HomeMy WebLinkAbout2921 Orlando Dr (23)ved
CITY OF SANFORD PERMIT APPLICATION I I D ` -:C' - (3i
2Permit # : Date: Zl
Job Address: L-n I DE ANAO DR IV SA Nr01% f L &!A) -1 o ( t) N tT
Description of Work: _ 140 Lf- Of 1 1AW f . 0AIM -ft Qi - 1UIt I 1 _
c
Historic District: Value of Work:
Permit Type: Building, Electrical Mechanical Plumbing
Electrical: New Service - # of AMPS Addition/Alteration
Mechanical: Residential Non -Residential Replacement New
Fire Sprinkler/Alarm Pool
Change of Service Temporary Pole _
Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixttaw # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential Commercial _Lo Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 0120 30 5 + 2 Oo o 0O Z % o
Attach Proof of Ownership & Legal Description)
Owners Name & Address: 511 ou p ulk 110C. OF D E LTo11h
Itetme-1-: SCAN Sµ% Phone: q07 32q -1116
Contractor Name & Address: ZAQA kkS M L- A C Co tJ S rQV CTt o tJ
State License Number:: Ct;? L O 15 q 0 4
Phone &Fax C 3 2 Z - ontact Person: 4EUf ST0 c aS l l V. O Phone: 401 4t18 - $ 3 4 i GQ Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer: _H tM[Lq A e,aQi Q Ly ? Phone: 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 perrniy 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 mqu%,rG_,_r from other governmental entities such as water management districts, state agencies, or federal agencies. Acceptance
of permit is verifi on that 1 ill noti I a owner of the property of the requirements ofPF!Z'
D-p3 Signature
of Owner/ gent Date Signature ofctor/Agent Date to
a--
mmrnomrm "0164280 o
EXPIRES: November 12, 2o06 ft
Wpl Notary Services Owner/
Agent is 52cizonally Known to Me or Produced
ID P '
nt Contractor/A ent's hype a -
3G -CZ Date
C—SiF- GRAVE Date A,—
MY COMMISSION 1 DD 164260 EXPIRES:
November12,2o06 BorWed
T ru eudeet Note Services CntracftA'!R$en- is a pally own Me or Produced
ID 3 ' rco-`1- 3010 APPLICATION
APPROVED BY: Bldgl t -0 Zoning:
Utilities: Initial &
Date) (Initial & Date) Special
Conditions: Initial &
Date) 0
1- Initial & to -"
16'-8'
20'-8'
PERMIT #_aj-7qg-
125'
2) NEW WALLS-2x4 METAL STUDS 24' O. C.
5/
3'
RE RATED WALLBOARD, BOTH SIDES
jc- in.
MANS REVIEWED
CITY OF SANFORD
ALL DOORS 36' 34'
15'
RESTROOM (4) PROPOSED ALTERATIONS TO SUITE 170 (UNIT 16), SANFORD PLAZA
6'x 7'8' (WEST END GALLERIA), 2921 ORLAND DRIVE, SANFORD, FLORIDA
SCALE, 1/8' PER FOOT DRAWN BY HENRY A. CUBBERLY, P.E. FLORIDA LIC. N1 58471 i' )
DECEMBER 12, 2003
CA
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a . .• w .•.,i ,.'yv t r is ri7'.: Ii r rR' c J j n yril a'•
NOTICE OF COMMENCEMENT
Permit No. :.:
t".•';
Tax Folio No.
State of Florida
County of Seminole
Ilk. N
C 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.
1. Description of prop : (legal description of the property and stree addrreess jf available) a7g
r
A'1> 2. General description of improvement: Lry ,
4, 3. Owner information
IC Name and address 0 'q { q
M4 t ' b Z ZAL
b. , Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
VjQ4. Contractor
J r
W
a. Name and address _ 7 t' b 1ti y l ay y S 'l 'vc L:1y Y! Q
o UL QI U -MI Ilia Z
Q b. Phone number i 7- I JY 3 f/ Fax nuzhTW 5.
Surety MARYANNE
NORSE, CLERK OF CIRCUIT COURT a. Name and address BK
05163 PG 1732 b.
Phone number Fax nufab&RK' S # 2004005239 c.
Amount of bond RHG'ORDED Ol / 12/P004 03121119 PN 6.
Lender a.
Name and address RECORDED BY S O'Kelley b.
Phone number Fax number 7.
Persons 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: a.
Name and address b.
Phone number Fax number 8.
In addition to himself or herself, Owner designates — " oI 713.
13(1)(b), Florida Statutes. to receive a copy of the Lienor's Notice as provided in Section a.
Phone number 1(-\ lam, Fax number 9.
Expiration date of notice of commencement (the expiration date is 1 year from the date Xofcordin
unle
a different date
is specified) 1
Signature
9 weer Sworn
to (oraffirmed)and subscribed before me this P rsonally
KnoOR Produced Identification T 1cation Produced
FLORENCE A DE
GRAVE k? ' * MY COMMISSION
t
DD 1642Eu ture of Notary
ublic, State of Florida EXPIRES: November 12, 200E Commission Expires: r-,>
FOFF' eondedThruBudgetNoWYWvices day
of —\CN—
t-% . , 20 , by CERTIFIED COPY MARYANNE
MORN IOLERK
OF CIRCUIT
COURI IeLFRIK JAN 12
2004
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: 8 PERMIT #:
BUSINESS NAME / PROJECT: A JSQI PIA z—AC--
ADDRESS: a, d- ` (3 r- 1 A,,A , t`-tYe-- -*
4-
17p
PHONE NO.:("107) 304 FAX NO.r4b ) CONST.
INS?. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ] F.
A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ J TENT
PERMIT ] TANK PERMIT [ ] OTHER [ ] TOTAL
FEES: $ aS O (PIER
UNIT SEE BELOW) COM
Address /
Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20,
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 I will
comply with all applica le code and ordinances of
the City of Sanford, Flor jJa. I a
X- San
forid 7 ention Division Applicant's