110 W Lake Mary Blvd - BC02-001331 (INTERIOR REMODEL) DOCUMENTSPERMIT ADDRESSCX
CONTRACTOR
ADDRESS P (
PHONE NUMBER C45)
PROPERTY OWNER
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTOR
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
ter'.
SUBDIVISION
PERMIT # O 2- 1 33) DATE d I a 4 l
PERMIT DESCRIPTION UVJy - 1/k/I tdlk .
PERMIT VALUATION q Old
SQUARE FOOTAGE 1 Ct'50
d
d
w
rh
En
0
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING* * * *
DATE: i a-c)A -03
PERMIT #: Dy
ADDRESS: \ \(--)-- k
CONTRACTOR:
J L.\ . (mac
PHONE #: \c 1- 3Q,- Q-- 16
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
ngineeri )z 30 0
Public Works
Utilities
Fire
Zoning
Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY r
REQUEST FOR FINAL INSPECTION /,"IJ4-
INTERIOR REMODEL TO A COMMERCIAL BUILDING*
DATE: \ a - 0A
PERMIT #: Dy -5-5
ADDRESS: `\C--)-- t aC
CONTRACTOR:
PHONE #:
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
OEngineering OFire
416/0
ublic Worker " Zoning
OUtilities. OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
1.
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING* * * *
DATE:
PERMIT #: Oy -SAS
ADDRESS: k \ -- L
CONTRACTOR:
PHONE #: s3-
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated.
OEngineering fffire
0 Public Works' D Zoning
O Utilities. 0 Licensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUIELDING****
DATE: \D-OA-Q)3
PERMIT #: A -SAS
ADDRESS:
U.
CONTRACTOR:
PHONE#:
The building division has prepared a.Certificate of Occupancy for the above
location and is requesting final inspection by your deipartment. After your
inspection, please sign off and date the C. O. or submitbmit addendum if It has
been denied or approved with conditions. Your prompt attention will be
appreciated.
DEngineering ElFire
OPublic Works'ning
OUtilities OLIcensing rl ,\,*V))I,
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
i
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING""
DATE:
PERMIT #: Dy -S- S
ADDRESS: - k
CONTRACTOR:
PHONE #:
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addendum if it has
been denied or approved with conditions. Your prompt attention will be
appreciated. _ .. .
OEngineering
OPublic Works'
ties.
O Fire
OZoning
OLicensing
r
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CERTIFCATE OF OCCUPANCY
REQUEST FOR FINAL INSPECTION
INTERIOR REMODEL TO A COMMERCIAL BUILDING****
DATE:
PERMIT #: C y -S- S
ADDRESS:
CONTRACTOR:
PHONE #:
The building division has prepared a Certificate of Occupancy for the above
location and is requesting final inspection by your department. After your
inspection, please sign off and date the C. O. or submit addej m-
be
been denied or approved with conditions. Your prompt attention will
appreciated.
OEngineering
OPublic Works
Actilities .
Z 3' o
O Fire j
OZoning
OLicensing
CONDITIONS: (TO BE COMPLETED ONLY IF APPROVAL IS CONDITIONAL)
CITY OF SANFORD PERNIIT APPLICATION
Permit No.: Q Z - 1 3,3
Job Address: D 12.& yJ I-AtCe MAPf 400 1 c) CXZVS
r -
Permit. Type: _ Building Electrical Mechanical Plumbing Fire Alarm/Sprinkler
Description of Work:
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: _Residential Commercial _ Industrial Total Sq Ftg: i 0 Value of Work: $ g0a0. 0
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description)
Owner/Address/Phone: t:AP311MAU• '4 A ce6eals4'ry.- ss-lu $7r AaX& gt
3z7T/
Contractor/Address/Phone: S I e4f sr aw f . ,D ax l9Ss SiRj,f jld L
State License Number: 1C IfG. DMZ/ 1 .
Contact Person: ?jsa! f Phone & Fax Number: qr7 ptt •jrns f 407 ;ZL -1 Zo "
Title Holder (If other than Owner): she
Address:
Bonding Company:
Address: ,
Mortgage Lender:
Address:
Architect/Engineer
Address:
Jl/a
Phone No.:
Fax No.. '
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 Florida Lien Law, FS 713
Signature WINUAgent Date Signature of Con actor/Agent Dateoff
aAJ
Print Owner/Agent's Name Prmt Contractor/Agent's Name
Signature of Notary -State -of Florida Date Signature of Notary -State of Florida Date
Melissa Cameron
p'v vp , ommission # DDo 18
c _ Dec. 20'
Melissa Cameron
oilP'•o :Commission# 79918
Expurs , 2005
o`s Wded Wu c. aDi C SOndtnS CO. in
i@? Bonded tlT7111KA9111AII&Adi 8OD49 Ca, Inc.
Owner/Agent is Personally Knopu to Me or
Produced ID 52,&60
Contractor/Agent is' Personally Knc,Q-w-n to Me or
Pr- ddr,00L Produced ID _55Z tpoot bS
APPLICATION APPROVED BY: 7 Date: U' 2 ' Z
Special Conditions: 5 to -A. Cy
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: -5 O PERMIT#:
BUSINESS NAME / PROJECT: e' /
y /
I., ADDRESS: l IC) /CZ0A % // (rc
PHONE NO.: IQ a — 3/0-7 FAX NO.: 3oZ0 &605/
CONST. INSP. [ J C /,O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. [ J F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PERMIT [ ]
TENT PERMIT ] T K PERMIT [ J OTHER [ J
r—". O O
COMMENTS:
Address / Bldg. # / Unit #
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
ER UNIT SEE BELOW)
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 complyTith all applicable codes and ordinances
of the CiWof Sanford --Elo ida.
CZ7 —9 V IZI)
Sanf rd Fire Prevention Division Applicanrs Signature
May 23, 2002
City of Sanford
Building Department
P.O. Box 1788
Sanford, FL 32772
RE: Boulevard Plaza - City of Sanford
Corner of 17-92 & Lake Mary Boulevard
Dear Sir/Madam:
I, Tamera T. Patitucci, do hereby authorize Dean Shoemaker of Shoemaker Construction to pull the
building permit for 110-120 West Lake Mary Blvd., Sanford, Florida.
Sincerely,
SANDEFUR & ASSOCIATES, INC.
Tamera T. Patitucci
Executive Vice President
TTP/ks
SWORN TO AND SUBSCRIBED BEFORE
ME THIS DAY OF MAY, Oil" KATHLEEN ESTANLEY
8 MY OOMMMON # CC909119
EXPIRES: F"2901
1 elldlAilr FlawwYS wosdea Qa
Kathleen E. Stanley - Notary Public
806 East 25th Street Sanford, Florida 32771 Phone: (407) 321-8200 Fax: (407) 321-9773
0 Website: www.sandefurco.com 0
C
CITY O` F SANFORD ELECTRICAL APPLICATION
PERMIT NO.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO INSTALL THE
FOLLOWING ELECTRICAL WORK: /
mayy^^
OWNER'S NAME: T rZy R akeL %T/-Z! s ` T/PQ
ADDRESS OF JOB:
ELECTRICAL CONTRACTOR: 15aaAY'O/ FAWe ES NON- RR
Subject to rules and regulations of the city electrical code:
By signing this application I am stating I am in com liancexi he ity ctrical Code
pplicant's Si atu
00 317
States License#
SANFORD BUILDING DEPT.
THESE PLANS ARE REVIEWED AND CONDITIONALLYACCEPTEDFORPERMIT. A PERMIT ISSUED SHALL BEITONSTRUEDTOBEAEWORKANDNOTLICENSETOPROCEEDWITHCANCEL. ALTER, ORAS AUTHORITY TO VIOLATE. SET ASIDE ANY OF THEPROVISIONSOFTHETECHNICALCODES. NOR SHALLISSUANCEOFAPERMITPREVENTTHEBUILDINGDEPTFROMTHEREAFTERREOUIRINGACORREC. TION OF ERRORS ON THE PLANS C
0' V-0,
E)C16TING EX16TIN5
RESTROOM RESTROOM
T
WATER LINE
OR DRBUER
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6F LL 6NK PROP ,
m4low
A DRIP IIAT9i LINE Dal I
Y A 61NK 4 DRAN FOR
Y
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NBU FLOOR REF. UNDER _
DRAIN - - - - "*-
NE
w"IT
NE
39'-2-
Y Y
UNIT • 120
4-
9'-0 V-01
STOREFRONT GLASS
INTERIOR DE84N FOR,
ter"& c )FFEE SHOP SHOEMAKER CONSTRUCTION
ALBERTSON'S PLAZA' (UNIT 0120)
LAKE MARY / HWY 11/92
SANFORD, FLORIDA 32111
OFFICE COPY
2101 W. 25lH. St SANFORD, FL 32111
401) 322-3103
DRAWN 05-13-02 BY: LEN
v ,e*Ylr S7i1T oz. ujp/
SANFORD FIRE DEPARTMENT
FIRE PREVENTION DIVISION
300 N. Park Ave., Sanford, Fl. 32771 / P. O. Box 1788, Sanford, Fl. 32772
407 302-1022 / FAX (407) 330-5677
Pager (407) 918-03U
Plans Review Sheet
Date: May 21, 2002 Business Address: 110- 120 Lake Mary Blvd
Ocr c. Ch. 34 Nw mercantile (L.S.C. 2000)
Business Name: Jerzy, s Coffee Shop Ph. ( )
Contractor: The Shoemaker Construction Ph (407) 322-3103
Fax (407) 322-1205
Architect:
Approved as Submitted (X)
Reviewed by: Timothy Robles, Fire Protection Inspector/Plans Examiner
Comment: Plans reviewed as Mercantile Chapter #34,
1.1 Application — New mercantile occupancy, 1950 s. q. ft.
General contractor shall provide sprinkler heads to be relocated per
N.F.P.A. #13
If more than (12) heads moved please submit "fire Sprinkler" permits
Reviewed as submitted
1
18'
TRUCK LIGHT
HisH
BATHROOM BATHROOM
ICE MAKER W25 D28 H 4 Mpp 3 COMPARTMENT
0
220V
8' TRUCK LIGHT ;o fir°
4' TRUCK LI HT
4' 0"
o .
lip d
6' T U
30 EACH 4" CAN LIGHTS
SANFORD ELECTRIC CO., INC,
K DRIVE
P.O. BO) 025
SANFOI FL 3 72-2025
TER
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8' TRUCK LIGHT
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SANFORD ELECTRIC CO., INC,
2522 S. PARK DRIVE
P.O. BOX 2025
SANFORD, FL 32772-2025
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2522 S. PARK DRIVE
BOX 2025
SANFOR FL 32772-2025
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CEP PUNS A4FORC :J:La71fJG CEPr
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PAECEOF< NON- NOT. ` cp, TO po 0..,4q AI-Ly
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OFFICE
COPY PERMIT #
oza. I
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II IIIIIIIIIAIURIIINgIAINRIN111111A1A 11111
THIS INSTRUMENT PREPARED BY:
Name: Stanley H. Sandefur
Address: c/o Sandefur & Associates, Inc.
806 East 25th Street, Sanford, FL 32771
Permit No.
STATE OF Florida
COUNTY OF Seminole
NRR NK NORSE9 CLERK OF CIRCUIT COURT
WNINOLE COUNTY
BK 04409 PS 1157
CLERK'S # 2002879730
RECORDED 05/16/2OOP OieP6v5P PN
RECORDING FEES 6.00
RECORDED BY L McKinley
NOTICE OF COMMENCEMENT
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,. and in
accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of
Commencement.
I . Description of property: Lot 5 Boulevard Plaza Subdivision, Plat Book 58, Page 47
Public Records of Seminole County, Florida.
Street Address: 1 10 - 120 West Lake Mary Blvd., Sanford, FL 32773
2. General description of improvement: Retail tenant improvements
3. Owner infonnation
a. Name and address:
b. Interest in property:
Sandefur & Associates, Inc.
806 East 25th Street, Sanford, FL 32771
Fee Simple
Name and address of fee simple titleholder (if other than owner): N/A
4. Contractor: (name and address) Shoemaker Construction Company, Inc.
2701 West 25' St., Sanford, FL 32771
Phone: (407) 322-3103, Fax: (407) 322-1205
5. Surety
a. Name and 'address:
b. Amount of bond $ N/A
6. Lender: (name and address)
I
CERTIFIED COPY
MARYANNE .MORSE
CLERK OF CIRCUIT COURF
SEMINPLE CONN% AbRIDA
D
IMAY 1.5 2002
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may
be served as provided by Section 713.13 (1) (a) 7, Florida Statutes: (name and address) None
8. In addition to himself, Owner designates the following person (s) to receive a copy of the Lienor's
Notice as provided in Section 713.13 (1) (b), Florida Statutes: Jerry Radka, c/o Hidden Lake
Properties, L.L.C., 7353 148' Ave. NE, Redmond, WA 98052
9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording
unless a different date is specified): October 1, 2002
SANDEFUR & ASSOCIA S, INC.
BY: Stanley H. Sandefur, President
Signature o ne (Print Owner's Name) .
STATE OF FLORIDA
COUNTY OF SEMINOLE
I HEREBY CERTIFY that on this day, before me, an officer duly authorized to administer oaths and
take acknowledgments, personally appeared STANLEY H. SANDEFUR , as President of SANDEFUR
ASSOCIATES, INC. , a Florida corporation, known to me to be the person described in and who
executed the foregoing Notice of Commencement, and acknowledged before me that he executed the same.
Said person is'(check one) X personally known to me or produced as
identification.
WITNESS my hand and official seal in the County and tate last aforesaid this L day of
A 2002.
I
SEAL)
fir,
y TAMERA T. PATrrUCCI ' NOTARY PUBLIC, STATE OF FLORIDA
7 ! MY COMMISSION * CC S.S6100
OF 111F EXPIRES: Sep 11, 2003
1-0Op3NOTARY Fla Notoy SwWC@ a 80Xg, Oo.
14
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s
CITY OF SANFORD PLUMBING PERMIT APPLICATION
Permit Number. Date:
The undersigned hereby applies for a permit to install the following plumbing:
Owner's Name: l G-L. zy c. : u Address
of Job: Plumbing
Contractor.0 2 y %/ 14.i j lc" > Residential:
Non -Residential: _ By
Signing this application I am stating that I am in compliance with City of Sanford Plumbing Code Applicant'
s Signature State
License Number
FILTERS FOR COFFEE, ICE & DISHWASHER
H36 W40
ICE MAKER W25 D28 H 4d
Y
DOOR
BATHROOM BATHROOM
WATER LINER & DRAINS
pis E{ , r r-- ND
1 FREEZERIII =-r 103 TABLE
WATER LINE FOR BREWED 3' 0" ALL SINK
LEE EILI a Lo
N
91 0" _ 5'61 -
K2' 4" >I W48 D34
7iC- i
Cep DELI O
D
WATER LINE &DRAIN FOR COFFEE
DRIP SIN W20 D25 H32 J C
o DELI
o COUNTER W48 D34
u• N - .O
4' 0"
4' 2" 2' 9" REFRIGERATOR UNDER THE COUNTER
13' 4"
6' 0" -
GAS LINE
0
0
T
VENT
ROSTER
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V
DEVELOPMENT FEE WORKSHEET
CITY OF SANFORD
UTILITY - ADMIN.
P. O. BOX 1788
SANFORD, FL 32772-1788
I
c
Project Name: 7.62SEY CoffCE ,s'lfoP
Owner/Contact Person:
Address: _ - — W /471 y ,BLv4
Type of Development:
A 1) RESIDENTIAL
Type of Units (single family
or multi -family):
Total Number of Units:
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
Water Meter Size (3/4",
211, etc.):
REMARKS:
2) NON-RESIDENTIAL
Type of,Units .(commercial,
industrial, etc.):
Total Number of Buildings_:
Number of Fixture Units
each building):
Type of Utility Connection
individual connections
or central water meter &
common sewer tap):
water Meter Size (3/4"
1", 211, etc.)
REMARKS.:
CONNECTION FEE CALCULATION:
G C>6
l
I
Date: s- 5/0Z
Phone:
C E^-7,?9C ,
Name,
p-
Signature i- Pate.
e REVISED
ra/9
r-kcu. u,rtaCL tcc"
Equivalent Residential Connection (ERC) - 300 Gallons Per Day (GPD)
Residential -
650/Unit - Single:'family structure.' or' multi -family unit
contaiiing three (3) bedrooms or more. • 5487.50/Unit - Multi4smily, ariit-or Mobile Home unit containinglessthanthree (3) bedrooms. (This category isbasedonjudgement/assumption, estimation that
ouch family units on average require 751 - 225 GPO
of the water and sewer service of an average
single family unit.)
Commercial
S650/ERU = Fixture unit schedule from Southern Plumbing Codewillbeused. One ERU will be charged for -
connection and up to twenty (2) fixture units.
For projects having more than twenty (20) fixture
units the Impact Fee will be determined byincrementsof251basedonmultiplesoffive (5)
fixture units above the twenty (20) fixture unitbaseforthefirstERU. (Example: twenty-five25) fixture units will.be rated as 1.25 eru;
twenty-six (26) fixture units will be rated as 1.5ERU.)
2) Sewer System Impact Fees
Equivalent Residential Connections - 270 Gallons Per Day (GPD)
Residential -
1700 Unit - Single family structure. or multi -family unit
containing three (3) bedrooms or more. 1275/Unit - Multi -family unit or Mobile Home unit containinglessthanthree (3) bedrooms. (This category isbasedonjudgement/assumption/estimation that such
family units on average require 751 of water and
sewer service of an average single family unit.)
Commercial - Industrial - Institutional
1700/ERU - Fixture unit schedule from Southern Plumbing Codewillbeused. One ERU will be charged for
connection and up to twenty (20) fixture units.
For projects having more than twenty (20) fixture
units the Impact Fee will be increments of 251
based on multiples of five (5) fixture units above
the twenty (20) fixture unit base for the firstERU. (Example: twenty-five (25) fixture units
will be rated as 1.25 ERU; twenty-six (26) fixture
units will be rated as 1.5 ERU.)
0. 7r
4/7oc; s{ 0.7S
TABLE 709.1
DRAINAGE FIXTURE UNITS FOR FIXTIIA94Z aun non, tn }
4
For traps larger than 3 inches, use Table 709.2. (O t ( '
b A showerhead over a bathtub or whirlpool bathtub attachments does not increase the drainage fixture unit value.
See Sections 709.2 through 709.4 for methods of computing unit value of fixtures not listed in Table 709.1 or for rating of devices with Intermittent flows. d Trap size shall be consistent with the fixture outlet size.
For the purpose of computing loads on building drains and sewer$, water closets or urinals shall not be rated at a lower drainage fixture unit unless the lower valuesareconfirmedbytesting.
TABLE 709.2
y$>. DRAINAGE FIXTURE UNITS FOR FIXTURE DRAINS OR TRAPS
s
FIXTURE GRAIN OR TRAP -SIZE
inches) DRAINAGE FIXTURE UNIT VALUE
11/d I
f 2 ) llh 001,vs 2
2 3
21/2 4
3 S _..._
4. 6 I Standard Plumbing CodeCI997 •rForSl: I inch = 25.4 Run