HomeMy WebLinkAbout217 Bellagio Cir 08-2133 SprinklersA ff— l0k-1(Z1\A 1r tt CITY OF SANFORD PERMIT APPLICATION
Application # ` - � (R . 7— 13:
Job Address:
Parcel ID:
Zoning:
Submittal Date:
RECEIVED
JUL 1 0 2008
Value of Work: S 2 , 2cx7
Historic District:
Description of Work: /DQ /26LQ(A-M 601) 50211J14L*Xz5 Square Footage:
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler /Alarm`] Pool ❑ Sign ❑
Electrical: New Service — # of AMPS Addition /Alteration ❑ Change of Service ❑ / Temporary Pole ❑
Mechanical: Residential ❑ Non- Residettial ❑ Replacement ❑ New ❑ (Duct Layout & Energy Cale. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑
Construction Type: It of Stories: # of Dwelling Units
Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Use Group(s):
Flood Zone: (FEMA form required)
......................................................................................... ...............................
Property Owner: Contractor: N3501. =— oFQ24,AnWt7
Address: Address: J. d, e2oX 540451
C;yLL,&t >,0 Fl— ?7_S5,+
Phone: _1141 45d3State License Number: 1450000 1Zoq�
Phone: E -mail: 7iZ
Bonding Company:
Address:
Architect/Engineer:
Mortgage Lender:
Address:
Phone:
Address: Fax: _
Plan Review Contact Person: I AAall- nNA ►461, Phone: 4�b'Faz: 87'Z 3�j 1 E -mail:
Application is hereby made to obtain a permit to do the work and installations as indicated. 1 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 10B SITE BEFORE THE
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 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 prop y of the re i ments of Florida Lien Law, FS 713.
7- 10.0?
Signature of Owner /Agent Date Signature of Contractor /Agent Date
IV4A2rL SnM�"L-
Print Owner /Agent's Name Print Contractor /Agent's Name
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Signature of Notary-State State of Florida Date Signature of Notary-State State of Florida ,�`' c r�'� lAte'
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Commission #DD417034
APR 11 , 2009
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Owner /Agent is _ Personally Known to Me or
Produced ID
k,PPROVALS: ZONING: UTIL:
ipecial Conditions:
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Contractor /Agent is
Produced ID
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e Personally Known to Me or
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CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407 - 302 -1091 * FAX #: 407 - 330 -5677
DATE: i /�>'(0
BUSINESS NAME / PROJECT:
ADDRESS:d(—)
PHONE NO.:c �— qlp-J z/SC�� FAX NO.:
PERMIT #:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ]
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH
TENT PERMIT f, ] TANK PERMIT [ ] OTHER [ ]
TOTAL FEES: $ 2S • Oo
COMMENTS:
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PLANS REVIEW
[ ] BURN PERMIT ]
(PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, Fl. 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.
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Sanford F' Preve on Division Applicant's Signature