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HomeMy WebLinkAbout610 Control Tower LnCITY OF SANFORD PERMIT APPLICATION Application #: C7 �" 5J Submittal Date: Job Address: _ /0�0 Cd-� f-2� / ���? �� _. Value of Work: $ 8A0.00 Parcel ED: 06-20-31-300-0010-0000 Zoning: INDUSTRIAL Historic District: N/A 5;��4uare Description of Work: INSTALL NEW ELECTRICAL SERVICE FOR GSE PAVILION 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 Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Construction Type: # of Stories: # of Dwelling Units Property Owner: SANFORD AIRPORT AUTHORITY Address: 1200 RED CLEVELAND BLVD. SANFORD FLORIDA 32773 Phone: 407-5854000 E-mail: Plumbing Repair — Residential ❑ Commercial ❑ Occupancy Use Group(s): Flood Zone: (FEMA form required ) Contractor: H.L. PRUTTT CORPORATION Address: 501 WADE STREET WINTER SPRINGS FLORIDA 32708 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., STE. 200 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 'en Law, FS 713. -� ��r 4-3-07 Si lure of Owner/Agent Date Signature of Contractor/Agent Date t�Aet-, �—o t—-e Print Owner/A is Name / ignatulr of Notary -State of Florida,, Date APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 02/2007 FRANK PRUITT, PRESIDENT Print Contractor/Agent's Name o Contractor/Agent is Produced ID _ ENG: i0'3_ CATHRYN G. BIRLE itary Public - State of Florida rCornffftmBq*wJtd 15.2007 Commisslon # DD232484 raladk NalionalNotaryAssn. BLDG: 3i MY COMMISSION # DD629096 EXPIRES: February 25, 2011 Owner/Agent i 1-8 -3- Co. Produced ID APPROVALS: ZONING: UTIL: FD: Special Conditions: Rev 02/2007 FRANK PRUITT, PRESIDENT Print Contractor/Agent's Name o Contractor/Agent is Produced ID _ ENG: i0'3_ CATHRYN G. BIRLE itary Public - State of Florida rCornffftmBq*wJtd 15.2007 Commisslon # DD232484 raladk NalionalNotaryAssn. BLDG: a NOTICE OF COMMENCEMENT Permit No. Parcel ID: J 0 I G -600 0 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 loll 11 111 11 1111 11 111 0 11111 Ili 11 Ill 11 ill 11 Ill 11 Ill 11 Ill 11111 MARYANNE MORSE, CLERK OF CIRCUIT COURT SEMINOLE COUNTY BK 06665 pg 0762, Qpg3 CLERK' S # 2007057685 RECORDED 04/19/2007 09:21:00 AM RECORDING FEES 10.00 RECORDED BY H DeVore THIS !PlSTp�.i"i E!i! PBEEABED BY: r— c N AMI E ADDR. Description of property: (legal description of the property and street address if available) 2. General description of improvement: d2 6 d s a J ic �o•L S 3. Owner Name and address: Wj a. Interest in property b. Name and address of fee simple titleholder (if other than Owner) 4. Contractor Name and address: L P,-ZLJ f �foZ p _,; 5. Surety a. Name and address b. Amount of bond 6. Lender Name and address: RJ2�'ry %/liS. �Or.�Rti}'/.sUK/c.�y fi53Gci✓lf J.A c 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 of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is 1 year f - I m the date of recording unless a different date is specified)-- Signafure of Owner Sworn to (or affirmed) and subscribed before me this 9 day of 9 t , 20 _Ci%..� by Personally Known b�l or Produced Identification Type of Identification Produced Signature of Notary Public, State of Floridae4' <DEBBI- E- �� MY COMMISSION N DD629096 Commission Expires: pCPIRFS 25.2011 Co. uy, p;„nc Fl. Norzry ISt1'A�7-NOTAR .,p �'tP �� � �y•� � 9 2pp1