1002-1012 Slate Ct - BC04-002862 (GREYSTONE TOWNHOMES) DOCUMENTSty
d
PERMIT ADDRESS Z(Jpa kok a SUBDIVISION M
En
CONTRACTOR
ADDRESS I Morrison Homes
151 Southhall Ln #200
I Maitland, FL 32751
407_-2576940
CRC 041929
PHONE NUMBER - — — --
PROPERTY OWNER
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
FEE
PERMIT NUMBER FEE
PERMIT #`I -ag o DATE
PERMIT DESCRIPTION
PERMIT VALUATION
SQUARE FOOTAGE 0
a
000
d
100H
M
Permit # : 04._ B(oGk
Job Address
Description of Work'
Historic District:';; % : ' ! Zo1111
C .OX.OANFORD PERMIT APPLICATION
Date: _
Lo+
F Value of Work S
W v'.. dr a- Poo) Permit Type: Building' ~` " • 'Blectirical Mo*agwal Plumbing Firs Sp&Wc;r/Alarm
T y: 4r 77
Electrical: New Se;Vice - q ofAMPS"' AdditbdAltemtion • change of Service Temporary Pole -- -
Mechanical: Mechanical: Residential ` Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commerclal: # of Fixtures # of Water & Sewer Linty # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential i,--' Commercial Industrial Total Square Footage:
construction Type: # of Stories: # of Dwelling Units:. Flood Zone: (FEMA forty required for l:--! :!oax)
r
Parccl Ir: (Attach Proof of Ownership & Legal Description)
Owners name & Address (f Nevi
r n .27Sl Phone: y07—lo.Z'P-00%
Contractor Name&'Addreaa; v " --"—
A State License Number (1000
Phone & Fax: f 0 'AI l Cootaet Person: 1i r' - .ti3i].ectJY Phone:
Bonding Compsny:.
Address: _._..._._._
Mortgage Lender:
Address: _ ...
Architect/Engineer: Phone: -
w!
Address: Fax:
Application is hereby trade to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to theissuanceofapermitandthatallworkwillbe.perfosmed to meet standards ofall laws regulating construction in thisjurisdiction. I understand that a sepal ate
permit must be secured for ELECTRIC41, WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS; etc.•;'", : ;
OWNER'S AFFIDAVIT ;1 certify that all of the forsgoirig Informadon is accurate and that all work will be done in compliance with all applicable laws rcgulaung
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YUUu r.%'; ING
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 ofthiscounty, 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.
Iolz*loq
Signature ofOwner/Agent Date Signature of ontractor/Agent Date
Pri t Owner/Agent's Name PrintContractor/Agent's Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida t Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
Initial At Date)
Contractor/Agent is personally Known to Me or
Produced ID
Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date)
PAMELA L MORROW
MY COMMISSION s DD 188945
EXPIRES: March 2 2007
Bonded Tft Notary Pubsc Underwriters
Permit # : L-.1 -*' -e-11' " t
Job Address; -
Description of Work.*'
Historic DIsUict.
CITY -OR . OANFORD PERMrr APPUICATION
T, Date:
o Orn" - LAD+_ _*
DID Value orWork:v
257- C) 4-
Permit Type: Buil . dingle cuica! e- MelIllaf_lI Plumbing Fire Sprinkler/Alarm Pool
Electrical: New SeMce-4of AMP AddidWAltixsOon-.Change orService - Tanpono Polo___
Mechanical: Rasidllxitlai''
v..
Non-Rvildcutlal - Replacement New (Duct IAYOUt & Energy CaIc. Required)
Plumbing/ New Commercial: #of ftum 0 of Waw & Sewer Lines- III of Ow Linn
Plumbing/New ResIdenUal: N of Water Closets Plumbing Repair- Residential or Commercial
Occupancy Type: Residential,L Commercial _ Industrial _ Total Square Footage:
w -
Construction Type: # of Stories: N of Dwelling Units:.- Flood Zone: (FL -4A form requireti for l,
Parcel 8: (Attach Proof of Ownership & L4981 DUCIV11011)
Owners Name& Address:
n ,275/ Phone: 92,17 —4 -ay -90
Contractor Name &!A:d",;' e C AI r -
07_7m.? a . ..., .. /.[JState Ucgnsg Number.
Phone & Fa x: (31.0 Contact Person:
Bonding Company:."
Address:
Mortgage Lender:
Address:
ArchittvVEngineer: 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 WeissuanceofapermitandOWallworkwillbeperformed19Me% standards of all laws regulating construction in this jurisdiction. I understand that a sepalate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, FOOLS, FURNACES, BOILERS, HEATERS, TANKS. and
AIR CONDITIONERS;
OWNER'S AFFIDAVIT; I ariioihg all ofthe foregoing infomadort is accurate and that all work will be done in compliance with all applicable laws reAuliting
construction and zoning. WARNING TOOWNBR: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YUt))( PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER UK AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements orchis permit, theirs may be additional restrictions applicable to this property that may be round in the public records 9i
this county, and there may to additional permits required Isom other governmental entities such. as water management districts, state agencies, or federal agencies.
Acceptance or permit is verification that I will notify the owner ofUrs property or the requirements or Florida Lion Law, FS 713.
J) -**A4
Signature of Owner/Agent Date Signature 9j_Cwn1c-ior/Agent Date
7%veW10-117 "1-400,
Print Owner/Agent's Name Print Contactor/Agent's Name
gnature of Notary -State or Florida Date Signature or Notary -State of Florida t i Date
Owner/Agent is Personally Known to Me or
Produced ID
Contractor/Agent is _K*`P'.rsonaIIy Known to Me or
Produced ID -
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: —
Initial & Date) (initial & Date) (initial & Data) (initial & Date)
Speci3l Conditions:
PAMELA L MORROW
MY COMMISSION # DD 188945
EXPIRES: March 2, 2007
W.WTh. NWWveno ur4.wrft.
1;,1 ti:.tip:.
nn C} .
Cl
Permit # :
Job Address:
Description of Work: (;C'Clori
Historic District: ;.': ;.: Ztiniu91 r
Value of Work:
cow •.ii
Permit Type: Buildings ',Electrical Meobatt al Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service —#.ofAMPS AddidWAlto ation Change of SwAca Tesnporary Pole _.._..__
Mechanical: Residential Non-Resideatial Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of FixOues # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential _j,-**' Commercial industrial Total Square Footage:
t;onstructioa Type: # of Stories: _# of Dwelling. Units:. Flood Zone: (FEMA form required for ,.n,'
Parcel 0: (Attach Proof of Ownership & Legal psaoriplloa)
Owners Name & Address:
Phone: Y07 -lo.Z9-viD "7 ---
Contractor Name QiAOdnasc"--"— Ile-
0'rState Weense Number. GOOD/. •---...--
Phone & Fax: d 0 -rgot l Contact Person: u"i - Phone:
Bonding Company:
Address:
Jlortgage Lender.
Address: _ ..._
Arehitect/Enginesr. Phone:
M%
Address: Fax:
Application is hereby made to obtain a permit to do the wont Md installations as indicated. I certify that no work or installation has commencod prior to U)cissuanceofapermitandthatallworkwillbe -performed to meet standards ofall laws regulating construction in this jurisdiction. 1 understand that a sepa' ale
permit must be secured for ELECTRICAL WORK PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS; etc:,`"`':;''
OWNER'S AFFIDAVIT; I certify dw all ofthe foregoing Information Is accurate and that all work will be done in compliance with all applicabla lawc rcrulauns
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 maybe additional restrictions applicable to this property that maybe found in the public records of
this county, and there may be additional perdu required from other governmental entities such as water management districts• state agencies, or federal agenc,cs.
Acceptance of permit is verification that I will notify the owner ofthe property of the requirements of Florida Lien Law, FS 71).
Signature of Owner/Agent Date Silineruraof-C r Agent Date
Print Owner/Agent's Name
y
ignature o otary•State of Florida Date
Owncr/Agent is _ Personally Known to Me or
Produced ID
loin®s A/a.-Aoo'
Print Contractor/Alert's Name
Signature of Notary -State of Florida I i Date
Contractor/Agent is personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
PAMELA L MORROWMYCOMMISSION #88945EWXPIRES: Mard12, y
Otary Pubic Undsrwrden
Permit N : k-./ —1 -
Job Address: —I
Description or W
Historic District.":;:
CITY OUANFORD PgRMff APPLICATION
T Date:
49. , OF r
Value of Work:
PermllType: Building """"'Eloctrical ve. Modwo-9 Plumbing— Fire SprizWer/Alarm P001 -
77=t
Electrical; Now Service ' -4.6!` 'AMPS J&"tiradon Change of Service — Temporary Pole
Mechanical: Residential Noa-Residential— Repkicament—New— (Duct Layout& EnCVCAIc. Required)
Plumbing/ New Commercial: #of ftturcs # of Water & Sewer Lines_ # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair- Residential or Commercial
Occupancy Type: Residential % Commercial — Total Square Footage:
Construction Type: # of Stories: _ # of Dwelling Units:.— Flood Zone: (FEMA form required for
Parcel 1: (Attach Proof of Ownership At L4991 Description)
Owners Name & Address:
Phone'. 4/07
CContractorName4;' Address. aj, & ' j,v1'e,ejr,
AP ??—I State License N-ratier:
Phoaa & Fax: (341? '*,f7) J7 W?X Coa tact Person: (!-07 A -!r yy _Phone:
Bonding Company:.
Address:
i'vlortgage 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 Oleissuanceofapermitrindthatallworkwillbe.pWormed to mew standards or all laws regulating construction in this jurisdiction. I understand that a sepalate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS; sitc:
OWNER'S AFFIDAVIT: I certify that all ofthe foregoing information is accurate and that all work will be done incompliancgwith all applicable laws ru!tulaung
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YUW( 1'.1-YINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. 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 bo round in the public rccordsol'
this county, and there may to additional permits roquirsd from other governmental entities such as water management districts, state agencies, or federal 49cnClCi.
Acceptance of permit is verification that I will notify the owner of the property of the requirements or Florida Lien Low, FS 713.
Signature orowncr/Agent Data Signature lai-C—ontractor/Agent Date
7%P, -M10 -r h/ A -
400f
PniShOwner/Agent'sName Print Contractor/Agtrd's Name
14Al,a (Y ZXAAa
S19.1-11 ofNotary -State orFlorida Date Signature of Notary -State of Florida t i Date
Owner/Agent is — Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
Special Conditions:
initial & Data)
PAMELA L MORROW
S My COMMISSION # DD 188945
EXPIRES: Marchrch 2
Thr, 2007
T Nftry PLM underwriter
Contractor/Agent is personally Known to Me or
Produced I D
Zoning: Utilities: — - FD,
initial & Dole) (initial & Date) (Initial At Date)
4
Crr-( OXOANYORD PERMIT APPUCATION
Permit Date:
Job Address;
Descriptiou of Works
WorkHistoricDistriValueorWork
Permit Type: BuildingElectrical e M00,40— I Plumbing Fire SprbWer/Alarm POO
Electrical: New Service: of . AMPS Addi"Alteration chage, or service Temporary Pole
Mechanical: ResidentialW N04-RcjdcntW_.,RTk=cnt— New (Duct Layout & EnergyCAIc-. Required)
Plumbing/ New Commercial: # of ftturcs # ofWater a Sewer Lines— # ofCW Lin"
Plumbing/New Residential: N of Water Closets Plumbing Repair – Residential or Commercial
Occupancy Type: Residential %/" Commercial — Industrial — Total Square Footage:
construction Type: 0 of Stories: # of Dwelling Units:.— Flood Zone: (FEMA form required Iw* 1-11!-!
Parcel 0: (Attacb Proof of Owlersbip & Legal Description)
Owners Name& Address: 1'7t7,r0*f'J-fe2 lWz=-21
A.00!.
Ifr
7f/ Phone: 4/07
Contractor Name & AddrM,'"A
State License Number: 't5:-4"'Voo xl-rAA
4741;
wW?J" Contact Person; – eno!Cqf!r 4e"A e, Pbonelm- Phone & Fax:
Bonding eompaa)r
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
Application is hereby meds to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to Uicissuanceofapermitandthatallworkwillbg.performed to meat suladards; ofall laws regulating consuuction in thisjurisdiction. luAduslAn'(1That 1sepal ate
permit must be secured for BLECTRtC41. 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 rup.ulauns
construction and zoning. WARNING TO OWNER, YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YULM V. YINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. 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, share 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 fintsm, oLha govopunIMI&I entities such. as water management districts, state agencies, or federal agcncte>.
Acceptance or permit is verification that I will notify the owner crow property or the requirements of Florida Lien Law, FS 713,
Signature orOwner/Agent Date Signature orConirat—or/Agcnt
J,
Date
Pn' t Owner/Agent's Name Print Contactor/Agent's Name
2 1
Signature of Notary -State or Florida Date Signature of Noiary-State of Florida t i Date
Owner/Agcnt is Personally Known to Me or Contractor/Agent is –jL-*'p-rsonsIly Known to Me or
Produced ID Produced ID
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
Initial & Date) (initial & Date) (initial & Date) (Initial & Date)
onditions:
PAMELA L. MORROW
MY COMMISSION # DD 188945
EXPIRES: March 2, 2007
VAR iy,. BwxM Thru Notary Pudic Underwriters
CITU ()F \ANI'ORD PERI\IFI' APPI.ICA'FION'
slob Address: Aola f"A cm, Un.1( ---- W
Description of Work: LOW *401 t`)C
I li.siuric District: Zoniny: Value of Work: S
x-ci\; /C \iC%C L
11ern,it T pe: Building lilecirical / Mechunictd Plumbing—- Dire Sprinkler/Alarm.•_ Poul
F:kcu iral Nlew Service - # of AMPS —__ ;\(Itlition/Alterution Change uhSer\•i(;e Temporary Pale _
Icchanical: Residcntiul -_ Nun -Residential Replacement New • (Duel Layout & Energy Cale. Required)
I'lumhinr/ \cw Commercial: It ul'I:i.\tures # of \Vater & Scwcr Lines_—__ # ol'Gas Lines
I'lumhin,/\es. Residential: # of Waier C losels ___•-__ Plumbin): Repair - Residential ur Commercial
Occupancy 'type: Residential I/ Conuncrcial __-_ Industrial _— Total Squat(• Footage: —.
nnsu action I ype: # of Stories: _ i) til Dwcllin} llnils: —_— Floud Zone: (FV.\7,\ form required for other than
I'arccl a
Attach Prouruf Ownership & Legal Description)
U)uu•rs \:one S Address.
L .nt• I fl— e -,!-a -2(Y) IMCL",wCtf1C I I'honc. Hi? iPox • C -
go, State Licellse Nolliber: 67AIM -ICA
J r— tI
isonding Company.
ddn•.i
Iurty,aKe Ixelder
JJre i
n•hitrctlEngineer
dtlreii _
Phone:
Fax:
pphcuuu) is herehy male to uhtan) a penntl to do the work and installations as indicated. I vend\ that no work or installation has commenced prior to thetila1x111111unJ111,11 all work will be perinrncd 10 tn«t standards 01'311 laws regulating construction in this jurisdiction. I understand that a scpuraiepinmmustheircuredIvorF:1.I C'TRICAL WORK, PLUMBING. SIGNS. WELLS, POOLS. FURNACES, BOILERS, HEATERS, TANKS, and
IR i, ONDITIONI:RS. etc.
t)\\ .NVR'S AFFIDAVIT: I cenify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulatingonmruenunandzoning. WARNING'I'O OWNER: YOUR FAILURE I'D RECORD A NOTICG OF COMMENCEMEN'r MAY RESULT IN YOUR PAYINGFORIMPROVEMF.N'I'S TO YOUR PROPERTY. IF YOU INTEND'I'O OBTAIN FINANCING. CONSULT W rrN YOUR LENDER OR A,
I'ft ilt\til' 111:1 ORE RECORDING Y(7UIt NOTICE OI' C'OMMI:NCI::MI-.NT
110: In addition to the rcquircments of this Permit• there may I)e addtuunal restrictions applicable tot hi,propcny that may be found in the public records oftim> ;ount. and there may be aJdiuonol pennus required from other ovcrnmcntat entities such as water inanngetnenl districts. state agencies, or federal agencies
cptanee of permit is verilicution that I will nosily the owner til the property orlhe r quircmcnls of Florida Lien Law, FS 71301 .
ICS 7a by
ir_nawty til OwncriAaenI - Dole Signatufre ogent Date
hcrYx,-no yiar-d
Prim I 1 .11 r/Agenl's Numc Print Contractor/AgcriCs Name
ecu .10/2..5/l? -J
lgn;uurc of NourySlutc til Florida Dale
y8
th)ner:Agent ii _- Personally Known to Me or
Produced ID....._- -•------................ _.
ION- !\PPROVI:D BY: I)Idg'
htitial & Date)
ipe; ial llu,dttiuns.
PAMELA L MORROW
r MY COMMISSION # DD 188945
ui Si.
EXPIRES: Ud 7
Bw&dilNwA POW r m
Zoning
Signature of Notary -State til• Florida Date
Contraelor!Agem is ._..._. Personally Known to Me or
Produced II) _._........._.._ _................_...._...
Initial & Dole)
Ulililies FD —
Initial & Dale) (Initial & D•ale)
t
a-
iOUNTY OF :SEMIDWQ1IiF
IMP'AC:
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: v PERMIT
BUSINESS NAME / P OJECT:
ADDRESS:
PHONE NO.: FAX NO.:
d/C1
CONST. INSP. [ J C / O INSP.:[ J REINSPECTION [ J PLANS REVIEW
F. A. [ ] F. [ ] HOOD [ J PAINT BOOTH [ J BURN PER IT [
TENT PERMIT J TANK PERMIT [ 1 OTHER
TOTAL FEES: $ cP 1 7 77 ,80 (
PER UNIT SEE BELOW)
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11,
12.
13.
14.
15.
16.
17.
18.
19.
20.
Address / Bldg. # / Unit #Sguare Footage Fees per Bldg. / Unit
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 ' e rev tion Division Applicant's Signature
T
Permit # : 0 1
r (9 R,
Job Address: `/
Description of Work: rY 014/
Historic District:
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 Wayi Closets Plumbing Repair— Residential or Commercial)
Occupancy Type: Residential Commercial IndustrialTotal Square Footage: Y O1
Construction Type B # of Stories: Z # of Dwelling Units: Flood Zone: )< (FEMA form required for other than X)
a Parcel p:
Owners Name & Address:
Attach Proof of Ownership & Legal Description)
Phone:4407J 62/-0077
Contractor Name &
L _
Address: h S RREK U1114 — MOWSPAI HO M64 _
ae S q&&
f f nSSt'
Mtaatte
License Number: GCRI:o
A/-
9, 29 ^
Phone & Fax: 7%Z900%/ 417oOSS13b Contact Person: H l NE %Phon,&07J.257 940
Bonding Company: NA
Address: AM _
Mortgage Lender: AIA
Address: AIA
Architect/Engineer: HANG Phone: /"
Address: _ Z3 SIvE"/NANT,Q.C, %TW/ }st n 34714 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 theta 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 applicahle la,vn r,em!aung
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 ere may be additional permits required from other go a mmental entities such a water management districts, state agencies, or federal agencies.
Acceptance o mit is verification that I will notify the own r of [he property of the require of Florida Lien Law, FS 713.
7 dl
Signature of Owner/Agent D e Signature of Contractor/Agent ate o Q
N
o N Print Owner/
A01V
Print Contract e
mM4S m
9 CSDEW z
d
UN_
a di m Signature f orida Date Signatutate of Florida D to aGgQQ(5
V X
I- W m
Owner/Agent is Personally K own to Me or
Produced ID
A `TCATION APPROVED BY: BI g: 6 6 Zoning:
Initial & Date)
Special Conditions:
Von c[or/Agent is _Personally Known to Me or
Produced I D
Initial & Date) Initial & Date)
tY, a85Uy • '-IS"
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADMIN
P.O. BOX 1788
SANFORD, FL 32772-1788
Project Name: GR YS o•vC. TywNlfcr s Date /3
Owner/Contact Person: Phone:
Address: /b/Z .54oOA5 C 7— /$3)
Type ofDevelopment: .
I) -RESIDENTL4L
Type ofUnits (single family
or multi -family):
Total Number of Units: / ( .3
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap): AV-0-
Water
Nb
Water Meter Size (3/4",
1", 2", etc.):
REMARKS:
2) NON-RESIDENTL4L
Type" -of Units (commercial, '
Industrial, etc.):
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",
1", 2", etc.)
REMARKS:
CONAEC77ONFEE CALCULA770N.-
orworn 1+ma
W97Uj %hA/C-T A44 ' — Coro
SEw lhPf}c7 fEE — /700
3/y It r / 7 o
Name - Signature - Date
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADMIN
P.O. BOX 1788.
SANFORD, FL 32772-1788
Project Name: G'R Y S7o•vL T wni /f c g Date
Owner/Contact Person: /
1
Phone:
Address: /0/0 -56A%
Type of Development:
I) -RESIDENTL4L
Type of Units (single family
or multi-family): r'
Total Number 3ofUnits:
Type of Utility Connection
individual connections
or central water meter &
common sewer tap): AV4.
Water Meter Size (3/4",
119, 2", etc): .
REMARKS:
2) NON-RESIDENTIAL
Type**of Units (commercial,
Industrial, etc.):
Total Number of Buildings:
Number ofFixture Units
each building):
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS:
CONNEC770NFEECALCULATION.• W9761 i610*c7 A44
SEw&-Q /hPf}cT f -11,200
3/y /'7 t 74 r •
Q4fo.St-T
Name - Signature - Date
ortnrn tams
1W/4 a
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADAE N
P.O. BOX 1788
SANFORD, FL 32772-1788
Project Name: G'R Y S-d.y Trw /f c,Es Date 8 / Z-0
Owner/Contact Person: Phone:
Address:'-- /OD 8 5 Li4Ti C T (G oT / 8S v ti (zt.
Type of Development:
l) RESIDENTIAL
Type ofUnits (single family
or multi -family):
Total Number of Units:
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap): Va-
Water Meter Size (3/4",
1" 2" etc.):
REMARKS:
k:f
r
2) NON-RESIDENTL9L Y+k
Type* -of Units (commercial,
Industrial, etc.):
Total Number of Buildings:
Number of Fixture Units til
each building):
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",.
1", 2", etc.)
REMARKS:
e
COMEC77ONFEE CALCULATION.• W97ev 1'64 c7 1-4E —' toSb
S'Ew 2 //7?'f}c7 AZE ^- `% 700
3/Y " 7e, -rd t S'C 7 _ / 7 0
00
Name - Signature - Date
Drrnvrn rims
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADMIN
P.O. BOX 1788.
SANFORD, FL 32772-1788
Project Name: G'R Y S o•yL Town/ /f chi S Date
Owner/Contact Person: Phone:
Address: /006 5zW7,4 eT. /20r/0,C)
Type ofDevelopment:
1) RESIDENTL4L
Type of Units (single family
or multi -family):
Total Number ofUnits:
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
l", 2", etc.):
REMARKS:
2) NON-RESIDENTL4L
Typebf Units (commercial,
Industrial, etc.):
Total Number of Buildings:
Number ofFixture Units
each building):
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
111, 2", etc.)
REMARKS:
CONNECHON FEE CALCULAT70N.•
orrnorn r+ma
AV4.
W97UZ ih i cT' AAA-
fKW&t 11'70AACT ALS 700
3/y It
117err .it S 7 _ / 70
Q Pos"T s/c/oo
Name - Signature - Date
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADMIN
P.O. BOX 1788. - '
SANFORD, FL 32772-1788
Project Name: G RAY S7o.v iwn/ /f c.s Date 8/3 o J
Owner/Contact Person: Phone:
Address: /001;;: S4 4T c'—_
Type of Development:
I) RESIDENTL4L
Type ofUnits (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",
I ", 2", etc.):
REMARKS:
2) NON-RESIDENTL4L
Type' -of Units (commercial,
Industrial, etc.):
Total Number of Buildings:
Number of Fixture Units
each building):
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS:
CONNEC770NFEE CALCULAT70N.•
0911"911M 1171".1
AV -0.
7,/ to,
W9'74,1 /,5A*C-7 fEE —. &S -o
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Name - Signature - Date
fioo
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY — ADMIN
P.O. BOX 1788.
SANFORD, FL 32772-1788
Project Name: Date c? zzzc_;
Owner/Contact Person: Phone:
Address:' /o0 Z 5L4Ter'_ Cvvn'?"_ r4 oT l $S) cJti17'41
Type of Development:
I) RESIDENTL4L
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.):
REMARKS:
2) NON-RESIDENTIAL
Type, -of Units (commercial, '
Industrial, etc.):
Total Number of Buildings:
Number of Fixture Units
each building):
Type ofUtility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS:
CONNEC77ONFEE CALCULA770N.• Wi 76q
SKW" 1h c7 fEE — /700
3 y /`74741 Sc 7 - '" /7o
J6Pc417
Name - Signature - Date
rnosti i+ma
Herx * a4mociates Inc.
Land Surveyors
769 Douglas Avenue, Altamonte Springs, Florida. 32714 (407)788-8808
Member of the Florida Surveying and Mapping Society and American Congress on Surveying and Mapping
LIJ
T-11 as '_
LINE BEARING
L I N 00'50'06'W
Map of Survey
L 3
CURVE DELTA ANGLE RADIUS ARC TANGENT CHORD CHORD BEARING
C 1 20.39'49' 51.00' 18.39' 9.30' 18.29' N 09.29'49-E
C 2 45.09'35- 19.00' 14.98' 9.11' 14.59' N 02'45'04•W
C 3 61'J4'18' 37.00' 39.76' 22.05' 37.88' N 29'57'03'E
LIJ
T-11 as '_
LINE BEARING
L I N 00'50'06'W
L 2 N 00'50'06'W
L 3 N 00'50'06•W
L 4 N 00'50'06•W
L 5 N 00150'06'W
L 6 N 70'10'17•W
L 7 N 25'19'51'W
L 8 s 00150'06-E
L 9 S 00'50'06-E
L 10 S 00.50'06'E
L 11 S 00'50'06-E
L 12 S 00.50'06'E
L 13 S 00.50'06-E
DISTANCE
38.82'
30.00'
30.00'
30.00'
30.00'
4.00'
4.25'(PLAT MEASURES)
38.00'
30.00'
30.00'
30.00'
30.00'
38.82'
S. OREGON AVENUE
S' CITY SERVICES EASEMENT
LOT 167 LOT 186 1 LOT 1
Fire n.- pi.
Date U
l 0
S' WALL EASEMENT
PL
LOT 184 LOT 183
Z e.e 1 17A i LJ a.o Ln
2' 2. No aerial, surface or subsurface utility installations, underground improvements or
30.0• 30.0' C7 17.0' 17.0' n 0 30.0' 1/. J' . LANAI
assumed datum)
e Lbs
Plaf Book
7 AUSTRIA SEL IZE c p V _ 9ELIIE
4. Elevations shown hereon, if any, are assumed and were obtained from approved of Centerline
T
Point of Compound Curvature
MIT Al UNIT of
Central or (Delta) Angle
CalculatedCB
P.C.P.
WIT el 15.7' a
Chord Bearing
O 4.J' FINISH D FLOOR li:0
0
i's , FINIS D FLOOR o
C.M. Concrete Monument
P, C,
Point of
Line
PbinfofBeginning
J' ELEVATI N -GJ 00 + CAPE VERDE CAPE VERDE ,p ELEVAT N •63.00
FINAL EL. Elevation (Measured)
C
Point of Intersection
o v LIMIT Cl o. UNIT CI
o O O O
I.P.
H.o.a.
PT. Pont of Tangency
o z o i 7
o 0 0
L
Ab
RAD
RES.
Radial Line
Residence
W iron rod with red plastic cap marked 'Witness Comer", unless otherwise noted.
s.o ' s.o
Right -of -WayODenotesP.C.P. (Permanent control point) LS. Land Surveyor TBM Temporary Benchmark
Denotes Permanent Reference Monument Mea
WD(NdD)
Measured
and Disk TYP Typical
2004 Herm 6 Associates Inc. All rights reserved Not Radial Fence symbol (see drawing)
X --X- Fence symbol (see drawing)
UNIT DI
i - i.o 0 60 D Iooo
180' V
OO 30.0' 19.7' v. 19.7' 19.7' 19.71 19.7' 0.3'
N H N H 4
REFERENCED SEARINO - - V
N 00_50 _06'W 155.02'
r.c.r.
C/L SLATE COVE (R/W VARIES) TRACT A 7 !S
P.c.P. N
LEGAL DESCRIPTION.' Lots 18 3.18 4.18 5. 18 6.18 7 & 18 8 PLANS REVIEWED
GREYSTOW PHASE I "
according to the plot thereof as recorded n Plot Book J
CITY OF SANFORD
of pages - of the Pubic Records of Seninole County. Florldo.
FLOOD HAZARD DATA: The Parcel shown hereon ies within Flood Zone X"
according to the Flood hstrance Rate Mcp Coarminity Panel NLmber
120294 0040E .Dated 04/17/95.
Flood Zone determilorion was performed by qroplrc platinngg from Flood hsu-once
Rote Mcps provided by FEMA. No field Su•veyny was perl"ermed by this Firm todeterminethisZone. The exact zone location con ody be deterrmed by on ebvotionstudy. We assume no resporsUty for oclud Rood'n9 condhons concerrng this parcel
Note: Bearm' shown hereon Ire referenced to the CIL
of SLATE COVE os beig N 00 ' 50' 06 -W.
Vertical d turn is based on NGVD/OCVD per Engineering
construction plans by Ned I-iiler Engineering. hc. Fie Nome : Greystone
General Notes:
This is a BOUNDARY Survey performed in the field onyp HiQONSED Legend
2' 2. No aerial, surface or subsurface utility installations, underground improvements or 18 Temporary Benchmark CVS
O.R.B.
Offset
OfficialRecords Booksubsurfacelaerialencroachments, if any, were located. assumed datum) PB Plaf Book
3. Building ties shown are to the exterior unfinished foundation surface or formboard. Bow Back of sidewalk PC PointorCurvature
4. Elevations shown hereon, if any, are assumed and were obtained from approved of Centerline PCC. Point of Compound Curvature
Construction plans provided by the Client unless otherwise Holed, and are shown d
CALC
Central or (Delta) Angle
CalculatedCB
P.C.P. Permanent Control Point
only to depict the proposed or actual difference in elevation relative to the assumed Chord Bearing PPape
Benchmark shown hereon. Co Chord RP.R.M..temporary Permanent Reference Monument
5. The parcel shown hereon is subject to all easements, reservations, restrictions, andp ) C.M. Concrete Monument P2
P.O.B. Point of
Line
PbinfofBeginning
Rights-of-way of record whether depicted or not on this document. No search of the EL. or ELEV Elevation (Proposed) P.O.C. Point of Commencement
Public Records has been made by this office. FINAL EL. Elevation (Measured) P. 1. Point of Intersection
6. The legal description shown hereon is as furnished by client. FD.
Fin. Ft. Elev.
Found
FinishedFloor Elevation PRC. Point of Reverse Curvature
7. Platted and measured distances and directions are the same unless otherwise noted. I.P. Iron Pipe PT. Pont of Tangency
8. Copies of this Survey may be made for the original transaction only. iron Rod R RadiusI.R.
Denotes W iron rod with yellow plastic cap marked L84937 or LS3182, or L Arc length
RAD
RES.
Radial Line
Residence
W iron rod with red plastic cap marked 'Witness Comer", unless otherwise noted. LS Licensed Business RW Right -of -WayODenotesP.C.P. (Permanent control point) LS. Land Surveyor TBM Temporary Benchmark
Denotes Permanent Reference Monument Mea
WD(NdD)
Measured
and Disk TYP Typical
2004 Herm 6 Associates Inc. All rights reserved Not Radial Fence symbol (see drawing)
X --X- Fence symbol (see drawing)
Certification: Not valid without the signature and the original raised seal
or a Florida liceAmquireThissurveymeeof the F ' a Minknum Technical
dsas ow61G 17• Florida Administrative e..
r-APM lRm
Dara& L. Prmmienfecki, P.S.M. Replslotp Surveyor and Mapper No. 6030
Wiflnam R. Herx, P. S.M. Registered Suryvfyor and Mapper No. 6092
Herx 9 Associates Inc.. State ofFiadde LB 4937
Sketch of Legal Description
This is not o Survey
Drown by: BB
Checked by: DP
Prepared For: MORRISON
Job Nveber: 03-018-02
Scats, 40'
PIoI PIon performed: 05-25-04
F9 ion Svrvay:
Final Survey: Revision# .
Cell: (4C'n 257-&940
j Fax, (407) 905.5736
Office: (407) 9054092.
P. 0. Box 784283 .
Winter Garden, FL 34778-4283
I Daphne Clark, Inc.
RESIDENTIAL CONSTRUCTION SERVICES
CGC0487n
o.200q
9
n
N
Prepared By Daphne Clark
and Morrison Homes
Return To : 151 Southhall Lane # 200
Maitland, FL 32751
NOTICE OF COAUVIEIENCEMENT.
State of Florida.
County of Seminole.
IlaidIdIliilhsil0illiuWiiuiuhiIiiuiWaUa1.6;Wwikj
NARypa FRSE, CLERK OF CIRCUIT COURT
SEMNME CUM
BK 05407 FwG 0369
CLERK'S * 21 ID4121772
RECORDED 88/82/20@4 03:25:41 RII
RECORDING FEES IL80
RECORDED BY S O'Kelley
The undersigned hereby gives notice that improvements 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.
2.
3.
4.
5.
6.
7.
Description of property : LOTS/130 —
Legal Description Greystone Pbasel, according to the plat thereof, as recorded in Plat
Book __, Pages - , of the public records of Seminole County,
Florida.
Parcel ID #
Addresses: 110a S/Vfl Ct
General description of improvements : TO HOME WITH UNITS
Owner information : Name Morrison Homes * ,
Address
Fee Simple Title Holder:
Contractor name and address:
Address
Surety :
Lender:
151 Southhall Lane # 200
Maitland, FL 32751
N.A.
Morrison Homes
151 Southhall Lane # 200
Maitland, FL 32751
N.A.
N.A.
CERTIFIED COPY,
MARYANNE MORSE
OLWTf CIRCIIR COU"
1119*01,t COWTI ORM
rwr
AUG_ 2004
8. Persons within the State of Florida designated by the Owner upon whom notices or other documents maybeservedasprovidesby713.13(1)(a)7., Florida Statutes: N.A.
9. In addition to himself , Owner designates the following to receive a copy of the Lienor's Notice as provided
in 713.13(l)(b), Florida Statutes. N.A.
10. Expiration date of notice of commencement : One year from the date of recording.
i
Date Signed : k1,04-eSignature ofOwner's Agent:
Marek Bakun V.P. Finances
Morrison Homes.
Sworn to and subscribed before me this by Marek Bakun who is personally known to me.
Notary Public
Dapbne A Clark
My commission expires: 6127/2007
Serial No. CC850099
MY COMMISSION 214811EXPIRES: June 27,2007
anndn?hN "?e1 NalzN $ENIC65
Notary seal:
May 13, 2004
Russell Gibson
Director of Planning and Community Development
City of Sanford
300 N.Park ave.'
SanfOrd FL 32772
Dear Mr. Gibson:
Thank you very much for meeting with Morrison Homes this week to discuss our Greystone'project. The project
has been a fantastic success for us in terms of sales. To date we have sold 38 townhomes and have a waiting list
of 50 additional buyers.
Unfortunately, we have had to stop sales to allow the project development and construction to catch up. We are
starting to experience some buyer dissatisfaction and anxiety on both the sold townhomes as well as with the
people who are still waiting to sign a contract. Of particular concern is our ability to have these customers in their
new townhome before the December holiday season. To that end, we are very grateful that you will allow us to
start the permitting process for nine of our buildings prior to plat and Certificate of Completion.
As you correctly pointed out in your email, Morrison Homes has not kept up the standard of construction that you
would expect in our Venetian Bay project. Your photographs hit home with us and have caused us to reexamine
the way we do business in all of our Orlando communities.
Naturally, we will address the issues you pointed out in Venetian Bay immediately. In addition, we are now
speaking with Alpha Environmental Management Corporation to negotiate a contract to maintain all of our
communities to the standards that you would expect from any builder.
In closing, I would again like to thank yourself and all of your staff for working with us to make this project a
success and to have happy homeowners in the City of Sanford.
Your understanding and cooperation is greatly appreciated.
Sincerely,,
Richard A. Fadil
Orlando Division President
CC`. Dan Florian
Building 6fficii-1)
City of Sanford
Ph 4 uUQT7n z ti5Z9=5 8Z,_Iwanw,%rri omes.com
Ph 407-629-0077 • Fx 407-629-5282 • www.morrisonhomes.com
ATLANTA AUSTIN CENTRAL VALLEY DALLAS DENVER HOUSTON JACKSONVILLE ORLANDO PHOENIX SACRAMENTO SARASOTA TAMPA
May 13, 2004
Russell Gibson
Director of Planning and Community Development
City of.Sanford
300 N.Park ave. -
Sanford FL 32772 r
Dear Mr. Gibson: „ .. •
Thank you very much for meeting with Morrison Homes this week to discuss our Greystone project. The project
has been a fantastic success for us in terms of sales. To date we have sold 38 townhomes and have a waiting list
of 50 additional buyers.
Unfortunately, we have had to stop sales to allow the project development and construction to catch up. We are
starting to experience some buyer dissatisfaction and anxiety on both the sold townhomes as well as with the
people who are still waiting to sign a contract. Of particular concern is our ability to have these customers in their
new townhome before the December holiday season. To that end, we are very grateful that you will allow us to
start the permitting process for nine of our buildings prior to plat and Certificate of Completion.
As you correctly pointed out in your email, Morrison Homes has not kept up the standard ofconstruction that you
would expect in our Venetian Bay project. Your photographs hit home with us and have caused us to reexamine
the way we do business in all of our Orlando communities.
Naturally, we will address the issues you pointed out in Venetian Bay immediately. In addition, we are now
speaking with Alpha Environmental Management Corporation to negotiate a contract to maintain all of our
communities to the standards that you would expect from any builder.
In closing, I would again like to thank yourself and all of your staff for working with us to make this project a
success and to have happy homeowners in the City of Sanford.
Your understanding and cooperation is greatly appreciated.
Sincerely, L
t / -
Richard A. Fadil
Orlando Division President
CC: Dan Florian' .
Building Official
City of. Sanford
Ph 4t b
ut alh zn' (
i t15Z9=5#!
Micknd'm- les:com
Ph 407-629-0077 • Fx 407-629-5282 • www.morrisonhomes.com
ATLANTA AUSTIN CENTRAL VALLEY DALLAS DENVER HOUSTON JACKSONVILLE ORLANDO PHOENIX SACRAMENTO SARASOTA TAMPA
t:f
5//7/zX4
City Manager
City of Sanford
300 N. Park Avenue '
Sanford, FL 32771
r'
Re: ESTOPPEL LETTER ,.
GKGIMkIE TowA I OMES
This ESTOPPEL LETTER is provided to the City of Sanford for reliance. upon by the City of
Sanford and as the basis for issuance of Permit No. for the
y
fo wing
wnA- /VAI/% 7&, 0I %Alve Ari /C nurHhers _.. lR'
The name of the owner), hereinafter reffered to as the "Owner", recognizes that issuance of
Permit No. will be made with numerous limitations as more particularly set
forth herein. The Owner recognizes that this approval does not exempt us from complying
with any applicable building codes, land development regulations, Comprehensive Plan
requirements, or exempt our site or building(s) from any applicable development regulations.
By issuing Permit No. , the City does not guarantee approval of any other
development orders or development permits. The Owner acknowledges and agrees that no
Certificate of Occupancy will be issued by the City for the 7*oA)n%%OA& until
all required land development approvals have been obtained and all required improvements
have been installed, inspected and authorized for use bY the City. The
Owner hereby grants the City the right to deny use of the T0JWn n0We
for occupancy until all. of the above- referenced project is in compliance with
all applicable development regulations.
The Owner hereby agrees to indemnify and hold the City and its officers, employees and agents
harmless for any and all losses, damages, injuries and claims in any way relating,
directly or indirectly, to the permitting or construction of the above- referenced project or
6-117AA94
Page 2
the issuance of Permit No. .,The Owner also agrees to the following as
additional conditions for Permit No.
The.Owner hereby agrees to disclose the contents.of this document to any and all of our
successors in interest, contractors, sub- contractors and agents. The undersigned_. further
warrants that he or she is authorized to bind the Owner and has been duly authorized to
sign this document. '
WITNESSES: 1. 1.1,
Signure
14uora
Printed / Typed Name
Oly i S -
Signature
1 A7 *v ,deo*s
Printed / Typed Name
STATE OF FLORIDA )
COUNTY OF SEMINOLE )
Owner) .
Signature
Printed / Typed Name
Title /AO40j4A) #OWS
The foregoing instrument wal acknowledged before me this V day of
by Binh Binh as / C
for O/Y/jim GY;W Ngrwho is personall known to me or
Xwho produced their Florida Driver's License as identification.
O1 Y Py@.
WC061fuMION11DD214811 Notary Public dEXPIRES: June27,2W7
l n N
c
Bna^^rTh;C'p'alNala^'Snrvic8s Print Name: ` a-
My Commission Expires:
H`dHA_ENG\Dept_(orms\estoppel_ctr
LIMITED POWER OF ATTORNEY
DATE:
I HEREBY NAME AND APPOINT
EACH AN AGENT OF:
DAPHNE CLARK, GUSTAV BOTES,
Affine-f ="Plaxaffoijuxi
TO BE MY LAWFUL ATTORNEY IN FACT TO ACT FOR ME AND APPLY TO
THE BUILDING DEPARTMENT OF: 4, t ,:: 6 d&
FOR A RESIDENTIAL PERMIT FOR WORK TO BE PERFO D AT
LOT NUMBER:
SUBDIVISION:
ADDRESS:
AND TO SIGN MY NAME AND DO ALL THINGS THAT ARE NECESSARY
TO THIS APPOINTMENT.
MAREK BAKUN
NAME OF CONTRACTOR.)
SIGNATURE OF CONTRACTOR.)
STATE CERT. # CRCI327062
CONTRACTOR'S STATE REGISTRATION NUMBER.)
The foregoing instrument as ac nowledged before me this
DATE:
BY: MA K KO
Who is personally known to me and did not take an oath.
STATE OF FLORIDA
COUNTY OF ORANGE.
IGNATURE OF NOTARY:
yrr^wM.«M.rotaru oNsnnrNNNeN
K H
Caerwr Wei n N OW143851
I ceto+s'i.2s, Flatee Notary Aasn , toaCYYYWNNWN N
1cdda
N
NOTARY SEAL.
2-03-20d 12:59Ph1 FROh1
Job Addrtss: O 0
Description of Work:, I
ffistorle Distriet:
CITY OF SANFORD PERMIT APPLICATION
v Date: ' 0.11.3
Zoning: Valor of Work:
Permit Type: Building Electrical Mechanical Plumbing '!L Fite WnkIwfAlarm Pool
Eleclrteal: New Service — N ofAMPS 1ldditioWAllerstion Change of ScfAce Temporary Pole
Mechanical; Residential Non -Residential Replacenieni Now (Duet Layout'& Eitcp, Cale, Roquirveli
Plumbing/ New Commercial: N of Fixtures N OfWater cit: Sewer Lina N of Gas Lincs
Plumbing/New Residential: M of Want Qoscb_ numbing Repair—Residential or Commercial_
Occupancy Type; Residential_ CummetcW Industrial Total Square Footage:
Constaucdoo Type: Nof Stories: N of Dwelling Units: Flood Zone: (FMA tars regtslrod for over rasa X)
Parcel N:
Owners Names A Addreu: O C V-% S L
s t.; ago. lin (L: r
IArtoch emor •f Ownenhip 4 t.egal ii acripdon)
Phase: ''
ttContractorNameAAddrear : f S 3r ( , r, 1 to yn b ; ff U IVL L4 a S )p A ar. (j) yaC) r---
F L
r.]
j
Stoic License Namber: O - O S b
Phone fi Far:anon: I P6onei n t` C
Bonding Compeer;
Addrem -
0o
Mortcage Leader:
Address:
Arehltect/Englneer: Phone.
Addr*rr: Fact:
Application Is hereby undo to obtain a permit w do thewoY andinstallations as indicotod. 1 cervify that no work or installation has ooquntinced prior to thei$#UWKe 411`11 permit and that all wort will be perfotmod to nWI ssaodards of all laws teguhaing oonsuvOioo is "jurisdiction, 1 tndaralsod dat aoparawpermitmustbe.woarod for ELECTRICAL WORK. PLUMBINO, SIGNS, WELLS, POOLS, FURNACES, BOILERS, NEATERS. TANKS, andAIRCONDITIONERS, cu.
OWNER'S
end zoning.
1 unify dui VI
O Shelongrilag iatomurion is ecearase andthat all work will be done Io oompllaave will all applicable laws regulativeconstructionandaoning. WARNING 700WNER: YOUR FAII.URQ TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT M YOUR PAYINfiTWICEFOR (MPROVBMENTS TO YOUR PROPBRTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITTI YOUR LENDER OR ANATTORNEYBEFORERBCORDINOYOURNOTICEOFCOMMENCEMENT.
NOTICE: In additloo to the requirements of ods permit. Ibac maybe additional resoWioar
this county. and there may be additional pendia required from other governmerusl end in I
Accrptan oofporj 't i&j*UWj ofIiareg
10
Sig Nr Ow
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Signature ootary-Suta of Florida — /
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OwnedAgcnn Is )L Personally Known to Me or
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Shia to tine property dal may be feud to tie pubtla record of
waw mansgsroaot districet, italic agencies, or federal ageneia.
Law. FS 71).
My CmYliniiiWn DD31W4
EVIr a Mar 03.2=
ContncwrrAgcrais x Personally Knowa to Me or '
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APPLICATION APPROVED BY: BI ,h , I rc 11t6rfiUnlitics: I'mmialAhte) r T (Initial & Date) (Initial k Dau) (Initial dr pate)
Special Conditions:
do"ys Karen GNman
Kann (iNmanROYComntiaaipnDD315874 . ibti Cwnrnisaiort DD3188T4orcab' ExWrsa May 03, 2008
a EzPkss May 03.2008
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