HomeMy WebLinkAbout261 E Airport Blvd (2)07/20/2007 11:15 4078550632 ASM PAGE 02/02
�1CITY OF SANFORD PERMIT APPLICATION
Application p —� ` �� . G Submittal Date:
Job Address: ak ] GA -it kZ-%T1 N)y> 1 51g1J�tflD� PL • Value of Work: DD
Parcel ID: iZ - -ZD - 30 •� D� O1Z H- DoOt) Zoning; B; Historic District:
Description of Work: fie- P'2410 �,. ' NL2A29Pr(, CoNe�t.Ei� lett: �t'�I uare Footage: �o�i�,�s�
........................y�.t,.A ....................................................
' S �'►4i'rvi Iii�i.'+
Permit Type: Building QIC Electrical lvlechanleal 0 Plumbs 17 Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole O
Mechanical; Residential 0 Non -Residential ❑ Replacement ❑ New O (Duct Layout & Energy C11e. Required)
Plumbing/ New Commercial; # of Fixtures # of Water & Sewer Lines # of Gas Lines
PluTbing/New Residential: # of Water Closets Plumbing Repair - Residential ❑ Commercial Cl
Orrupancy Type: Residential ❑ Commercial ¢j Industrial ❑ Occupancy Use Group(s):
Constructlon TypeRvRook N of Stories: # of Dwelling Units: Flood Zone (FEMA form required)
.. ......... ........
PropertyOwner:Lft-U� 1U-> {�S l7tT 00oij Contractor: NC=r-1+i115- (t4L
Address: omN ]A ug 1 t- Address: ald)lp_f�-Ry-a'-ej Ll roIts(i
Phone: D 79 SD 5 Email; Pho L: -Z{$3 State Llcep9e Number: GCC-d5$6g9
Bonding Company:
Address:
Mortgage Lender:
Address:
Arch iteetlEngineer: W6(LtMfZ JOt-IM%7K.5 IN4MCL- PtAF Vt. ]1J1M ? R6606,
Phone;'405 0075
A;ddrees: _k'7 k-"e*cA+T2-A Vt%OWCP04-- %5 AkA,'-,A I:o A -603c�l Fax:
Plan Review Contact Person: Phone: Fax:
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 bas 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, BO,Q,IERS; HEATERS, TANKS, and
AIR.CONDRIONERS, etc.
OWNER'S AFFMAVIT: 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 RE5ULT IN ,YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB STM BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO 013TAIN 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 restrietione 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 wate&Mment districts, agencies, or federal agencies.
Acceptan of p it verification that I will notify the owner of the prop ids tete Law, FS 713,
7Z0 O-7
Signature of O er/Agent Datc Signature of C ntractor/Agent I IfDate
Name
aptrn� MARY ELIZABETH DE GUZMAN
+itis7A ., MY COMMISSION # DD517096
�%F ni°fOW"er/'4J"k ,TffS�lly wn to Me or
(407)ya Prod
APPROVALS: ZONING; UTIL:
Special Conditions
Rev 07.07
go
Print
Si
-;�� Zo -o7
XCA,THY A. GLOVER
MY COMMISSION n DD455616
W19,ES: ALY29.'20M
.. Fl. NoVry ti —Al A3111 Co.
Contractor/Agent is _ Personally iZnown to Me or
Produced ID
ENG: BLDG:
it, 3,0('
POWER OF ATTORNEY
Date July 20, 2007
I hereby name and appoint Matthew Leonard
of Architectural Sheet Metal, Inc. to be my lawful attorney
in fact to act for me and apply to the City of Sanford
Building Department for a Roofing permit
for work to be performed at a location described as:
Section Township
Subdivision
Range Lot Block
261 East Airport Blvd Sanford, FL
(Address of Job)
Fairwinds Credit Union 3087 N. Alafaya Trail, Orlando, FL 32826
(Owner of Property and. Address)
and to sign my name and do all things necessary to this appointment.
Michael L. Leonard CCC055589
(Type o/-�rint) Name o ertl led Contractor and Contractors's License Number)
(Signature of Certified Contractor)
The foregoing instrument was acknowledged before me this 20th day of Ju_ly2007.
by Michael L.
who is personally known to me/ N/A
as identification and who did not take and oath.
State of Florida
K
KATIKATHY A. GLOVERMY COMMISSION # DD455616 EXPIRES: JULY 28.2009Y FI. Notary Discmt Assoc. Co.
Seal:
mist. forlms power of attomey 2/2002
CITY OF SANFORD PERMIT APPLICATION
Application ft: G,- Submittal Date: ,o
Job Address: L tA5�' �yn
-C )kk1R_?6 �, cJA*'N 4R0) �L' Value of Work: A '-C 1 )SOD 0L
Parcel ID:�Z' ZD^'.SO- 3p�• �)Z H' (i�00 Zoning: Historic District: I I g
Description of Work: \- ' - D^OAN (e '�eMO \)Pr , UNQ,(Z,ET��kt R! PIPI quare Footage: Io464s -4
........................vJb1rJ'...,.................................................
Permit Type: Building Electrical Mechanical ❑ Plumbi ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
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 ❑ Commercial ❑
Occupancy Type: (Residential ❑ Commercial a Industrial ❑ Occupancy Use Group(s):
Construction Typekll_R0V6 # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required )
.......................................,................................................................................
Property Owner: FIAtR-lam LW j�S e..1J�Tyo\oo Contractor(�A�-lk} AEGT"O2�}C 5F%E�'t
Address: 7JC)al N. R►A-C-"uA 11- Address: CW01 1l�MLY,�6 LIQt��11��o
CSP -A,N m , PL DR -L- o1D0 P l— ?JZ Z
Phone: q07 • X!? -SD45' E-mail: Pho D: 95S -i l 93 State License Number: CCC.655569
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: V3m2NLe� JVClML1LS.���[.tel-,DCN 1�t.t�Wl�lji�AE60&, Phone: '04-7351- 6075'
Address: V1 - ce c i mem �►et'R-ke_ � z, , lq'ti�-li'wi-,A � A 6O Xn Fax:
Plan Review Contact Person:
Phone: Fax:
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. 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 govemmental entities such as water in gement districts, agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the prope e q ire nts ida ien Law, FS 713.
O
Signature of Owner/Agent Date Signature of C ntractor/Agent Date
Print Owner/Agent's Name Print gontrac r/Agent's N
Signature of Notary -State of Florida Date
Owner/Agent is _
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
Personally Known to Me or
UTIL: FD:
Contractor/Agent is
Produced ID
ENG:
KATHY A. G:LO V i✓tc
MY COMMISSION # DD455616
EXPIRES: JULY 28, 2009
FL IJgtazy Di—I Assce. C"
to Me or
BLDG:
JUL-20-2007 08:59A FRON:GENEVA CONSTRUCTION 4073490888
Jul 11 Z007 10:20RM HP L n$ERJET FHX
NOTICE OF COMMENCEMgIj
i'crnnit No. 11 1 i G
Parcel CD: ? '2R ' C.S 0 CSC E
Stwd 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
iinformation is provided in this Notice of Commencement.
1, D"cription of property; (logal. description of the property And street address if
available)
2. General description of improvament: Re rt10 f )cam
3. Qwncr Enfonnation '
a. Nanne and address: _ y�c C lJ� ; v�lJ� C fC � tom.
b. Intorest in property;
e, Name and addross of fee simple tiTichotder (Koftr than owner
4. C Wactor
I--) a. Name and address:
b. Phone Number:
S. Surety
A. Namc and Address:
b..Amount of bond S—
c.
-c. Phone Number; _-_ -- -- -
TO:4078550632 P.2
11111 It III111111111111111at11111111it11111IFto11111I1131
MARYANNE MORSE, CLERK OF CIRCUIT COURT
SEMINOLE COIfNTY
BK %756 PQ 07551 (lpp)
CLE RK! S d 2112107 i M i &36
RECORDED 07/1S/2007 0312363
RECORDING FEES 18.00
RECORDED BY H DeVore
I -His INSTRUMENT PREPARED BY:,
!NAME ��,+C�'[,�1•' %�
ADDR. J
z
CERTIFIED
CLERK OF C1RCl1I COURT
6. Lender .�( 0 �kr
a. Name and address;
b. Phone, Number: 99PUTY
_
7. Permons within filo Staic of Florida designated by Owner upon whom notices or other docatments may 1�o sa s prl -i
Section Zj� 3(1 Xa)7., F'loridu Statutes:
. Ntunc rntl uddress;
I). Phone Number; i� L
S. N addition to biinselror herself, Ownera na $ t e i t�g person(s) to receive a copy of tho Licnor's Notice as provided in
Section 713.13(() (b), Florida Statutes:
a. Name and address;
b, Ph,ono Nuinbm: -_---
9. Expiration date ofnotice ofcommenccmcnt (the expiration date is 1 year from the date oerecording unless a differe�t date is
specified)
WARMING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTINCE OF
COMMENCl:MIENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTIO 713.13,
FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PR PERTY. A
NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTi O ON J B SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT W Y L NDER OR AN ATTORNEY
BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE C EN MENT.
of Owner or Oumer's Autho
Signatory's Tittc/Office S2W I
ykb foregoing instrument was acknowlcd;od before me this/ ay of �! J t'LC___ , 20a by �'
I "; C- (nARlg 4f �e $On) as C (type of Authority .. _e.9. officer, trustee attorney in
fact) for (Marne of party on behalf of whom instrument was exemit d).
Signature of Notary Public, 1 t of l;lor :6N:YGADR0 c+ ,,,LINDACRmmiSslen Sxpi es; p' �� / Tj a.•1�. •46 Notary PubloridaMy Commicalon17, ZOOSCommissi15Bonded By NAssn.