HomeMy WebLinkAbout2650 S Mellonville Ave (4)gp9��Fi� A
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CITY' OF SANFORD PERMIT APPLICATION 'r 7
Application f# C,,��
is Submittal Date: i 0-7 "llux
JohAddress: "o24SO St r P-1( Vd(4r 1k�+• .xlff7orG�, - 32-173 Value of Work: $ J5601 $0O.00.
Parcel ID: Dip' 20- 31- 300- 0010-0000 Zoning: _ - Historic District: 0AA,
Description of Work: _Jn +xw'or room CtnS-'r t.t.c.+i to. Square Footage: N A
.........•.........................•......................•........................:..........................:.........
Permit Type: Building M" Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service —# of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential Q Replacement ❑ New ❑ (Duct Layout & Energy Cato. Required) "
Plumbing/ New Commercial: if of Fixtures fl of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: #/ of Water Closets ' Plumbing Repair —Residential ❑ Copmercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s): ..
Construction Type: 1416 _ ff of Stories: I At of Dwelling Units: t,/ Flood Zone: � (FEMA form required)
...........................................................................................•....••.0....................
PropertyOwner: Sat rd%'%rcori Au�-liwr%Jy Contractor:, 514oEMAKE9 GvtdST
Address: lam i�a Address: YO fx>X I gEKX-
_6'0rd,:L 3W13 l MtJF2AQ'Fk, 32-772-- l8
Phone: -1 Sz5 -4DD2. Irmaii: ALr ew5 `1 OSa0., t1ET P&7 522-710-3 3103 State License Numbe,�4 15 (042 3
Bonding Company: - N & Mortgage Lender: NIA
Address: Address:
Architect(Engineer: 14 Ak Phone:
Address:
Plan Review Contact Person:
Phone: Fax:
Fax:
E<maih
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 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 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 yerifteation that I will notify the owner of the property of the requirements of Florida Lien La -'S 713.
AlY �1 .^ /. o X11 DAF-) - 07 4-13-07 e
Sign reofOwnedAgent Date Signature of Contractor/ ent Date
1 iJi
Print ner/Agent's PtamoWAIZI
A i
I DIANAM.ly— / y /�r
MY COMMISSIO # r date of Florida Date
EXPIRES: OCT 02, 2009
Bonded through 1st State Insurance
Owner/Agent is ___;ersoually Known to Me or
_ Produced ID /n
APPROVALS: ZONING: N UTIL: '+ PD:
Special Conditions:
Rev 0712007
AAM 06AN "4,l5M/JA_15EfL
PP / cior/Agent's Name
Signature
Contractor/Agent is V
Produced ID
ENG: iLI BLDG:_
Date
PATRICIA A. MANN
MY COMMISSION t DD 520661
EXPIRES: April 5, 2010
bonded Thru Notary Public Under0ters
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Permit No. Tax Parcel #: 06-20-31-300-0010-0000
NOTICE OF COMMENCEMENT
State of Florida • County of Seminole
The UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in
accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of
Commencement.
1. Description of Property: Hill Dermaceuticals, Inc.
Street Address: 2650 S. Mellonville Ave., Sanford, FL 32773
Legal Description: SEC 06 TWP 20S RGE 3 I ALL SEC E OF MELLONVILLE AVE & THAT
PT OF SEC BETWEEN NIELLONVILLE AVE. & OVIEDO BR OF ACL RY & S OF 25TH PLACE
(LESS LEASED PARCELS)
2. General description of improvement: Interior Room Construction
3. Owner Information:
a. Name and Address: Sanford Airport Authority/City of Sanford
(�5 fel 1200 Red Cleveland Blvd.
Sanford, FL 32773
b. Interest in Property: Fee Simple Owner
c. Name and Address of fee simple titleholder: Same as Owner
4. Contractor (name & address): Shoemaker Construction Company, Inc.
214 Hickman Dr., Suite 100, Sanford, Florida 32771
Phone: 407-322-3103 Fax: 407-322-1205
5. Surety: N/A
6. Lender: N/A
7. Person within the State of Florida designated by Owner upon whom notices or other documents may be serves
as provided by Section 713.13 (1) (a) 7., Florida Statues;
a. Name and Address: Larry Dale, President
Sanford Airport Authority
1200 Red Cleveland Blvd.
Sanford, FL 32773
b. Phone Number: 407-585-4002
8. In addition to himself, Owner designates Kenneth Wri hg t, P.A. to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statues. (Same address as Item #7a.)
a. Phone Number and Fax: 407423-3200
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording
unless a different date is specified).
Sigma uret of Owner D'%D_ne_
Vice•,pM5tdsr,k o� r�tl+nini stro`tion
- �
State of Florida
County of Seminole
This foregoing instrument was acknowledged before me this I It day of April, 2007, who are personally
k;n me and who did not take an oath.
>( This instrument prepared by:
Signature of person taking the acknowled ent Alan Dean Shoemaker
PO Box 1885
Sanford, FL 32772-1885
16t yi AL AAk V, t i —V � = t``v Checked By:
Printed or Typed Name Diane Crews
Sanford Airport Authority
r r DIANA M. MUNIZ-OLSON
MY COMMISSION #DD477605
EXPIRES: OCT 02, 2009
\ Bonded through 1st State Insurance
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 • FAX # 407-302-2526 `�
DATE: PERMIT #: U � — l �Jv t, J
BUSINESS NAME / PROJECT: I I Ls
ADDRESS: �� 5' �!l�lD ��9�J M•I LQ --
PHONE.NO.:� FAX NO.:�" �0�2
CONST. INSP. [ 1 C / Q INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. (] F, S. [ ] HOOD J PAINT BOOTH (] BURN R T ]
TENT PERMIT E } TANK PERMIT [ ] OTHE - /V-P-�J�/
TOTAL FEES; S (PER UNIT SEE BELOW)
COMMENTS; n / A .
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit�4�
1.
2.
3.
4.
5.
6.
7.
8.
9.
10
11.
12.
13.
14.
13.
16.
17.
18.
19.
20,
Fees must be. paid to Sanford Building Department; 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
A14S
Sanford Fire Prevention Division _ _, Applicant's Signature