HomeMy WebLinkAbout600 Control Tower LnCITY OF SANFORD PERMIT APPLICATION
Application # : by)— ( O6 3
Job Address: 4,60
Submittal Date: _� Q
Value of Work: S 8,000.00
Parcel ID: 06-20-31-300-0010-0000 Zoning: INDUSTRIAL Historic District:
Description of Work: INSTALL NEW ELECTRICAL SERVICE FOR HIGH MAST POLES Square Footage: N/A
........................................................................................................................
Permit Type: Building ❑ Electrical X Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm. ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS 200 Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
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 ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
..................................................•--......._.._.....................-•---..............................
Property Owner: SANFORD AIRPORT AUTHORITY Contractor: H.L. PRUITT CORPORATION
Address: 1200 RED CLEVELAND BLVD. Address: 501 WADE STREET
SANFORD, FLORIDA 32773 WINTER SPRINGS, FLORIDA 32708
Phone: 407-585-4000 E-mail: Phone: 407-327-3848 State license Number: EC0001978
Bonding Company: ARCH INS. COMPANY / SURETY ASSOCIATES Mortgage Lender: N/A
Address: 2110 HERSCHEL ST. Address: N/A
JACKSONVILLE, FLORIDA 32204 N/A
Architect/Engineer: AVCON , INC. Phone: 407-599-1122
Address: 5555 EAST MICHIGAN ST., ORLANDO, FL 32822 Fax: 407-599-1133
Plan Review Contact Person: CARL JOHNSON Phone: 407-599-1122 Fax: 407-599-1133 E-mail: www.avconinc.com
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 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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ggrature of Owner/Agent Date Signature of Contractor/Agent Date
Name
My COlvtl"v1198I01 0 DD629096
1€ February 25, 2011
Fl. Notary Disomunt Assoc. Co.
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
_ FRANK PRUITT, PRESIDENT
Pti Contractor/Agent's Name
L�3�a
Date Signature ofN -Stat to
UTIL: FD:
CATHRYN G. BIRLE
Notary Puhlic State of Florid,;
MyCornm6srxm Fxpces.hd 15,20W
Commission # DD232484
Contractor/Agent is
Produced ID
ENG: BLDG:
Permit No.
Parcel ID: N, ---a-31 -2Qp-DdIn-00dn
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 Statutes, the following information is provided in
this Notice of Commencement.
I IN 111111111111111111111111111101111111111111111111111111
MARYANNE MORSEL CLERK OF CIRCUIT COURT
SEMINOLE COUNTY
BK 06665 Pg 0763, tlpg?
CLERK'S ## 2007057686
RECORDED 04!1912007 09:21:00 AN
RECORDING FEES 10,00
RECORDED BY H DeVore
THIS INSTRUE-1'ENT PREPARED BY:
{NAME -z�---
�� S�
ADDR.
1
Description of property: (legal description of the property and street address if available)
2 General description of
3. Owner Name and
_7lJQ R I,-- km kmy � c_Fv- pot l i 14
RA
o�J
a. Interest in property
b. Name and address of fee simple titleholder (if other than Owner)
4. Contractor Name and address
5. Surety
a. Name and address
b. Amount of bond
6. Lender Name and address:
9 L ��2� 1. � Carl - p
501 'u'd I--- S4. 3d--709'
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7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13(1)(a)7., Florida Statutes:
a. Name and address
8. In addition to himself or herself, Owner designates
713.13(1)(b), Florida Statutes.
of
to receive a copy of the Lienor's Notice as provided in Section
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different
date is specified)
Signature of Owner
Swo to (or affirmed) andsubscribedbefore me this day of 2 , 20 Q IgNV� bye
-�ILc`T
COPerr �a�`�R
Personally Known ' or Produced Identification �;' '� �s , F
Type of Identification Produced
L
DEBBIE BLANTON
Signature of Notary Public, State of Florida MY COMMISSION# DD629096
EXPIRES: Febmary 25, 2011
Commission Expires: FI. Notary Discount Assoc. Ca1400-3-NOT