HomeMy WebLinkAbout3101 Orlando Dr 12-1846AppH -
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Parcel ID:i^-Zo -OQ'iO-QcoP Zoning:
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CITY OF SANFORD
BUILDING &FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value:$2^6>.Cc^
Description of Work:/n >-fa 1|3yS7ig'?v\
Plan Review Contact Person:Ro^er j -7^Title:—
Phone:£Fax:^5b-E-mail:(3 nef—
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Contractor Information
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Bonding Company:
Address:
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State License No.:G^LlcRI
Architect/Engineer Information
Phone:
Fax:
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E-mail:UfactU ^~us.
Mortgage Lender:
Address:
Building Permit •
Square Footage:
No.of Dwelling Units:
Electrical •
New Service-No.ofAMPS:
PERMIT INFORMATION st«.
ConstructionType:No.ofStories:
Flood Zone:
Plumbing •
New Construction -No.of Fixtures:
Mechanical •(Ductlayout required fornew systems)Fire Sprinkler/Alarm DNo.ofheads:
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311 S3
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 ofa permit and that all work will be performed to
meet standards of all laws regulating construction in this jurisdiction.I understand thata 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 isaccurateandthatallwork will
be done in compliance with all applicable laws regulating construction and zoning.
WARNINGTO OWNER:YOURFAILURETORECORDA NOTICE OF COMMENCEMENT MAY
RESULTINYOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY.ANOTICE
OF COMMENCEMENT MUSTBERECORDEDANDPOSTEDONTHEJOBSITE BEFORE THE
FIRSTINSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITHYOUR
LENDER ORAN 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 ofpermit is verification that I will notify the owner of the property ofthe requirements of Florida
Lien Law,PS713.
The City of Sanford requires payment ofa plan review fee.Acopy ofthe executed contract is required in order
to calculate a plan review charge.Ifthe 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 issubmitted,credit will be applied to your permit fees when the
permit is released.
SignatureofOwner.'Agcnt
PrintOwnefi^gcnl's Name
-.As
;tu 01 iNolarv-
Notary Putjiic -State o(florida
My Comm Expires Nov27,2015
Commission #EE 138237
Bonded Through National Noiary Assn.
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Date
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ireofContnictor/Agent Dale^
PrintContractor/Agent
DEBBIE BLANTON
Commission „
Bonded Through National
Contractor/Agent isPersonally
Produced ID
Owner/Agentis tV PersonallyKnowntoMeor
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