1650 Hanger Rd - 02-000703 (SANFORD AIRPORT AUTHORITY) BATHROOM ADDITION (DOCUMENTS)PERMIT ADDRESS
CONTRACTOR
ADDRESS
PHONE NUMBER
PROPERTY OWNER Lmry Dae
ADDRESS oAa. Rked lea6m-4 Bvd Vf
f L 32773
PHONE NUMBER 'Oi "' 53 S 4r Boa
ELECTRICAL CONTRACTOR -
s
MECHANICAL CONTRACTOR ' -. -0:1
PLUMBING CONTRACTOR JAL,& fS4440
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
SUBDIVISION
PERMIT # 10 201y :3 DATE PERMIT
DESCRIPTION agftmmgn 411 w
TPERMIT
VALUATION ` !% O O SQUARE
FOOTAGE ly9 Orlando
Sanford — www.
ortandosanfordakport.com Larry
A. Dale I Resident6C.E.O. MISCELLANEOUS
CONTRACTOR I Sanford Airport Authority OneRedciev%und 8W., Suite 1200 Sanford•
FL 32773 PERMIT
NUMBER FEE (4071585-4015 • Fax (4071322-5834 , e-
mall: 1da1e@*t"omnfordairport.com j I
d
H
ii
B-23-1995 3:52PM
Permit No.: l J /— - V'
Job Address; 6S
Permit Type: Building.
Description of Work:a
FROM
CITY OF SANFORD PEMT APPLICATION "o2
Date:
4
Electrical Mechanical
g A/
Fire Alarm/Sprinkler
Additional Information for Electrical & Plumbing Permits
Electrical: . ddition/Alteration _Change of Service —Temporary Pole _New AMP Service (M of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures, Number of Water & Sewer Drainage Lines Number ofGas Lines O
Occupancy Type: _Residential _Commercial k!!n<ndustrial Total Sq Ftg: Value ofWork: 3 7, Y-00
Type of Construction Flood Zone.• /Number of Sto 'es: Number of Dwelling Units:
Parcel No.: Q US . ./ L'eo rs/l r t (Attach Proyf ofOwnership & Legal Desorption)
r"9-7cl 3a '27.
Contractor/Address/Phone:
State License Number:
Contact Person: Phone & Fax Number:
Title Holder (Ifother than Owner): 'ee)a-r-
Address:
Bonding Company:
Address:
MortgageLender: Address:
Architect/
Engineer Phone No.: Address:
Fax No.; Application
is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or has commenced
prior to the issuance of a permit and that all work will be performed to meet standards of alllaws 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 FINANCIN9, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICEOFCOMMENCEMENT. t NOTICE:
In addition to the requirements of thispermit, there may be additional restrictions applicable to this property that may be found
in the public recordsof thiscounty, and theremay be additional permits required from other governmental entities such as water
management districts, state agencies, or federal agencies. Acceptance
of permitis verification that I will notify the owner oithpropertyof the requirements of Florida Lien Law, FS 713. atttce
of Owner/Agn C, Signature of Contractor/Agent Date Print
Owner/Agent's Name Print Contractor/Agent's NameProduced
y-
State %WBREWS Date Notary
Public - State of FWds byComnthabn
B*nJut 142W6 COtnm1ee10n
0 DD024306 Signature
of Notary -State of FloridaDate. Contr
zzor/Agent is _ Personally Known to Me or Produced
ID APPLICATION
APPROVED BY; Date: Special
Conditions: LOCATION:
RX TIME 02/20 '02 09:49
Er-23-1995 3:53PM FROM P. 2
CITY'OF SAN%FORD PLUMBING PERMIT APPLICATION
Permit Number.
r / d date:
The undersigned hereby applies for a permit to install the following plumbing:
Owners Name: CA
Address of Job: 6 o Jcv,re
Plumbing Contractor
Residential: Non -Residential:
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
Applicant' Signature
State License Number
LOCATION: RX TIME 02/20 '02 09:49
41 . la23-1995 3:5dPM FROM P. 3
CITY OF SANFORD ELECTRICAL PERMIT APPLICATION
Permit Number: -7v)6—
Date: Q
The undersigned hereby applies for a permit to install the following electrical:
Owners Name:
Address of Job:
Electrical Contractor: cf' 1 1 7 Zzz
Residential: Non -Residential:
Number Amount
Addition, Alteration, Repair (Residential & Non -Residential)
New Residential:
AMP Service
New Commercial: J,Sa
AMP Service
Change of.Service:
From AMP Service to AMP Service
Manufactured Building
Other:
Description of Work: Qa rr 7,z
Application Fee: 10.00
TOTAL DUE:
By Signing this application I am stating that I am in compliance with City of Sanford Electrical Code.
7 .
Applicant's Signature
State License Number
LOCATION: RX TIME 02/20 '02 09:49
CITY OF SANFORD PLUMBING PERMIT APPLICATION
Permit Number: 6)A- w) 3 Date: _ 3 — // -O ?,
The undersigned hereby applies for a permit to install the following plumbing:
Owners Name: Q 7br /j /"gyp -% 140/v /^I I
Address of Job:
Plumbing Contractor.j-
Residential: Non -Residential: v
By Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code.
Applicant's Signature
State License Number
C- su— I mmD I ICJ: ww1 lM r KUM r. e_1
IHIS INSTRUMENT PREPA dr.
NOTICE OF CON04ENCENMNT NAME 2
Permit No. OZ - 703 Tax Folio No e •
State of Florida (5'u 1;;
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.
1. 'Description ofproperty: (legal description ofthe property and street address ifavailable)
2. General description of improvement: bm+%-Nrcwnrn Qdid d i ort
Owner information
a. Nance and address Sarrf'ord At r M + A.LA- kc>r i
L
b. Interest .in property
7 - .1 '
c. Name and address offie simple titleholder (ifother than Owner)
4. Contractor I IIIIg11 INII1M01 gfi11M9MAl11tW11111
a. Name and address nw ne
b. Phone number Fax n ffe
5. Surety HK 04339 PS 0601
a. Name and address A1T/A, eLEIRK99 #--e001E@-39
b. Phone number Fax nu t:e a pp
c. Amount of bond NMI= BY M Nolden
6. Lender
a. Name and address NfA
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(1)(a)7., Florida Statutes:
a. .Name and address LDLr r i A. Dole. Pres i azy%+Acen
b. Phone number S - 4002. Pax number N07 -312--S83y-
In addition to himse or herself, Owner designates of
to receivd a copy ofthe Lienor's Notice as provided in Section
713.13(1)(b), Florida Statiutes.
a. Phone number Fax number
9. Expiration date of notice of commencement (the expiration date is l year°from the to of recording unl a different
date is specified)
Si !re ofQytn
Sworn to (or affirmed) and subscribed before me this a846 day of Febr r..eary 20 OZ. , by
Lcltrry A.-laale
Personally Known OR Produced
14E MORfiE
Ideatificanlo[tTIFCOPt Type
of Identification Produced MARY NE CLERK -
OF CIRCUIT C r
SEMINOLE COUNTY, RI.OMOS Signature
of Notary Public, Stati of Commission
Expires: 1FEg 2 8 tu`z DIANE
CREWS Notary
Public - Sta1s of Florida E
MYConn6sbnEj0wJn16,2005, Commission /
DD024306 LOCATION- .
RX TIME 02/27 '02 15:56
t
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY - ADMIN.
P. 0. BOX 1788
SANFORD, FL 32772-1788
Project Name: 807/f2oo.`1 /j4o, ,,71, /; vrL4r_,G , Z'/0'2Date:
Owner/Contact Person:7T Phone -
Addre ss: -TO t,g-,r64t 24.
Type of Development:
1) 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 (3/411,
1", 2", etc.):
REMARKS:
2) NON -'RESIDENTIAL
Type of Units (commercial,
industrial, etc.) : G h•` a
Total Number of Buildings:
Number of Fixture Units
each building):
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4" 3/
Y1", 2", etc.)
REMARKS:
CONNECTION FEE CALCULATION:
vc CR&o 7i
7, Qf
O L6
REVISED
6i'S14L•0 ( 2 3Sv t
I 0 -
7 0 ID/
j74/QQ j/`7P;ic7 Name -
Signature - C
Date
0
0
MUSS I; E t f' .1'J
ACCES Ty CODES
LEMUST LORIDA
SRDESANFORD
9UILDING DEPT. THESE
PLANS ARE REVIEWED AND'CONDITIONALLY ACCEPTEDFORPERMIT. A PERMIT ISSUED SHALL BE CONSTRUEDTOBEALICENSCTO. PROCEFD WITH THEWORKANDNOTA5ALITHORITYTOVIOLATE, CANCEL. ALTER, OR SET ASIDE ANY OF THE PROVISIONSCFTHETECHNICALCODES. NOR SI4ALL ISSUANCEOFAPERMITPREVENTTHEBUILDINGDEPTFROMTHEREAFTERREQUIRINGACORREC- TIONOFERRORSCNTHEPLANS. CONSTRUCTION OROTHERVIOLAYIOk.S OF THE CODES. d.? /
O .41
PERMIT #
02-70 OFFICE
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