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HomeMy WebLinkAbout208 Yale Dr06-- �. r;CITY OF o S�.�711�%RDAPR DEPARTMENTFIRE Job Address: M Building & Fire Prevention Division PERMI Application No: Documented Construction Parcel ID: t-3 ] i J 2 30 — �. 000 Qs 00 Type of Work: New❑ Addition❑ Alteration❑ Repair`p T APPLICATION g—i?7c.o Value: 00 Historic District: Yes❑No Residentialo Commercial N�� io ❑ Change of Use❑ Move ❑ Description of Work: 0114A I46/ � r ►''� GG� ��c� I {M In , M F_ % C—L� Plan Review Contact Person: Phone: Fax: Email: Title: _ Property Owner Information Name �jn� ]Q K i� 5 �21r�' _� W/�Ir,+)VkPhone: n%— 3'71" Street: 14L L Resident of property? City, State Zips Contractor Information Name bkCX1'5 ('JL� 7,1 �, ��L ' Phone: �'0� ��l d r 9 3 �J Street: I—• 0, (3© �z Fax: City, State Zip: 05'6LPJ . 15'14, 7L(� State License No.: 6 C SO O 309 � Architect/Engineer Information Name: Phone: Street: City, St, Zip: Bonding Company: Wk Address: 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. 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, etc. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 0 Edition (2017) Florida Building Code Revised: January 1,2018 Permit Application y` /,.,% 06 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, FS 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 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 accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date Signa ure of Contractor gent Dat Print Owner/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application mwutrsvm FL. 327711 p� . -Rt C kjQY t gC � V l `c(� / An ,ga,C -3'a C 0 �� -? -7 �n41 fto Sues M M. GATE , /3 KS HAM CRY CRY SiAif SiAT6 We booby booby moms aad for: � j��Af Qcf--, C V 14- N F Go UL i %q Ill i` 0 rC(� L L b 110i (DPJ S l J L L cJ i� �' V S i� � P y � il/�=chi � L ivs,or- T1- - -61e 14L_ Qq6qA�2-, we benbf prmpcse to bif labor aad - 110 -f S /'}R2 r j0 In app, rArrr war ft above specRadom Tor Hre mm el: wi& papman! to be =a& w f*Uw&, : AM aailarial is oaaanleea to be as vacifi.d. An weak b be cwo%ftd is a a mt=wM* r aooe4ft to standard Praeeioes. Aar atmeaou o. devietwo fCam abeve v Nil areinvWv wgft soft wM Its SmOVOW oahr tow w bft ardw4 and wM baooais as wMa dime over ead above Me ad meta Au apraameets ooalLg- epos *am aoddsals or delays ballad are oeahoL Tkis vroposd www to aomla m wft dws.md it vo jid immiIm at bM apdw of ft —,' /J A — ACCEPTANCE OF PROPOSAL. The above Prioeas. vacMeeftm and cmdit a are booby accepted. You are to do the work as yaw wil be roads as oulbW above ACCEPTED. t