HomeMy WebLinkAbout2670 S Orlando Dr (2)CrrY OF SANFORD PERMIT APPLICATION RECEIVED
Application # � /
Job Address: -� & % S [/ gla t a Q
Parcel ID:
Zoning:
Submittal Date: JUL 0 3,2007
Value of Work:
��//// Historic District:
: nI
Description of Work:/Ct 11WS Qyt /�• tv Sp ;yt �%P,� Syc7�r r � Square Footage:
................................................................. ............. ................ ................... .......
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm P, Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition/Alteration ElChange of Service E3Temporary Pole 13Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures 6_ # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units:. • • •Flood Zone: • • • • • (FEMA form required
IJC.................r... n..Q............p.............................
Property Owner: rVA- (Je (��� C�oa �u�, �f,ACe�t�, Contractor: _
Address: Address: ob
FL. 3275-0
Phone: E-mail: Phone• 1 '-N
d�'&�LAa cense Number: A-745
Bonding Company:
Address:
Architect/Engineer:
Address:
Mortgage Lender:
Address:
Phone:
Fax:
Plan Review Contact Person: .� S ca% 0LeX Phone:$13.7{Z.'ntb(Q Fax:$13-75.2- �i E-mail: �S
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
construction and zoning. P applicable laws regulating
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.
o�X.,� 7-6—e7
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Age is Name
7/3 47
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
%, TERESA BARKER
*0,31
* MY COMMISSION # DD 490254
EXPIRES: November 28, 2009
Owner/Agent is _ PersonallyKnown to Me or �j°re ` Bonded Thru Budget Notary Services
Contractor/Agent is Personal§ Known to Me or
_ Produced ID `_ Produced D
r 0x.
APPROVALS: ZONING: UTIL: FD: `+ ENG: BLDG:
Special Conditions: . it
Rev 07.07
��bov
07/03/2007 07:38 FAX
NOTICE OF COMMENCEMENT
Permit No. 67%Za M
Parcel ID: a/ -:to - Zo- SO 2
State of Florida
County of Seminoles
®001/001
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sanlU aoLffi(tY
BK 06716 Pg 19al (1p9)
CLERK'S N 2007083059
MIZIRM 06/06/2007 09136r1i AN
WXMIND FEES 10.00
RECOW BY T Smith
The undersigned hereby gives notice that improvement will be
made to certain real property, and in accordanec with Chapter
713, Florida Statutes, the following information is provided in
this Notice of Commencement.
1. Description of property: (legal description of the property and street address if available) �t�Zb t/e t7
PJ Lost =¢ 1n Z7 I.i1Fsc �/ Goo 46r 2] lPUZ o S/ QEs
¢0 MVA#•' 3/ Mid- Sb.Zsrr Tp CswrrryuWrW&WI pvrAX cc. lira Use a'cCc�,i�v. �oAa
A�
2. General description ofimprovemenr
3. Owner Name and address.
a. Interest in property
b. Name and address of fee simple titleholder (if other than Owner)
4.(lpcwr Name and address: G
5.
r
a. Name and address
b. Amount of bond
6. Lender Name and address:
7. Persons within the State of llonda designated by Owner upon whom notices or other documents may be served as
provided by Section 713.13 a)7., Florida Statwes:
a. Name and address S
8. In addition to himself or herself, Owner designates of
to receive a copy of the Lienor's Notice as provided m Section
11W(10), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is I year from thed rding unless a different
date is specified) �
/ GS' of Owner
Sworn to (or qff ed) subscribed before me this day of 20 �Y1 , by
Personally Known _ or Prod Iced Id ffilution
of ldentifrcaticm Produced .F
tt0V Pdit • VAN d vta�
Signature of Notary Public, State of F IN ME t PREPARED BY;
Commission Expires: Com. m 00 mail"
NAME l3 " IlltgtPtttWS"faL
ADDR. CKs sH •r?
D�.,r.•raQ�—
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-2516 - FAX # 407-302-2526
DATE: PERMIT #:
BUSINESS NAME /,PROJECT:— CA(--, U e -C
ADDRESS:
PHONE NO.: FAX NO.:
CONST. INSP. [ ] / O INS..P.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. (. ]. F.S. HOOD ] PAINT BOOTH [ ] BURN P RMIT
TENT PERMIT f J TANK PERMIT [ ] OTHER
TOTAL FEES; S . T 7.5 (PER UNIT SEE BELOW)
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -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
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.'
6 --
Sanford Fire Pre noon Division Applicant's Signature