202 Towne Center Cir - BCC05-003625 (SEMINOLE NAILS) INTERIOR BUILDOUT DOCUMENTSPERMIT ADDRESS
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PHONE NUMBER 'C'1 ' `D
l a
PROPERTY OWNER
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTO
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
t
I
SUBDIVISION
PERMIT DATE 4 0,S
PERMIT DESCRIPTION
PERMIT VALUATION __7 CO. 000 `
SQUARE FOOTAGE 1 J
i
WA
C
W
y
CERTIFICATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
Interior Commercial Remodel****
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
11 /09/05
05-3625
202 Towne Center•Cir
HMD 407-383-6163
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
Zg g EnineerinOFire OPublic
Works _ oning OUtilities
OLicensing CONDITIONS: (
TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFICATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
Interior Commercial Remodel****
DATE: 11/09/05
PERMIT #: 05-3625
ADDRESS: 202 Towne Center• Cir
CONTRACTOR:
PHONE #:
HMD 407-383-6163
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
OEngineering
ublic Works *!AL., W-riv. tA.g..
OUtilities
OFire
IDZoning
DLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFICATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
Interior Commercial Remodel****
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
11 /09/05
05-3625
202 Towne Center•Cir
HMD 407-383-6163
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
OEngineering
OPublic Works ozoning
OUtilities 'Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
DATE:
PERMIT #:
ADDRESS:
CERTIFICATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
Interior Commercial Remodel****
11 /09/05
05-3625
202 Towne Center• Cir
CONTRACTOR: HMD 407-383-6163
PHONE #:
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Q
ICII1 I I
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I I I I 1 1
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The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
Engineering
OPublic Works
OFire
OZoning
tilitres DLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
LMBQ 001 CITY OF SANFORD
Address Misc. Information Inquiry
11/11/05
15:38:51
Location ID . . . . . . . 175425
Parcel Number . . . . .-'2§.19.30.5LW-0100-0000
Alternate location ID . .
Location address . . . . . 202 TOWNE CENTER CIR
Primary related party . . Simon Properties/Seminole Nail
Type options, press Enter.
5View detail
Opt Description Free -form information
CUSTOMER SERVICE NOTES WA DEV FEE $487.50. 7/25/95
F2 Address F3=Exit F5=Special Notes F9=Parcel Notes
F12=Cancel F16=Related pty data
REC # 2517
CITY OF SANFORD PERMIT APPLICATION
r
Permit # . .
Job Address: / :F 3 —
Description of Work: ni"c-)"Iyjq(-'1 Historic
District: Zoning: r
Date:
rn &.
GL- &.- '- —e Value
of Work: $ r Permit
Type: Building Electrical Mechanical Y" 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 Cale. 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: Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:
Owners
Name & Address: Contractor
Name & Address: Attach
Proof of Ownership & Legal Description) 7
V
S to License Number:L.t Phone &
Fax: / Contact Person: ;: rt.-, /4 f Phone: iLc. Q/ Bonding
Company: n
Mortgage
Lender: Address:
Architect/
Engineer: 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. 1 understand that a separate permit
must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR
CONDITIONERS, c1c. OWNER'
S AFFIDAVIT: I certify that all of theforegoing 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 pennil is veriticatio a 11 notify the er of ie pro y of therequirements of Florida Lien Law, FS 713. nature
to Signature of Contractor/Agent Date Cv
v rvv Print
Owner,Agenl's Name Print Contractor/Agent's Name 7' (
S--0!5- Si
nal pp28W2 Date Signature of Notary -State of Florida Date EXPIRES:
March 23, 2008 9jFOF
R Q`O Bonded Thru Budget Notary Services Owner/
Agent is Pen ally Kn to Me or Contractor/Agent is_ Personally Known to Me or oduced
ID p % ' t _ Produced ID APPLICATION
APPROVED BY: Bldg: Zoning: Utilities: FD: Initial &
Date) (Initial & Dale) (Initial & Date) (Initial & Date) Special
Conditions:
CITY OF SANFORD PERMIT APPLICATION
Permit # : 3 yC r /
Date: 2`y S-
Job Address: 20 Z !y 11pp/ C C—rk C s 1n
Description of Work: 1 pw' ' 1L t4'(_U K)
Historic District: Zoning: Value of Work: $
Permit Type: Building Electrical Mechanical Plumbing
11"
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 Fixtures N LA # 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: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address:
Bonding Company:
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 pennit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. 1 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.
NOTI E: In addition to the requirements of this permit, there may be additional restrictions appl a le to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental
entitietSigre
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requo 'da Lien Law, FS 713.
Signature of Owner/Agent Date ontractor/Agent Date
Print Owner/Agent's Name Print Connnlraclor/Agents Name
yy-' N d! • Z. le S Signature
of Notary -State of Florida Date turFrpf Mary -State of rida Date b
JU MIN M. JOHNSON MY
COMMISSION N DO 2a%22 EXPIRES:
Ma It23, 2008 Owner/Agent is _ Personally Known to Me or Contrac 6 °t i 3onded T cb to Me or Produced
ID _,Produced ID F D 1 ' . Q • 6 5.500 - APPLICATION
APPROVED BY: Bldg: Zoning: Utilities: FD: Initial &
Date) (Initial & Dale) (Initial & Date) (Initial & Date) Special
Conditions:
CITY OF SANFORD PERMIT APPLICATION
Permit #: Date: r7 S
Job Address: ,2y2 S{1U UJ 6- 7-&'Wf JF C - 'SBA F-L 3a-7-7
Description of Work: -7- )7E?(5;0(e '41— O
Historic District: Zoning: Value of Work: $ %e 000,
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 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:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proofof Ownership & Legal Description)
Owners Name & Address:
a00- zn nw 6,1 Vwt 2 C,,2/CLPhone: 40% .W 3 -616 3 Contractor
Name & Address: Ilezi ohk&- i f 1
e200lR(W^br C u/oc76,CE/W4 F-6 State License Number: t QZQ ]DO Phone &
Fax: 70-7 ST 3 Co 16 3 Contact Person: Phone: Bonding
Company: Address:
Mortgage
Lender: Address:
Architect/
Engineer: Address:
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. 1 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, stale agencies, or federal agencies. Acceptance
of permit is verification notify the owner of the properly of the requirements of Florida Lien Law, FS 713. q
os rgnalunVwnr1Agem
tc Signature of Contractor/Agent Date Notary -
State of Owner/
Agent is _ Produced
ID APPLICATION
APPROVED BY: Bldg: Special
Conditions: C
831EBLANTON Jl'" C01 "MI S1pN # DD I8WI KngW
1Me 6FFZ3: February25.2007 Fl
rtotxy l scount Initial &
Date) Zoning:
Print
Contractor/Agent's Name Signature
of Notary -State of FloridaDate Contractor/
Agent is Produced
ID _ Utilities:
Personally
Known to Me or 120
Initial &
Dale) (Initial & Date) (initial & Dale)
POWER OF ATTORNEY
DATE: a 10.4
7Iherebynameandappoint
of Ambe Electric, Inc. to be my lawful attorney in fact to act for me and apply to the
CZZY et" Building Department for an
electrical permit for work to be performed at the location described as:
I ZX2 160111t.1171i, 111111111111MA lL
address of job) s6wionia-45-
and to sign my name and a thin necessapr to this appointment.
Petro
The foregoing iniArument was acknowledge before me on
DANIyI.EL J. PETRO who is personally known to me and who did not take oath.
State of Florida, County ng
i
NOTARY
Commission: Saran i Beesronl : My convmwon DDMM
t" V Exq ms July 13.2005
rn :ti.t.n•;,.../.r' ..
t': ,di:.Jv:,,i,r. :1
Permit) #: D 5 f LP
Job Address: Se- '/Vo
Description of Work: t
CITY OF SANFORD PERMIT APPLICATION /
Date: I O j 0 I p 5
TbwA)a Ce^)T ek
Historic District: Zoning: Value of Work: S Tm s /
t '
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # ofAMPS
r
Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential V Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # ofGas Lines
Plumbing/New Residential: # of Water Closets — Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial V Industrial Total Square Footage: ail3 (O
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: -
r (Attac Proof of Ownership & Legal Description)
Owners Name & Address: f—rh 1 b5o l t, 1' w i l S Pqof, he- to
20 Z. TQ W iJ e- Ct &PI eit C i Re l e- Phone: K 0 1—
Contractor Name & Address: Roo 1-4 ,, _
0 + 4 A<State License Number: `/o 40r' 7
sPhone & Fax: - 37 e%
atact Person: _ QQ 0 raC.N., ld 2 Phone: V%- 37a— I14
Bonding Company
Address:
w
Mortgage Leader:
Address: _
Arcbitect/Engineer. 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. 1 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 ofthe 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.
TICE: 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 rcytllfEnfenes f FI 'da Lien Law, FS 713. _
D pS %U5
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Date
Contractor/Agent is
Produced I D _
Zoning: UtilitilInitial &Date) ,
Personally Known
M1SSON DD 1 T9
s M —cQ* 1a3N ary,24t erein°
Date)
C-
CITY OF SANFORD FIRE DEPARTMENT Q I J
FEES FOR SERVICES U
PHO E # 407-302-1091 * FAX #: 407-330-5677
a c
DATE: / L PERMIT #:as o "V
BUSINESS NAME / PROJECT: \tJ l*L r -'L—S , ,'t —5?:-A
PHONE 1 1 3 3-Gl FAX NO.( C MT8[5. •-E3 0
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW fi c
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ J U PER I _
TENT PERMIT k J ANK PERMIT [ ] OTHER [ ]z ?''
TOTAL FEES: $ (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Sauare Footage Fees ner Bldg. / Unit
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 applicable codes and ordinances
ofthe C' nfor lorida.
Sanfor Fire Prevention Division ant's Signature
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
STATEMENT NUMBER: 051QO010 DATE: August 05, 2005BUILDINGAPPLICATION #: 05-10001056
BUILDING PERMIT NUMBER: 05-10001056
UNIT ADDRESS: TOWN CENTER BLVD 200 29-19-30-5LW-0100-0000
TRAFFIC ZONE:022 JURISDICTION: SEC: TWP: RNG: SUF: PARCEL: SUBDIVISION: TRACT: PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME: SEMINOLE TOWN CENTER LPADDRESS: PO BOX 7033 INDIANAPOLIS IN 46207
APPLICANT NAME: HMD ENTERPRISES
ADDRESS: 1280 PRINCE CT LAKE MARY FL 32746
LAND USE: SEMINOLE NAILS & SPATYPEUSE:
WORK DESCRIPTION: CITY-SANFORD
SPECIAL NOTES: SEMINOLE NAILS & SPA (NO ADDITIONALROADIMPACTFEES)
FEE BENEFIT RATE UNITTYPEDISTSCHEDRATECALC
UNIT TOTAL DUE UNITS
TYPE ROADS -
ARTERIALS N/A ROADS -
COLLECTORS N/A 00 FIRE
RESCUE N/A 00 LIBRARY
N/A 00 SCHOOLS
N/A 00 PARKS
N/A 00 LAW
ENFORCE N/A 00 DRAINAGE
N/A 00 AMOUNT
DUE .00
STATEMENT
BY:
LIB 1_ SIGNATURE: _ ` IA QD 4.2AnCQ p PLEASE
PRINT NAME) (] DATE:
f
vo c— ONOTE
TO RECEIVING SIGNATORY/APPLICANT• FAILURE TO NOTIFY OWNER AND ENSURE
TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. *** DISTRIBUTION:
1-BLDG DEPT• 3-APPLICANT 2-
FINANCE 4-LAND MANAGEMENT NOTE**
PERSONS
ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE SEMINOLECOUNTYROADFIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL ISSUANCEOFABUILDINGPERMIT. PERSONS
ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER, TOAPPEALTHECALCULATION'OF ANY OF THE ABOVE MENTIONED IMPACT FEES MUSTBEEXERCISEDBYFILINGAWRITTENREQUESTWITHIN45CALENDARDAYSOFTHERECEIVINGSIGNATUREDATEABOVEBUTNOTLATERTHANCERTIFICATEOFOCCUPANCY -OR OCCUPANCY. THE REQUEST FOR REVIEW MUST
MEET THE REQUIREMENTS OF THE COUNTY LAND DEVELOPMENT CODE. COPIES
OF RULES GOVERNING APPEALS'MAY BE PICKED UP, OR REQUESTED, FROMTHEPLANIMPLEMENTATIONOFFICE: 1101 EAST FIRST STREET, SANFORDFL, 32771; 407-665-7356. PAYMENT
SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD BUILDING
DEPARTMENT 1101
EAST FIRST STREET SANFORD,
FL 32771 PAYMENT
SHOULD BE BY CHECK OR MONEY ORDER c AND SHOULD REFERENCE THECOUNTYBUILDINGPERMITNUMBERATTHETOPLEFTOFTHISSTATEMENT. THIS
STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT*** ISSUEDWITHIN60CALENDARDAYSOFTHERECEIVINGSIGNATUREDATEABOVEDETAIL
OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356. lu
it No.
of Florida
tv of Seminole
VRI1R 9 CLEM K Yl
NOTICE OF COMMI3NCEE CUM
SK 05808 FIG 04tthE'
REWNDINII FIRS 10.00
D1'D BY t holden
undersigned hereby gives notice that improvement will be made to certain real property, and in accordance witlt
pter 713, Florida Statutes, the following information is provided in this Notice of Commencement. .
3. Owner infonnation
a. Name a d address
Cb. Interest in property
c. Name and address of fee simple titleholder (if other than Owner)
4. Contractor
a. Name and address C
zI lalr
b. Phone number Fax number
urety
a. Name and address
b. Phone number Fax number
c. Amount of bond
6. Lender
a. Name and address!11-
b. Phone number Fax number
7. Persons within the State ofFlorida designated by Owner upon whom notices or other documents may be served as
provided by Section 212.1 (1)(a)7., Florida Statutes:
a. Name and address
b. Phone number Fax number
8. In addition to himself or herself, Owner designates _ of
to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is I year from thq dutopf recording unless a different
date is specified)
Sign ture of Owner
Sworn a d subscribed before me this_,6eday of , 20 -00 by
Personally Known ---'OR Produced Identification
Type of Identification Produ
fir 0. R. SHOOK, in,
MY COMMISSION 1 DD 170406
s EXPIRES: December 28, 2008
Signa urc of NiotuyTtiblic, Spgfc of Florida fan "-'WIfueudPIWrysemkn
Commission Expires:
RECEIVED
Permit # :0 _
Job Address: I U- r
Description of Work:
Historic District: Zoning:
CITY OF SANF RD PERMIT APPLICATION JUL 13 2005
0 n.m
Value of Work: S v T ._n00 v
u
Permit Type: Building
N?_
Electrical Mechanical X__ Plumbing X_ 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 Fixtures J— # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commilwellingl
a
Industrial Total Square Footage:
Construction Type: _ # of Stories: Units: Flood Zone: (FEMA form required for other than X)
Parcel #: Attach Proof of Ownership & Legal Description)
Owners Name & Address: --
Phone: 1 LD
Contractor Name & Address: SPSell* b
a L e License Number. \
Phone & Fax: o " Contact Person: ! [ , %] Phone: ') i " 4jI(
Bonding Company- iu
Address:
Mortgage Lender:
Address:
ao3ArchitectlEoin//eer. !? Phone:
Address: tQ I
j
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 certi649no Ror 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. 1 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 Qf permit is verification that 1 will notify the
Print Owner/AVnt's Name
of the property ofthe requirements ofFlorida Lien Law, FS 713. 3I
b-whts c+ olrar
oy¢ U 0. R. SHOOK, JR. MY
COMMISSION # DD 170406 Owner/
Agent is _ Pergq owE Py,IS: December 28, 2006 Produced
ID Far` ' 1't Notary Services Signature
of Notary -State of Florida Date 3
WWII "o, wNaoipo,l> 90OZ'Z l
l9gW8A0N:S38IdX3 o ctl p
iit OISSI '91 n'to orr t.9 .\ APPLICATION APPROVEDBY:
Bldg: Zoning: 2 rl i • 15 c Utilities: FD: Initial & Date) (Initial &
Date) (Initiad & Date) (Initial Special Conditions: LrrlljTY
IMPACT FEES
50- S/ii1
S A.al
A 1 .-
r
L ! N
r'r
y DEVELOPMENT FEE WORKSBEE
CITY OF SANFORD
UTILITY — ADUM
P.O. BOX 1788
SANFORD, FL 32772-1788
ProjectName: o'' ELT y alp Date b Owner/
Contact Person: Phone:
Address:
Type
of Development: I)
RESIDENTIAL Type
of Units (single family or
multi -family): Total
Number of Units: Type
of Utility Connection individual
connections or
central water meter & common
sewer tap): Water
Meter Size (3/4", 1",
2", etc.): 2)
NON-RESIDENTIAL Type
of Units (commercial, Industrial,
etc.): Total
Number of Buildings: Number
of FixtureUnits each
building): Type
of Utility Connection individual
connections or
central water meter & common
sewer tap): Water
Meter. Size (3/4", 1 ",
2", etc.) REMARKS:
I/- _
Fy z z Ek`',$ CONNECTIONFEE
CALCULA770N.• 2.0
ORv 6 0 _$r AAA .ztirD.cimes Name Signature -
Date vcrnorn F.""
a
Equivalent Residential Connection (ERC) -300 Gallons Per Day (GPD)
tdential -
fOWnit - Single family structure, or multi -family unit
containing three (3) bedroomsor mote.
487.501Unit - Mutbti-family unit orMobile Home unit containing
less than three (3) bedrooms. (ibis category is
based on judgment/assumption, estimation that
such family units on average require 751/6225 GPD of
the water and sewer service of an average single family
unit} Commercial
65nRU -
Firdures unit schedule from Southern Plumbing Code will
be used. One ERU will be charged for connection. and
up to twenty (20) fixtures units. For
projects havingmore that twenty (20) fixture unit base
for the first ERU.' (Example: twenty-five (25) fixtures
units will be rated as 1.25 ern: twenty-six (26) fixture
units will be rated as 1.5 ERU.) 2).
Sewer Systems Impact Fees Equivalent
Residential Connectiorn-270 Gallons Per Day (GPD) Residential •-
S1,
700 Unit Single Family structure, or multi -family unit Containing
three (3) bedrooms or more. S1,
275JUwt - Multi -family unit or Mobile Home unit containing less
than three (3) bedrooms. (This category is basedon judgmeuUassumphon,
estimation that suth family units on average
require 75% of waterand sewer service of an average
single family trait} Commercial-
Industrial- Institutional 31,
700/ERU Shover
compartments, domestic 2 2 Sink .
Z 2 1 Urinal
4 Footnote d Urinal,
l gallon per flush or less 2e Footnoted Wash
sink (circular or multiple) each ser of faucets 2 1 'h Water
closets, flushometer tank, public.or private 4e Footnote d . Waterr
closets, private installation 4 Footnote d Water
closets, public installation 6 Footnote d Fixtures
unit schedule from Southern Plumbing Code For Sh Ibwh-2S4 non, l ganorr3.73S L . will
be used. One ERU will be charged for connection and up to a For traps larger than 3 inches, use Table 7092 . twenty (
20) ft fires units. For projects having more than twenty . b A shownbead over a bathtub or whirlpool bathtub -attachments does not iaerease the. drainage fixtures unit valve 20)
units the Impact fee will be motmeats of 25% based on a See sections 709.2 though 709A for methods of ow*ding unit valve of fixturesnot listed in Table 709.1 at for nting of devices with intermittent flows. multiples
of five (5) fixture units above the twenty (20) ftxture d Trap size shall be consistent with the fixtures outlet size unit
base for the first ERU. (Faaampbe: twenty five (25) fixture units' will a For the purpose of computing loads on building draw and sewers, water closets or urinals shall not -be rated at alower drainage first fixture unit be
rated as 125 ERU: twenty six (26) fxt re units will be rated as I.3 ERU} unless the lowervalues are confirmed by testing. TABLE 709.2 DRAINAGE FD[TURES UNITS FOR FIXTURES DRAINS OR TRAPS Fixture Drain
or Trap Drainage Fixiwes Size inches
Unit Vahu 1'/• 1
0 1 :
2 1 2
3 Z ti 2'/z
4 3 5
4 6
Sw dnrd
P/u nUna codes O 1997 I
RECEIVED
SEP 2 9 2005
REVISION
PERMIT # kT- 7 4 2 ' DATE
PHONE # 0:2 2 3 K2 FAX #
DESCRIPTION OF REVISION Q-e" - ' 0 O -
UTILITY DEPT
FIRE PREVENTION
PLANNING
BUILDING
REVISION 2
DRAIN PER MALL'S SPECIFICATION
COPPER OR CAST IRON
ALL PEDICURE CHAIRS HAVE
IIr DRAIN LINE ON PUMP
34'
3/4 - SWING A14 - SWING Z 3/4 - SWING
CHECK VAL —IEPK VALVE Ef CHECK VALVE
3X2 HUB
DRAIN FOR PEDICURE CHAIRS
TYP. 3 CHAIRS
NTS
HUB DRAIN
DRAIN FOR
SINK & 2 CHAIRS
EXISTING
VTR
WASHER
BOX
I_ ,S REVIEWED
11,17 JF SANFORD
EXISTING 2- CAST IRON
DRAIN FOR SINK ,2 PEDICURE CHAIRS
WASHER BOX
NTS
llkm
ENTERPRISES INC
IUD PRINCE CT. LAKE MARY, FL 3V"
DESIGN & CONSTRUCTION
407) 805-0809 FAX: 407-805-8948
CGC 058578
HURRICANE
ENGINEERING
407) 7744= FAX (40T) 774-5477
P.O. BOX 151813 ALTAMONTE SPRINGS, FL 32718
THOMAS J. ANDERSON PER 47819
smioele OelV t Spa
202 SEMINOLE TOWNE CENTER/ UNIT K6
SANFORD, FLORIDA 32771
CONSTRUCTION DOCUMENTS
PLUMBING REVISION
PERMIT: 05-3625
Sheet ride
DATE: 9/29/05
DRAWN BY: DVH
REVISED:
Sheet No. P - 2
RECEIVED
REVISION SEP 1 4 2005
PERMIT # DATE
070
PROJECT ADDRESS % S'2.,' M.Y(Q I n t n /
CONTRACTOR 4 M '1 p ):g a -p - 4;G 4
PHONE # k O % S & g G 3 FAX # IT>
DESCRIPTION OF REVISION .t-tAv% I < rN-A0 pp GCS
UTILITY DEPT
FIRE PREVENTION
PLANNING
BUILDING
4