HomeMy WebLinkAbout2900 Orlando Dr 09-471CITY OF SANFORD PERMIT APPLICATION
Application #: O�, 4-1 \ i
Job Address: �� L% S- O C- I('.wJ O AX2°
Parcel ID:
Zoning:
Submittal Date:
Value of Work: $
NOV 2 1 2008
340, 06
Historic District:
iption of Work:, 'i �'i fZ L��} �cc!✓YL %�yt i� r Square Footage:
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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 - 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 ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercials Industrial ❑
Construction Type: # of Stories: # of Dwelling Units
Occupancy Use Group(s):
Flood Zone: (FEMA form required)
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Property Owner: ?r-vr1 b G r t Contractor: JiSYy\
Address: c7-1(1 ® (Z_ 0 D IL Address: W OQ 3 3'--- S V i✓� i
SkN-ea a , FL b (L) w, ,6 c.) F=L— 3 2X 3 9
Phone: E -mail: Phone?0 --3 1,P79/ State License Number:
Bonding Company:
Address:
Architect/Engineer:
Mortgage Lender:
Address:
Phone:
Address: ..� Fax:
Plan Review Contact Person: 1 1 01^ �e- 1Ai'c.�C_. Phone: Lid] 6S74:6 ax4C�?,yS WKY E-2a1V_1r 1�' STA'H)j W0J2W_S, CO&
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 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, sta agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of t property the require ents of oeid ien Law, FS 713. (6D
Signature of Owner /Agent Date Signature of Contrac
1'71
Print Owner /Agent's Name
Signature of Notary-State of Florida
Owner /Agent is _
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 07.07
Personally Known to Me or
UTIL:
Date o - a o and l7
a LOA .sM 0
NOWY Pak - stale a 1°loriq
�. .- w canto. E*W Oct 10, 2010
CamnAe m 0 DO 003507
sp�de0 Thfo* Notional Notary A
e y
Produced ID
FD: ENG:
Date
BLDG:
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407- 302 -2516 - FAX # 407- 302 -2526
DATE: JAI3 16 IR
BUSINESS NAME / PROJECT: � `�; „2t LL
ADDRESS: oZ i 0 Q S - CV-1A MIAQ b C.-
PHONE NO.: 46l- S3;-% -G3 9S- FAX NO.:
PERMIT #:
CONST. INSP. [ ] C /,O INSP.:[ j REINSPECTION [ ] , PLANS REVIEW/
F. A. [ ] F. S. [ ] HOOD [ ] PAINT BOOTH (] BURN PERM [ ]
TENT PERMIT I. ] TANK PERMIT [ J OTHER [ ]
TOTAL FEES: $ -7 - &D (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage Fees per Blde. / Unit
2.
3.
4.
5.
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9.
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12. _
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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.
Sanford a P re' ve tion Division Applicant's Signature
POWER OF ATTORNEY
ORNEY
Date_
I hereby name and appoint P%l Ir G IC-
Of
In fact to act for me and apply to the
Building Department fora ci S CL,I,
For work to be performed at a location described as:
to be my lawful attorney
Section Township Range Lot Block
Subdivision
permit
(Owner of Property and Address)
and to sign my name and Io all things necessary to this appointment_
1(
Type or Print Na of egister or Certified Contractor and Contractor's License Number
NA
bPirft re of Register or Certified Ezntractor
The =—tCk rument was acknowledged before me this day of of-20 G
BY AE71
Who is personally known-lo me/whd produced ��� �/ ►'1 c3 l CI'1 G til% ,
As identification and who did not take oath-
State of Florida
Count -yef . u ,
Nota ublic, Oran e E unty,
N ,,, Tranny D. Jackson
_ Comrnission # DD374599
,,� ' Expires January 26, 2009
Ir(, Bonded Troy Fain - Imunnce,ft —. 0„'&x`7019
Seal