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HomeMy WebLinkAbout2920 Orlando Dr 12-204OCT 27 2011 i BY: I CITY OF.'SANFORD BUILDING. & FIRE PREVENTION PERMIT APPLICATION Application No: .� ' o� O D \ - °� Documented Construction Value: $ � `� lob Address. - 32'17`' —� 9� !? s'' 4)1rA: dz Pr � (fin �A�t 3 Historic District: Yes ❑ No ©' Parcel ID: Descriptioi Plan Revie• Phone: Fax: E -mail: Property Owner Information Name -ok_2yyj e t ,CLC )'treet: _6116- VPa -fS %hcr,yor Dri've. :ity, State Zip: Phone: *13-2-52-63011 Resident of property? : Contractor Information fame fi�ircznes Y.z��� Phone: N7-Z9(-9Z/3 yd�- l•�% - d�d�� treet: P Q. R, r iy Fax: ity, State Zip: g & P 4 �L 3 yn r� State License No.: rf Q o 0 o_I y � fame: reet: ty, St, Zip: nding Company: [dress: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: jo�ORMATION Tiding Pert:: sy.. -• •.�,ua�4frM tare Footage: Construction Type: of Dwelling Units: Flood Zone: - trical Ca' Service - No. of AMPS: 2 ,06 hanieal ❑ (Duct layout required for new systems) Plumbing ❑ No. of Stories: 7- New Construction - No. of Fixtures: Fire Sprinkler /Alarm 13 No. of heads: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE T* HE FIRST INSPECTION. 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 additi onal 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. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. x /o - 2 7- Signature of Owner /Agent Date Si at=e of Contractor/ Agent Date Print Owner /Agent's Name Print Contractor /Agent's Name /io Signature ofNotary -State of Florida Date Mature of Notary -State of Florida Date )weer /Agent is Personally Known to Me or toduced ID Type of ID ,PPROVALS: ZONING: ENGINEERING: OMMENTS: V 11.08 UTILITIES: it• `S�p,RY PVe� DEBBIE BLANTON _ °. : �= Notary Public -State of Florida _• + : • My Comm. Expires Feb 25, 2015 Commission # EE 60182 Bonded Through National Notary Assn. Produced ID Type of ID WASTE WATER: BUILDING: to Me or