12000 Hillwood Dr - BC04-000088 (TWIN LAKES) (NEW APT BLDG) DOCUMENTSPERMIT ADDRESS12= k*iAlwood
CONTRACTOR --Colonial Construction Services,
� LLC
ADDRESS _ 2101 N 6th -Avenue - --,
Birmingham, AL 35203
CGC1504423.(407)333=4292-•-
PHONE NUMBER
PROPERTY OWNER
Colonial Realty Limited Partner_ship "
ADDRESS 2101 N 6th Avenue
`Birmingham, AL 35203 - — --1
205-250-8700
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER
MISCELLANEOUS CONTRACTOR
FEE
PERMIT NUMBER FEE
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SUBDIVISION
PERMIT # DATE 1 1(3
PERMIT DESCRIPTION *gsfmiV�tl��
PERMIT VALUATION 1y�msls
SQUARE FOOTAGE20c'nam
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Permit # : V
Job Address: 12 dl:
Description of Work:
Historic District:
Zoning:
Bld 12,
CITY OF SANFORD PERMIT APPLICATION
aL4
-�3
Date: _
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: Flood Zone: (FEMA form required for other than X)
Parcel #:
Owners Name & Address:
Contractor Name & Address:
Phone & Fax:' 7Z7
Bonding Company: _
Address:
Mortgage Lender: _
Address:
Architect/Engineer:
Address:
(Attach Proof of Ownership & Legal Description)
9+ i�P1,f�OR ��7J,y State License Number: �<
^� �`� 2 `J Contact Person: � � 6 rC 1 �j Phone:
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
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is -
_ Produced ID
Personally Known to Me or
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
of
that may be found in the public records of
districts, state agencies, or federal agencies.
Law, FS 713.
Date
Print Contra tor/ ent's Na (UJ
ignature of -otary-State of Florida ,tate TOMS MP+N1ce
�jMy cotnin"M Doom 8Contractor/Agent it Personally Known t Me ofit' s
_ Produced ID
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)
vta�� ��8166 mrt
Permit F
Job Addrws; c Inn. /a` N
Description of Work: '. rt It
CITY OF bANFORI) PERMIT ArrLICATIVr`F
DnIc; "' - I 01
r Z-7 '21
^
Historic District: Zoning; 'Value of Work: s 3�St7vv
Permit Type: BuildL-,pElectrical Mechanical Plumbing ire prirtkJe� ✓ P601
Electrical: New Servicc -# of AMPS Addition/Allemtion Change of Service —Temporary Polc
Mechanical Residential Non -Residential Replacement New (Duct Layout & Bn=V Calc, Requited)
Plumbing/ New Commercial: # of Fixtures # of Watar & Sower lanes P of Gds Lines
Plumbiug/New Residential: # of Water Closets Plumbinb Repair — Residential or Commorcisl
Occupancy Type: Residential ,/ Commercial Industrial Total Square Footage:
Coast.ruction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel ll:
Owners Name & Address.
A . I 1 I
(Attacb Proof of Ownershlp & Legal Deserlpdoa)
I IiJnr11%. G,,L N ti-vL•
Photae; Cal -00
-
Contractor Name & Addross: r 1 V t. • I �-•
_P 3 State LiwaseNumber: �� f7O[Oe� may/
Phone Pas -7X) - WO -574 51Contact Person i �• — _ Phone:
Bonding Company:
Address;
Mortgage Leader:
Address:
Areblue' �i,,►n�o►+P,roG Assoc Phone: y O% _ 0 a
Address: v2 W00 V25',00 -1i srj• Ek'+ ft L+ . 3a75 Fas: �•l0� - $7 s -0i d s
Application, is hereby made to obtain a permit to do the work and in=11360os as iodinated. 1 certify that no work or installation has commcooed prior to rile
issuance of a pertuil and that all work will be performed to meet standards of all laws regulating conctruetion in this jurisdiction. 1 underetsnd that t separ.Ite
permit rust be secured for ELBCTRICAL WORK PLUMBING, SIGNS. WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONBRS, etc.
UwNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be door iu compliance with all opplicab(e laws regulating
construction and zoning. WARN LNG TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYTNG
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEPORB RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In, addition to the requiremontc of this permit there may be additional resazcdoaa 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 agaocics, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the requirements of -T. L// h94-17 713.
Signature of Owner/Agent Date
Print Owner/Agent's Nwnt
Signarum of NotaryStote of Florida Date
Owner/Agent is — Personally Known to Me or
_ Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial& Date)
Spatial Conditions:
Zoning:
of Notary Bute of
—7r I(.o'o14
Daus
cy
Conv=or/Agent is _ Personally Known to Me or.
Produced ID
((nitial & Date)
Utilities:
(initial & Date)
FD:
7(Initis14 Dart)
_��`•''� �;: DIANA C. KRG— NICK
MY COMMISSIGy I DD 061579
EY,PIAES. Jan,tarf +, 2006
'•'.,erg aFP,,••
aarrlcithn Nrkyp_..:irUndsn:�-•-
Ij* �a
04 -SS
Permit # ;
Job Address: C.,lot. .rak q :��t�t,,. c1
Description of Work:.
CITY OF SANFORD PERMIT APPLICATION
Date; (o - 1 a -a _
1. r L
Historic District: Zoning:
'Value of Work: S 3550"_
Permit Type: Building Elxtrical
Mechanical Plum' bingire pritakl� / Pdol -
Electrical: New Service —# of AMPS '
Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential
Replacement New (Duct Layout & 5nergy Calc. Required)
Plumbing/ New Commercial: # of Fixtures
# of Water & Sower Lines # of Oras Lines
Plumbing/New Residential: # of Water Closets
Plumbing Repair — Residential or Commercial '
Occupancy Type: Residential _ / Commemial
Industrial Total Square Footago:
Construction Type: # of Stories:
# of Dwelling Units: Flood Zone: (FEhU1 form required for other than 7t)
Parcel #:
Owners Name & Address:
a . I 1 I
Contractor Name At
(Attach Proof of Ownership a& Legal Description)
�_ Noy-!�. �� A+w•+rr.
Phone; 070'$— C $%O0_
V 1�ti ?V -'P 1bhc M - a7 State Ueewc Nomber:
Pbone Fax: �07 3 3 J— �i.Z Contact persoa Phone:
Bonding Company:
Address;
Mortgage Lender:
Address:
Architee C"e. jo,•
Address: Q w OO Tri t
Phone: 4 07 - f►Ci 0 —130)0 a
Fax; __yoi-875-9°!NS
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 jorisdictioa I understand that a separate
permit inter be secured for B aCTRICAL WOM PLUMBING, SIGNS, WELLS. POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNA&S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done is 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 requiremona of his permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and diene may be additional permits required from other govermertial entities such V W?17
martseat di eta. state agencies,or federal egeneies.
Acceptance of permit is verification that I will notify the oww of the property of the requirements 713.
Signature of Owner/Agent Date Signature o boa ror/Ag t Date
Print Owner/Agent's Name
P* ontractpr/Agent's N
_ �. y
Signature of Notary -State of Florida Data Signature of Notary -Stare of Florida . ^t:. D)/JdA C.'ra:✓ vi( —
Date
;.. h1Y SOMMISSVI b DD 061579
IXZF ES Jaruar/ 1, 2006
Owoer/Agent is _ Personally Known to Me or Contractor/Agent is 2L/"Personally K&%.. o'Mtt 0 —
Produced ID _ Produced ID /
API'VICAIION APPROVED BY: Bldg: fd' 7 101 — 'Zoning:
(initial & Date)
Special Conditions:
(Initial & Date)
Ulilitics: FD: O
(Initial "ate) (Initi 1 &
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 (407) 302-2526
Plans Review Sheet
Date: June 30, 2004 Business Address: 11000 Twin Wood Drive
Occ. Multifamily BUILDING #11
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 1I, 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. f re 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
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 OX 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
r
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: PERMIT #:ma(A - ,
BUSINESS NAME / PROJECT: c4ciL I^t t A � V /) I
ADDRESS: I r.*IUC3 O l%, 1 1 ( <Q,)1
PHONE NCO C. %j FAX NCC -[p`7
CONST. INSP. [ ] C / O INSP.:[) REINSPECTION [ ] PLANS REVIEW
F. A. F.S. [ ] HOOD [ ] PAINT BOOTH (] BURN PERMIT [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER
TOTAL FEES: ,
(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
4:�
)01-1..
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.
1A &#V
Sanfo ention Division Applicant's Signature
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: d' PERMIT #:
BUSINESS NAME / PROJECT: �N�AI �I//ISA' /1T
0
PHONE NO.:
FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [ ]
F. A. W F.S. [ ) HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT f ] TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: S
(PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage Fees ner Bldg / Unit
1.
2.
3. 'ALA ft
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.
-Aru"JA
San ord Fire P evention Division
Applicant's Signature
COL:. NIAL
Construction Services, LLC
2100 OREGON AVENUE.
SANFORD, FL 32771
407-323-2882
407-323-2392 (FAX)
September 20, 2004
City of Sanford
Dan Florian, Building Official
PO Box 1788
Sanford, FL 32772-1788
RE: Prepower Inspection Request for 12000 Hillwood Dr.
Permit 04-88
To Whom It May Concern:
This letter is written to request a prepower inspection for the address referenced above.
Please be advised that such building will not be occupied until the Certificate of
Occupancy has been released.
Sincerely, C�7� OT' sj�Nf OR�
Ki stin Stapleton 0 X004
Colonial Construction Services, LLC SEP 2
����,FIIIFD
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
L6Z
ONE # 407-302-1091 * FAX #: 407-330-5677
DATE: � PERMIT
BUSINESS NAME / PROJECT:061 I In.J�1/ll� i I I1A �-;-
ADDRESS:
PHONE NO� -36N FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ]
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH
TENT PERMIT ] TANK PERMIT [ ] OTHER [ ]
(7�
TOTAL FEES: $ _ (PER UNIT SEE BELOW)
PLANS REVIEW
] BURN PER IT [ ]
Address / Bldg. # / Unit # Sauare 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.
ono
Sanford Fire Preven ' n Division e� plican ' Sig ure
CITY OF SANFORD PERMIT APPLICATION
Permit #: Date:
Job Address: 12000 Hillwood Drive (Boildlee 12 - 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: New Service - # of AMPS Addition / Alteration Change of Service Temporary Pole
Meennical: 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 0?5 94
Occupancy Type: X Residential _ Commercial _ Industrial Total Square Footage.:. -23.280 *e
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: Colonial Realty Limited Partnership 2101 6's Avenue North. Birmingham Alabama 35203
Phone: 205-250-8700
Contractor Name and Address: Colonial Construction Services, LLC. 21016* Avenue North, Birmiorbam, Alabama 35203
State License Number: CGC1504423
Phone & Fax: Phone: 407-333-0292, Fs:: 407-333-2673 Contact Person: Jim Von Dyke Phone: 407-333-0292
Bonding Company: N/A
Address: N/A
Mortgage Lender: N/A
Address: N/A
Architect / Engineer: Cbarlan-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
Q"/9
f 't is tirn
s re of Owner / AgEdt
-,AW-3#4-
oma/
�er / Ag 's Name
cure of Notary - to of F163
Owner / Agent is ZPersonally
Feedneem p
I will notify the owner of the property of the
BRENDA JFURBUSH
ARY PUBLIC STATE OF FLORIDA
LORiV11SSION NO. DD1178"
r-nr,Am itcStnN FJ(P. MAY 142M
FS 713.
of Contractor
Agent is personally Known to
r Produaedla
APPLICATION APPROVED BY: B1dgpF Zoning: Utilities:
(Initial and Date) (Initial and Date)
Special Conditions:
BRENDA)FURBUSH
NOTARY PUBLIC STATE OF FLORIDA
or COMMISSION NO. DD117877
MYCOMNIISFiON EXP. MAY 142006
FD:
(Initial and Date) (Initial and Date)
CM OF SANFORD PTRNIIT APPLICATION
Permit Date:
Job Address: 1e O C�O -) ! C C (�) C� 0 4� l7/� i L+ C ��J�11 >= c .�i� f F 77,1 _
Desai rtion of Work: '14 1/w C s
Historl r lmstrict:
7Aning: Value of Work:
2 -
Permit Type: Building Electrical Mechanical _ X Plumbing Fire Sprinkler/Alarm ---Pool _u
Electrl :al: New Service — # of AMPS __ Addition/Alteration __ Change of Service Temporary Pole —
Meebaitical:Residential X Non -Residential Replacement___New(Duct Layotrt&T.;nergyCate. Required)
M mtbi ng/ New Commercial: # of Fixhires # of Wator & Sewer Lines # of Gas Lines
---
Plumbing/New Residential: # of Water Closets _ Plumbing Repafr — Residential or Commercial
0muprncy Type: Residential Commercial Industrial _ Total Square Footage: — --
(.cSDO.� -- —
Constn.tctfon Type: # of Stories: # of Dwelling Units: Llood 74me: (BEMA form required for other than X)
Parcel #' (Attach Proof of Ownership & Legal Description)
Owners Name & Address: " LO0.�! r71-
)L`! ,Aj— /l 3Sac,� Phone:
Contrnc� or Name &Address: CO tij S i�Z �r Ci in J �C2cJi G s e
3� ZSit7r,/ii >�E (t�9 &2'e,-- 1t4192 y /I�2 7V4 State License Number: '
-r - _
Phone & Fate: e/0 7- 333 - el.2 9-3- Contact Person; Pihone..
Bonding Company:
Address: -- �-
Mortgagx Lender:
Address:
ArchiteatEngineer: —� 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 4 a permit and flint all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I +mdeistand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER' S AFTU-)A-M: I certify that all of floc foregoing information is accurate and that all work will be done in compliance with ail applicable laws regulating
conitmcti an and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE F JR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORN RY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
O CE: In addition to the requirements of this permit, there may be additional restri,;tions applicable to this property that may be found in the public recordg of
this counter, 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 requirementis of Flo ' Li n Law, ITS 71. �i.
Signature of Owner/Agont Date Signa of Contractor/Agent Date
1'urnt Owncx/Agent's Nnmc Print Contractor/Agent's Name j
Signature of Notary -State of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or Contractor/Agent i. Personally Known to Me
Produced 11) _ Produced ID
APPLICA' CION APPROVED BY: Bldg: Zoning: Utilities: _ FD:
(Initial & Date) (Initial & Date) (Initial & Date) (Initial & Data)
Special Conditions:
rn C
zo�Na
0 N U
U3 Via'
0Fn
z
Z w z
0=0o_9
} W v
� m
Permit #:—
Job
:Job Address: r Z)
Description of Work: _
Historic District:
CITY OF SANFORD PERMIT APPLICATION
Zoning: Value of Work:
Date: ' — Z L `
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
-W1Z
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: # of Stories: —a—# of Dwelling Units: 2-4— Flood Zone: (FEMA form required for other than X)
Parcel #:
O er.sName & Address:
Contractor Name &7 Address:
Phone & Fax:9/0/'
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer:
Address:
Contact Person:
(Attach Proof of Owmy hitp & Legal Description)
State License Number:
Phone:
Fax:
Gab* -41 db1C
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.
,/7
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 per is verification that I will notify the owner of the property of the requirements of FI 'da Lien , F 713.
Signature of Owner/Agent Date Signature of Contractor/Agent Date
CLK �Z. Ta cJ i#2t<CCE�
Print Owner/Agent's Name P t Contractor/Agent's Name
Signature of Notary -State of Florida Date S i gZp re of Notary -State of Florida Dante
4P Or Janet Lasater Lee
My Commission DD200879
Owner/Agent is _ Personally Known to Me or Contractor/Agent is e4eofiall 0&ri1yWQ2,2007
_ Produced ID Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)
CITY OF SANFORD PERMIT APPLICATION
Permit # :
Date:
Job Address: _-�Q
� Q f't/��GGt�aC�
Description of Work: iclo^—
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 _I"'- Commercial Industrial
Consteuction Type: / # of Stories: # of Dwelling Units:
Total Square Footage:
Flood Zone: (FEMA form required for other than X)
Parcel #: (Attach Proof of Ownership & Legal Description)
Owners Name & Address: r-OA,41,W /V 6-/�; ��j�7y� SNS /fj� /11L
Phone: _236)2
Contractor Name & Address: &� el 3,)&60
// // State License Number: SMZ
CC- C3S—
Phone & Fax: el_y? b Contact Person: LO��. 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 alt 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 to a Lien Law, F 713.
Signature of Owner/Agent Date Signal re ,Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's ame
Signature of Notary -State of Florida Date (gnature of NotaryfS to of Florida Date
Owner/Agent is _ Personally Known to Me or
_ Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
Contractor/Agent is _ Personally Known to Me or
-"'Produced ID
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)