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HomeMy WebLinkAbout1751 WP Ball Blvd 05-1708 (fr sp relocate)r. •Y;r': i».:W ;v': •; :+^9 l'a'Fi, tits•' ':a. r :7• "1;i•ti,N+F(. 2:'r:',T,: e..,.. LR.•' .!•`,:; '•• j1'?,'..NNfit: i'f t•_.'k, ' - . t}'r+.•'• f. ,. -: ,• :.:_r`::•• '. i'q• y ;y'f ,f•.nr,. rile a•:.- , : •r r. rt, 1•C,: .l.,<1 ;rE• yJ! r' ;, yo' 1•.rJ:( ,. t' 1 h•i. iu. •.j, r1 a,. Cam., r^• .• L.. {}Nf ( •i:w, {' r+. : 3 , t } ry>}h:..::'•' 4...:. .. S,r,1• e `y( ylzr t 'fit Fr .' CITY OFSANFOI PERMIT APPLICATION " ' ` F''i•"•" :t j• / I 2 I ILP 05 ` Permit # : F !O Date Job Address: ri5 %( fit_ r` 13L'di. .L,.1f;nXR >> ;C_ Description of Work: jbt a 96—r LIt C, rrf== 4—_IitF— S'XI.JIGLi=_RS . Historic District: Zoning: Value of Work: S Z'y0• eo Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm PoQI Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporl ry Pole Mechanical: Residential Non -Residential Replacement New (Duct Layout &,Energy Calif. Required) Plumbing/ New Commercial: # of Fixtures of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial Occupancy Type: Residential Commercial Industrial Total Square Footage: Construction Tyne: # of Stories: of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 32- — t 9 — 3 C1 ryo ' t', CCX>— CX>Zt> (Attach Proof of Ownership & Legal Description) Owners Name & Address: FJ A 1 rj ttit 11 ICt_E h1tC T A pCE L.t_C- $1 Loth C.ORR'Cfi lFhf"4- 'PV- G I W G f -! 1-4.4b- T 1 o t .-'ZQ.Z Phone: _ Contractor Name &'•Address: Z.$o L-ogyesyNeae 'AZ. LK, t -Abg r 3274 C_ State License Number:Cf39S700c10,1 ZC7mZ—___ Phone B Phone. 40?- 3e7--Cl 4 7- Bonding Company: address: lortgage Lender: address: FER 1 t2005 __... _._. Architect, Engineer: Phone: Address: _ A t La 1--m Fax: Application is hereby made to obtain a permit to w k d i a on as tndtcated. I certify that no work or installation has commencedp:iot :a Nrc issuance of a permit and that all work will be d W al aws 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 theforegoing infornation is accurate and that all work will be done in compliance with all applicable Ip%,A tc-;riating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT rN YOUR PA°! ING 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 rranagetment districts, state agencies, ar federal agencies. Acceptance of permit is verification that 1 hill notify the owner of the property of the requirements of Florida ten Law, FS 713. Signature of Owner/Agent Date Signature of Coaa^c:or/Agent Date Print Oµ•ner/Agent's Name Print Contractor gent's , am i 111 D139322 Signature of Notary -State of Flonda Date ignature of Nkrz. -State of Florida _11a iresAugust05, 2008 C) llncr/Agent is _ Personally Known to Me or Contractor/Az;r: IS Pellonalh' Known to Me or Produced IU ProdueeC AI' I'I_IC'A I ION APPROVED OY: Old 12- Zoning 1 :: FD. / ,, Initial & Date) (Imual fi Date)(Inuwl S Uate) Mrsnwv 1 © A CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES P ONE # 407-302-1091 * FAX #: 407-330-5677 DATE: PERMIT BUSINESS NAME / PROJECT: ADDRESS: PHONE NO CONST. INSP. [ ] C / O INSP.:[ ) REINSPECTION [ ] F. A. [ ] F.S. HOOD [ ] PAINT BOOTH TENT PERMIT I ] ANK PERMIT [ ] OTHER [ ] _ PLANS REVIEW [ ) BURN PERMIT [ ) TOTAL FEES: $ _ (PER UNIT SEE BELOW) COMMENTS: Address / B1dQ. # / Unit # Sguare Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 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 comply with all applicable codes and ordinances of the City of Sanford, Florida. Sanford Fire revention Division Applicant's Signature