HomeMy WebLinkAbout132 Mayfair Cr�W_
APR 9 2013
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: $ ; j —,-
Job Address: z- fv� P',"' :LtI k- C; J� Historic District: Yes ❑ No
Parcel ID: 2, - j'�, Residential El CommerciaIF]
Type of Work: NewEl AdditionEl AlterationEl RepairEl Dento Q Change of UseEl MoveEl
Description of Work:
Plan Review Contact Person: Title:
Phone: 6i Email: Fax:
Property Owner Information
Name iVj 2,
Phone: -+j"
Street: a cz> � P,:) pest Resident of property?
City, State Zip:
Contractor Information
Name Phone:
Street:4�tino tj'�(A� 4f o" 4't _10 Fax:
V City, State Zip; State License No.: C, "�S
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 RESULTIN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BF:
RECORDED AND POSTED ON THE 308 SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULTWITH 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. I certify that no work, or installation has
commenced prior to the issuance ofa permit and that all work will be performed to meet standards of all laws regulating construction
hLthis jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, beaters, tanks, and air conditioners, etc.
FBC 1". 3 Shall be inscribed with the date of application and the code in efftet its of that date- " Edition (2014) Florida Building, Code
Revised' June 10, 2015 I'viiia Application
N—
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, 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, ES 711
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 of submittal.
The actual construction value will be figured based on the current IC;C 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 zoninC.
g.` -�
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Signatureofo% erl get Date Siknaturrq ontracto0Agent t)ate-
rs.-�""
Print Owner/Agent's Name int CordriC'Cor/Agenl s Name
signs re of Notary -State of Flo Date signatuat
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4a ANGEIA ADKlN5 L
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O o n o Me or Contractor/Agent is L/ Personally Known to Me or
Produced ID Type of ID Produced ID . Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Ele;ctrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof []
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min, Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of I -leads Fire Alarm Permit: Yes ❑ No[]
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: _,.. FIRE: BUIL.DING:_
COMMENTS:
Revised- June 30, 2015
Permit Application