HomeMy WebLinkAbout200 Towne Center Cir (9)r CITY OF SANFORD PERMIT APPLICATION �a
Permit # : D VJ - (/ �.1Date: Il IYS —CS
Job Address: ';J0 6t on l / '•P()�L� _1((' 14�
Description of Work: VsC— VL%Lrt
Historic District: Zoning: Value of Work: $ 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: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 1- c ' a - 5 u. tiC7 " (Attach Proof of Ownership & Legal Description)
Owners Name &Address: `(1 C 11 l + Lip / 2
• )� C) I 1 1 '� /J 1 Phone: go 7 - : ) M - �Y .
Contractor Name & Address: - '\F\ l -k
State License Number:
Phone & Fax: `ISL
Bonding Company:
Address:
Mortgage Leader:
Address:
Architect/Eagineer
Address:
7
Contact Person:
Phone:
Fax:
�✓1
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 apI
this county, and there may be additional permits required from other governmental entities such
Acceptance of permit is verification that I will notify the owner of the property of the requireme
i
Irl �(�� -->L
ature of Owner/A t Si a
Print Owner/A ir'� ent's Name /Print I
�- ,- tz-2-D5 Am
Sienature of No -State of Florida Date 11
CabojrAO'
o ersonally Known to Me or
._Com. y
Exp�es:
Bonded Thru �n��
APPLICXiY& W� BY: Zoning:
(I tial & Date)
Special Conditions:
to this property that may be found in the public records of
x management districts, state agencies, or federal agencies.
Ioriria,L en Law, FS 713.
Date
Name
Contractor/Agent is _Personally Known to 9
Produced ID
Utilities:
(Initial & Date)
Id►7
Kathy M. Law
Commission # D029769
Expires April 3, 2008
Banded Tmy Fein • Inwrenw. IN. WMIIS.101
(Initial & Date) (Initial & Date)
AFFIDAVIT
REGARDING ROOF DRY -IN AND FLASHING INSPECTIONS
Company: $1 L - � a 6l"a
t
6 s dl lry
License #: 0-0-e _
Project Information
Owner: comLi Permit #:
name
address
CV- 3Q3.1W3
phone
Subdivision:
Lot #:
I, k- 1 , affiant, hereby affirm that I am the duly licensed
contractor of record for tW above referenced permit, that all the foregoing information is true
and accurate, and that the dry- in, flashings at the above referenced address or lot has been
installed in accoydwrke with t�q applicable codes and standards.
Contractor:
name
STATE OF
COUNTY OF
This instrument was acknowledg d efor/this c day of�' , ZQ , by the
above referenced individual, T fI'll{'f�/ er , who acknowledged that he/she is a
duly licensed contractor with _ 0 ,6 "✓ , and who acknowledged that
he/she was authorized to execute this document. He/she is either personally kno n to me or
produced as valid identification.
WITNESS my hand and seal this day of
PIHKYHNNh MUkbLj I:LGKx ur LIKLVII LUUKI
SEMINOLE COUNTY
BX 0601$ PG 0267
CLERK'S 0 2005207272
RECORDED 18/01/22005 01:13:06 DM
RECORDING FEES 10.00
RECORDED BY J Eckenroth
This htstrumeatprepared by: Angola'Wwxon
Name; SVing r -Peterson RooSng & Sheet Metal, Inc,
Address P.O,' Box 1646, Eaton Park, FL 33840-1648
NOTICE or COMNIOENCrWNT
Permit # Folio # 29-19-39-5LW-01.00-4000
State of Florida
County of Seminole
TBiE T NID]EA91GNED hereby gives notice that improvement will be trade io certain real property, and in
accordance vkth Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement.
1. beseriptian of property: S inole Town Cartier Food Court 200 Towne Center Circle Sanford_ FL 32771
2. General description of improvement: lie -Roof
3. Ownr information:
a. Name & Address: Simon Proverty Group, P.O. Bax 7033 IndianapoliLIIN 46207
b. Interest in Property; ..
C. Name & Address of fee simple titleholder (other than owner):
4. Contractor's Name & Address: Sudnaer-Peterson Rogft & Sheet Metal Inc_
Post Office Box L648 Eaton Park, FI 33840-1645
a. Phone number: A63 665-1163 b. FAX nuanber: 863 666-2468
5. Surely boformation:
a- . Name & Address:
b. Phone number: c. FAX number
d. Amount of Bond: $ w
6. Lender's Name & Address:
b. Phone number, c. FAX number:
7. Person within rho State of Florida designated by owner upon 'Whom notices or other documents may be served
as provided by 71:3.13 (])(a), 7 Florida Statutes:
Name & Address:
8.
$. Phone number: _
In addition to himself, owner designates
of
b. FAX number. --
to receive a copy of the Lienor's Notice as provided
in Section 713.13 (1)(b), Florida Statutes..
9. Expiration date of Notice of Commencinnent (the expiration date is one (1) year from the date of recording unless
a different date is specified):
Signature of Owner
Sworn to and subscribed b re me this day of
Notary Public
Known Personally
M Sworn '
My comm-ission expires:
0. R. SHOOK, JR.
t MY COMMISSION 1 DD 110406
EXPIRES: Decembe126,2006
Bonded Thru eudwt Wiry Senim
TOTAL P.02
DEC -01-2005 13:34 CLERK OF COURT SEMINOLE 407 330 7193 P.01i02
MgYANNF MORS
' do
�016 COun� '
301 NORTH PARK AVENUE, SANFORD, FLORIDA 32771
POST OFFICE BOX 8099, SANFORD, FLORIDA 32772
TELEPHONE: (407) 665-4330 * FACSIMILE: (407) 330-7193
FACSIMILE COVER SHEET
ATTENTION: ANGIE
COMPANY: SPRINGER PETERSON ROOFING
FAX NO.: (863) 666-2468 PHONE No.:
FROM: JUDY / RECORDING DEPT
DATE: 12/01/05
TIME: 01:15
COMMENTS: SEE ATTACHED FOR YOUR NOTICE OF COMMENCEMENT.
CONFIDENTIALITY NOTICE
THE INFORMATION CONTAINED IN THIS FACSIMILE TRANSMITTAL IS CONFIDENTIAL AND
INTENDED ONLY FOR THE PERSON DESIGNATED, IF YOU HAVE RECEIVED THIS
TRANSMITTAL IN ERROR, IMMEDIATELY CALL (407) 6654500.
TOTAL NUMBER OF PAGES TRANSMITTED INCLUDING THE COVER SHEET 2
IF THERE ARE ANY PROBLEMS WITH THIS TRANSMISSION, CALL (407) 665- 4339