4 ISS -SVC Fax: (407) 297-8362 I, Kenneth A. Bodwell, the undersigned do hereby duly appoint the following named person, L EPO y 6u1tt411V (-' , to act as my attorney in fact, to sign all papers and documents that may be necessary to secure permits and licensing for the City/County of within the State of Florida. /_ . � .I i �:. 1e.'/L/ Date Mechanical License Number: CMC056883 PROJECT INFORMATION: E/3s i �kH 1 sy 7 0 PSucut,4 j -36 ��MME/�� Vlq y NOTARY: lit Swo before me, this day of _ Notary Sign re mhp-" , 2006. n Notary Public State of Florida Tynechea Zeigler My Commission DD451451 Expires 0711712009 Stamp COMMERCIAL, e INDUSTRIAL, AIR CONDITIONING • HEATING • REFRIGERATION • ICE MACHINES I/ Permit Number Parcel Identification Number35--/q-2,c—S U1JEJc.'"� Prepared By: Lc�jcj C'rUnJri///lJr 21,4ous,—,-(qt— Pz'iNI) >n_L`� umto: Alc�lH % /V,6-5e4V'71V45- �� .ZS I3 i/vl�it'S "77'z.tl?� i3L:KIi NOTICE OF COMMENCEMENT State of FLa j- i niq Countyof (?L 1111111111111111111111111111111111111111111111111111111111 II III 11111 MARYANNE_ MONSi--, (;LERK OF CIRCUIT COURT SEMINOLE COUNTY HK 06649 Pg 1326; O pg ) CLERK'S # 2007032701 RECORDED 03/03/2007 09:45:06 AM RECORDINO FEES 10.00 RECORDED BY L McKinley The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Description of property: (legal description of property,and street address if avaliable) 2. General description of improvement(s) R PI--/ c �X I S' 7 11.16 C N/L L BIZ 3. Owner Information Z& a J 15,97-0,9Z:—S' - Name 2�nU'C,J Vq yG/!y6 Telephone Number Address iJ Fax Number Interest in Property 4. Fee Simple Title Holder (if other than owner shown above) Name Telephone Number Address Fax Number 5. Contractor i ! %65 TIO /vS Name ;25i3 j�D�l�r� 13L,p , DTelephoneNumber Address G'!✓'Gfj.�l CL -g2 SrZ) , Fax Number S. Surety (if any) Name Address 7. Lender (if any) Name Address Telephone Number Fax Number Amount of bond $ Telephone Number Fax Number CERTIFIED COPY MARYANNE MORSE ,CL K`r7F CIRCUIT CnURT A111PFLORIDA Rit Ljvt2`rG5.2I1 s 4-V7 �r7 5 INA ' O 5 2001 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(a)7., Florida Statutes. Name Telephone Number Address Fax Number 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13(i)(b), Florida Statutes. Name Telephone Number Address Fax Number 10. Expiration date of notice of commencement (the expirati (tate is 1 from the date of recording unless a different date is specified): Date Signed gn re o caner [Note: per Section 713.13(1)(g), "owner must sign ...and no one else may be, permitted to sign in his or her S— stead.'? Sworn to and subscribed before me this S day of n% t Cl 20_0_`L by k 112 K L.yd t; (I, m ag,4ii✓ who is personally known to me OR produced f�LdLl�p} AyC i rlvfc 9 'r ��C L r as identification. ylc'y1u •�ta.� Tvu� �OTARY PUBLIC -STATE OF FLORIDA Signature of Notary (notarial seal to appear below) ,.t Form Revised: 3 ;Ramona Susan Halpenny Commission #DDS93892 NO - Erpi e5, SEP, 22, 2010 BONDED THRg AThMnG AGNPINQ CO., INC,