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11000 Hillwood Dr - BC04-000087 (TWIN LAKES0 (NEW APT BLDG) DOCUMENTSPERMIT ADDRESS 11-Doo CONTRACTOR Colonial Construction Services, ADDRESS '-LLC 2101 N 6th Avenue Birmingham, AL 35203, _ ' CGC 1504423 (407)333-4292 � PHONE NUMBER PROPERTY OWNER i Colonial Realty ADDRESS 12101.N 6th Limited P�ership Avenue —` I Binningham i , AL 35203 1 205_250-8700 ---- PHONE NUMBER ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER MISCELLANEOUS CONTRACTOR FEE PERMIT NUMBER FEE SUBDIVISION PERMIT # 04 owlDATE Jbh4,/^ I - T PERMIT DESCRIPTION Ad" i Fog PERMIT VALUATION lon-rhs- SQUARE FOOTAGE � I� sow d H m 00 G i• 5 4m. G2 WNW Permit # : 0 3 r7 Job Address: Description o'. Historic District: B)da-�( CITY OF SANFORD PERMIT APPLICATION Date: Zoning: Value of Work: $ Permit Type: Building Electrical _Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Q0 Addition/Alteration Change of Service Temporary Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. 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: Phone & Fax: S_( G I I W of 1 U—Q4LJ e Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer: Address: (Attach Proof of Ownership & Legal Description) 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. Z 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 thf be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management djVficts, 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 Owner/Agent is Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: FS 713. of Contractor/Agent' Date Date /-Signature of NofaryState of Florida W a1 M p„” +y� MY Commission D00470* +1+ FxPlrw August 01, 2005 Contractor/Agent is Personally Known to Me or Produced ID Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) V CITY CiP bANFOKU PEUMIT ArrLICATION • Permit f : Date: (p - f a - D Job Address: ��orrrnlV. ��1►�taeTl� y (� L� OOd .�t ��.�r SA�1kor.��� -T-1 Description of Work: F Ira 4IArrm _s-)�Srlctrallp{ �pr� Historic District: Zoning: Value of Work: S S 50 Permit Type: Building Bicet ica! Mechanical Plumbing ire prinkl� � Pool Electrical: New Service - # of AMPS Addition/JUteratic rt Change of Scrvice Temporary Pole Mechanical: Residential Non-Residenda) Replacement New (Duct Layout & Bnergy Calc. Retluired) Plumbing/ New Commercial-, # of Fixtures # of Water & Sower Lines # of Crus Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Cottttncroial Occupancy Type: Residential Coatmetcial Industrial Total Square Footage: Construction Type: # of Stories: # of.Dwelling Units: Flood Zone: (FEMA form required for other than x) Parcel 1t: (Artaeb Proof of Ownership & Legal Description) Owners tyamc & Address: -Co ON I& I R eisl+y L• P. d t7 I Nor -6. G* L Pot -.,v Wjx�t MA 7szo3 Phone: nos-a5o - $%oo Contractor -Name& Adddtaaa: PowerJt` �o c; c h lAie _ . LnC10I AA LIA /-%• Cic3 , 14-4-1? .PSS U.9b-C n��f �.. � % [ i0 Statc Llwnse Number:' PLOf7[-lO R 4 l Contact P=en: A PltoDe' Bonding Company; Address; Mortgage Leader: Address: Arehiue' cv's►.10" ' R fOG ASSOC . tin r- Phone; `'107 - G C, o — $0)O a Address: -2X00 W1q;�`A.►a i.Gs+:e� ��t+4 `�t�`t�rlrtL 3a75 Fax:_ 40-2-875-90,ga Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work o: installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating comiruction in this jurisdiction. I understand that a separate permit must be secured for BLBCTRICAL WORK PLUMBING, STUNS. 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 its 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 WITK YOUR LL•NDL•R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the requiremona 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 distrigs, state agencies, or federal agencies. Acceptance of permit is verification that 1 will notify the owner of the proper of the requirements of Signature of Owner/Agent Dau Print Owner/Agent's Name Signaturo of Notary -Stoic of Florida Data Owner/Agent is_ Porsoaaliy known to Me or Produced ID APPLICATION APPROVED BY: Bldg: 'Zoning: ()nitial & Date) Spec al Conditions: of atraclo Ag to rtAgii's list of NotsrysSLw of l3. llate 1, r a � Date —. Contraetor/Agonr, is z Personally Known to Me or Produced I , Utilities: (Initial & Date) FD; (Initial e£: Date) (Initial & Date) Elk. DIANA C. KRONICK MY COMMISSION # DD 061579 :'ti'EXPIRES: ,;anuary 1 2006 '; ^:.• Ba d•y `hru 1btaryM-;C Ur*r v61 j';5 Permit N :_ O LA Job Address: Colo N; t.I V ; tilkaG0 Its" '.1 Description of Work: CITY OF SANFORD PERMIT APPLICATION Data w' IQ , Oy .. Q.r. SAACo r. R� 3a? -71 historic District: Zoning: Value of Work: $ A 550vim- Permit Type. Building Electrical Mechanical Plumbing_ ire rinkle�J� L • Pool P 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 Fixhtres # of Water & Sower Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial Occupancy Type: Residential Z - Cottnnet W Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #., Owners Namc dt Address: e t Contractor Name & (Attach Proof of Ownership & Legal Description) L Nor- \. (ail Aft f e" Phone: a05- t -5o - 8-700 v ,, 11 us V ruht I . d Statc License Number: Phone Fns "fes% — 3 3 3 9 Contact Person Phone; Emitting Company; Address; Mortgage Lender: Address: Arehitee' ASSOC .07 - (*(,0-8A0 Phone: y d Address:: 1-00 V'2014\01-1_CN:ar r 1�t" W!1 �06f-1_'F1, 3a7SI Fax;youi—$7S-9Clgei Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation hae commenced prior to the issuance of a pectnit 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 ELSCTRICAL WORK PLUMBING, SIGNS. WEI.I S, POOLS, FURNACES, SOIL9RS, 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 dont iu compliance with all applicable taws regulating comalrtrction 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 requireraaots of [his 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 pc mics required from other goverritne W entities such as`water mane emfdi �s, state wDcica, or federal agencies. Acceptance of permit is verification that l will notify the owner of the property of the requirements of Flo LtI�w 6 713. Signature of Owner/Agent Datetar of atractor/ t Date ��- e r Print Owner/Agent's Name t Contractor/Agent' ane Signaturo of Notary -State of Florida Date Signature of Notary­Stste of Florida ;Date bIANA C. i reol'ivn —' { MY COl"M'SS;ON a DD 061575 / Dw.%J Tru N::5ry Pktrc UW.:wmers Owner/Agent is Porsonally Known to Me or Conuaetor/Agertt is Personauy Known tif-Ma or— Produced ID _ ProducedlD ti ti APPLICATION APPROVED BY; Bldg: k 7 t O Y -'Zoning: Utilities: p (initial & Date) (initial & Date) (Initial & Date) N; (�ba #& Date) •t Special Conditions: t r .. of Sao SANFORD FIRE DEPARTMENT ` FIRE PREVENTION DIVISION )F' D 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 (407 302-2520 / FAX (40 7) 302-2526 Plans Review Sheet Date: June 30, 2004 Business Address: 12000 Hill Wood Drive Occ. Multifamily BUILDING #12 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 )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, 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 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-151677 I \ DATE: PERMIT #:CA ' �i BUSINESS NAME / PROJECT: ADDRESS: I I d ©O ► 1 c�) �' PHONE NO.: FAX NO.: SIM CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW F. A. F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN IT [ ] TEN PERMIT JJU �TA—NK PERMIT [ ] OTHER � CY TOTAL FEES: S ��(� 16!!5 (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 90 n ll. 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. Sanford Fire Pr ention Division ` Applicant's Signature IT CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONF # 407-302-1091 * FAX #: 407-330-5677 / DATE: 6 1 � /Cs PERMIT #: o9-197 BUSINESS NAME / PROJECT:1116NId vita fF7" ny1M(A 'eS ADDRESS: 1100D Wflu mo DQ, 1901Diut: u PHONE NO.: 40-7 _163-3 Zr- FAX NO.: 40-1 35-5– 3c6z, CONST. INSP. [ ] C / O INSP. j ] REINSPECTION [ ] PLANS REVIEW [0t F. A. [ J F. S. [ J HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ J TENT PERMIT I ] 'ITAAN'K,PERMIT [ ] OTHER [ ] TOTAL FEES: $ za6 ' . f5l 100"' (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. H. 12. 13. 14. 15. 16, 17. 18. 19. 20. Square Footage Fees per Bldg. / Unit Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407- 330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take place. I certify that the above is true and correct and that I will comply with all applicable codes and ordinances of the City of Sanford, Florida. ho'civ to.cs Sanford iF�evention Division Applicant's Xg lure CITY OF SANFORD PERMIT APPLICATION Permit #: —V Date: Job Address: 11000 Hilhvood Drive Building 11- Type 1) Description of Work: Multi -Family Apartment Building Historic District: N/A Zoning: Multi -Family Value of Work: 51,078575.00 Permit Type: Building X Electrical Mechanical Plumbing Fire Sprinkler /Alarm— Pool— Electrical. ool_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 Occupancy Type: X Residential _ Commercial _ Industrial Total Square Footage.: TUMI Coostrucdou Type: Tvce 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 21016* Avenue North. Birmingham Alabama 35203 Phone: 205-250-8700 Contractor Name and Address: Colonial Construction Services, LLC. 21016t0 Avenue North, Birmiogbam. Alabama 35203 State License Number: CGC1504423 Phone & Fax: Phone: 407-3334292, Fax: 407-333-2673 Contact Person: Jim Vou Duke Phone: 407-3334292 Bonding Company: N/A Address: N/A Mortgage Lender: N/A Address: N/A Architect / Engineer: Charian-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. l 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 peri is of Owner / Owner / Agent is personally I will notify the owner of the prope - -"BRENDA j FURBUSH NOTARY PUBLIC STATE OF FLORIDA ISSION NO. DD117877 1OA ' AAM.rS iON EXP. MAY 142006 APPLICATION APPROVED BY: Bldg f j Z' q'o % Zoning: (Initial and Date) Special Conditions: ,fNotary - 96te of Florida Date Agent is ZP.W.Wly Known to Mr BRENDA j FURBUSH NOTARY PUBLIC STATE OF FLORIDA COMM1bSION NO. DD117M 5AYCOMM_IVI-ON V(P. MAY 14 MM Utilities: FD: (Initial and Date) (Initial and Date) (Initial and Date) zqfzo 11 Q CITY OF SANFORD PERMIT APPLICATION Permit # :� t6 7R - V 1 21- O c Date: Job Address: L Description of Work: IP -71 R limb, 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: _ # of Dwelling Units:/— r Flood Zone: (FEMA form required for other than X) Parcel #: Ow rs r4ame & Address: . , _ Name & Address: Phone & Fax:ZOl Bonding Company. Address: Mortgage Lender: Address: ArchitectiEngineer: Address: L-XLJY,> Contact Person: (Attach Proof of Phone: State License 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: [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 i a Lien FS 13. 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 _ Personally Known to Me or Produced ID APPLICATION APPROVED BY: Bldg: Zoning: (Initial & Date) Special Conditions: Contractor/Agent is _ Produced [D (Initial & Date) 70� Date Janet Lasater Lee My Commission DD200879 W, M, )txtp 02, 2007 Utilities: FD: (Initial & Date) (Initial & Date) �35� CITY OF SANFORD PERMIT APPLICATION Permit # Date: Job Address: //ODD !f//�j�i��r�I �� Description of Work: lzQUt— Historic District: Zoning: Value of Work: S I Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Service — # of AMPS Addition/Alteration Change of Service TemporaryPole 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: `C 74 jwc-x 4 Phone: Contractor Name & Address:. 04-1-A Wv )52— 39'eY&' State License Number: C(f QOL % 19K St Phone & Fax: ! 7 _� % — tP�/t, Contact Person: `O/ 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 requiremen of Fl 'da Lien La , FS 713.atis No /-� 0 y O �p � � K Signature of Owner/Agent Date Signatur f Contractor/Agent Date �� Print Owner/Agent's Name Print Contractor/Agent's TIme v V Signature of Notary -State of Florida Date gnature of Notary - e of Florida Date o — z z � � � cNi o Z IV N Owner/Agent is _Personally Known to Me or Co ntr Agent is Personally Known to Me or _ Produced ID _ Produced ID —t�pL {u' APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: Permit CITY OF SANFORD PIt MHT' APPLICATION # : ��� u nate: Job Acdress:. l l C�CjC� } 1 C C u �Gc h L 7Z! _ Description of Work: L±og C___^ — Histori r nistrict: Zoning: Value of Work: -- - - ■ nnraatwNew Permit Type: Building Electrical Mechanical _X Plumbing F.,lectrl :al: New Service _ # of AMUS _ Addition/Alteration MeebaiileaL Residential X Non -Residential Repiacemcnf_ New Murnbing/Neer Commercial: # of Fbmires _ Plumbing/New Residential: # of Water Closets # of Watcr & Sewer Lines Fire Sprinkler/Alarm Pool _— Change of Service Temporary Polo __ (Duct Layout & Energy Calc. Required) # of Gas Lines Plumbing Repair — Residential or Commercial Occupa ncy Type: Residential X Commercial Industrial_ Total Sgnare Footage: . Constn rction Type: �2 �, # of Stgtryea: ��` # of welling Urdu hood Zfine: (FEMA form required for other than X) D ' a .®neaauAs Parcel #: Owners Varne & Address. _ r;?/0" /` o e-1 s M (Attach Proof of Ownership & Legal Description) Phone: --V0,5 - ASO - ContravorName &rAddress:Lte-CA./.144 �/* 9&,2 , 3.77 q6 State License Number: A_ _ Phone & Fax: _ x/07-333 y� % Contact Person, _ .. _ _- _- Phone: _ Bonding Company: Address: Mortgag,! i.ender: Address: Architect lEngineer: Phone: Address: Fax: Applieatii rn is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prig to tbo issuance of a permit and that all work will be performed to meet standards of all lawn regulating construction in this jurisdictiom I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, TANKS, and AIR. COI\ DITIONERS, etc. MIK 5 AFI iDA : I certifythat all of the foregoing infmmatinn 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 A MY RESULT IN YOUR PAYING TWICE FDR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITII YOUR LENDER OR AN ATTORN FY BEFORE RECORDING YOUR NOTICE OF COMMENCEMP.NT. NP-U!M: In addition to the mquirements of this permit, there may be additional testrn:tions applicable to this property [hat may be frnmd in the public records of this count r, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or fedoras agencies. Acceptant a of permit is verificaYlnn that I will -notify the owner of the property of the requirements of Florida L'er caw S 71,1. Signature of Owner/Agent Date Signature of tractor/Agent Date Print OwncY/Agoutis Name Print Contractor/Agent's Name — Signature of Notary -Stat. of Florida Date Owner/Agent is _ P%uduced ID Personally Known to Me or APPLICN i ION APMOVED BY: Bldg: (Initial & Date) Special Ca uditiom: Signature of Notary -State of Florida Date Contractor/Agent is Personally E:nowtt to Me Produced ID Zoning: Utilities: _ FI): (Initial &.nate) (Initial & Date) (Initial & Data)