10000 Sandywood Dr - BC04-000095 (TWIN LAKES APTS) (NEW APT BLDG) DOCUMENTSPERMIT ADDRESS
CONTRACTOR
Colonial- Construction. Services,_
ADDRESS I LLC I
2101-N 6th -Avenue- -
Birmingham, AL 35203
CGC 1504423- (407)333-_4292 =,
PHONE NUMBER
PROPERTY OWNER
Colonial Realty Limited Partnership
ADDRESS 2101 N 6th Avenue-_
-Birmingham, AL 35203
205-250-8700
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
FEE
PERMIT NUMBER FEE
d
SUBDIVISION , vi
m
PERMIT #&t7990" DATE 14L)
PERMIT DESCRIPTION
PERMIT VALUATION I!i%4ww
SQUARE FOOTAGESq r &_v
W
1-3M
.mmob
k
Permit # :—n .-. q sem+,.,
Job Address: 1000V 50 ,, cj%
Description of Work:
Historic District:
Q
Zoning:
CITY OF SANFORD PERMIT APPLICATION
MID
Value of Work:
Date:
X#
Bid
Permit Type: Building Electrical _V< Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS I a0D 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 #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: Q
Phone:
Name & Address:
Phone & Fax: [ _�
Bonding Company:
Address:
Mortgage Lender: .
Address:
Architect/Engineer
Address:
Contact
Number:
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
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 required of
Signature of Owner/Agent Date ?]gnature of
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _
Produced ID
Personally Known to Me or
APPLICATION APPROVED BY: Bldg:
Special Conditions:
Contractor/Agent's
that may be found in the public records of
districts, state agencies, or federal agencies.
Law, FS 713.
Date
VU� S�
Date Signatu�ofNwaryf Florida Taupe M Prince
. Myr CommisWw DD047018
a a� ExDlm August 01, 2005
Contractor/Agent is _ Personally Known to Me or
Produced ID
Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
:v 1 d 074.��o
Q { D•�crnr ;.4 OL -OtS
Permit N:
Job Address:
CITY OF'SANFORD PERMIT ArrLICATION
L
e Date: `v- /o') - o4
L 1
u tAL ��lJ �lAt�ldyy+66� Jot -7-7 /
Description of Work: T . rt I-A1Ar'rt --L-I-D—M 4I IRTtOv-t
Historic District: Zoninb: Value of Work:
Permit Tyne: Building Elcatrical
Mechanical Plumbing
ire prirtklr�
Pool
Electrical: Ne-- Service -# of AMPS
Addition/Alleration.
Change of Scrvicc
TTompbrary Polc
Mechanical: Residemia] Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial -.4 of Fix0ves # of Water & Sower Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residt;ntia] or Commercial
•Occupancy Type: Residential _" Commercial Industrial Total Square Footjtgo:
Construction Type: # of Stories:. # of Dwelling Units: Flood Zone: (FEMA form regtdrod for other than X)
Parcel ll: (Attach Proof of Ownership & Legal Desctlpilon)
Owners Name & Address: -Q I O N t A I R ekl +v L • P. Q101 Nor -4l (at l f k,4t . v v
Phone: «VJ-
Contrac r Natnc & Addtwr
tj ILS State Llcoase Number: LX900ni���
Pbonc Paz - Contact Person S D _ Phone:
Bonding Compitny:
Address:
Mortgage Leader:
Address: o
Archltee C",10" rot: ` � Assoc . t- Phone. 4 07 - pG.�i O - 80)O� Ia
Address: .2 X00 Yt'1A ,An.b Ct,, a, T k�+�l. I�\\�`��'1�t'l, . 3a75I Fax: _ _ o-7 - O7 S-g� �t 21 --
Application is hereby made to obtain a permit to do the work and installations as indicatod I cartify that no work or installation hu commenced prior To the
inuanec of a permit and that all work will' be performed to meet standards of all laws regulating conetmction in this jurisdiction. I tmdcretand that a separate
permit must be secured for ELBCiRiCAL WORK PLUMBrNG, SIGNS. WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNR&S AFFIDAVIT: I certify that all of the foregoing information is accurate and tha: all work will be dour- in compliance with all applicable laws regulating
construction and zoning. WARN LNG TO OWNER: YOUR. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT rN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUP, LENDER OR AN
ATTORNEY BEFORS 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 distrijts, state ageacics, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the proper of the requirements of FlorWLi*1j6-j,$ 713.
Signature of Opener/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida
OwncdAgcnt is _ Potsomlly known to Me or
_ Produced ID
APPLICATION APPROVED BY: BidI .
(Initial & Date)
Special Conditions:
Date
Date
Zoning:
Contracnor/Agent's
of NouaryState of
— / (p -oho
Dow
V
-� �y
Date '
Contractor/Agent is -!!�Petsonally Known to Me or
Produced ID ,
(Initial & Date)
Utilities: FD:
(Initial & Date) (Initial & Date)
DIANA C.KRONICK
MY
C0.1.u.SSION a � rot579
EXPI4Fc
, of n;'�•° a .:•.... . n N�; tyeM•.::ez
i
asb.pv"4 o4 -qS
iu ^�4 1
Permit N'; 6 1 v
Job Address: 4e�Onr4a�V r �1i
Description of Work:'Flrc.
Historic District:
CITY OF SANFORD PERMIT ATPLICATION
�
ova
Zoning;
Zoning: 'Value of Work:
Date: - 1 a - o y -
Lj)r, 5g 4kord FL 3a%7 /
Permit Type: Builftg Electrical Mechanical Plumbing ire prinkle Al Pool
Electrical: New Service — # of AMPS Addition/Alteration. Change of Service Temporary Polc
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Requited)
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 _�• C'mmert w Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than 7q
Parcel i1:
Owners Name & Address: t
r
Contractor Name & Address:
(Attach Proof of Ownership Rt legal Description)
Phone: c9W.7—
"— ^ rt109 1 t %' • d 14110 State License Number:
Phone Faz 0% — 3 33— 9.Z Co.", Person Phone;
Bonding Company:
Address:
Mortgage Lender:
Address:
ArcWtee o'A' 101a
Address: .2_w OO 11h e
C
Phone: `l o7 , 64 o - Sew a
Fax:_ -qo7-87S-ajoiys
Application is hereby made to obtain o permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
itsuancc of a permit and that all work wiU be performal to meet standards of all laws regulating constntetion in this juriediction. I understand that a separate
permit must be secured for ELECTRICAL WORK PLUMBING, SIGNS. WELLS. POOLS, FURNACES, BOILERS, BEATERS, TANKS, and
AIR CONDITIONERS, etc.
w 'S AFFIDAVIT: I certify that all of the foregoing infomration is accurate and that all work will be done in compliance with all applicable (awe 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 W1774 YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the tequiremonts 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 pcmtits required hum other govemm ental entities such as water management di
Wets. sate agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of Fl 713.
. (p- la►-d�
Signature ofOwner/Agent Date Sianature dfCOnt&ctodA&&nt rt„�
Print Owner/Agent's Name
SignaMm Of NotaryStote of Florida Data
Ow0er/4—t is _— Personally Known to Me or
Produced ID
1 r t ttc K A -re
IVrFMhkt Contractor/Age tacne
Signature of NoiaryState of Florida '�` iyey Date DIANA C. KF.;; 1:C�'• -• —•
=.':? MY COMMIESIO.J 11 DD 061579
:i
EXPIRES Juaii 1, 2006
Contraeror/Agent is _ PersonaUy-Known tri tvtcor
_Produced !D
APPL ICA'IION APPROVED BY, Bldg: 0C -2 10 Y Zoning: Utilities: FD;'
(initial & Date). (Initial & Date) (Initial & Date) r (Initial & Dare ^ 1
Z y
Special Conditions: IT'r
r
SANFORD FIRE DEPARTMENT
• FIRE PREVENTION DIVISION
F n
300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, F1.32772
(407302-2520 / FAX (407) 302-2526
Plans Review Sheet
Date: June 30, 2004 Business Address: 10000 Twin Wood Drive
OCC. Multifamily BUILDING #10
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 [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 verify (have system off of test (a, time of insaection)
1.3 Signage: Fire department will require doors to be labeled (seepage 1 for location on blueprints
)CLUBHOUSE 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
SANFORD FIRE DEPARTMENT
FIRE PREVENTION DIVISION
F D
300 N. Park Ave., Sanford, F1.32771 / P. O. Box 1788, Sanford, F1.32772
(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.
0
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE:
BUSINE
ADDRE;
PHONE
CONST. INSP. I ] C / O INSP.:[ ) REINSPECTION [ ] PLANS REVIEW K
F. A. � F. S. [ ] HOOD [ ] PAINT BOOTH [) BURN PERMIT [
TENT RMIT ] VNKRM IT [ ] OTHER
TOTAL FEES: C,
• ESS (SER UNIT SEE BELOW)
COMMENTS: NPcz r%1(- t—%l As`un .
Address / Bldg. # / Unit # Square Footage Fees ner Bldg. / 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.
AA
Sanford Fire Prevention Division
Applicant's Signature
PA
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
%� PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: /03 1 PERMIT #:
BUSINESS NAME / PROJECT: Ct IW iA1 VI11fiq i° Ar fnZAJ 18rs
ADD SS: 30000 6AAW "rj brlvr li-DIAI I0
I ✓ 1
PHO
N 0.: �� �� !y FAX NO.: j L- arj I
CONST. INSP. [ ] I C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [Pq
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT ] TANK PERMIT [ J OTHER
r,i
TOTAL FEES: (Oct • q(0 (PER UNIT SEE BELOW)
COMMENTS:
I
Address / Bldg. # / Unit # Sguare Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
ll. I
12.
13. '
14.
15.
16. I
17.
18.
19,
20.
Fees must be paid too 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.
qtN IN.SAMeS It
Sanford Fie Prevention Division pplicant's ure
I
CITY OF SANFORD PERMIT APPLICATION
Permit #: O 1 Date:
Job Address: 10000 Sandywood Drive (Building 10 — Type 3)
Description of Work: Multi -Family Apartment Building
Historic District: N/A Zoning: Multi -Family Value of Work: $1 A56,462.50
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 —: l , S8
Occupancy Type: X Residential _ Commercial _ Industrial Total Square Footage�1ow
Construction Type: Type VI Protected / Sminkled Number of Stories: 3 Number of Dwelling Units. 36 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 21016nAvenue North, Birmingham Alabama 35203
Phone: 205-250-8700
Contractor Name and Address: Colonial Construction Services, LLC. 2101 6m Avenue North, Birmloebam. Alabama 35203
State License Number: CGC1504423
Phone & Fax: Phone: 407-333-0292, Fax. 407-333-2673 Contact Person: Jim Von Dyke Phone: 407-333.4292
Bonding Company: N/A
Address: N/A
Mortgage Lender: N/A
Address: N/A
Architect / Engincer: 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
Owner / Agent is Personally
Predoead'lvT
I will notify the owner of the property of the
Date
""BRENDA) FURBUSH
NOTARY PUBLIC STATE OF FLORIDA
,,,,,,,,, 9QUI j15 SION NO. DDI 17877
FS 713.
Name
'A JNV a y— u caw va viva 1w u
/
Agent is Personally Known to
APPLICATION APPROVED BY: Bldg 1'' 0 Zoning: Utilities:
(Initial and Date) (Initial and Date)
Special Conditions:
BRENDAJFURBUSH
NOTARY PUELIC STATE OF FLORIDA
or COMMISSION NO. DD117M
MY COMMIS73XIN FXP. MAY 142006
FD:
(Initial and Date) (Initial and Date)
36tza
CITY OF SANFORD PERMIT APPLICATION
Permit # : Qw��1— "1 Date: 1—,22-0,4
Job Address: IC) nn 1 -,mm nvn1nnrA mn,
Description of Work:
Historic District: Zoning: Value of Work: S
Permit Type: Building Electrical Mechanical Plumbing —P!I 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 Liles—Z # 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: '-J_. # of Dwelling Units: 3-6— Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Leg al Dgscnp ' n)
Owners Name & Address: Z�
Phone: —
Contractor Name &Address: •_74 7 �E.
State License Number: --1
Phone &Fax: – – Contact Person: PhoneI� f–S 09 – Z I Z
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 Flori Lien Law, S 713
Signature of Owner/Agent Date Signature of Contractor/ gent Date
Print Owner/Agent's Name 'nt Contr for/A ent's Na e
Signature of Nota State of Florida
g Notary -State Date lure of of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
Janet Lasater Lee
MY Commission DD200879
Contractor/Agent I is A'Pe W+rr@a er 02, 2007
Produced ID
(Initial & Date)
Utilities: FD:
(Initial & Date) (Initial & Date)
r
CITY OF SANFORD PERMIT APPLICATION
Permit #:-01/— Date:
Job Address: A2elron
Description of Work:
Historic District: Zoning: Value of Work: $$ I�E �Zw
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 #: (Attach Proof of Ownership & Legal Description)
y�
Owners Name & Address: <dlpA.{,A f d1oli /L" " / Y 13amw
/N(�/�,a. /7
T
Phone
_
/I
Contractor Name & Address: /724J7EX 0530 AJ /Q mom � f
/
016 9?12State License Number: CrG C�Q s�+
Phone & Fax: C/pi sa edo J�6 Contact Person: _ 1 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 ofpermit is verification that I will notify the owner of the property of the requirements Ion a Lien Law FS 713.
r~y5 Nop
Signature of Owner/Agent Date Signatu Contra for/Agent Date
°qo
/
40c
4
m
Print Owner/Agent's Name Print Contractor/Agent's Name
X�
Signature of Notary-State of Florida Date S' nature of Notary-S tv.f Florida Date
�_ p
z
ar
cNi D Z
cn N V
Owner/Agent is _Personally Known to Me or Contr�ctor/Agent is _Personally Known to Me or
^N
y. Z
�
Produced ID ✓ Produced ID r—L 1i C,
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date)
Special Conditions:
Permit # : 61111- 95
CITY OF SANFORD PERMIT APPLICATION
Date•
JobAcdresw /CC•CC`.
Descr'i.l:ttion of Work: ffGzl-7 C. -^ '�—
Historl r District: Zoning: Wile of Work: S
owe; -
roratwmr
Permit Type: Building Electrical Mechanical --X Plumbing Fire Sprink]er/Alarm Pool
_ _ _
Flecf 'l ,al: New Service - # ofAMPS -_ Addition/Alteration __ Change of Service fcmpomry Pole.
Jlxechartical: Residential ii Non -Residential Replacement ___New (Duct Layout &. 6nergy Cate. Required)
Plumbi ag/ New Commercial # of Fixtures T— # of Water Re. Sewer Lines # of Gas Lines
P(ttrnbl ng/New Residential: # of Water Closets _ Plumbing Repair -Residential or Commercial
Occup i ncy Type.: Residential X Commercial Industrial Total Square Footage:
— --
Constri fiction Type: F 2gmc # of Stories: 3 # of Dwelling Utuits: 31-0_ Flood 74me:
, (CEMA form required for other than
X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Vamp & Address: �c' C Cal i � � I�C�C rc�' Z -P
/Qi /V C•/2 ice/ 6 %�'r E %f�ti'I//V • r/i9 M %�L '3JC e.1 G`. Phnnc: L'. - a7s �-'. _ ' 7C C
CnntraV or Name.& Address' c �GitJS7'72L( c'r�o,.� S ic'y,�'c=,fi LC G
v �S4111120 &ZKF��' �.9eE �J�2 � `Ice, 71/ C- State License Number: - -
Phone & Fax: /-/0%'3 _ %2 g=;L Contact Persson; Phone:
Bonding Company:
Address:-
Mortgag:a Lender: -
Address: - -
Architea (Engineer: Phone.-
hone:Address:
Address:
Fax:
Appliratit m 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 tho
issuance 4a 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, IiFAIHR9, TANKS, and
AIR CONDITIONERS, cte.
O_ MLER S AFTTDAM.- I certify that all of 1110 foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constnrcti>an and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 14.kY RESULT IN YOUR PAYTNG
TWICE F 3R IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WI7'II YOUR LENDER OR AN
ATTORN FY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
O CE; In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public record's of
this count i, 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 ofF) i aw, PS 711.
Signature of Owner/A ent
g Date Signanu of ntr.actor/Agent Date
FF.,
nt Owncr/Agent's Name Print Contractor/Agent's Name
L)
__co
ture of Nrstary-State ofFlorida ]late Signature of 1 otary-State of Floridit 'Date
� m
Owner/Agent is Pcrsoneily Known to Ma orContractor/Agent is Personally O:nown to
Produced ID _ Produced ID _ T
_g• 'o
APPLiCN CION APPROVED BY: Bldg: Zoning; _ Utilities: FD:
(Initial & Date) (Initial & Date) (Initial & J7ate) (Initial @: Date)
Special Coiditions: