HomeMy WebLinkAbout1001 E First St (4)CITY` OF SANFORD PERMIT APPLICATION
DECEIVED
Permit # : [ J / 7 g Date: zN.vb
Job Address: POV/ orFrrt$I- S- 5-%-F,2R.D FL. 327-71 2 g Z s
Description of Work: *Db # ,v art-lya C FPe cE S /W-16 Tr $wb Total Square Footage I WO
Historic District: Zoning: Value of Work: S 30, GCO
Permit Type: Building K Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New'Residential: # of Water Closets _
Occupancy Type: Residential
Construction Type:
Commercial
Mechanical Plumbing Fire Sprinkler/Alarm Pool _
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
T Industrial
Plumbing Repair — Residential or Commercial
of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
Owners Name & Address: ",FW M - des eki %S 1 a -4 laac
E i sr 15 5Nrt ob Fr_ 92770 Pbone:yv7- 3z3 - 3Y3 Contractor Name &
Address: I-ID"eF- t- Lrt 00 9CL,
Wi A t.'r <WJcFe" F4- 3Z771 State License Number. c-X 125y 'Is Pbene-& Fax:
Yo7 - 33A -07o4N Cabinet Person: ACW414t."11 Pbone: Y07'- L21 -Y`iK"i Bonding Company: #"
JA Address: Mortgage
Leader:
A1A Address: Arcbitect/Eogioeer:
6,
A Pbooe: 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 AFFIDAVff:
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 maybe 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 4 Signature of
Owner/
Agent'f Date MY VUMMIZIJIVPI n
UV YVc' -- EXPIRES:Seaiam_-r22,
2009 F,wW Tgr1
Eo,.el !::I•ay. Services Owner/Agent is
K Personally Known to Moor Produced ID r•
r• APPROVALS:
Z.ONIN10
4 UTIL: Spec' Conditions: Rev 03/
2006 13.
Date 5 ftletery:-
to
of
Florida Da p ?0p c KENNETH
R FROST MY COMMISSION # DD 432782
EXPIRES: September 22, 2009
Con tmuti>A`1f
errt is P rersor`y°l r vii Me or Produced ID v-i
ENG: BLDG:
0o,5.
eo
IIIIIIIIIIIIIIINIiII1NIiIII111111NUU1U111U1111111111111
THIS INSTRUMENT PREPARED BY: Building & Fire Inspection--xn
Name: ri n2,> sic rSjE0LE 1101 East First Street«
Address: 1.3r; dc.:4 C•r Sanford,Florida 32771m5,'Fn:zP FL- 3L:77f COUNTY m ZStateofFloridaURALCHOICECountyofSeminole,—, m
NOTICE OF COMMENCEMENT mm
Parcel ID Number (PID) 30• 19- 3. 5•c 7 i `cti7 ac r n r
m
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance witFt" 1W..
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
C.
DESCRIPTION OF PROPERTY (Legal description of the property and street address) /oc)i E. / S' '!;' ;¢
awT
4-4; S 1-13 /ivC.c.iAi G . 3f_ack L- An.ii nq-x .u.27i+ 't ei= T}re
RL01V • 1' s 'Fiat; v" ft. T &vh 3
t:U N r
GENERAL DESCRIPTION OF IMPROVEMENT MAR`!- NNE
G •.,'C
M
r-1
CLERK CIRC +'? fU ,T
o
kfz
r
y v
OWNER INFORMATION
p
t' , " F' `
Name and address: M ;-¢,SyS istl Siv,J hUV 1 C
icon C i Sr h,r.2.i S.9ai=c L7 F 3L"7r
1) CONTRACTOR
Name and address: 4' "cs; CcwsT 2 4.-7anJ t4x- /qo 3-'&-,iol e.f
CD
3 z7-7, CD
7F; cj4ls5/ wy S vF / 3z77! CC;
Q
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served "'
coasprovidedbySection713.13(1)(b), Florida Statutes.
Name and address:
In addition to himself, Owner Designates
Section 713.13(1)(b), Florida Statutes.
Of
To receive a copy of the Lienor's Notice as Provided in
Expiration Date of Notice of Commencement
The expiration date is 1 year from date of recording unless a different date is specified.
STATE OF FLORIDA
COUNTY OF SEMINOLE
Signature of Owner
The foregoing Instrument was acknowledged before me this ZS day of PcAelem 6- . 200
by
Name of person making statement
OR who has produced Identification
SEAL)
KENNETH P. FROST
MY COMMISSION # DO 432782
EXPIRES: September 22, 2W9
OF Fl`O' Bonded TAN Budget Notary Services
Who is personally known to me -,_
type of identification produced
Signature
c _
TEST TEE :
LEGAL aeSCRIPr] 0N = = L.
0% 1 S INCLU41VE 5LOCK L- AND
T"e HOOT" f 2 OF THE VACA.
TaD ALLEY ADJAGEIJr 'r0 l
N AND RutJ t W6 P-LOPG THt5- I
eiouTN S1 DI~ OF Y4r-sv Lots, Fast
srtz>T E YEt stoN'. orL%
i t G 'r0 'ru6 r.Y 1149F-15OF GOtZDEp
J SLAT )+3gDK 3. 10OI
E, ISr E
76 0 THE Ptlgl.tC R.EGORds FLOo
STR PRePDSED PAG , F S-
r R E E T QF SEM I 40 L to COUtJ i Y, F L REMOgEL
PAR
C EL N U waE R_ F
I K t' ford
Fire ate.
FICE SITE
PLAN N7M,
ALE
40 101,
67
I a
I j I j , I ' i I
I ' i I I •
I ; ' I I i ' I I I
1
I I i I I I I
I i I ,
I ! —
1
I I i i I i
IIT
i j
I !
I
I I I I i j- I I I
I
I i I !- I i I I
I I I I I ! I', I I •!
I
I
I I
I I
I
I
V IIDE
RV R
itED
IN DW
I j i i i I I I! i i I i i t I I I
j i I
I
i i I I I I it BOOK Q, 4 e OKIC.
14I
i I I 7
I I If 1. S T wlli
i t z.I I E I,
I In'" I I I I
I
I i4 I
I
U C
INS
I i I
i
i t I I
I
it
godk I j i I
I I I i
I t - r--'''
i I I it i i• I j Tr
i , I
IV T-M 0 b i -S, R 0 c es ST
I L
i
I I OV l` aE T
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 • FAX # 407-302-2526
DATE: 1A, i b PERMIT N:
V _ . Y- cc wtK `GodBUSINESSNAME /PROJECT:
ADDRESS: 1001 • - .-s a4rQa- 4-
PHONE NO.: '' /d g FAX NO.:
CONST. INSP. [ ] C / O INSP. j ] REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. [ J HOOD [ ] PAINT BOOTH [ ] BURN PE MIT [ J
TENT PERMIT E ] T NK PERMIT [ ] OTHERk /Ur
TOTAL FEES: $ SO (PER UNIT SEE BELOW)
COMMENTS: P 2_ C^ Cgo:z)
Address / Bldg. # / Unit # S9uare Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11,
12.
13. —
14.
15.
16.
17.
18.
19.
20,
Fees must be paid to Sanford Building Department. 300 N. Park Ave., Sanford. FI. 32771 Phone N -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 I
will comply with all applicable codes and ordinances
of the City of Sanford. Florida.
Sanford Fire Preven ion Division Applicant's Signature
6
t