3657 Orlando Dr - BC04-001776 (HOVER HOBBY) INTERIOR REMODEL DOCUMENTSPERMIT ADDRESSStIAI CAIMA**"7 4 ae CONTRACTOR
1'% • ADDRESS
PHONE
NUMBER 10 a 47 Nam M0 PROPERTY
OWNER W6i ADDRESS
PHONE
NUMBER 'ZP / ELECTRICAL
CONTRACTOR MECHANICAL
CONTRACTOR PLUMBING
CONTRACTOR MISCELLANEOUS
CONTRACTOR PERMIT
NUMBER MISCELLANEOUS
CONTRACTOR FEE
PERMIT
NUMBER FEE 10
SUBDIVISION
PERMIT #
t% to)"Ko DATE4!aa'01 PERMIT
DESCRIPTION_ PERMIT
VALUATION SQUARE
FOOTAGE 3y
m
CITY OF SANFORD PERMIT APPLICATION
Permit # : 1 Date: - I r - s+
Job Address: S, SRA. mA n . DR. Sp,,, GAc) Pit— 34773
Description of Work: A17';.t.a. 13•OJ- o/" -
Historic District: Zoning: Value of Work: S 30 Gov
Permit Type: Building " Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Plumbing/ New Commercial: # of Fixtures _
Plumbing/New Residential: # of Water Closets
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
of Water & Sewer Lines # of Gas Lines
Occupancy Type: Residential Commercial -f Industrial
Construction Type: tV # of Stories: I # of Dwelling Units:
Plumbing Repair — Residential or Commercial
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: )1 A O%. C_ -M ::; f, Co-.aO.
37oS' S O 5 . :• J (=`. AMA111901 Pik 16phone:,
Contractor Name & Address: 4.e &S
1140 C&-Vo G_ s"w tait, Ma.MaA.J Stat _ i ensefV b Cw Phone &
Fax: 4o7/t3I-11[C 40ill— _ _ _Contact Person: S. el. /J.J L.1[0 Phone: 4=ZIESI— th filA L
ADD
I
K, Bonding Company:2nnA Address: Mortgage
Lender:
Address- Architect/
Engineer:
v w
r a Gal Address: I
ZLC A.1 ems.., r :7 1...o. 1`. 32 rC; Fa:: ZL.o
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 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,
ctc. 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 P YING 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. of pe
t is verification that 1 will notify the owner of the property of the require of Florida Lien Law, FS 713, off ,s/
o y S\\ ture
of O er/Agent Date Sign re of Contractor/Agent DV PhptOwncr/A&
t' e' Print Contractor/Agent's Name MP RIAN E. MOON U• 5• %'
Q,,,tG, . JI(l, Ngj jt-ol*, Stateof Florida Signature Notary•
tale o of IiRENDA L Signature of Notary -State of Florida y C M. a P. Apr. 18, 2004 IARTINO MYCOMMISSION
4 DD 247667 Comm. No. CC919798 EXPIRES: January
5, 2008 Owner/Agent
is Contractor/Agent is _/Personally Known to Me or Produced ID _
Produced ID APPLICATION APPROVED
BY: B d Zoning: Initial & Date)
Special Conditions:
Initial & Date)
Utilities: l \\\
FD: Initial & Date) `(
Initial&Da r`
ti
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY - ADMIN
P.O. BOX 1788
SANFORD, FL 32772-1788
Project Name: H°v-4A f/044Y /`^7 Qr i9G'.Q97„s
Date
Owner/Contact Person: Phone:
Address: 3 6 d ^S. O 1 /)Nd
Type of Development:
1) 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
REMAMS:
Z) NON-RESIDENTL4L
Type of Units (commercial,
Industrial, etc.): G 015, 7
Total Number of Buildings:
i
Number of Fixture Units
each building):
Type of Utility Connection
individual connections
or central water meter &
common sewer toP):
Water Meter Size (3/4",
1", 2", etc.)
REMARKS:
CONNECTIONFEE CAL CULA770N.• w97E2 i'`7 F E 3 2 g- SEw4A /'
hPgc7 fE E 8 So Name -
Signature - Date ucinocn
r+ma C[Y-rtJ//'/v J
1) Water System Impact Fees
Equivalent Residential Connection (ERC) -300 Gallons -Per Day (GPD)
Residential -
S650/Unit - Single family smxtre, or multi -family unit
containing throe(3) bedrooms or more...
S487.50/Unit - Multi -family unit or Mobile Home unit containing
less than throe (3) bedrooms. (This category is
based on judgment/asswnption, estimation that
such family units on average require 75Vo..225 GPD
of the water and sewer service of an average single
family unit} .
Commercial
S650/ERU - Fixhms 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 having more that twenty (20) fixture unit
base for the fast ERU. (Example: twenty-five (25)
fixtures units will be rated as 1.25 cru: twenty-siz (26)
fixture units will be rated as 1.5 ERU.)
2) Sewer Systems Impact Fees
Equivalent Residential.Connections-270 Gallons Per Day.(GPD)
Residential -
S1,700 Unit - Single Family structure, or multi -family unit
Containing three (3) bedrooms or more.
S1,275/Unit . - Multi -family trait or Mobile Home unit containing
less than throe (3) bedrooms. (This category is based on
jurdgment/assumption, estimation that such family units on
average require 75% of water and sewer service of an .
average single family unit}
Commercial- Industrial- Institutional
51,700/ERU
Fixtures unit schedule from Southern Plumbing Code
will be used. One ERU will be charged for connection and up to
twiady (20) fixtures units For projects having more than twenty
20) units the Impact fee will be increments of 25% based on
multiples of five (5) fixture units above the taaaty (20) fixture
unit base for the fast ERU. • (Example: twenty five (25) fixtma units will'
be rated as 1.25 ERU: twenty six (26) facture units will be rated as 1.5 ER14
FDnVRES TYPE DRAINAGE FDnURES UNIT
VALVE AS LOAD FACTORS
bUNIMUM SIZE OF
TRAP C
Automatic clothes washers, commercial a 3 2
Automatic clothes washers, residential 2 2
Bathroom group consisting of water closets, lavatory,
bidet and bathtub or showers
6
Bathtub (b) (with or without overhead shower or
whirlpool attachments
2 1 %
Bidet r
2 1'A
Combination sink and tray 2 1 '/:
Dental lavatory 1 1 '/4
Dental unit or cuspidor 1 1
Dishwashing machine, (c.)domestic 2 1 %
Drinking fountain h 1 '
Floor drains 2 2
Kitchen sink domestic 2 1 '%
Kitchen sink, domestic with food waste grinder and/or
Dishwasher
2 1
Laundry tray 1 or 2 co3n . eats 2 1 '%
Lavatory I k Z = 2 1 '/4
Shower compartments, domestic 2 2
Sink 2 1 '%
Urinal 4 Footnote d
Urinal, 1 gallon per flush or less 2e Footnote d
Wash sink (circular or multiple) each ser of faucets 2 1 h
Water closets, flushometer tank, public or private ., 4e Footnote d
Water cl to installation 4 k '2 t Footnote d
Water closets, public installation 6 Footnote d '
For SI:1 bKb-2S4 son, I gallon-l.M I. O
a For traps larger than 3 inches, use Table 709.2
b A sbowerhead over a bathtub or whirlpool bathtub attachments does not irrarage the drainage fixttam unit valve
c Sec sections 709.2 thought 709.4 for metbodi of onn p ding unit valve of fixtures not limed in Table 709.1 or for rating of devices with imeri nitteot flows..
d Trap size shall be oaosistmt with the fixtures outlet s'ae.
e For the purpose of computing loads on building drains and sewers, water closets or urinals '"not berated at a lover drainage first fixttm.unit
unless the lower values are confirmed by testing. TABLE 709.2 DRAINAGE FD=RES UNITS FOR FMVRES DRAINS OR TRAPS •
F mve Drain or Trap
Site inches
Drainage Fixtures
unit Value
1 '/4 1
l% 2
2 3
2% 4
3 5
4 6
Standard Plurrrbing coda 0 1997
This Instrument Prepared By:
Permit No.
STATE OF FLORIDA
COUNTY OF BREVARD
The undersigned hereby gives notice that improvement will be
Pasco County, Florida, and in accordance with Chapter 713, Fl
provided in this Notice of Commencement.
AZP
r
to certain real property situated in
Statutes, the following information is
1. Description of Property: 3657 S. Orlando Drive, Sanford, FL 32773
Lengthy legal attached
2. General Description of Improvement: Interior Renovation
3. Owner Information:
a. Name and Address: Kimco Realty Corp./Kimco Development of
b.
Seminole Sanford, Inc.
3705 S. Orlando Drive, Sanford, FL 32773
Interest in Property: Fee Simple
Name and Address of Fee Simple Titleholder (if other than Owner)
4. Contractor:
a. R.D. Michaels
110 Candace Drive, Suite 108
Maitland, FL 32751
b. Phone Number: 407-831-1110
c. Fax Number: 407-831-2232
5. Surety:
a. Name and Address: N/A
b. Phone Number N/A
C. Fax Number N/A
d. Amount of Bond: N/A
6. Lender: N/A
CMED
11 MYANNE
KMK 01"CIRCi
COPY
MORSE
mCOur
7. Persons within the State of Florida Designated by Owner upon who Notices or other
Documents may be Served as Provided by Section 713,13(1)(a)7., Florida Statutes:
a.
b. Phone Number:
C. Fax Number:
8. In addition to itself, Owner designates the following to receive copies of the Lienor's Notice
as provided in Section 713.13(1)(b), Florida Statutes:
a. N/A
9. Expiration date of Notice of Commencement (the expiration date is one year -from the date of
recording unless a different date is specified).
JU'l1
Signature of wner/Agent
Sworn to and subscribed before me by
Owner's Name Cindy Idendricksen who is personally known
to me y A
produced N/A as identification, on this
15'b day of ril, 2004.
Date
1
ignatue f Notary
p 'A
IM1RYM'E M RKI MM W CIRCUIT CST
Printed 'game of Notary
MW W SEMIN LE 00111M
iiF- 1398 IMt53FlLE NUBRMYCOMMISSIONSSIONNDD247G67FammWISIi
4 EXPIRES: January 5, 2008 REl WINS
FEES I&% REFAm HY
t holden
U.S. Highway No.17 & 92 (S.R.15-600) ADT'00 49,000
W
uuo
t q.
jj0
t p':
1
SEM1.N9C - GEN I KL
SECTION 11, TOWNSHIP 20 SOUTH RANGE 30 EAST
CITY OF SANFORD '
SEMINOLE COUNTY, FLORIDA .
Ri
Commence at the East 1/4 Section corner if Section 11, Township 20 South,
Range 30 East, Seminole County, Florida an(; run S. 02 degrees 15 minutes 26
seconds W. along the East line of the Soiuthe.ist. 1/4 of said Section 11, 716.31
feet to the Point of Beginning, thence run N. 71•degrees 27 minutes 34 seconds
W. 1077.22 rest to a point on the Easterly right -.of -way line of State Road 15
i 600, thence run S. 25 degrees 47 minutes UO seconds W. along said Easterly
right-of-way line 532.40 feet to the P.C. of a curve concave Southeasterly
having a radius of 5614.65 feet and la chord of 489.73 feet, thence run
Southwesterly along said curve. and right; of way link, (C 489.68 feet through a
central angle of 4 degrees 59 minuutes.: 57l sec •nds to thd. P.T.; thence run S. 2D
degrees 47 minutes 03 seconds W...along• said Easterly right-of-way line 212.89
feet to a point on the South line of .the, Nc rth 200 feet%of the Southwest 1/4.
of the Southeast 1/4 of said Section ll,ltheoce leaving said right-of-way line
run S. 89 degrees 16 minutes 27 seconds E. Tong the South. line of the North
200 feet of the Southwest 1/4 of the Southeest 1/4 of said Section 11, 157.89
feet to a point on the west line' of the INor• h 1/2 of the Southeast 1/4 of the
Southeast 1/4 of said Section 11, thence run S. 01 degree&\32 minutes 45
seconds W. along said West lire 461.0211 feet to the Southwest \corner of theNorth1/2 of the Southwnst 1/4 of the Southeast 1/4 of said Soctign 11, thence
run S. 89 degrees 16 minutes 57 seconddl E. along the South line b f the north
1/2 of the Southeast 1/4 of the Southeast 1/4 of said Section 11, 1126.44 feet
to the Southeast corner of the North 1/2 of `.he Southeast 1/4 of theNpoutheast
1/4 of said Section 11, thence run N.IO2 degrees 16 minutes 26 silRonds E.
along the East line of the Southeast 1/4 of said Section 11, 1266.21 -feet to
the Point of beginning. LESS Commence Iat the East quarter of Sectin 11,
Township 20 South, Range 30 East, Semino e County, Florida; run S. 02 de rees
16 minutes 26 seconds W. 716.31 feet;: theme N. 71 degrees 27 minute, 34
seconds h'. 1077.22 feet to a point on the Easterly right-of-way line of 0,S.•
Highway 17-92; thence South 25 degrees 47 :inutes 00 seconds W., along said\'-.
right-of-way line 532.40 feet to the beginning of a curve concave
Southeasterly having radius of 5614.65 feet and a central angle of 01 degrees.
33 minutes 26 seconds; thence on a chord bearing of S. 25 degrees 00 minutes
17 seconds W. a chord distance of 152.60 feet to the Point cf Beginning;
thence S. 69 degrees 38 minutes 58 secon,s E. 63.65 feet; thence S. 36 degrees
18 minutes 30 seconds E. 170.00 feetil thence S. 23 degrees 41 minutes 30
seconds W. 140.00 feet; thence North 166 degrees 18 minutes 30 seconds W.
208.47 feet to a point on the Easterly gigl•t-of-way line of U.S. Highway 17-
92, said point being on a curve concave Southeasterly having a
radius of 5614.65 feet, a central angle lof 32 degrees 15 minutes 30 seconds;
thence on a chord bearing of 14.''-Z3 degrees-05 minutes 48 seconds E. a chord
distance of 221.30 feet to the Point of IBectnning. AND LESS commence at the
East quarter corner of Section 11, Township 20 South, Range 30 east, Seminole
County, Florida; run S. OZ degrees 161 minutes 26 seconds W. 716.31. feet;
thence N. 71 degrees 27 minutes 34 seconds 1. 1077.22 feet to a point on the
Easterly right-of-way line of U- S- Highwr;. 17-92; thence S. 25 degrees 47
minutes 00 seconds W. along said right-.ofiwe line 304.00 feet to the Point of
Beginning; thence S. 72 degrees 13' *minutes 10 'Seconds E. 200.00 feet; thence
South 23 degrees 41 minutes 30 seconds W.115-.31•feet; thence N. 72 degrees 13
minutes 00 seconds W. 205.72 feet to a pont on the Easterly right-of-way line of
U.S. Highway 17-92; thence -North .25 de ret-s 47 minutes 00 seconds E., along said
right of way line 156,.`00 feet to i a
Point of Beginning. MID LESS continence
at the East quarter corner of Section 11, Township 20 South, Range 30 East,
Seminole County, Florida; run S. 102 degrees 16 minutes 26 seconds W. 716.
31 feet; thence N. 71 degrees 27 min tea 34 seconds W. 1077.22 feet: to a point
on the Easter4y right-of-way. line of U.S. Highwa)Lr17=92; thench S. 25 degrees 47
minutes 00 seconds W.'-along said right-of-way line 146.00 feet to the Point
of Deginning; thence Easterly along a curve concave Northerly having radius of
250.00 feet through a central angle of 3Z degrees 23 minutes 57 seconds, a
chord bearing of S. 85 degrees 35 minutes 11 seconds-E. a arc distance of
141.77 feet to the end of sa i,d curve and the beginning of a curve concave Southerly,
having a radius of 224.90 feet, thence Easterly along said curve through
a central angle of 11 degrees 14 minutes 57 seconds, a chord bearing of
N. 83 degrees 50 minutes'19 1econds E. an arc distance,,of 44.17 feet 'to
the end of said curve; thence S.r_31 degrees 41 minutes 32 seconds E. 28.25
feet; thence S. 23 degrees 41 minutes 30 seconds W. 109.26 feet; thence N 72
degrees 13 minutes 00 seconds W. 2 0.110 feet to a point on tl.v easterly right-of-
way line of U.S. Highway 17-92;1 thence N. 25 degrees 47 minutes 00 seconds E.
along said right -OE -way line 156.00 feet. to the Point of Beginning. Containing 40.
9113 acres more or less. I I. LEGEND:
STS
Denotes
Storm Serer SP Denotes
Conc.Splliway ca Denotes
Catch Dasln SS Denotes
Sanitary Sewer MH Denotes
Manhole CO Denotes
Cleanout W Denotes
Water Main- TP Denotes
Telephone Pole LP Denotes
Lamp Pole - e- Denotes
Overhead Power Lines t_ Denotes
Overhead Telephone Lines Denotes 'Wood
Fence r Denotes
Chain Link Fence - D, rsnotes
ConErete Dumpster Pad E,)I;
o* I I - 0 - 3o -3oo - 03,50 - ODU 1'
1> ..
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: I ok- PERMIT#:C)L\
BUSINESS NAME / PROJECT: Lul-
ADDREESS: t 6--, er lam , r f J ) IA
PHONE NO.: FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH BURN P [,1;[ ]
TENT PERMIT TANK PERMIT [ ] OTHER [rl
a
J .
TOTAL FEES: . q (PER UNIT SEE BELOW)
s
COMMENTS: S%a V,-!e .J (.,'!
Address / Blde. # / Unit # Square Footage Fees ner Blde. / Unit
2.
3.
4.
5.
6.
7.
8.
9.
10.
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.
t
SanforcrFire Prevention Division Applicant's Signature
A`
1
093re moots
CITY OF SANFORD PERMIT APPLICATION
Permit # : ®9117441,
r
Date:
Job Address: -f6A7 _-feP77V—' 4ff
Description of Work: 2LJ$/s 1.0 oar 1i3Ow&yri;/1210
Historic District: Zoning: Value of Work: S Zoaom M
Permit Type: Building Electrical
Electrical: New Service — # of AMPS
Mechanical: Residential Non -Residential
Mechanical Plumbingy Fire Sprinkler/Alarm Pool
Addition/Alteration Change of Service Temporary Pole
Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures 41 # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Z Plumbing Repair — Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: 4oHA # of Stories: / # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Attach Proof of Ownership & Legal Description)
Phone:
Contractor Name & Address. RORFRT n RFAnTbIG — READING PLUM ING SYSTEMS, INN 12.0 .1R9X 946476
LONGWOOD, FL 32791 —6476 State License Number.. CFr — 010195
Phone & Fax: FAX 407-682-4489 Contact Person: ROCKY RLADING Phone:407-869-0023
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. 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 a 1 ble to thi ro t may be found in the public records of
this county, and there maybe additional permits required from other governmental entities su4b as water m ge t districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the require tso Lien Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is -
Produced ID
Personally Known to Me or
APPLICATION APPROVED BY: Bldg:
Initial & Date)
Special Conditions:
Zoning:
ROBERT D- READING
Print Contractor/Agent's Name
Si Fe of Notary -Slate of Florida YD Vmw
M)r Cornral alott pp 641 Z
Contractor/Agent is TPgrsonally Know%;. Vfe o
09' 2007
Produced ID
Initial & Date)
Utilities: FD:
Initial & Date) (Initial & Date)
t
I W-1
9 MMSS
COMMERCIAL PLUMBING qgNTRQC RS
DATE:
AzL
BUILDING DEPARTMENT OF:
RE: PLUMBING PERMIT
JOB: lIG°L di
ADD: S J'r • D 191el J,
TO WHOM IT MAY CONCERN:
I, ROBERT D. READING, STATE CERTIFIED PLUMBER #CFC043195,
HEREBY AUTHORIZE AND DESIGNATE MY BROTHER JOHN C. READING,
RETIRED MASTER PLUMBER, TO ACT IN MY BEHALF, IN SIGNING FOR AND
OBTAINING ALL PLUMBING PERMITS FORF_OR ADI G PLUMBING SYSTEMS,
INC. FOR WORK ON THE ABOVE PRcpJr/LT .
ROBERT D. READING
PRESIDENT
STATE OF FLORIDA
COUNTY OF SEMINOLE
PERSONALLY APPEARED BEFORE ME, THE UNDERSIGNED AUTHORITY,
ROBERT D. READING, WHO EXECUTED THE FOREGOING INSTRUMENT AND
IS PERSONALLY KNOWN BY ME OR WHO HAS PRODUCED HIS/HER DRIVER'S
LICENSE AS IDENTIFICATION AND WHO ACKNOWLEDGE BEFORE ME THAT
HE/SHE EXECUTED THE SAME FOR THE USES AND PURPOSES THEREIN
EXPRESSED.
WITNESS MY HAND AND OFFICIAL SEAL IN THE COUNTY AND STATE
LAST AFORESAID, THIS 3 DAY OF /ham 2004.
cle
eAllk Jam V Homy
NO RY PUBLIC: JOHN V . lEY SEAL: M1, Ion DMU12
14 %Qtdo EXOM Au,k 09, Zp07
P.O. Box 916476 9 Longwood, FL 32791-6476 • Tel: (407) 869-0023 • Fax: (407) 682-4489
Exp i res Sept. 301 2004 SEUIINOLE COUNTY OCCUPATIONAL LICENSEAccount: 051662
7 STATE OF=LORIDA
RAY VALDES. TAB( COLLECTOR
READING PLUMBING SYSTEMS INC
980 SUNSHINE LN #N
ALTAMONTE SPRINGSv FL 32714-
ROBERT D READING (PRES)
PLUMBING SYSTEMS INC
PO PDX 916476
LONGWOODv FL 32791-
I II I II II II ill l l
LICENSE TO ENGAGE IN BUSINESS.
PROFESSION OR OCCUPATION SPECIFiED
REGULATED
State Lic.# - CF CU43195
CITY LICENSE REQUIRED **
Amount Paid: S 45.00 OLHS2003082702537
Business Address:
CITY OF'ALTAMONTE SPRINGS ,,,r"M°"'Esa :. '
225 NEWBURYPORT'AVENUE
ALTAMONTE SPRINGS, FLORIDA 32701-3697'
407-5714122
7681. Occupational License
READING PLUMBING SYSTEMS„ INC'
License Period: 10/03-09/04
980 SUNSHINE: LN N 6' 0 Provision: Ordinance No. 1373-00
ALTAMONTE SPRINGS FL 32714
LICENSE. NO. CLASS DESCRIPTION, FEE. PENALTY t.
04-85537 CONTRACTORS -PLUMBING 110.25
y
0
AC# 0 4 4 5114 STATE OF FLORIDA
DEPARTMENTCONSTRUCTIONEINDUSTRYSS AND ROFESSIONAL REGULATION LICENSING
BOARD SEQ#L02060300387 The
PLUMBING CONTRACTOR Named
below IS CERTIFIED Under
the provisions of Chapter 489 FS. Expiration
date: AUG 31, 2004 READING,
ROBERT D READING
PLUMBING SYSTEMS INC 980
SUNSHINE LN STE N ALTAMONTE
SPRINGS FL 32714-3820 JEB
BUSH KIM BINKLEY-SEYER j
GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY
acnRy CERTIFICATE OF LIABILITY.INSURAN:CE OPID' D DATE(MM/DD/YYYY)
READ 04 27 04
PRODUCER •' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
SIHLE INSURANCE GROUP, INC.
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P . 0. BOX 160398 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
ALTAMONTE SPRINGS FL 32716
Phone:407-869-0962 Fax:407-774-0936 INSURERS AFFORDING COVERAGE NAIC#
INSURED
INSURER A: Westfield Companies 24112
INSURER B: FCCI Insurance Group
INSURER C: Reading Plumbing Systems , Inc.
P.O. Box 916476
Longwood FL 32791 INSURER D:
INSURER E:
iL.VYCKAIaC,
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR NSRO TYPE OF INSURANCE POLICY NUMBER POLICT EFFECTIVE
DATE (MMIDDIM
POLICY FXPIRATIO
DATE (MWDDfM LIMITS
GENERAL LIABILITY EACH OCCURRENCE 1,000,000
A X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE D OCCUR
CWP 3563810 05/18/04 05/18/05 PREMISES (Ea occurence) 50,000
MED EXP (Any one parson) S 5,000
X XCU Prop. damage PERSONAL & ADV INJURY 1 , 000 , 000
X Contractual Liab . 1, 000 . PD DED . PC GENERAL AGGREGATE 2 , 000 , 000
GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG 2, 000 , 000
POLICY X PRO- JECT 7 LOC
A
AUTOMOBILE LIABILITY
ANY AUTO CWP 3563810 05/18/04 05/18/05
COMBINED SINGLE LIMIT
Ea accident) 0001000X
X
BODILY INJURY
Per Person)
ALL OWNED AUTOS
SCHEDULED AUTOS
0 DED . BI &PD
HIRED AUTOS
NON -OWNED AUTOS
X
BODILY INJURY
Per accident) X
PROPERTY DAMAGE
Per accident)
GARAGE LIABILITY AUTO ONLY - EA ACCIDENT S
ANY AUTO
OTHER THAN EA ACC
AUTO ONLY: AGG
s
s
A
EXCESSIUMBRELLA LIABILITY
X I OCCUR CLAIMSMADE CWP3563810 05/18/04 05/18/05
EACH OCCURRENCE 1,000,000
AGGREGATE 1, 000, 000
S
DEDUCTIBLE
X RETENTION so
B
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETORIPARTNER/EXECUTIVE
OFFICERIMEMBER EXCLUDED?
If yes. describe under
SSPECIAL PROVISIONS below
001-WC98A-40805
0 DEDUCTIBLE
03/01/04 03/01/05
JUTH- X TORY LIMITS ER
E.L. EACH ACCIDENT s 500 000r
E.L. DISEASE - EA EMPLOYEE s 500 , 000
E.L. DISEASE - POLICY LIMIT s500,000
OTHER
A EQUIPMENT RENTED, CWP 356 3810 05/18/04 05/18/05 150,000
LEASED OR BORROWED
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
10 DAYS NOTICE OF CANCELLATION FOR NONPAYMENT APPLIES TO WORKERS
COMPENSATION 30 DAYS FOR ALL OTHER CANCELLATIONS
I.CK I IFIVA I E HVLDEK CANCELLATION
City of Sanford
Attn: Building Dept.
P.O. BOX 1788
Sanford FL 32772-1788
ITYSAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIOI
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SMALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES. _
ACORD 25 (2001108) ACORD
CITY OF SANFORD PERMIT APPLICATION
Permit # : I /
Date: Zoe
Job Address: 34P-6- 5, OIL,- A40o Qr.
Description of Work: —,64/L0DL!/T ESL/6-11A* :564-6 i Historic District:
Zoning: Value of Work: Permit Type:
Building Electrical —X— 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 N:
Attach Proof
of Ownership &Legal Description) Owners Name &
Address: Phone: Name &
Address:
Phone & Fax:[
Bonding Company -
Address: Mortgage
Lender:
Address: Architect/
Engineer:
Address: 3.) /
late
Lice Number. act Person:
r4!!L 71z;;. Phone - 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 ofapermitandthatallworkwillbeperformedtomeetstandardsofalllawsregulatingconstructioninthisjurisdiction. I understand that a separate permit must
be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS,
etc. 5- 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 andzoning. 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. 3 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 1 will notify the owner of the property of the req ' of Florida Lien Law FS 113. lam, l3l0 `
Signature of
Owner/Agent Date Signature of Contractor/Agen Date i uL
Lil, sl(K9weF-Eiy Print Owner/
Agent's Name Print Contractor/Agent's Name Signature of
Notary -State of Florida Date Owner/Agent
is _ Personally Known to Me or Produced ID
APPLICATION APPROVED
BY: Bldg:t'M 511 0 Zoning: Initial & Date) (
Initial & Date) Special Conditions:
DEBBIE BLANTON
MY COMMISSION #
DD I8Wl p(PIR
erFabrue I25 2007 ent isersonUtilities: FD:
Initial & Date)
3/v
y ate Initial &
Date)
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR COMMERCIAL REMODEL ****
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
5/17/04
04-1776
3657 ORLANDO DR
R D MICHAELS INC
STEVE 407-467-9832
v
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.
ngineeri
0Public Works
O Utilities
OFire
OZoning
OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR COMMERCIAL REMODEL ****
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
5/17/04
04-1776
3657 ORLANDO DR
R D MICHAELS INC
STEVE 407-467-9832
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 OFire
s X /o
Public Works OZoning
0 Utilities OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
DATE:
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR COMMERCIAL REMODEL ****
C.D./C.C. CHECKLIST - UTILITIES DEPT.
Request Rec&ed-----------To Utility Insaectw -----------
INITIALS DATE
PERMIT #:
K ADDRESS:
CONTRACTOR:
j PHONE #:
5/17/04
1itiiay Ins.- +c > f,r1e----------
Water ---------- ----------
04-1776 Stwer ------ J
City Services Easements--------------------
3657 ORLANDQA nonce Bond (10% - 20--------------------
othef----------------------------------------
R D MICHAELS INC
STEVE 407-467-9832 -
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 O Fire
OPublic Works OZoning
e-
g-etilf"ties 4OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
LMBC0401 CITY OF SANFORD
Address Misc. Information Maintenance
5/19/04
14:19:54
Location ID . . . . . .
Parcel Number . . . .
Alternate location ID
Location address . . . .
Primary related party
Type information, press
Sequence Code(F4) App
1.00 HISB BP
T.7G CSVC UT
T-.n HISB BP
4.Ug HISB BP
T= HISP BP
6-.OU CSVC UT
7.00 _
T_. Db _
7-.n _
Tu7n
F2*,ddress F3=Exit
F10=Subdivsion Notes
123305
11.20.30.300-035C-0000
3657 ORLANDO DR
KIMCO REALTY CORP
Enter.
Free -form information
NEXT BANNER SIGN 5/21/94
PAYLESS SHOES
NEXT BANNER SIGN05/13/96
NEXT BANNER SIGN: 05/26/98
NEXT BANNER SIGN: 06/01/99
METER PULLED BLDG BEING DEMOLISHED
F5=Notes display F6=Change display
F12=Cancel F16=Related pty data
Special
Date notes
92793 Y
127M Y
9= Y
57 Y
Y
Y
More...
F9=Parcel Notes
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR COMMERCIAL REMODEL ****
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
5/17/04
04-1776
3657 ORLANDO DR
R D MICHAELS INC
STEVE 407-467-9832
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 ire
0Public Works OZoning
0 Utilities OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
Mf04/e04-TUMe -wit( (W l
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR COMMERCIAL REMODEL ****
DATE:
PERMIT #:
ADDRESS:
CONTRACTOR:
PHONE #:
5/17/04
04-1776
3657 ORLANDO DR
R D MICHAELS INC
STEVE 407-467-9832
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
O Fire
O Utilities O
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)