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HomeMy WebLinkAbout470 TOWNE CENTER CIR 18-4104OCT 0 z 7016 CIT1°Y OF —\� .: SXFO PERMIT APPLICATION BUILDING DIVISION pp D`4 I� _ A IicationNo: D Documented Construction Value: $ 600 Job Address: 470 Towne Center Blvd, Sanford FL Historic District: Yes D No0 Parcel ID: 29-19-30-51-W-0701-0000 Residential ❑ Commercial X❑ Type of Work: New © Addition ❑ Alteration ❑ Repair ❑ Demo Change of Use ❑ Move ❑ Description of Work: New 60 AMP $erivice for Cingular Equipment SIml-g A/ f Ja70hvojy Plan Review Contact Person. Kathryn Faint Phone: 404-508-5787 Fac Name SEMINOLE TOWNE CENTER LP Street: City, State Zip: Project Coordinator Email:— Kathryn.faint@anscolle.com Property Owner Information Phone: Resident of property? : Contractor Information Name Dynamic Lighting _ Phone: 321.255.0888 Street: 2683 Aurora Rd Suite A Fax: 321.259.0958 City, State Zip: Melbourne, FL 32935 State License No.: EC13001406 Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax E-mail: _ Mortgage Lender. Address: 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 Application is herehymade 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, etcP)0145 (D 1 PBC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 6'a Edition (2017) Florida Building Code NOTICE: In addition to the requirements of this permit, there may he additional restrictions applicable to this property thatmaybe 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 property of the requirements of Florida Lien Law, PS 713. The City of Sanford requires payment of a plan review fee at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time ofsubmittal. The actual constructionvalue will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is _ Personally Known to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: .__ Min. Occupancy Load: Flood Zone: # of Stories New Construction: EIectric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: .COMMENTS: FIRE..: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING:/e_ z — (F Signature ofC� or/Agent Da[e7r/� Print Contractor/Agent's Name p o R � � r gg < %. a7•18 33 3 v c y Sig�me ofNatary-State ofFlorlda pate g x r a 3 Contractor/Agent is V Personally Known to ovi? v Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: .__ Min. Occupancy Load: Flood Zone: # of Stories New Construction: EIectric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes ❑No ❑ # of Heads APPROVALS: ZONING: UTILITIES: ENGINEERING: .COMMENTS: FIRE..: Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING:/e_ z — (F