HomeMy WebLinkAbout201 PersimonRECEIV
It
OCT 18 2011
BY: TY'OF SAN FORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: Documented Construction Value: $ /a a 0
Job Address: '201 P� S'.•. oti. Historic District: Yes ❑ No ❑ .
Parcel ID: Zoning:
Description of Work: ,%.s! -.II htr, e-f«1rZ J-Lfa✓ 5i
coo A l f
Plan Review Contact Person: %V/e /e- Title: _
Phone: VO 7 `/ YS jPYQJ Fax: Vo 7 6 S- 7 6 keel- E-mail:
Property Owner Information
wwt .,-
Name /'.a u I/ Aeh e e L AN 2,& Phone: `/0 7 y yd' O yZ &
Street: 2.37-1 Af lYy 404,, Akc_. Resident of property?
City, State Zip: e- L ,4 'r" 42 -72 7 2 X
Contractor Information
Name J 3 RL .` i►1 �_ 1 '� S Phone: T� �1 `moo J S� z -
Street: J_ Ic 7 , u/?i✓ 130 t. C ,BIZ G Fax:
City, State Zip: [S) /L L -'/,'O ocL State License No.: EC l 3 00 ? O & O
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Building Permit ❑
Square Footage: _
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type
No. of Dwelling Units: Flood Zone:
Electrical
New Service -No. of AMPS: V O
No. of Stories:
Plumbing ❑
New Construction - No. of Fixtures:
Mechanical ❑ (Duct layout required for new systems) Fire Sprinkler/Alarm ❑ No. of heads: _
N vc.J 7 '*►r GN ,,} 1 Pr A it 6 �� If L vo T 0 /A/✓tH 14
Th t; /v tw se2 v /ee /a 1 2-o/ /✓c,L fi
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. A NOTICE
OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. 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.
The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order
to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the
plan review fee based on past permit activity levels. Should calculated charges exceed the documented
construction value when the executed contract is submitted, credit will be applied to your permit fees when the
permit is released.
Signatu wner GAR—
Date Si at ontr�ctor'e gent Date
� k -k*) �/y� _ti /'� la \
rM wner/Agent's Name Prim Contractor/Agent's ame _
lk
AfvIAKOA I: RO
De
MY Co? -41 iiSSION 4 OD860270
EXPIRES February 10. 2013
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
APPROVALS: ZONING: UTILITIES:
ENGINEERING:
COMMENTS:
Rev 11.08
FIRE:
L RODE
MY COMMISSION # DDS60270
EXPIRES February 10. 2013
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
WASTE WATER:
BUILDING:
To City of Sanford
LETTER OF AUTHORIZATION
This letter does authorize J&K Investments. to act as our agent to apply for and to receive
all permits and approvals necessary for the installation of electric.
Site address:
Paul's Towing
Persimmon
By Owner:I �w ""nZ,,-',
date: /i'J ' '
re
LL��
rint Owner/ Agent Name
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this Ilth day of 10 , 2011
by QM t9-LAn1A . Who is personally known to me
Witness my hand and official seal in the County and State last aforesaid this t--I+h day of
2011.
DALE E YCCONNELL
commission expires:aftn"Ift
Notary PublIc, State of Florida
Notary Public Comm
. expires one�72�073
n Agency, Inc. (800)451.48$4
PAULS TOWING AND RECOVERY,
201 PERSIMMON SANFORD
single
phase
240v
100 amp
meter base
single
phase
240v
100 amp
24 circuit
electric panel
with main breaker
October 1, 2011
Attn: City of Sanford:
I, Jon Bowman, of J K Investments., give Jamie Cole permission to act on my behalf to
apply for and pick-up permits for:
Paul's Towing
Persimon
Sanford, fl
Th you,
Bowman
EC 13002060
Sworn and subscribed before me this,J_ day of OCT , 20L.
Signature of Notary Publi
" ' L KEENAN
My commission expires: f /- v2e� -7o // _•: C�a=Mlon DD 719881
BaM�dThuTYania, IOPJ�7CIP
Form of ID: ,QBIlo-voce, �ar��