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HomeMy WebLinkAbout1751 WP Ball Blvd 05-253 (fr sp)12-17-203 11.36AR1 FROM Job Addmu: Description of. Work: /Niip L L Ct fY cF SANFORD FERMT APPUCArON Date. Historic DiTteict: Zoning: Value of Wor1r. S x 30. SD©e "%d 0 Permit Type Building Elecainl Mechanical Plumbing Fire Spritakl Alarm Pool -..-, M-1tical: New Ser/ix - # ofAMPS Adt d*a/Aibaadon Chop of Serriue Temporary Pole — Meebanical: Residential Non-Rssidttxttial Replacemert New (Derr layout & Enagy Ca'r- Required) Plumbing/ Now Coturrimlal: d of f:fx s N ofWater & Sewer Liam d of Gas Litres P. 1 PlumbiaVNew Residential: A of Water Closets Plumbing Repair - Residemial or Comm.-mal Occupancy Type: Residential Coral lercial Industrial Total Square Footage: A?jt,000 Construction 'type: ;1 of stories: _ # ofDwelling Units: Flood Zoue (FENIA form requtred fo uttser than IX) Parcci 0: (Attar Proof of Ownership tit Leal Deserpt:ion, Owners Name & Address L- i N e N S Al Ptwrro: Morttat: Leader: Addrtss: AmbitotryEng inter: Addtcss• r r Applicanon is hereby made to obtain a peanit toder the work and iviallatioes u issuance of a permit and &At aU work will be performed tpmen sntidatdiof all permit must be aeeuatd for UICTRICAL WOM PLUMBING. SIGNS. WEL AIR CONDITIONERS, etc. Phone: F tsltatson has oonsaenced prio::o the c) iaioa' I understand that a sepzntr EATERS. TANKS. and 106 QWNER'S AFr-IDAVIT: I caaiy treat IN othdw foregoing information is accurate and that dll work will be stone in Compliance with all applicable laws toplaonS constructron and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYTNG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING. CONSULT W T(i YOUR LENDER OR AN ATTOWNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addition za the tequircments ofthis peenur there ray be additional restrictions applicable to the property that may be found in ate public records of this county, and then may be addirional perotiu required from other goverrmeaad curries such a weer tna+agement dianricts. stag aetncia. or federal agcnaes. Aocep® nce of permit is veri:iration that ( will notify Crw owner of dw gropety of the rruirrncnta ida Lien TklZnLa2 Signature of Owner/Agent Daw Signature m traetor/Agtot Date Pint Oweer/Agent's Name Print Conttoc--ae/Aguas' Name 0 - 1n\- -t\oy vagnature of Notary-5ute of Flonda Dane Sigtimve of 4tary-SkLah of Florida Date OwnedAS nt is _ Ptnonaily Known a Me or ConuracWJAsem is a Pernonttly Known n Me or Produced iD Produoed ID APPWCATION APPROVED DY: 8 ' i I "`' r V y lan:ng: Utilities; FD: tnkhal At Date) (Initial & Dam) (burial A: Data) (Initial Jc D Spatial Cendiaons: O e M+tr• MARYLANDERte NotwyPublic - S10of Ro ndoMyCorrvttdan5# mJon Z2M5 13 a Comrrt lion # CC98M68 CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE # 407-302-1091 * FAX #: 407-330-5677 DATE: 10-a:)-owl BUSINESS NAME / PROJECT: PERMIT #:CxS r ADDRESS: I ~%S W• . N I I f, I a . PHONE NO(: 4 FAX NOS: i4n:Z ) (179 —17 CONST. INSP. [ ] / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW [+ F. A. [ ] F.S. HOOD [ ] PAINT BOOTH [ ] BURN PER IT [ ] TENT PERMIT f ] t TANK PERMIT [ J OTHER t ] J 2 !I - Alal TOTAL FEES: S (PER UNIT SEE BELOW) COMMENTS: Address / Bldg. # / Unit # Sguare Footage Fees per Bldg. / Unit 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. H. 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. i Sanford Fire Prev tion Division Applicant's Signature