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
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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:
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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
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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.
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Fl. Norzry
ISt1'A�7-NOTAR
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