1000 Hillwood Dr - BC04-000081 (TWIN LAKES) (NEW APT BLDG) DOCUMENTSPERMIT ADDRESS OW 1 IIW(k!koA J��C
n
CONTRACTOR
ADDRESS
-Colomal'Coristniction Sery
LLC ices,
'-2101-N 6th -Avenue —
I Birmingham, AL 35203 _
GGC_1504423-(407)333-4292
PHONE NUMBER
PROPERTY OWNER
ADDRESS I Colonial Realty Limited Partnership I
--2101--N-6th Avenue—
I Birmingham, AL 35203
-205-250=8700-- ---- - —
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
SUBDIVISION ��
PERMIT # v Mo. DATE I v
.f I A a
PERMIT DESCRIPTION /V4AA,) /C
PERMIT VALUATION ' WVT S1
SQUARE FOOTAGE 25 wo
P
0
d �
H
M
D'4-1 Q CITY OF SANFORD PERMIT APPLICATION r 1
Permit # : D' 4 — O I '' 11 Date:y ` —y�
Job Address:-I�nl�/ Ttl I 1� r• /�
Description of Work: W %I(:YY\ h t'W k1 V _Se�tc1:�� OCi � l�1 :�lOflcQ__ 0M�'
Historic District: Zoning: Value of Work: S �__1 (Xi �
Permit Type: Building Electrical -Z Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS tuo r) 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 #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax: L ,,
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer:
Address:
(Attach Proof of Ownership & Legal Description)
Phone:
C e 5D r l I State License Numbeer: �.c— VVVIJZ'I 1
C ^ Contact Person: RnTmCV(1 1 iGI a Phone: %2% 6_397n2,
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 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 rem, d;sung
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR. FA.V MG
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
this county, and there may be additional permits required from other governmental entities such as water man
Acceptance of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is Personally Known to Me or
Produced ID
APPLICATION APPROVE BY: Bldg:
Special Conditions:
(Initial & Date)
Date
Zoning:
of
Signature of
Date
that may be found in the public record.=, of
districts, state agencies, or federal agencies.
Lien Law, FS 713.
Date
4614/ ✓
;4Sig.at.?re.f Notary -State of Florida D�t am M _
ALVW
Contractor/Agent eSr `? Personally Known to Me ori 01. 200S
Produced [
Utilities:
FD:
(Initial & Date) (Initial & Date) (Initial & Date)
Per it #: 0 Ll i<
CITY OF SANFORD PERMIT APPLICATION
Date:
Job Address: 1000 Hillwood Drive (Building 1— Type 1)
Description of Work: Multi -Family Apartment Building
Historic District: N/A Zoning: Multi -Family Value of Work: $1,078,575.00
Permit Type: Building X Electrical Mechanical Plumbing Fire Sprinkler/ Alarm Pool
Electrical: New Service - # of AMPS Addition / Alteration Change of Service Temporary Pole
Mecanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing / New Commercial: # of Fixtures # of Water & Sewer Drainage Lines # of Gas Lines
Plumbing / New Residential: # of Water Closets a.--5 Qbc G
Occupancy Type: X Residential _ Commercial _ Industrial Total Square Footage.: 2 200 "" /�'r-`-'
Construction Type: Type VI Protected / Sprinkled Number of Stories: 3 Number of Dwelling Units: 24 Flood Zone: No
Parcel No.: 32-19-30-300-0150-0000 and 32-19-30-300-0180-0000 (Attach Proof of Ownership & Legal Description)
Owner's Name and Address:
Phone: 205-250-8700
Contractor Name and Address
, V91 ski
1'1
State License Number: CGC1504423
Phone & Fax: Phone: 407-3334292, Fax: 407-333-2673 Contact Person: Jim Von Dyke Phone: 407-3334292
SEP2 Tom.
BondingCompany: 2 2003 N/A i' := 3--. •"'T -si_
Address: N/A
Mortgage Lender: N/A
Address: N/A { !RECEIVED
Architect / Engineer: Charlan-Brock & Associates, Inc. Phone No.: 407-660-8900 r _ -
Address: 2600 Maitland Center Parkway, Suite 260 Maitland, FL 32751 Fax No.: 407-875-9948
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no Work or installation has commenced prior to the issuance of
A permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured
for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this
county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance ofJogm4poi9verifjcation that I will notify the owner of the property of the
of Owner 7 Agent Date
r oiv
's Name
BRENDA J FURBUSH
NOTARY PUBLIC STATE OF FLORIDA
Owner /Agent is Zsonally Jown toqkWISSEON NO. DD117877 t
MY COMMISS?ON FXP. MAY 14,2006
%odueed+31 �_...w.
APPLICATION APPROVED BY: Bldg.( -12—J4-03 Zoning:
(Initial and Date)
Special Conditions:
quiremen or Fl i aw, FS 713.
re of Contracto-T / Agent Date
wt�s 4. ran' Uyxc
tractor / ent's Name
lure ofNotary — to of F orida Da
actor Agent is _ Personally Known to
ProdumTrm
(Initial and Date)
Dal.
Utilities:
-- OFFICIAL NOTARY SEAL
BRENDA I FURBUSH
NOTARY PUBLIC STATE OF FLORIDA
e or COMMISSION NO. DD117877
MY COMMISSK,'�l EXP. MAY 14,2006
FD:
(Initial and Date) (Initial and Date)
CITY 01"6ANFORD PERMIT APPLICATION
Permit#: Date: (c— is — Oz4
�^ I
Jot, Address: 06-, Yt�I+�,l Lv*v 1-.-��A ,i Ia1dO W 16.00� l�t vc AI .r.� rL. % 7
Description of Work: r Irl {aIAlrt w `J�cYa1���i0�
Historic District: Zoning; 'Value of Work: S .3 S S 0 0&
Permit Type: Building Electrical Mechanical Plumbing ire prinkle� ✓ Pool
Electrical: New Service —# of AMPS Addition/AlteratioT, Change of Service Temporary Poic
Mechanical: Residential Non -Residential Replacement New (Dum Layout & 5Ttew Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Watnf & Sower Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residtntial or Commercial
Occupancy Type: Residential'_ Commer=al Industrial Total Square Footago;
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than 7)
Parcel it: (Attach Proof of Ownership a&Legal Description)
O,wilersName Address: �_owltk) Re�AI+ty L.• P. oaao No( -A\, (D*L A�err�G�
;rM,.J +.r, AIAI„r„r.A .35.203 Phone: a05-a50-g70D
nuitct:q.� N2 C & Address:akA i>
\ �S_t �9 e l C7 5 () l (� /a to to rt Sul
Phone • F=
Bonding Corupany:
Addresu;
MortgAge Lendcr:
State License Number: LLd ds- T
Contact Person Phone:
Address:
Arc[titeci �>r,gr_,oN —P roG 't ASSOC , Phone: If 0? fi ii0—goj0 a
Address: moo v+�a; \w.,�, Get+L.r �ie�•, I'ti.'t��tr�1�Fl� 3a?S Fax; yo7-S7S-9g142>
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 toe
issuance of a permit and that all work will be performed to meet standards of all lava tcgulating construction in this jurisdiction. I understand that a sena-,-ate
permit must be se.^ured for ELECTRICAL WORK PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
O)Y_Uj AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done iii compliance with all applicable laws tcg lating
consuvcnon and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN7 MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITR YOUR LENDER OR AN
ATTORNEY DHPORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of ibis 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 fiom other governmental entities such as water management districts. state agencies, or federal agencies,
Aeceptioee of pemrir is verification that I wilt notify the owner of the property of the requirements%P
f F tis 4 (,/S 713.
-1, I�v-
Signature of Owner/Agent Date Signature Con ct A nt >;ate
Print Owner/Agent's NamcPri , etorAAgCtt2'S No
024
Signature of NotaryStatc of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is ^„ Parsonaily known to Me or
_ Produced ID
APPLICATION APPROVED B%': Bldg,:
(Initial & Date)
Special Conditions
Zoning:
Contractor/Agent is `� Personally Known to Me or
Produced ID
((nitial & Date)
Utilities:
FD:
(Initis! & Date) (Initial &Date)
Yom"--=-• -`_==_.^'—� __=- _'`� �' �'!','
Ill- ".h. •a`J pPt;'lr ;^', ��' .
III '• i')
8La9�1
� Ita9 ��� �� 0 � —� ( CITY OF SANI.OKI) PEUMIT APPLICATION
Permit #-,_01A u ` (p fof ^ p
+, 1 Date:
Job Address: ok.r„,. Yt1��r�l, y�v�;5 000 Nv1�4.00�_.�tJve A�+ or �.._; t�77)
Description of Work: F',rt, AlAr•,rt _1� II }iOlt-1
Historic District: Zoning: Value of Work:.$ 3SS0 0
Permit Type: i3uildingElectrical Mechanical Plumbing -, ire prinkle#/AlarmJ to Pony
Electrical: New Service — # of AMPS Addition/Nteration Change of Service TemporaryC'olc
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sower Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial
Occupancy Type: Residential k_ Commercial Industrial Total Square Footage;
CAn$truction Type: # of Stories: # of Dwelling units: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contmctor Name & Address: roo
1130 TSI lar.rd i.04Lel. A� (: q�ceLLM�nr4
Phone Fax: 3' 9.Z
Bonding Company;
11IN I ,
Addre$3;
Mortgage Lender:
Address: M, r "^ `� Y•
Archltec'-,t S t C'. I - .: y 07. (.;
00� Id�
• CITY OF SANFORD FIRE DEPARTMENT t
FEES FOR SERVICES
"PHONE # 407-302-1091 * FAX #: 407-330-516177
DATE: PERMIT #: � `t �) ( 1 t:
BUSINESS NA / PROJECT: r�r, , 141,
41— ) I , 52%JQ _
ADDRESS: Q04 /r.
PHONE NO(�_ 69�60 NO.: (�*2 ) 3-7,7^
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. jam' F.S. [ HOOD [ ] PAINT BOOTH BURN ER IT [ ]
TEN"YrPE`RMIT _ ] TANK PERMIT [ ] OTHER_ �,r�c'N�
TOTAL FEES:$ `.7 t (PER UNIT SEE BELOW)
COMMENTS: M, <)"1,f -',r aP_ V,
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
l
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
of the City of Sanford, Florida.
7
�
Sanford Fir revention Division
Applicant's Signature
SANFORD FIRE DEPARTMENT
FIRE PREVENTION DIVISION
F D
Y
300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772
(407302-2520 / FAX (407) 302-2526
Plans Review Sheet
Date: June 30, 2004 Business Address: 1000 Hillwood Drive
Occ. Multifamily
Business Name: Colonial Village Ph. (407) 323-2882
Fax. (407) 323-2392
Contractor: Design Power Inc, Ph. (727) 210-0492
Fax. (727) 210-0530
Reviewed [ ] Reviewed with comment [XJ Rejected [ ]
Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner
Comment: Fire Department will require (2) two "31 JX" phone lines for fire alarm
monitoring.
A.H.J. requires pull station at each designated EXIT (End of each corridor)
1.1 Application — Fire Alarm for New Multifamily
1.2 Monitoring- Sanford Fire Prevention will field verify (have system off of test (a, time of inspection)
1.3 Signage: Fire department will require doors to be labeled (see page 1 for location on blueprints
)CL UB HOUSE AND DOOR LEADING TO FIRE ALARM CONTROL PANEL
1.4 Building owner- Sanford Fire Department requires Knox box see application (Monitoring Not
Required)
1.5 Monitoring — Required on all tamper, fire sprinkler flow switches,
1.6 Duct Detectors- Required for local notification only
1.7 Finial Function Test- Have system live for test, (take system off of test).
1.8 Battery Calculations: Verified by fire prevention/system will be tested on batteries
1
r
SANFORD FIRE DEPARTMENT
FIRE PREVENTION DIVISION
F D
300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772
(407302-2520 / FAX (407) 302-2526
1.9 Pull Stations: Double action O.K. However the Sanford Fire Department will require COVER
Tamper boxes over any 'pull stations " that single any false alarm(s).
1.10 Power Design is responsible for notifying property owner of our false alarm policy, and
Knox Box Requirements.
2
COL::NIAL
Construction Services, LLC
2100 OREGON AVENUE.
SANFORD, FL 32771
407-323-2882
407-323-2392 (FAX)
August 19, 2004
City of Sanford
Building Permits
300 N. Park Ave.
Sanford, FL 32771
To Whom It May Concern:
Colonial Construction Services, LLC understands that we are being released for pre -
power on the following building permits:
04-87 11000 Hillwood Dr.
,1 .9100111111
�__i.•��
We will not be occupying any units until we receive Certificates of Occupancies from the
City.
The intention of the pre -power is to check all operating systems.
Sincerely,
Irstin Stapleton
Project Administrator
Colonial Construction Services LLC
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: 6 /5/03 PERMIT #: bq—Q U1
BUSINESS NAME/ PROJECT: 0,6IONIA ( Y A(Age A- :�!IS (A*S
ADDRESS: I�OOi��W(�0(! DR, BU1CD/N�
PHONE NO.: -567 � 3 : ?07S FAX NO.: 407-355-309 I
CONST. INSP. [ ] C / O INSP.:[) REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ , 6 6D (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
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 1
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
err M, J�WE-s
Sanford Fire Prevention Division pplicant's Sig e
o1
j,31a3
� ls2„z, C a�'�¢i
� 3z�k� �� � u � Z
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9
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12.27+
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59.27X
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174'22-48*
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75,8(
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Mi- 20 \'�_c0 # I . .
CITY OF SANFORD PERMIT APPLICATION
Permit#: 0 �"R I Date: 1— 2Z-2oloc4
Job Address: ,
Description of Work: AQ\ (V� T' ; —�
Historic District: Zoning: Value of Work: $
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: 3 # of Dwelling Units: � I Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
O ners Name & Address: � L� 1 TLo .. 1�' ..
�>1R'M �1J CT1 i A M TA (�� n Phone:
�J . r
Contractor Name & Address: i t -- n�;
State Licens umber: C
Phone &Fax: S
�7� ontact Person: Phone () "
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. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be. secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Flo "8a Lien L F 713.
% - ���-zi-oq
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name 'JCoContractor/ CC
gent's Name
Signature of Notary-State of Florida Date Si a re of Notary-State of Florida Date J
gsV" Janet Laseter Lee
MY Commission DD200879
Owner/Agent is _ Personally Known to Me or Contractor/Agent is I— Personally mown to Me or tlrle 02, 2007
Produced ID Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
(Initial & Date)
Utilities:
(Initial & Date)
FD:
(Initial & Date)
P
Jon) A, drfws. JCC C
Deo'I'ijatirm of Work'
l^Iistorl C Ml';Mct:
+CITTI' OF 'NAM -'ORT) VIRMT.T APPLICATION
b
7-owng. vable of Work:
Dsto:
1'ermfi T,yRtc: Building Eiccttienl >,®o
MecA,1. ni I+lunzb"I8-Pi.rc-' SjR n.k1cr/AiltrI1
i*lcrh•p1 :nl: New 9orvice --�/ oi:.�ti,..Ml'S
Ad • '
meg- I,-
Pnol
--. — rh"Wall'Umfion Chatt9e of Service cm
14lorftnralrrni: Rfasidentia! � Noir-)it�icletltinl —.`� —_ TIaotrtry role
ReplacefncnE New t Imo.
1?lRmxill. t - -- - --, xtutt &,p
tl:rgy Cale. Reclttircrl)
glNe)iv Commexcial; fr of I ixtrires ^y of V`lati{r & 4awee t�NLines_. �..
Ylumfai) # of (ins Lines Residrnttinl: # of ��UArer Closet"; _
()"MP11:1 tc}'T'ife: ReI'lttrrlbfn)2 RRepair•- Rcsido11t1i'Af or Crnnmcrcjrt!
;�ridcltlia.! T---�
,i Crnnnit l cinl IndmV.tinl
Car sw action lzSdtsf� - Total `SQnttre Footage:
i'[3e: F_. r2 int r #ref -stories: 3 # of DwcRint units:
Kira: fornt rettnlred fir ot:hnr than X)
kArcal
OwnnrA Awe & AdflresA: _— (Art -h ProofafOwnarshlp & t,rgAi I Mseription)
$,A
Cnntl-ulm amnddrass' ��i• �t�_ ..-:Phone:`-
fi�c? _1 SLF�uJ.Sc2u�C�=S gLC
Z� AKF Lt�A trt�.c ie FC• a2 7 S/ -
- - �� _ State Dreme Number:
Pllonolh,l•�r�R:x�G�'�3_,� �?p9� :-...._..._....__.-...._-
-L~---. conbct,T?erson;
iinnding C AmpRnx: �---y ^•--- --- ..^._...
ilaortgnA.a,a.77tlnr: �.��.,--�_-_.w....--�.,_..�"_'...-_,...�."'-------�-•--------�..--^ �------.—..`_
Addr R -
,�rclzjtecl
- _ _ TAR:
:flt)j)11Gniii In f9 i)CCChy InRdC, to obfajn a permit )f) 110 the work AnfT tnRtAlPAtifrnA AR [nr11CAt'efl. I rartffy thntnn worIG pr innt,1lfation has anmmonced prior to thq-
1 f7 Irmi I t�f, � Ic Rom) Ref) 11141:or E All work will im fret {�PXInOd tp mROt RiR1tdAr(1,4 (1 A111AW/J F.C(, [RlA[In$ 4P.TIRtTITCtlt7lt In t'hiR lti[Indict14�i1. I nndetA(n'InC: flint A 3aj7AtR1C
pat C NDi ire Aarlrecd for L�LFCTRICAL 1VORK, PLUMBING, 9TGN9, WTILLS, POOLS, TRTRNAC TiS, T3OT ,TiR9, ITI3AIF.{RS, TANKS, Ancl
SIR. COI<T)1 TIONl3R9, etc.
> 'stiuitian nnr iD ! R: I acetify )brit R)1 of tl1p foregoing infM71TIAtion. in RcctrrAto rind tl)nt Afl work iv.iq he (ifine in fwmplinrtcc Will) ATr t ifaR6lc1 in7nm rapul.ltiTIS
. odC,P7 inn . I aaniag, WARNWTOG l'UORWNHR; YOUR BATLURR TO RECORD A NO ITCP OF COAQA(i;NCT3M?NT Ji T.�}' Rl39IJ1 T IN 1iOt 1R PAk INTQ
1'DlICE F �T IiViPRc)VFiMHNTS TO 1fOUR PROT`E.RTX. IF YOU XNMENI] l'O OATAIN I7.NANc ID1Ci, CONSULT WI l IT YOTJR T i3NfJT3R OR lliV
,1TTORNR) B],I�ORPRRCORI')ING r"oI:iRNoUCE()FCOMMGNCT:ME.
addition to Ilm rerinirenicnis of thio in
rhiA co)tnt r, n Ari thar:a may ha RdditjrmRT rmita rci gr ad fie m ntl,elr ggvrllentnlanfni ctrl tion Rlr i�nlR Awntcr matt getacnf fiiatrie.R4ythatma}ntntc Agencies bo 11hund in hrnzfedgrAT rtgcr rfi.1ble if) thin propc-n, o
Z o C"
: )aceptnut r n rprrroit is vsaifientfon 117,11.1 will notify 1.110 owner or tltc Propertyof the rc nrremantn of,ilorida Lien Law, Fs 71.;1.
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SiilnnfurGofthvncrlAgrnt -...�, �`n�a
Ditto Signnfn ofContractnr/Agent: - 4 1)nt:o z M W z
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a�� Q'�C S �oa�
nt; Ottmc' 1/�jnrr�jV, Nnmc w g
Print CnnrrnetorlAgt:nt ee NRmc m
9i� nnhlrG n�'NntAry�4tnte nfi?[nridn � T)Ata.._. __.,�'� � °d
4 Rinro of 2dntnrygRntc of 2;lnriRn Ta, to ',4a's o
otv Ree/Age nt is i'arsfmnitvir �innwrr tp 14To oc
^._ Peofhlred M C-trnetor/Agent. is 7'crsannlly F notiprt to llto
Produced ID
3 AFM- Oi P -D 1.3 ', i31dg; _
fr _ `� Zoning; �^, utilities
Onitial &.. DaW) Qniliril t&.i7ReG) '�"'- ^-_--_-. FD: �__„-�
(Initial R: On Ic) (Infant .A; Tato)
1��,cinl
Ca 7did �rfq;
Permit #
Job Address:
Description of Work: /C.OoI•— -" Sri
CITY OF SANFORD PERMIT APPLICATION
Date: �,'.o
Historic District: Zoning: Value of Work: S
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 #:
Owners Name & Address:
(Attach Proof of Ownership & Legal
Phone: d O,r—d-S-Z)-- d %OCA
Contractor Name & Address: /2/ 1/ oo c�/iSfEclev
3'A Pip State License Number: CCL 04 IJA6 _
Phone & Fax: 70 % OL js'9 Contact Person: z p yeA-e Phone:
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 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.
414 .
OWNER'S AFFIDAVIT: I certify that all ofthe foregoing information is accurate and that all work will be done in compliance with all applicab)c laeas re.gi!1atit3g
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL)' IN )10(.AR l2/V lNG
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
_ Produced I
APPLICATION APPROVED BY: Bldg: Zoning:
(Initial & Date)
Special Conditions:
R
Print
eFlori a Lien Law, FS 71
contractor/ gen Date
ractor/Agent's Name
y K.NM. ,roti 2 0
V Skat H: March 23, 2008 Date
r9rFo F 00 Bonded Thru Budget Notary Services
Contrac or Agent is _ Pers ally Known to Mme �j
Produced ID F� D - :UiS t (eo
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)