HomeMy WebLinkAbout356 W Lake Mary Blvd (2)d°
CITY OF SANFORD PERMIT APPLICATION
Permit No.:03� � Date:
Job Address: ;5-6 'f i L 06 1 6,3'4&n( , Fltj `
Permit Type: Building Electrical Mechanical Plumbing
Description of Work: . 1 %15 I �ACCLJ"( t
�. Z
rm/Sprinkler
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service _Temporary Pole _New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: _Res;,
Type of Construction:
Parcel No.: l -
01 Commercial _ Industrial Total Sq Ftg: 5D t�4 Value of Work: S 2 q60.
Flood Zone: Number of Stories: Number of Dwelling Units:
r,5 l fr - (5 Oro n
_ (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: 544 5 T- Iq L) esl Y,14e 1-E s' L I L C .
Contractor/Address/Phone: J�
a'? 3 -Si-� S -Cpl
Contact Person:
Title Holder (If other than Owner):
Address:
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer
Address: 2 U A t -I Pr(r C
State License Number: E 5 n a O o 26 8 -
Phone & Fax Number: qo'7 - 3 39 • S %�. S -Z ��? -236-7,S-TS—
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 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 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Si§latuLadff Contractor/Agent Date
Print Owner/Agent's Name Print Co cto Agent's Name
� c��/d3
Signature of Notary -State of Florida Date Signator of Notary -State of Florida to
LINDA D. EVANS
Notary Public, State of Florida
My Comm. exp. Jan. 27, 2007
Comm. No. DD 180505_-,--
Owner/Agent
80505- --Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known t Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Date:
Special Conditions:
Jiv s4j tr��1Ly 49.
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EXHIBIT A
Legal Description of Property)
Lot 3, BOULEVARD PLAZA SUBDIVISION, according to the plat thereof
as recorded in Plat Book 58, Page 47, Public Records of Seminole County,
Florida.
PROPERTY I.D. NUMBER: 11-20-30-518-0000-0030
0
I'
ESTABLISFIKD 1976
May 13, 2003
U
City of Sanford
Building Department
P.O. Box 1788
Sanford, FL 32772
RE: Trustco Bank - 356 W. Lake Mary Blvd., Sanford, Florida
Boulevard Plaza - City of Sanford
Dear Sir/Madam:
This letter will authorize Jayco Signs to pull necessary permits to install a store front sign for Trustco
Bank at the above referenced location.
Please feel free to contact me if you have any questions.
Sincerely,
SHS INVESTMENTS, L.L.C.
Ame'l a �-' /It� C C' -
Tamera T. Patitucci
Executive Vice President
TTP/ks
SWORN TO AND SUBSCRIBED BEFORE
ME THIS j3-4 DAY OF MAY, 2003
KATHLEEN E STANLEY
7 Ml COMMISSION # CC909119
. � Offtio`V EXPIRES: Feb 8,2W4
Kathleen E. Stanley -Notary Public Re NdM Samba 8pp:
806 East 25th Street ■ Sanford, Florida 32771 ■ Phone: (407) 321-8200 ■ Fax: (407) 321-9773
0 Website: www.sandefurco.com 0
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