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13000 Hillwood Dr - BC04-000098 (TWIN LAKES) (NEW APT BLDGS) DOCUMENTSPERMIT ADDRESS CONTRACTOR ction Services, Colonial-Constru ADDRESS LLCvenue �-2101-N.6th A , Birmingham, AL 35203 �; CC,C1504423_(407)333-429? PHONE NUMBER PROPERTY OWNER ADDRESS PHONE NUMBER rLi— if&& PaAnershiP_1 i Colonial RealtY 2101.N 6th Avenue Birmingham, AL 35203" 205-250,8.700 _ ELECTRICAL CONTRACTOR MECHANICAL CONTRACTOR PLUMBING CONTRACTOR MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE MISCELLANEOUS CONTRACTOR PERMIT NUMBER FEE d d 7d SUBDIVISION N PERMIT # DATE PERMIT DESCRIPTION PERMIT VALUATION �r� i J �■I� —. SQUARE FOOTAGE ` S45Novo � alp , ^., 0 d H Permit #: O L4 — p Job Address: 41 1 t 1 W n Description of Work: ao Historic District: BJa� i 3. CITY OF SANFORD PERMIT APPLICATION Date: l7r . Zoning: Value of Work: $ Permit Type: Building Electrical MechanicalPlumbing Fire Sprinkler/Alarm Pool Electrical: New Service – # of AMPS ( VDQ 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: Phone & Fax: I /, Bonding Company: Address: Mortgage Lender: . Address: Architect/Engineer Address: (Attach Proof of Ownership & Legal Description) Phone: rry' �P a 1Y�t Fl. %� 16 State License Number: (4 q2 Contact Person: f 22l 1 mmd 6 (r Phone: 22 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 propertyyAat may be found in the public records of this county, and there may be additional permits required from other governmental entities guch as water managemen t tricts, 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 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: (Initial & Date) Special Conditions: Date Florida Lift S 713. of Contractor/ gent Date ractor/Ap,>t s ame Date tga re of ry-State o arida to TBune 11A Pjpg My Commlasion Dw47w P F01 Contractor/Agent is Personally Known to Mee or AtguM Ot, 2005 Produced ID Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) 6� ` eCM/ i• CIT`' Ur SANFORD PERMIT ArPLICP.TION Permii # ; 1 11 `I T 1' 1 \ � ' Da\te:(� Job Address: CnION-,W\ `(' ��JaOc- � 4liTW ��R) 1 3�0 ty�1' W6�C iJC ��ir�r� Description. of Work: t , rrr Historic District: Zoning: 'Value of Work: S tel 5�n Permit Type: Building Electrical Mechanical Plumbing ire prinkleqar'n31 ✓ Pool Electrical_ New Servicc —# of AMPS Addition/Alteration Change of Scrvicc TemporaryPolc Mechanical; Residential Non -Residential Replacement New (Duct Layout & Fnergy Calc. Required) Plumbing/ New Cornmercial: # of Fixtures # of Water tit Sower Lines # of Gas Lines Piumbing/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 I) Parcel #: Owners Name & Address; n I t _ (Attach Proof of Ownership &/�Legal Description) L. P. IDI Nnr4`_ G_VL Nva.-ve" Pi.one: 04v.7- tx7v - Contntctor Najtac & A(d�drese: t 5 �, AAs71 i0 _State ^^License Nnmber; f G L9 C»CJOj2 �1 Phone • Paz :2 ;;P, V y qpt Coataet Prrsoa 1 l-' Phone: Bonding company; Addreut; Mortgttgc Lendcr: Address: Architec'. �4,,.r.�oN fOG1 _ Assoc. Phone; 407+ fi (r0-g�0 a Address: X00 Y+74;k�yaf+b C-,Gr+6rr r y✓4, nJ ,4\f,I,Cf- , _ 3;L ,407 $7 5 9,),4 2, 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 she issuance of a permit and that all work will be performed to meet standards of all laws regulating mnstnuction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANTS, and AIR CONDITIONERS, etc. &) N ,,PA'S AFFIDAVIT: I eertifv that all of the foregoing information is accurate and that all work will be done iut compliance with all applicabie laws r: i;tilating construction and zoning. WARNING TO OWNER: YOUR= AILURE TO RECORD A NOTICE OF COMMENCEMENrT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OSTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition to the rcquiremenm 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 pcmtirs required from other governmental entities such as water managetnent districS s, state ageocics, or federal agencies, Acceptance of permit is verification that I wilt notify the owner of the. property of the requirements of Signature of Owner/Agent Datc Print Owner/Agent's Name Signature of NotaryStatc of Florida Date Owner/Agent is — Personally f:nown to Me or Produced ID APPI.ICAT10t,' APPROVED BY; Bldg: (Initial & Date) Special Conditions: Zoning: cindAge Datc of NotarySrare of Flo?itfa I Date Conrracror/Agent is Personally Known to Me or _ Produced ID ((nilial & Datc) Utilities: FD; (Initial &- Date) (Initial & D_re) DIANA C. K"(,NICK c.t�a.-�_- VLi IU CITY OFSANFORDPEUMITAPPLICATION Permit �'1 I �J Date:�p-.D t4 rr_ `I Job Address: Cn6 'F►k �l tiAo.-Q-yl-s�.W^�V► Description of Work: Fir f- A10,rrK Historic District: Zoning; 'Value of Work: 5Q5.-0!;9 Permit Q .- Permit Type: Building. Electrical � Mechanical PIumbin ( / Plumbing_ ire prinklet �/ ✓ Pool Electrical- New Servicc - # 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 Oras Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential _L/— Commercial Industrial Total Square Footage: Constructian Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Add ress:ca ONS A.1 P. O �, G*L r • .A,&I" Ni A-kaM.4 3sao3 Phone: cZ045- o-i`j0 SiOD Contractor Name & Addre1kwAss! vt{, rt �, 2 L O , 1 LA P �. Aac a7 State License Number: Phone Faz `?Q� 3 3 3 " �%� Contact Person:- Phone Bonding Company: Address; Mortgage Lender: Address: Archltee . C4,p,� low od. gssoe ,Pbanc: y 0? _ G Lo- 80)0 a Address: a�00 ria \rawc� C•.Ga�ar [C,-4 Lk�N-1,3a75I , Fax; Ho? --87s-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 rbe issuance of a permit and that all work will be performed to meet standards of all laws regulating can�truction 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. OW NER•S AFFIDAVIT: I certify that all of the foregoing information is accurate anti that alt work will be done 'rn compliance with all applicable taws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN'T'S TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITR 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 pctmiis required from other governmental entities such as water management distriep. state agencies, or federal agencies. Acceptance of permit is verification that 1 will notify the Owner of the property of the requirements of Signature of Owner/Agent Date Print Owner/Agent's Name ltr+t L r/ Signature of Notary -State of Florida Date �ignalurc of Notary-Suue Owner/Agent is — Personally Known to Me or Contractor/Agenr is _ Pe Produced ID _ Produced ID APPI.1CA'I't0N APPROVED BY: Bldg: 1) � Z ( o Zoning: Utilities: (Initial & Datc) (Initial & Date) SpeCisl Conditions: l3. ('^_'�-oy �( 1)au M Date DIANA rJ. OF i 579 7,- Nj-rary Fi ili'cUn (Initial & Date) FD; (Initis] B_ Dste) ,l� vim-' •� SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION a 300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772 (407302-2520 / FAX (407) 302-2526 Plans Review Sheet Date: June 30, 2004 Business Address: 11500 Myrtle Wood Drive OCC. Multifamily BUILDING #Club House (Signs & Knox Box Required) Business Name: Colonial Village Contractor: Design Power Inc, Ph. (407) 323-2882 Fax. (407) 323-2392 Ph. (727) 210-0492 Fax. (727) 210-0530 Reviewed [ ] Reviewed with comment 1'X14, 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 (k� 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, 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 11 SANFORD FIRE DEPARTMENT FIRE PREVENTION DIVISION 3 F (y 300 N. Park Ave., Sanford, F1.32771 / 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 #: 407-330-5f6 `77 DATEaq� O PER�(AMIT #: v (A �) BUSINESS NAME / PR JECT: V �� ADDRESS: ©d iII L.3CS�C i.IVtp� PHONE N �{b� I C? j—�� FAX NO.( y167) O %S—%�(..f� CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [) PLANS REVIEW F. A. F. S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PE IT [ ] TENT E MIT .� ] TANK PERMIT [ ] OTHER TOTAL FEES: $ (PER UNIT SEE BELOW) COMMENTS: `��] 1 ` — &I R 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. --7-71 Ae,�-Mwnlll c Sanfor ire Pr tion Division Applicant's Signature G�� C®L^'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 13000 Hillwood Dr. Permit 04-98 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, Kir in st Stapleton Colonial Construction Services, LLC SEP 2 d 'Z004 DATE:�1,J 0 PA. 15- j clk3 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 PERMIT #: (yq — ?s— BUSINESS NAME/ PROJECT: C010M AJ VNIAge flT li�u'M I.aK--S ADDRESS:_ 13oco i(IWDCA Ogive ,BUILD(041 /3 PHONE NO.: FAX NO.: CONST. INSP. [ ] C / O 1NSP.:[ 1 REINSPECTION [ ) PLANS REVIEW N F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH [) BURN PERMIT [ ] TENT PERMIT ] TANK PERMIT [ ] OTHER [ ] TOTAL FEES: $ �.�ltJ�e�� (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 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. l n iY1. ImES f 11 Sanford Fke Prevention Division licant' i a ure V U CITY OF SANFORD PERWT APPLICATION (DLA- Permit#: Date: 01 �3 Job Address: 13000 Hillwood Drive (Building- 13 — Type 21 Description of Work: Multi -Family Apartment Building- Historic District: N/A Zoning: Multi -Family Value of Work: $773,287.50 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 `R-� L\R Occupancy Type: X Residential _ Commercial Industrial Total Square Footage.: Construction Type: Type VI Protected/ Sprinkled Number of Stories: 3 Number of Dwelling Units: 20 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 6a° Avenue North, Birmineham Alabama 35203 Phone: 205-250-8700 Contractor Name and Address: Colonial Construction Services, LLC. 2101 6'" 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 pej&t is verj�ie%tion that I will notify the owner of the property of the requiremeoror Fl ief Law, FS 713. J Date i •IGJ / o" / / •-rte .. . ,. - er / Agen ' Name 1 tractor / A t' Nam -/ -03 " N RY SEAL lure of Notary — e of Flo da DA ] FURBUSH Signature of Notary — to of Florida Dat C? '' C1AL NOTARY SEAL NOTARY PUBLIC STATE OF FLORIDA BRENDA ] ATEFUROF H NOTARY PUBLIC STATE OF FLORIDA CO MISSION NO. DD117877 Contractor is is Personally Known to or COMMISSION NO. DDI 17877 Owner /Agent is Personally CO MAY 14,2006 MY CO1vP t rS510N EXP. MAY 14,2006 F"Wdeed'1"— _ Pwdua"4D--_....,, APPLICATION APPROVED BY: Bldg. L `C Zoning: Utilities: FD: (Initial and Date) (Initial and Date) (Initial and Date) (Initial and Date) Special Conditions: Permis 4CITY OF SANFORD Prt.RMTJ' APPLICATION : _ �_� �b Date: JobA6drom:3 - ('USC fi 1 LC CrJ(J� L� D2 /(?E_- esc,ription of Work:._._ - I vakue of WorL. $. M aerE»rrl�l�estaiEat --- _.�---- ue aoE�ilvr Permittype: Building—._ Elect&M Meclmical Plnmbirt --- b �-- Dire Sprinkler/Al[etyn Poo! )t'ltactrb.:a1: New Service — fl oi' AMInS AdditiordAlteattt.ion __ Cbauge of Service iPempolary Poli: Met:hataical: Rosidential __X Nott-Residentitd --- Replavement� New (Duct Layty tcif. biergy Cute. Required) — Pfumbing/Nmw Commercial: # of Fixhares _ — # of. Wtltor & Fewer Lines of Clas'l.ines Plumblag/Now ReAdendal: # of Water Closets Plumbing Repair --Rmidtmtvtll or Commercial Occupancy Type: Residential X Commercial Ilrritt.9trial Total Square Footage:— Cortstt l tctlotu 'type: qF #/ Of'a`turlen: _-a-. # of Dwelling Uu ts: �O _ Flood 7"v:(Ii (FEMA fitnn required for other tNll-n X) - . aE tUE�IEI..I�s Parcel #, -__ .-- _ {Attn(JI 1'rm/l of Ownership & Legal Description) Owners itntnoScAddress- CL.C��•f.�3c i C/7LTv - 10 1 Jl�CJ2T}l Ley_ SL'L ✓Jif / 9-/f lti7 L @c2LJ �__ .___.215-el -- 70 (0 Cnntrucl or Name & Address: __L3G� ��SG/9�t/!U �S•�,��_y_ [,q/« f�?A2. �! � �L. �3� 75�Cr State License Ivumlxrr: CG ..__�.__- .. ---...-.----....___.._ C.autaetl'ersnll: ,Y,.,• _ �._,..f'ihnne: Bonding iCunlpnny: Address: - MirtgagvLender: Addreus: I•'hone: Fax: APPlicatt in is be eby inado to obtain a permit t'o do the work and inatallafions ea indicated. I corSfy that nu work or installatiort has cmutnonced prior to thu imanco (-t'a pen nit and that ail Werk will be poiformod to meet standards 03." 911 IAWIJ rngUIatinp, r-0n9t't)Ction in this, urisdietiur'I- I Itndotstand tllat a ge1mrate' permit: tnr:it'be aocured for PLECTRICAL 'WO1ZK, PLUMBING, SIGNS, VniLLS, POOLS, FURNA(MS, AQILF.RS, IIIIATER3, TANKS, and AIR CM Dlj ION. RS, eltn. - PWNF,1E," J �', jpA '1': I aertifythat all ort:ho foregoing information is accurate and that all workwill be done in t:umPliartua with all applicable laws regulating conatawtim and zoning. WAN.ING TO OWNER: YOUR FAILURE '1'O RECORD A NOTICE OF COMMS=11,MLJN'T MA.Y 12ESLtI.T' IN YOLI12 PAYING TW1CLr F )lt Itv1 PIZOVEMENT S'f(l YUfIR ]'f2OPSR'TY. IF YOU INTEND 'I O OI�T'AIN 17NANaNG, CONSULT Wr1TI YOITR LIZND12R OR AN AT'TORNIIYBFIT OR1i aCOItD1N(i Y'OLiR NO'ITCE OFCOMMLNCI1h1LNT. I4p=, In addition to lite regniremants of this hermit, thorn may ba additional restrictions applicable to this property tbat nosy he found in the public recOCrlg oi: this coltrtt t. and t1imv Baty be addit10nal lxirmils regnlrnd from other govin" n"'tnI catltios such Qa Water Management distrltaa, state agoneica, e(' fedaral agencies. AeeePtan( u of permit is verifv:ation that l will notify IIIc owner of the Property of the mquir mounts nfFlori cp'taw, FS 71.1. 1±1 `'iignanrrn (tf C)<vnet/Agent Date Signantra itPContractol?Agent-�--......_.._�j�+��0 1114'It O tvnitt/Agent's 9i( nuttIto rli Nntnry-State iii Florida - - 1:latc Owner/Agent is _ P(nsonall'y Known W Ma oc .--- Prednced Ir) _-_- Print Clontrnetor/Agent's Name Si aturn of Notary -Sista uYFloridn -� �-•`��v/ Continctar/Agee pera(many k�.ttotvtt to Me or Producad Il) AI?PLICA' UO.N A 4'P12O VI%D }3Y': Bldg: toning: _-_._...._•..w (Initial & Date) (Initial 4k Date) �-(Irliti9l bt 1)ntn) (Initial � t)ntu) Spcoiat Cnttditiors: ao 1Q,,v 4 tjj-�� 0• 0- 43 o x x_420 _ 860 0•* 860-+ �,1 a70 0-* n e '* 870^ x 2 U 1740 0-* n e '* 20 -r- 9) Permit # : lJ -L Job Address: 130( Description of Work: Historic District: X13 CITY OF SANFORD PENT APPLICATION Date: I – Zoning: Value of Work: Permit Type: Building Electrical Mechanical Plumbing Electrical: New Service – # of AMPS Addition/Alteration Mechanical: Residential Non -Residential Plumbing/ New Commercial: # of Fixtures Plumbing/New Residential: # of Water Closets Do' Sprinkler/Alarm Pool Change of Service Temporary Pole – Replacement New (Duct Layout & Energy Calc. Required) # of Water & Sewer Lines # of Gas Lines Plumbing Repair – Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Type: # of Stories: 3— # of Dwelling Units: 20L Flood Zone: (FEMA form required for other than X) Parcel #: Owners Name & Address:GC 01-torT.). / A.Con & ddres5� � �/211aA��),Ot�, /CL Phone & Fax -400 Bonding Company: Address: Contact Person: (Attach Proof of Ownership & Legal Description) State License Number: Mortgage Lender: Address: Architect/Engineer: Phone: Address: Fax.- Application ax: 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 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 , F 713. ✓1 - �-Zl-d�J SignatureofOwner/Agent Date Signature of Contractor/Agent Date Print Owner/Agent's Name t Con[ractor/Agent' Name � S Signature of Notary -State of Florida Date Sig a re of Notary -State ofda ate Janet Laseter ee My Commission DD200879 Owner/Agent is _ Personally Known to Me or ^� � June 02, 2007 Contractor/Agent is or _ rally Known to Me or Produced ID _ Produced ID APPLICATION APPROVED BY: Bldg: (Initial & Date) Special Conditions: Zoning: (initial & Date) Utilities: FD: (Initial & Date) (Initial & Date) � 090 CITY OF SANFORD PERMIT APPLICATION Permit # :_ D%_ Date: Job Address: 1.3ODo h�j�(w� / ,✓J Description of Work: A &?e— sw." P S 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 L""' Commercial Industrial Total Square Footage: Construction Type: —.21—# of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) / Owners Name &Address: wp,4 A,,, t/ Phone: t;l0S_— e2 7 Contractor Name & Address: _�%%js / J( WZA-.�- -091 L State License Number: eec / Phone &Fax: T07 �/ ��ls Contact Person: Lb S 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 lorida Lien L FS 713. 4 `tea a Signature of Owner/A ent g g Date Sig tore of Date 3� a r>x x Print Owner/Agent's Name Print Contractor/Agent's Name a —° Q' (' �t �.•c�� arrnn_Z mrnc„z Signature of Notary -State of Florida Date S' nature of Notary -State of Florida Date mM — Z z � 'rr w v Owner/Agent is _ Personally Known to Me or Contra for/Agent is _ Personally Known to Me or co IS Produced ID Produced lD APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) Special Conditions: