HomeMy WebLinkAbout2500 Park Ave (2)'�f"�"r'�'F•`^S'Eltrt'�j'�4�'r"�yM••Y�[*v ..�,. .•. ••iJ �n.;a��;�Rttfi:!IfT�7�siwr,}q 2"`:...:��R�-rpF•^v;H-•-..ap ...,.•vw,�.-�r�y..
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Permit #:
Job Address:
Description of Work:
Historic District:
Permit Type: Building
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CITY OF SANOO&D PERMIT APPLICATION
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Zoning: Value of Work: $ ,� , 0 0 0 r 00
Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures
Plumbing/New Residential: # of Water Closets _
Occupancy Type: Residential Commercial
Construction Type: # of Stories:
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Addition/Alteration Change of Service Tempot"ary Pole
_ Replacement r New (Duct Layout & Energy Calc. Required)
r
# of Water & Sewer Lines # of Gas Lines
t
I I Plumbing Repair- Residential or Commercial
t
Industrial ' , Total Square Footage:
# of Dwelling Uniti l Flood Zone: (FEMA form required for other than X)
Phone & Fax: 3 C(o -73'9-'?l oO F 737-A7!7 Contact Person:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
(Attach Proof of Ownership & Legal Description)
2tx, Q, fo ese1 ,1 I Qcese t cfio
Phone:
C 2 L (o la I A V
State License Number:PC 99'7
SZe(� 5 • QQ�v��Phone: J�� VU`-1�3�%a�j
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 AFFIDAV IT: 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 is verification that 1 will notify the owner of the property of the requirements of Florida L' , FS 713.
q' 11.03 411.03
rgnature /Agent Date Signatu a tractor/Agent Date
Print wner/Agentt''s Nam Print Contr Agent's•Name
/ ryl A. Sauer
. Sauer
rgnature f Notary -State of Flori i ;�k% a Sign ure of Lary -State of Florida; Ctt7tamistaion CC 892215
.-f ` unasa on CC 892215 '? Expires Jan. 21, 2004
� ;y; ftpirea Jan. 21, 2004 Bonded Thru
''•; of s�.` Bonded Thru Atlantic Bonding Co., Inc.
Atlantic Bonding Co., Inc.
caner/Agent is _ Personally Known to Me or Contractor/Arent is _ Personally Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
"Zoning:
(Initial&
Z—
Utilities:
(Initial & Date) (Initial & Date)
Z/—/6-0 125
- yK� fpy" OU
FD:
(In4tial & Datta
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at. -Y
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(i HIS INSTRUMENT PREPAM f►
NNvIE i'' :S Z¢ Lv
ccs -- CF, OF't, 64AR4CEMENT
Permit No. 0.N Le Av • , Tax Folio No.
State of Florida a
County of Seminole OR Lot. d ; FL3ai a
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.
street address if available)
2. General description of
3. Owner information
a. Name and address
b. Interest in property W'0 CS
c. Name and address of fee simple titleholder (if other than Owner)
\ 11e—N►VW` i
a.Name andp#drpss \ o QV YV� , t? N GG1J -1 << 1—n(" Later
b. Phone number b '/5 Is—'71Cad Fax number
5. Surety
a. Name and address
b. Phone number Fax n r
MUM
c. Amount of bond 04?83 PS 9:705
6. Lender 1REMM W15/2W 11 t3BAS AN
a. Name and address V"REMINS FM LM
REORDER BY M Nolden
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(I,�(�)7., Florida Statutes:
a. Name and address �J 1�
b. Phone number Fax number
8. 1n addition to himself or herseK Owner designates of
Olt to receive a copy ofthe Lienor's Notice as provided in Section
713.130)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is 1 year from the diateAftecording unless a different
date is specified)
o Owner
Sworn to (or affi[ _ ► }
rFrled) ar�d subscribed before me this day of iie c �L 2° 03 ." by
.c1Cl1
Personally Known OR Produced Identification
Type of Identification Produced
Si ature, fNotary Public, State of Florida -
Commission Expires: /. g/.c &�
,``'"'"'•, Sheryl A' Sauer APR 16 2003
;s C0UUW=W # CC 892215
Exptrea Jan. 21, 2004
or �'
Bonded .hru
Atlantic Bonding Go:; Jna CL/►I II -11W
) COPY
MAR,YANNE, MORSE
9L6RK OF CIRCUIT COURT
WAINOLE COUNTY, FLORIDA
")T► MEW
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1
OLEUM TECI�VI(:IANS,-INC.
1776 LANGLEY AVE. DELAND, FL 32724 (386) 738-7100 (386) 738-4777 FAX
April 15, 2003
Attn: City of Sanford
Building Department
I Michael E. Clark Certified Pollutant Storage Systems Contractor #PCC 056694,
grant Power of Attorney to Jerry Deluca to obtain any required permits to remove used oil
Millenium Oil 2500 Park Av. Sanford, FL 32771.
Michael E. Clark
CI-"
The foregoing instrument was acknowledged before me this 15°i day of April by Michael E. Clark
whom is personally know to me.
Sheryl A. Sauer D
Commie ion # CC 892215
i Expires Jan. 21, 2004 '�j� Au� �{•/5•D
Bonded Thru ((JJ
AUentic Bonding Co., Inc.
Quality Service and Construction• for the • •
.........................
Petroleum Industry
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-56777 �f
DATE: PERMIT
BUSINESS NAME / PROJECT:
ADDRESS: 06-0 C5
PHONEN -3e' kG�A-XNO.: 3a6 %3P'-41 7'7'y
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ 1
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH
(20 fNNT PERMIT TANK PERMIT[C-9 OTHER [ ]
TOTAL FEES: $ '-?Ay
PLANS REVIEW [ ]
[ ] BURN PERMIT [ ]
(PER UNIT SEE BELOW)
COMMENTS: P 6. S CAI
V-52 1�.� 0f'2v/'k
Address / Bldg. # / Unit # Sauare Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
H.
12.
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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
n will comply with all applicable codes and ordinances
I l of the City of Sanford, Florida.
Sanford Fire Prevention Division---' IV t'sVignature