HomeMy WebLinkAbout3000 Mellonville Ave (4)t •�
CITY OF SANFORD PERMIT APPLICATION
Permit # :� a .r
Job Address: s0 m�lL1G �� Ue ,ifZ �'=Sar'ai fL' 3 a773
Description of Work:
Historic District: Zoning: _ Value of Work: S_ — %570 a
Permit Type: SuildinV/ 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 Fixmres # 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: d of Stories: # of Dwelling Units: Flood Zonr. (FEMA Toru regatred for otber than )C)
Parcel #: y - '--
Owners Name & Address:
Contractor Name & Address:
C
Pbeae Far LAQ-7 3t
Bonding Compeay:
Address:
Mortgage Lender:
Address:
AreMtecVEnglneer:
Address: -7-YO
(Attach Proof of Oraarsbip & Legal Desorlpoon)
.00 o-4 CUve bLr%d 81vol, 56ifofd.FL 3.1-773
Pbooe: -74%Q
7`%.';
%` tV _ _ Store LCieeit NYmb o G a 3 L moi!
Contact Person: -1, *I 1/l 1 PAoae: 92 7 A 2-. a i
w cK� crq r- '0 v
Application is hereby to obtain a permit to do the war and installations as indicated. 1 certify that no work or instillation bu eommeaoed prior to tlx
isawme of a permit and that all work will be performed to meet standards of all laws regulating coostrudion in ibis jurisdiction. 1 undersraed that •separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNS 'S AFFIDAVIT: 1 certify that all of the foFegoing 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 OBTAfN 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 courtly, and theft may be additional permits toquimd from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that l will notify the owner of the property of the ter is of Florida L' n La FS 3.
,QiYt2� ( n i► i�Jd1 �_ b -13 - 03 L. -O 03
Signattue of Owner/Agent Date Si arort of
Cont
stet/Agent Date
Jit Cr w5 Vite•Presidta+� of Acln%(rn. �G S �yv
C�,rvirord Ai'e Ort A .'l'1�er:t.J
P "nt Owner/Agent's N P ' tractor/Agent's
e
�o-13-d3
i nes r of Notary -State of Florida11111110111 ' Date Signatu 11{Iry- Umvt Date
* MY CAMMISSION t DD 184260
ss *EXPIRES: November 12, 2006
ELIN p AI OOttIOQOS M IM-1.6inkelAg TAry 6 l NKA Srnices
toOwner/Agent 1 i+TTtt�W�br C tracis IGnown to Me or
Produced ID Produced ID
V0NDWTItW 1 f - r
Z o 3 a
APPLICATION APPROVED BY: Bldg: Zoning: —W �� J Utilities: FD:
(initial tit Date) (Initial & Date) (Initial & Date) (Initial a Date)
SPcclal vottdlllons:
.'. JvELINE M. CO�KERHAM
am off. STATE FLORIDA
^C`MMISSION 0 D01014113
EXPIRES aY113021 6
WHOED TMRy 1-aa64jQTARYI
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
HONE # 407-302-1091 * FAX #: 407-330-5677
DATE: PERMIT #:®�
BUSINESS NAME / PROJECT:
ADDRESS: ROC3U 1 • I ��JV.� I Qyc::
PHONE NO.( �%p7, SS -�/� FAX NO.6;Lbq ) 33 2- ,PS- 3Z
CONST. INSP. [ ] C / O INSP.:[ J REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PE MIT [ J
TENT PERMIT ] TANK PERMIT [ ] OTHER [-J,4
TOTAL FEES: $ /� , (PEER UNIT SEE BELOW),
COMMENTS:
Address / Bldg- # / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
IL
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 applicable codes and ordinances
of the City of Sanford, Florida.
San ord Fire Prevention Division pplicant' ignature
State of Florida
Permit No.
NOTICE OF COMMENCEMENT
Tax Folio No. (PID)
County of Seminole
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.
DESCRIPTION OF PROPERTY (Legal description of the property and street address)Sanford Pew A; r p or+
Authority
Parcel 06-20-31 300-0010-4220 3000 Mellonville Ave., Sanford, FL 32771
IiMnu11MRM11m1111InIIIlnaH1nmeminn
GENERAL DESCRIPTION OF IMPROVEMENT Concrete Slab MARYANNE MORSE, CLERK OF CIRCUIT COURT
RECORDED 06/16/2803 12:21:16 PM
REeORD!N@ PIES 6.8v
RE 0 D Y 6 Harford
OWNER INFORMATIONAi r ori- lzoo "R,ed Cleve lo- tilv�.
Name and address Sanford Authority . , Sanford, Fl. M4-74 3..�7' 73
Jr 07 r1Rm1 nl STrC►T 1 O✓1
Interest in property (Fee Simple, Partnership, etc.) Fie SirY.ple�
NAME AND ADDRESS OF FEE SIMPLE TITLE HOLDER•(IF OTHER THAN OWNER)
g-eigRACTOR r1 .6
N e d address Sutherland Construction Company, Inc.
585 S. Ronald Fagan Blvd., Ste. 133
Longwood, FL. 32750
Z�TTIY (Bonding Company)
Name and address MARYANNE MORSE
T INSTRUMENT PRE Auto er FRK OF CIRCUIT COUNTY. FLOf IDA
Amount of Bond la VIZ ^ .. C, _41o _ _ _ _
LENDER �t3DW2r7
I rr1/ ri.FP11 \
Name and address` . fil'arbl'`�c�aQ L75 O 6
Persons within the State of Florida designated by Owner upon whom notice or other documents may be served as provided
by Section 713.13(l)(a)7., Florida Statutes:
Name and address I)i oxne crews-, 1200 R4ed Uaa a ar-d al vcL§py-t 'arlcL, FL 9;L7 -L3
In addition to himself, Owner designates S+eve- Coove r of
tch►'son I M K ('Ommr, , P. A,to receive a copy of the Lienor's Notice as
provided to Section 713.13(1)(b), Florida Statutes.
Expiration Date of Notice of Commencement
(The expiration date is I Year from date of recording unless agent date is "_ rified.) Fra,, le -
DIANE
DIANE CREWS
. ` Notary Public - nft of Ftorlda
om
Mro„tmM E,�ftJun 1A 2=
Co mle I n / DDO24304
Sworn e� Nefore me t
Sigpd1ure of Owner
t (+6SAA��f
Day of tJL rte 3
My Commission Expires: June_ 15,-.700S
Notary Public
The foregoing instrument was acknowledged before me this l t1, day of t, r� • 03b
Fra1; C_i 6 e ra�'orer y
(name of person acknowledged),(wTo is personal y own o
me or who has produced --- (type of identification) as identification
and who did / did not take an oath>
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