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7000 Twinwood Tr - BC04-000085 (TWIN LAKES) (NEW APARTMENTS) DOCUMENTSb d % PERMIT ADDRESS I=TA,4j nti Tr SUBDIVISION r� in i' in CONTRACTOR Colonial -Construction Services, — ADDRESS LLC 2101 -N -6th -Avenue - — Birmingham, AL 35203 CGC1504423 (407)333=4292--' -- PHONE NUMBER PROPERTY OWNER _ ADDRESS I Colonial Realty Limited Partnership 2.101 N -6th Avenue- — - - - - Birmingham, AL 35203 I 205=250=8700 - — - -- -- -- PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR FEE PERMIT NUMBER FEE PERMIT # DATE PERMIT DESCRIPTION PERMIT VALUATION SQUARE FOOTAGE 1 r Permit # : D H U Job Address: Description of Historic District: I.- f3f,/,�4- rl CITY OF SANFORD PERMIT APPLICATION Date: �= �3^ 0 I Zoning: Value of Work: $ Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of AMPS t6SL6�— 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: Name & Address: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer Address: (Attach Proof of Ownership & Legal Description) Phone: f A. P nby State License Number: oponral &n Z Contact Person: YYI'X717G7 J�CD r C lt4 Phone: —7Z-7 7 �Z 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 applicable to this prop^ 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 manageplent districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the 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 ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: equireTnents of FloridaALen Law, FS 713 ature �fjCo tra for/Agent I J �rtint Contractor/AgenN(Ame ignature of Notary -State of Florida Date Tatata m prkm • • My Cotrtmissian DDW70e Contractor/Agent is Personally Known to E)VIrgg August 01, 2005 _ Produced ID Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) Permit t� Job Address'. Colo.; Description of Work; .Historic District: CITY CWbAN ORD PERMIT APPLICATION _ CC 7�afC; air-. �•: t���Plt'it:>� Zoning; 'Value of Work: S 355 Permit Type: buiiding Electriirecal Mechanical Plumbing prinkle� ✓ Pool .Electrical: New Service —# of AMPS Addition/Alteration Change of Scrvicc TernporarY POI Mechanical:Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required) Plumbing/ New Commercial: # of Fixtures # of Watrr & Sower Lines # of Gas Lines. Piumbing/New Residential: # of Water Closets Plumbing Repair — FZcsidertrial 9r Commercial Occupancy Type: Residential / Commercial Industrial Total Square Foot$ge: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel*: Owuprs Nunn. R Address: r fn � ►.�h� Al Contrs,Ctor Name & Address: s>% . %�—Z Phone • FSM Sanding Company: Addrets; Mortgage Lender: (Attach Proof of Ownership 4C Legal Description) Phone: a04$— a50 — g%OD State License Number: t C C%OEJQ 8 y — C2 �% Contact Person: '77S P Phone: X1 Address: Arebiteei Assocc",I", ,g f OG i A", r— Phone; Address:.2f-00 Application is hereby made to obtain n permit to do the work and installations as indicated_ I certifi' that no work or installation has commenced prior to the issuance of a permit and chat all work will be performed to meet standards of all laws regulating constriction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WO11X, PLUMBING, SICrNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. OwNEF.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 rag isttng construction and zoning. W ARNING TO OV WE --R: YOUR FAILURE TO RECORD A NOTICE OF COMM-ENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTSTO YOUR PROPERTY, IF YOU INTEND TO OBTAIN l INANCINC, CONSULT WITR YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT_ NOTICE: la addition to the requiremontc of this permit, there; may be additional restrictions applicable to this property that mny be found in the public records or this county, and there; may be additional N mits required from other governmental entities such as water management districts, state asoocies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of F on F I3. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of NotaryState of Florida Date Owner/Bent is Personally i:nown to Me or Produced ID APPI,fCATION APPROVED BY: Bldg: Zoning: (Initial & Dat:) Special Conditions: Date rscsoriAzent s ' me �t „�/ of NotarySts on Date Contractor/Agent is _ Personally Known to Me or _ Produced ID ((nitinl & Date) Utilities: FD; (tnitisl & Date) _ (Initial & Date.) 4-85 - CITY OF SAN1`0111)'PL'rtMIT APPLICATION Permit # ©� � _ ate: (o' 'ioi 044 Job Address: CO lo.; Al V i t IIAR�Q.®��►'! 7oai` ''I� r Ml•W Dia .. —"�) r �. ? !..' Description of Work: Ert. AlArrl Historic District; Zoning; 'Value of Work: S 3SSo Permit Type: Building Electrical Mechanical Plumbing,,_ ire prinklet/Alarrril ✓ Pool )electrical: New Service — # of AMPS - -Addition/Alteration Change of Service Temporary Polc 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 V*"_ 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: Q • I r ContraCtor Name & Address: (Attach Proof of Ownership & Legal Description) Ncnr'-X`. % L k-1ve..., e. Phone: otvJ- O LAke ?U -JA L Intnt re.. 3a7State License' Number, Phone Far-, Contact Person: - Phone: Bonding Company: Address; Mortgage Lender: Address,. Architeei- Ckk,-101"► Ori Assoc. Phone; 4O% Address: a, -0o ' Fax;_ yo-) 87 5'9cicis 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 WOM PLUMB NO, SIGNS. WELLS. POOLS, FURNACES, BOILERS, BEATERS, 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. WAkNiNG 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 tINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY B2FORE 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 dis ' ts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Flo Li w 7I3. Signature of Owner/Agent Date Signature of ontractor/Agen Date Print Owner/Agent's Name piriqt Contractor/Agent me Signature of Notary -State of Florida DataSignature of Notary -Sts of Floridya �:."•' -'Ye%•; cIIAD1,A C. K90V-:.K j}(I_*Dat .',?�, D'b 0;1579 37 � o } R LJT IIIN tHrv/ I lip"'t ' Owner/Agent is — Personally Known to Me or Contractor/Agent is _ Personally= Known to 161e -0i: Produced ID /�� Produced ID APPLICATION APPROVED BY: Bldg:.!)E J� I o Y 'Zoning: Utilities FD (� � ��G (=nidal & Date) ((nitinl & Date) (Initial & Date) (Initial & Dare)' Special Conditions: _ f SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION D 300 N. Park Ave., Sanford, FI. 32771 / P. O. Box 1788, Sanford, Fl. 32772 (407302-2520 / FAX (407) 302-2526 Plans Review Sheet Date: June 30, 2004 Business Address: 7_)00 Twin Wood Drive OCC. Multifamily BUILDING 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 [ ] Revaewed Wath comment [X J 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 verb (have system off of test (a) time of inspection) 1.3 Signage: Fire department will require doors to be labeled (seepage 1 for location on blueprints )CLUB HO USE 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, . ire 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 i SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 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. 4 0 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES 1� PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: PERMIT #:C) C� BUSINESS NAME /PROJECT: � ©^*'S.� i ADDRESS: 7<::>o,tAN �,, f) Q� C� �. PHONENO.- 4��AX NO.Ir A V /) V t7 - CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ] F. A. 1),? F. S. [ ] HOOD [ ] PAINT BOOTH [ BURN PE IT [ ] TENT ERMIT j ] TANK PERMIT [ ] OTHER TOTAL FEES: $ O + (PER UNIT SEE BELOW) COMMENTS Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 2. 3. 4. 5. 6. \ 7. 8. 9. 10. IN 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. l Sanford Fire Pre ntion Division Applicant's Signature CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 &/03DATE: 6 PERMIT #: BUSINESS NAME/ PROJECT: C /m/A / V rlIffie- AT -110M Ae6 ADDRESS: 700a --,rLu iW00d -Tlwe 7 PHONE NO.: 140-7-320-o95-5- FAX NO.: 4077 CONST. INSP. [ ] C / 0 INSP.:[ ] REINSPECTION [ ] PLANS REVIEW W F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ J TENT PERMIT 1, ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ 51 (0 (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 I will comply with all applicable codes and ordinances of the City of Sanford, Florida. l G wi - Sanford Fir Prevention Division Tp t's Si natur --'TY OF SANFORD FIRE DEPARTMEN'. FEES FOR SERVICES PHONE #: 407-302-1091 • FAX #: 407-330-5677 9(�a-tsC5�2) DATE: Z U.0 PERMIT #: BUSINESS NAME: g gi ► g d -A ADDRESS: 1y� D �C i� j - o �¢ L7�'. 17� '4 PHONE NUMBER: ( 3 3 y) 2 -7 0- & S-3 s CONST. INSP. ❑ C. OF O. INSP. ❑ PLANS REVIEW TENT PERMIT ❑ BURN PERMIT ❑ REINSPECTION ❑ TANK PERMIT ❑ FA ❑ FS ❑ OTHER ❑ AMOUNT $ u � ✓ I COMMENTS: a� 'os j- /,—D �� Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention before any further services can take place. I certify that the above information is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire Prevention pplic iignature CITY OF SANFORD PERMIT APPLICATION Permit #: l Date: Job Address: 7000 Twinwood Trace Building 7 – 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 Q)�dt.J Occupancy Type: X Residential _ Commercial _ Industrial Total Square Footage.: 2389 AF 846�ota1> Construction Type: Tyne 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: Colonial Realty Limited Partnership 2101 6th Avenue North, Birmingham Alabama 35203 Phone: 205-250-8700 Contractor Name and Address: Colonial Construction Services, LLC. 2101 6m Avenue North, Birmingham, Alabama 35203 State License Number: CGC1504423 Phone & Fax: Phone: 407-3334292, Fax: 407-333-2673 Contact Person: Jim Von Dyke Phone: 407-3334292 Bonding Company: N/A Address: N/A Mortgage Lender: N/A Address: N/A Architect / Engineer: Charlan-Brock & Associates, Inc. Phone No.: 407-660-8900 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 of ppofnit is Owner / / Agent's Owner / Agent is Pfedoeod-1'B" that I will notify the owner of the property of the requir—A or "da Lien Law, FS 713. Date turre of Conft-Xtor / Agent Date PrinL6ontractor / Awnt's Name p _ naa _"•BRa1'PJDA J FURBUSH .. aig'natulu ut INUu y - NOTARY PUBLIC STATE OF FLORIDA Kn,,"NJh:le&lON NO. DDI 17877 Contractor Agent is Personally Known to MY COMh0l ,BION EXP. MAY 142006 APPLICATION APPROVED BY: B1dg7F 12 "f "� Zoning: (Initial and Date) Special Conditions: Praduced•4l. Utilities: (Initial and Date) (Initial and Date) �OFFICL11.N017ARY SEAL BRENDAJFURBUSH NOTARY PU '0JC 5PATE OF FLORIDA [e or COMMISSION NO. DD117877 MY CONIM65TON EXP. MAY 14,2006 FD: (Initial and Date) CITY OF SANFORD PERMIT APPLICATION Date: Job Address: ?r --nn 'T i.� r ti 1, c c r1:' PC, 2 Q� , ore : 3-7 -7 7 Descivil;ttion of Work: /f4/w C: Historl r District: Zoning: Value of Work: Permit Type.- Building Electrical Mechanical __ X Plumbitlg Fire Sprinkler/Alarm --- Pool PS Flectr1 ;al: New Service — # of AMAddition/Alteration —T Change of Service Temporary Pole _ Mechamical: Residential X Non -Residential Replacement ___ New __ (Duct Layout a& Energy Calc. Required) Plumbing/ New Commercial: # of Fix ores # of Water & Sewer Lines # of Gas Lines Plumblag/New Residential: # of Water Closets _ Plumbing Repair — Residential or Commercial -I Occupancy TIS : Residential Y Commercial Industrial _ Total Square Footage; Constriction Type. # of Stones; # of Dwelling iltdts F9ood 7,txtc: (MMA form regtdred for other than J{) nnwesarma a ��� Pqrcel #; / (Attach Proof mf Ownership & Legal Description) Ownerq dame&Address; l LLC2iJ�C�cTs� GrQ _ Phone: 7,00 ContravorName &Address: tel. &p?- iG State License Number: Phone & Fax: �/G J_ j - �/ 2 cJ L Contact Person; Phone: Bonding Company: Address: Mortgaga Lender: Address: Architen /Engineer; Phone: Address: -- Fax: Applkati an 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 <<f a permit and brat all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separat: permit most use secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, ctc. 9W —TR S AFI- DAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating comtnrcti an and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FDR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT Wl7Ii YOUR LENDER OR AN ATTORN P_Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. O C ,: In addition to the requirements of this permit, there may be additional reetrictions applicable to this property that may be fmrnd in the public records of this count r, and there may he additional parmits required from other governmental entities such as water management diatricty, 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 71.3. Signature of Owner/Agent Date Srgnanu n .a Date 1'�7nt OwncT/Agent's Name Print Contractor/Agent's Name I Signature of Notary -State of Florida Date Owner/Agent is ____ Personally Known to Me or Produced ID APPLICN ITON APPROVED BY: Bldg: Zoning: (Initial & Date) Special Co. rditions: Signature of Not of Florida Date i Contractor/Agent Is _ ortalb� k:ttowrt to Me or __ Produced ID _ _ _ Utilities: _ FD: (Initial & Date) (Initial & Date) (Initial & Data) M d Z o N 2 a 55 � se U) x m m L U .a m zy 4 Zo Permit # Job Address: f OCr Description of Work: Historic District: CITY OF SANFORD PERMIT APPLICATION Date: — 2;z — 044 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:, # of Dwelling Units: A. —T Flood Zone: (FEMA form required for other than X) Parcel #: UpW,ers, Name & Address: Contractor Name & Address: Phone & Fax: Bonding Company: Address: Mortgage Lender: Address: Contact Person: State Proof of Own ership& Legal Description) Phone: 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 ofthe foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO -RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 'da Lien La FS l3. •/�e�� l-�i-vq Signature ofOwner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or _ Produced [D APPLICATION APPROVED BY: Bldg: Zoning: (Initial & Date) Special Conditions: Ma ri..K F "Tbues,,fzz 4in,ontractor/Agent's NameureofNotary-StateofFlorida `Date�� �s►r" h Janet Laseter lee l W Commission DD200878 Contractor/Agent is --Persona O-hune 02 2007 Produced ID (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) 2— CITY OF SANFORD PERMIT APPLICATION Permit # : Date: Job Address: Description of Work: Historic District: Permit Type: Building i� Electrical Electrical: New Service — # of AMPS Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Zoning: Value of Work: S o)0, Mechanical Plumbing Fire Sprinkler/Alarm Pool _ — Addition/Alteration Change of Service Temporary Pole Replacement New (Duct Layout & Energy Calc. Required) # 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 eHtltt:r 4:ctrct ?1 Parcel #: (Attach Proof of Ownership & Legal Description) y� Owners Name & Address: t�C1�j t//�( caj¢ �%j o�/O� /t/i . ,a,n �/j/� 1 l v �/ _,, )7 C CytPhone: c> 0„f - ci s—e e -76 Q Contractor Name & Address: z; / /t—MK/��y07t,- 9s-3() /U, State License Number: Phone & Fax: Contact Person: /0 Phone: Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: Phone: Fax: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to i:he 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 ret•,uiatir�g 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 ?P 9-a Lien Law, 713. d--.:3 y Signature of Owner/Agent Date Signature tractor/Agent Date dtis Hg o Print Owner/Agent's Name Print Contractor/Agent's Nam �m< Signature of Notary -State of Florida Date Sli ature of Notary -State dfjrlorida Date y am cn c 01z z 12 Owner/Agent is _ _ Produced ID Personally Known to Me or APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: Contr or/Agent is _ Personally Known to Me or _ Produced ID (.. (Initial & Date) Utilities: FD: (Initial & Date) (Initial & Date)