HomeMy WebLinkAbout3699 S Orlando Dr (2)Permit # : lJ
Job Address: ?i
Description of Work:
Historic District: Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: I //2A(-
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 —Y—"" 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: 200
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Contractor Name & Address:
Attach Proof of Ownership & Legal Description)
i '5 Sb IM64jw- TCS H If T-, 7MC 106 aP NFORA iL 3ZI" 1 7 State License Number: t I't G l 16 % 7 7 to 7
Phone & Fax: T61— TZ% — 7-5 t O Contact Person: &W I- eit Phone: 467
Bonding Company: Z`'N'
Address:
Mortgage Lender:
Address:
Architect/Engineer; Phone:
Address: Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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: 1 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 ill notify the owner of the property of the
Signature of ner/\Agent \' Date
r liltVwllu Mwit J
Signatu' rv-.Ntaie OL.AliGrSAMIApnNO ate
SION t DD 247667
L Mt. '•_ . EXPIRES: January 5, 2006
Owner/
Produce
APPLICATION APPROVED BY: Bldg: Zoning:,
Initial & Date)
Special Conditions:
of Flor FS 713.
1 r r, of
Of Contr gent _ Date
DD 247667
try 5, 2008
Produced ID
l"L VIP
Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
AUTHORIZATION FOR AGENT
I, Joe Gennari, do hereby authorize my employee k4t-4 K , to act as
my agent in securing and signing a Permit for iwGv /CAR
y .O IAo l•Gv[a { 3z.3
I am responsible for any and all work performed by my agent. I am also aware
that I will be responsible for the
State of Florida
I of this form annually.
ignature
County of Broward
Sworn to and subscribed before me this 4ci day of G1 E , 2004.
yrr
DEBRAESTEP
Signature of Notary Commission: , MY COMMISSION N DD 178423
p Tod EXPIRES: January 16, 2007
140"NOTARY FL Notary SWAN 8 B-*0 ft
This Instrument Prepared By: 4V FU
a J -V M c3;v7Vt* l7
Permit No. SrF /0,1
570wr-oJeD, A . 3a-7 T3
NOTICE OF COMMENCEMENT
STATE OF FLORIDA
COUNTY OF SEMINOLE
CERWIED COP'
ARYANNE Sy -
CLERK OF CIRCUIT COURT,
S LE Co
DEPUTY ERK
The undersigned hereby gives notice that improvement will be made to certain real property situated in
Pasco County, Florida, and in accordance with Chapter 713, Florida Statutes, the following information is
provided in this Notice of Commencement.
Description of Property: 3699 S. Orlando Drive, Sanford, FL 32773
Lengthy legal attached
2. General Description of Improvement: Replace hvac equipment
3. Owner Information:
a. Name and Address: Kimco Realty Corp./Kimco Development of
Seminole
3705 S. Orlando Drive, Sanford, FL 32773
b. Interest in Property: Fee Simple
C. Name and Address of Fee Simple Titleholder (if other than Owner)
i
Contractor:
a. Industrial Building Services
5350 McIntosh Point, Suite 106
Sanford, FL 32773
b. Phone Number: 407-323-2001
C. Fax Number: 954-396-6098
5. Surety:
a. Name and Address: N/A
b. Phone Number N/A
C. Fax Number N/A
d. Amount of Bond: N/A
6. Lender: N/A
7. Persons within the State of Florida Designated by Owner upon who Notices or other
Documents may be Served as Provided by Section 713.13(1)(a)7., Florida Statutes:
a.
b. Phone Number:
C. Fax Number:
8. In addition to itself, Owner designates the following to receive copies of the Lienor's Notice
as provided in Section 713.13(1)(b), Florida Statutes:
a. N/A
9. Expiration date of Notice of Commencement (the expiration date is one year from the date of
eccor .ng unless a different date is specified).
Signa re of Owner/A ent
Sworn to and subscribed before me by
A ' /1 7•J J" Mark Trommsdorff who is personally known to
Owner's Name me or produced V\
as identification, on this 1 Ith day of January,
2006.
Date
MARYANNE MORSE, CLERK OF CIRCUIT COURT
CLERK OF SEMINOLE COUNTY
BK 06079 PG 1438
FILE NUM 2006006098
RECORDED O1/12/2006 11:27:00 AM
RECORDING FEES 10.00
RECORDED BY D Thomas
IIII I III II I 11 !!1 Il 111 !! 11111 III II III 1111! II III II 11111 IIII I
Signat! of Notary
C
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