HomeMy WebLinkAbout601 W 1 StPermit # :
Job Address: (Dal 14),
CITY OF SANFORD PERMIT APPLICATION
Date: �?— �1—z�
Description of Work: C4V/&e�,1 Gv •;4v Le�is'f7�v /� `,�.t/ lL� Uy,, 1'
Historic District: Zoning: Value of Work:
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 I Units: Flood Zone: (FEMA form required for other than X)
Parcel M (Attach Proof of Ownership & Legal Description)
Owners Name &Address: c Ue— /,�ees'�o1cJ.
Contractor Name & Address:
Phone & Fax:`
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
tic -
Contact Person:
ate License Number:
i
i
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 construetioniin 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.
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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 NOi ICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER Ok AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable io this pro 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 manag t districts, sta agencies, or federal agencies.
Acceptance of emit is V ific tion that I will notify the owner of the property of the require of Florida '
i -
Sig V. ture of Own ers/Aent DateSi a Co rAfoV, enter Dace
(i �Cp✓fF�/G� �i�
Print Ow r/Agent's Name Print Co actor/Agent'
Signature%/Notary-State of Florida 0�o..o..gaLIN
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APPLICATION APPROVED BY: Bldg: p ►c ► P - Zoning: Utilities:
(Initial & 61 4) (Initial&Date).. S
Special Conditions: _
(Initial & Datey
5
ate
SUZANNE 90UCK
Notary Public - State of Florida
d4t'.omrnftMion E*w Jun 21, 2001
—Cpmm16916111 t 00 10645E
Bonded 9y NotlonAl Notary Aa►fl;
(initial & Date)
- COMM ERCIAIJIN DUSTRIAL A/C
• ICE BUILDERS & ICE MAKERS
• REFRIGERATION & PROCESS COOLING
JAMES C. OAKLEY
STATE LICENSE #CAC045894
SEMINOLE COUNTY OCCUPATIONAL LICENSE #28683
REF: LETTER. OF AUTHORIZATION FOR OBTAINING PERMITS:
• 24-HOUR EMERGENCY SERVICE
• STATECERTIFIED #CAC -045894
• RADIO DISPATCHED
TO.WHOM IT -MAY CONCERN,
Ii'JAMES C. OAKLEY,-CONTRACTOR LICENSE #CAC045894f HEREBY AUTHORIZE
THE FOLLOWING AGENT TO ACTIN MY BEHALF.IN OBTAINING PERMITS.
AGENT*I.S. NAME I
TilIS:AUTHORIZATION-IS TO REMAIN IN EFFECT INDEFINITELY, OR UNTIL
CANCELED'BY MYSELF IN WRITING.
CONTRACTOR'S SIGNATURE/
SWORN TO SUBS IB 0 BEFORE ME T I HIS /
2 0 0 5 ByZ-
---� DAY OF
Ir AS IDENTIFICATION AND 0 DID
(DID NOT,) TAKE AN OATH. r
MY COMMISSION EXPIRES 1-41-06
SUZANNE BOUCK
NOtGrY
Public - Stateof Florida
Commission
ommission # 00 106458
Bonded BY National Notary Assn.
W.
IiIEIIli111l�till��l�4i®�9�'tidfi��t>�;I€��!!1� '
MARYANNE MORSE, CLERK QF CIRCUIT CART
SEMINOLE COUNTY
c Cammlt;aian tJ D� 1hB468 '
SOMOCI By National Notary Asgly'.
..
RECORDING DATA CLERK' 05154783
REWRDED 09/,09/21M 02.26.07 PH
RECORDINS FEES 10.
REWDFD AY pL Mr-Kinley
NOTICE OF COMMENCEMENT
THE UNDERSIGNED HEREBY GIVES NOTICE THAT IMPROVEMENTS WILL BE MADE TO CERTAIN REAL PROPERTY, AND IN
ACCORDANCE WITH SECTION 713.13
OF THE FLORIDA STATUTES, THE FOLLOWING INFORMATION IS PROVIDED IN THIS NOTICE OF
COMMENCEMENT.
RETURN TO:
TWC SERVICES
ADDRESS
150 MARITIME DRIVE
SANFORD, FLORIDA 32771
THIS INSTRUMENT PREPARED BY:
TWC SERVICES
ADDRESS:
150 MARITIME DRIVE SANFORD, FL 32771
PROPERTY APPRAISER'S
IDENTIFICATION NUMBER
PERMIT NUMBER (S)
CERTIFIED COPY
MARYANNE
STATE OF FLORIDA
CLERK OF CIRCUIT COURT
COUNTY OF:
'SEM NOLE COU TY, FLORIDA
LEGAL
By,
DESCRIPTION
OF
/� B P I_ERK
(Q
SEP
PROPERTY
0 9 200
GENERAL DESCRIPTION
REPLACE AIR CONDITIONING EQUIPMENT
OF IMPROVEMENTS
OWNER:c
/—
ADDRESS:
OWNER'S INTEREST IN
EQUIPMENT IMPROVEMENT
SITE OF IMPROVMENT .
FEE SIMPLE TITLE HOLDER
NONE
(IF OTHER THAN OWNER)
ADDRESS:
CONTRACTOR:
TWC SERVICES
ADDRESS:
150 MARITIME DRIVE SANFORD, FL 32771 PH: 407-695-6700 FAX: 407-330-7451
LICENSE NUMBER CAC045894
ANY PERSON MAKING A LOAN FOR
THE CONSTRUCTION OF
IMPROVMENTS . / ADDRESS:
PERSON WITHIN THE STATE OF
FLORIDA DESIGNATED BY OWNER
UPON WHOM NOTICES OR OTHER
DOCUMENTS MAY BE SERVED AS
PROVIDED BY SECTION 713.13(1)(A)
7, FLORIDA STATUTES.
EXPIRATION DATE OF NOTICE OF
1 YEAR
COMMENCEMENT ( 1 YEAR FROM
DATE SIGNED UNLESS NOTED).
jo�n
SIGNURE OF OWNER/REPRESENTATIVE PRINTED NAME OF OWNER/REPRESENTATIVE
NOTARY RUBBER STAMP SEAL
SWORN AND SUBSCRIBED BEFORE ME THI AY OF
(CHECK ONE:) [ ] AFFIANT IS PERSONALLY KNOWN TO M .
U
[ ] AFFIANT PROVIDED THE FOLLOWING TYPE OF IDENTIFICATION: --
el Z (9 33/ 0AP
NOTARY SIGNAT RE h
PRINTED NAME ;_ ka�ry Putil;c s 5tnte of f-larda .
c Cammlt;aian tJ D� 1hB468 '
SOMOCI By National Notary Asgly'.
..