HomeMy WebLinkAbout107 Sophia Marie DrCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $
Job Address: 10-7 �YiiZYllri �iiCatrlP 'i���,yP� Historic District: Yes ❑ No 2
Parcel ID: Residential 9 Commercial ❑
Type of Work: New ❑ Addition LY Alteration ❑ Repair ❑ .Demo ❑ Change of Use ❑ Move ❑
Description of Work: Cl arnQ P D or_�2 P R1(�tC� tYl P (i E
Plan Review Contact Person: C,a?J&SO 'Q to Mall Title: JNA rrutl gas tS+nLt/�
Phone: ��'7_� �.o3�T - ,)14%0 Fax: (3ZI) C.o3A 10l�,4 Email: recp 4-*1 n -4(?' JU
w Property Owner Information
Name Phone: ((A0! ?b o' e3z_(o7.
Street: 101 `)CW ►a fY) a r 1 P. _T')sr . Resident of property?
City, State Zip: C,--)ejnppFL. �%2y771
Contractor Information
Name ��p;��Fi j/�(�tief1U — Phone: ( 5Zt) UiU oe4sO
Street: ��(r:��,�z t"�,r1. -_- Fax: ! 2izL
City, State Zip: Lo nrl 9, FL ? 7 cn State License No.: WJA �__i
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
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 hereby made to obtain a permit to do the work and installations as indicated. l 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.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51h Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit Application
r
NOTICE: In addition to the requirements of this pentut, 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 pennits required from other governmental entities such as water
management districts, state agencies, or federal agencies.
Acceptance of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
The City of Sanford requires payment of a plan review fee at the time of pen -nit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated consinlciion value of the job at the time of submittal.
The actual construction value 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 ac
be done in compliance with all applicable laws regulating constructionXnd zi
Signature bf Owner/Agebt Date '
S rS
Pit Owm r/Agent's ;`lame
.;� _ _ t- n _- _ __ I A♦ I 7 AXQ
AMANDA JEANNE BARNGROVER
••�'S 4.
o Notary Public - State of Florida
*�
Commission # GG 108215
oe
`•'FoFFl
My Comm. Expires May 24, 2021
Bonded through National NotaryAssn.
Owner/ gent is Persona y Known to Me or
Produced iD - Type of ID FL Df 1VtfSLitenT_
of Contractor/
413110
of lorida Date
0" YOLANDA A BELL
State of Florida -Notary Publi
comni'll8gWOM # btl 149838
My O;prti�alnn expires
all work will
to Me or
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ . Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of Bldg:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
# of Heads
UTILITIES:
FIRE:
# of Stories:
Plumbing - # of Fixtures,
Fire Alarm Permit: Yes ❑ No ❑
'30 COP1e-5
WASTE WATER:
BUILDING: 5rF 4-7/ 19
Revised: June 30, 2015 Permit Application