HomeMy WebLinkAbout100 Cardinal Cove Cir1 CITY OF SANFORD PERMIT APPLICATION
Application #: 0 1, — i"n �L _ p Submittal Date: /�
Job Address: V,)M� C� t 2. C -D-502
AS C� (�� y \ ~ Value of Work: S \ , 9cm , QS, -L
Parcel ID: !J� `��`�
��.0 -
l - l� Zoning: Historic District:
Description of Work:
Square Footage: _
........................................................................................................................
Permit Type: Building ❑ Electrical ,lb Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration q Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non-ResidentlaIR 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 ❑
Plumbing Repair— Residential ❑ Commercial ❑
Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
......................y..`..............................................................................................
Property Ow er:`t V`Y� Contractor q ' 7
Address: �1 Address:
t
�— �--
Phone: E-mail: o�es___) State License Number: Q �1
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fag:
Phone: Fag:
E-mail:
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 thf reqs ufiwements of arida L��v, FS 713
Signature of Owner/Agent Date
Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
Signature of Notary -State
yl07
Date
VANESSA VILLALBA
Notary Public - State of Florida
M�fon Bvkes Od 14, 2008
Commission # DD 363034
Bonded By National NotarvAssr
Contractor/Agent )o Personally Known to Me or
Produced ID
ENG: BLDG:
'S
PHONE 407-857-6133 - FAX 407-650-81 28
May 2, 2007
CITY OF SANFORD
Building Department
300 N. PARK AVE
SANFORD, FL. 32771
TO WHOM IT MAY CONCERN:
I, John W. Carlisle (EC13001945) hereby authorize of Quinco Services,
Inc. to apply and sign for electrical permits with the City of Sanford, Building Department for
the following project:
1000 Cardinal Cove Circle
Sanford, FL 32771
Should you require additional information, please do not hesitate to contact me.
Sincerely, --
n W. Carlisle
EC13001945
STATE OF FLORIDA
COUNTY OF ORANGE
Before me personally appeared John W. Carlisle to me well known and known to me to be the person described in and
who executed the foregoing instrument, and acknowledged to and before me that John W. Carlisle executed said
instrument for the purpose therein expressed.
Witness my hand an official seal, this 2nd day of May, 2007
VANESSA VILLALBA
r°• ; Notary Public - Stale of Florida
- � � cl'MConYnl$1onE�ie60ct14,20(rd
Commission # DD 363034
ARY PUBLIC°"`;
'•••„��”„� Bonded By National NotaryAssn.
2500 KUNZE AVENUE ORLANDO. FLORIDA 32806
QUINCOELECTRICAL.COM
&.,fir ,.yNt;.
Date: 5-bt-67
1 hereby name and appoint
01--- F,,6? C-----7--- to be my lawful attorney
in fact to act for me and apply to the c
BUildin`g Department for (%1p p (-�`,�s +� pc ;;pit
for vvork to be performed at a location described as:
Section _.T'owiiship __---- KangcLot Block
Subdivision!t
_.__.. ---------.---------��r �:------�Jr ---.._._
(Address of Job)
N._4..._.__�c�r........ ......
(Owner of Property and Address)
and to sign my name and do all things necessary to this appointment.
Type or Print Name of Certified Cy tractor and Contractor's License Nu nber
Signature of C.'ertifie lc C'
(he foregoing instrument was acknowledged before me this 561__...__ day of 20
by
W, `2Z0
wlio is personally known to .me/who produced L
-- ----._...-—._._.._...-..- ....... _.-._........
as identification and who did not take oath.
State of Florida
C'outlty of P-Jrr„� �-
Notary Public, Orange County, Flori a
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�t4.
Notary Public t2te
A4 9 1 Laaook of Fi°riga
OF ��
it °mm'ss'on DD381
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