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CITY OF SANFORD PERMIT APPLICATION
Permit #: —7 ' L4 C49 / �+ Date: 4 (A 7
Job Address: .2 C VK A 0..C„ ail S A A-77 3
Description of Work: 6 o o ►+ c� c t
r
Historic District: Zoning: Value of Work: $ 10
t
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service —# of AMPS 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 Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: Z # of Stories: / # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: / 0 "; J' 10 .1 J J— V1 61 6 6 — [S% V 0 (Attach Proof of Ownership & Legal Description)
Owners Name & Address: eitl ti iA w Q A! i � y� e t 1 — a D g i"4 4R C -S-J—
Contractor Name & Address:
e
Phone& Fax: V07, Ott C //SO —AAX 11.6
Bonding Company:
Address:
Mortgage Lendcr: .
Address:
Architect/Engineer:
Address:
Phone: _ yv7_- _3A/ — O S 7 4 K
' cJI' O IQ A. a Cv
License Number: n
Person: r� C,4.4 l lis 4✓! Phone: V-2 -
Phone:
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 AFFIDAVIT: I certify that all ofthe 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
this county, and there may be additional permits required from other governmental entities such as wate�
Acceptance of pe it is verification that I will notify the owner of the property of the requirem s of
;,Sig ature of Owner/Agent Date 2ar 1cA t. a C'C1iPrint caner/Agent's Name Signature of Notary -St Florida Date
1 Ow er/Agent is _ Personally Known to Me or
Produced ID PC DL H996HG1q'->, L5__000
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Notary Public - State of Florida
My Conmtission Expires Feb 4,201
Commission # 00 635922
On IN ' T rotgh National NotaryAssn
may be found in the public records of
icts, state agencies, or federal agencies
5� co 1=/or. W -A---
713. OC20'i- `n 0"
/1 Date
/'07
Date
Contractor/Agent is = Personally Known to Me or
Produced ID
Zoning: Utilities:
(Initial & Date) (Initial & Date)
M10
FD:
(Initial & Date)
BONNIE J. I,iAL0N
Notary Public, State os Flotilla
,-nm, expires Sept. 16, 2008
POWER OF ATTORNEY
Date:
I hereby name and appoint
of N/x,� to be my lawful attorney
in fact to act for me and apply to the
Building Department for a !8 a pen -nit
for work to be perfonned at a location described as:
Section /b Township )- a Range 3 ZI`
Subdivision
aDq9
(Address of Job)
Lot _��' Block
(Owner of Property and Address)
U
and to sig y n me and do all things necessary to this appointment.....
�G h J
ype or Print Na of C Co tractor and Contractor's License Number
ignature of Certified Contractor
The foregoing instrument was acknowledged before me this ,�7day of 20t-.7
by
who is personally known tom �
as identification and who did not take oath.
State of Florida
County of
ELAINE SCHOENFELDT
MY COMMISSION # DD 188702
-IN
5't jCa� EXPIRES: December 17, 2006
1 -W&3 -NOTARY FL Notesy Service & Bonding, Inc.
Seal
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3:26:09 PA
Licensee Details
Licensee Information
Name: PERLMAN, RICHARD (Primary Name)
CAPITOL CONSTRUCTION & DEVELOPME1
CORP (DBA Name)
Main Address: 224 W CENTRAL PKWY STE 1020
ALTAMONTE SPRINGS Florida 32714
License Mailing:
License Location:
License Information
License Type:
Certified General Contractor
Rank:
Cert General
License Number:
CGCA05302
Status:
Current,Active
Licensure Date:
08/31/1977
Expires:
08/31/2008
Special Qualification Effective
Qualifications
Bldg Code Core
Course Credit
Qualified Business 02/20/2004
License Required
View Related License Information
View License Complaint
L I Terms of Use I I Privacy Statement I
https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=715399 6/14/2007
06-14-'07 16;00 FROM- T-159 P01101 U-778
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
i�;Gr .OUT,
November 22, 2006
*r*K
Construction
ngnBoald
Richard Perlman
Capitol Construction & Development Corp,
Jab Bush
224 West Central Parkway
Governor
Suite 1020
SimoneMareta
Secretary
ry
Altamonte Springs, FI 32714
If you should have any questions regarding this matter, please contact me at
(850) 922-2701.
Sincerely,
G. W. Harrell
Executive Director
Construction Industry Licensing Board
GWHlaly
Dear Mr. Perlman:
Division of Professions
Construction
ngnBoald
This letter is written in response to questions regarding those contractors
licensed to perform roofing work.
1940 N. Monroe Street
Tallahassee, F`
Pursuant to Section 489.113(3)(g), F.S., "no general, building, or residential
32399-1039
contractor certified after 1973 shall act as, hold himselftherself out to be, or
VOICE
advertise himself or herself to be a roofing contractor unless he or she is
650,487,1395
certified or registered as a roofing contractor.
FAX
850.921.4216
However, any certified contractor who was licensed by 1973 with the
Construction Industry Licensing Board, may perform all manners of roofing
TDD
800.955.8771
and repair as stated in Section 489.105(3)(e), FS." Your license number
CGC 005302 was issued within that time and then as this license went null
INTERNET
and void, a second license, CGC A5302 was issued. As you were
www.myflohda.com Com
continuously licensed as a certified general contractor since 1973, you may
perform roofing work under your current license.
If you should have any questions regarding this matter, please contact me at
(850) 922-2701.
Sincerely,
G. W. Harrell
Executive Director
Construction Industry Licensing Board
GWHlaly
11911 113 ii III Ii Sail R 1110x18181 rdl 11 Ill 11 Illi 11 [it 18 ill 11111
THIS INSTRUMENT PREPARED BY: Building & Fire Inspectign
Name: CAPITOL CONSTRUCTION & DEVELOPM 1101 East First Street':
Address:224 W CENTRAL PKWY #1020 Sanford, Florida 32771:;
ALTAMONTE SPRINGS, FL 32714
State of Florida County of Seminole' i
r-.
NOTICE OF COMMENCEMENT '
:.: I,'i
Parcel ID Number (PID) .10 - S'01 " D 000- n? V U
'=rn
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with- , 4'
Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)
G-,Kouc' vLc%.
r-;
GENERAL DESCRIPTION OF IMPROVEMENT
OWNER INFORMATION
Name and address: 3 A--0 1x• 1 i.. 4. c, I� 02 0 �'V► P n s
3 ;,-7 -7 3 CERTIFIER rnPV
MARYANNEr,`,CONTRACTOR
CLERK OF Glr OURT
SEMINO COOiVLORIC�A �r
Name and address: CAPITOL CONSTRUCTION & DEVELOPMENT CORP. CO
X224 W CENTRAL PARKWAY SUITE 1020 ALT
FL 32714
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be servedCID
as provided by Section 713.13(1)(b), Florida Statutes.
Name and address:
NO I;E
.r,
In addition to himself, Owner Designates ofiq;
To receive a copy of the Lienor's Notice as Provided ii>*..
Section 713.13(1)(b), Florida Statutes. r'
Expiration Date of Notice of Commencement M
(The expiration date is 1 year from date of recording unless a different date is specified.)
STATE OF FLORIDA
COUNTY OF SEMINOLE
0'&� c
Signature o wner �.
rj
The foregoing instrument was acknowledged before me this L' day of1e�� , 20_
J � C� Who is personally known to me C.
Name of person making statement i j
OR who has produced identification �L b(,Ma4-) 0 yG 1 Li -1 j sn0 type of identification produced
N=11L. S CHARRON
Ir State of Florida
MY Commission Expires Feb 4, 2011
Commission # DD 635922
n.�r• Bonded
TMougN National Notary Assn.