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HomeMy WebLinkAbout1000 E 1 St (3)it Permit # Job Address: Description of Work: X&fb(/e 1 04Ai Historic District: Zoning: CITY OF SANFORD PERMIT APPLICATION Date: C)( f' l a ) 0U Y s Value of Work: $ 7 1t C -/U0 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 ;1 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: y Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address: (Attach Proof of Ownership & Legal Description) (1 Phone: 7 Contractor Name & Address: V1' o- Te. c, h ��g a .J v e r T fiu c Rd 0 C I F- L 30 JJ "V07 -0-V-2631 State License Number: e, iq Coq 39 3 Phone & Fax:407— � q 1- / (0 q q ' V07-0- — x•63( Contact Person: Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: 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 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 i 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 management districts, state agencies, or federal agencies. Acceptance of p it s verificatio that I wi I tify the owner of the property of the requirements of Florida Lien Law 0 ignature,o O ner/Agent ] *ate/ Signature of Contractor/Agent r Date T, IV, tai P.n�ner/ gent's Na Print ntractor/At' Na k ota ry-State State -of Florida Date Sig ture o otaof Florida p. ...w.......w..few WILLIAM L.17Utflltli;V1q ERIN E. STALEY Nollryi Public, State Of, IvIde9 comm>Y 000321251 ExpvM comm. e / GDN `�y ee''1 e t ✓ Personally Known to Me or Contractor/Agent is Personally Known to Me rBonded tlw (OW)GU-420 Comm. 4qi _ ID _ Produced ID ===1 41i b +),SI� APPLICATION APPROVED BY: Bld I✓ Gio Zonifig: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: Permit # Tax Folio # Notice of Commencement THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with chapter 713, Florida Statutes, the following information is provided in this Notice of commencement. c Y 1. Description of Property 1000 E. First Street, Sanford, FL 32771 M •c 0 w pp__ ' a2. General description of improvement: /yl'� 44*. 4jr• C d4*04`1 , irys'�' LU d 3. Owner information: _ a. Name & Address: & tlu T P" h r /I.a t s f ee--- �y b. Interest In Property l / T cn z w c. Name & Address of fee simple titleholder (other than owner): � i ¢ o 4. Contractor's Name & Address: Protech Air conditioning and Heating Services Inc. 2425 Silver Star Rd., Orlando, FL 32804 a. phone number 407-291-1644 b. fax number 407-291-2631 5. Surety Information: CEOPFIED COPY a. Name & Address: N1MYANNE MOWE b. Phone number: c. fax number VLERA70FGWU1T CODA d. Amount of Bond $ $ ' 6. Lender's Name and Address: — a. Phone number b. fax number 7. Person within the State of Florida designated by owner upon whom notices or of *heats \ may be served as provided by 713.13 (1) (a). 7 Florida Statues: , „4.2004 Name & Address: a. Phone number b. fax number 8. In addition to himself, owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statues. 9. Expiration date of Notice of Commencemnt (the expiration date is one year from date of recording unless different date is specified): (signature of owner) Sworn to and subscribed before me (! 1�1 8il d 11� 1111 "This day of O � 20 y FA 11611 Notary r ' MARYANNE MORSE, CLERK OF CIRCUIT COURT ` Shown SEMINOLE COUNT1f ��;Ktiow�personally/ ID � =fly c©mmission expiresBK 05464 F'S 1670 CLERK'S 11 L-0041 Et11 ti RECORDED 10115/2W 11105154 AN RECORDING FEES 10.00 ti`>rllLiAil�1L.Og SON RECORDED BY S OyKelley art ? 1' State Of Flaft Y COmqL exp: Apr. 7, 2008 Comm. No. DD 106310 Permit # : 05-137 Job Address: CITY OF SANFORD PERMIT APPLICATION Date: ©c f (:S . 2� Description of Work: Historic District: Zoning: 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: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: / t Q u-� �� 3 f'J LffA (J-5( 0 �,e Phone: ___ Contractor Name & Address: L4 �e �d t -0 Phone & Fax: 7 U Bonding Company: Address: Mortgage Lender: _ Address: Architect/Engineer Phone: Iook Address: 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 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 the requirements of Flo 'da Lien w,dS__7l Signature of Owner/Agent Date Signature of Contractor Ag Date Print Owner/Agent's Name rint actor/Agent's N j Signature of Notary -State of Florida Date Signatur of Notary-StaFL6�E� d E GRAVE Date * MY COMMISSION # DD 164280 d EXPIRES'. November 12, 2006 ce onde N Services Owner/Agent is _Personally Known to Me or C tractor � is �� i jy°��jor Produced ID Produced ID r J kQ APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: