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Home My WebLink About813 E 7 StCITY OF S.ORD" FIRE DEPARTMENT APR — 9 2018 Building & Fire Prevention Division PERMIT APPLICATION Application No: \ � Z-3 Documented Construction Value: $ ; OS-0 Job Address: 4s 3 .r,PA S212 Arzi+ 3 2 21 Historic District: Yes❑NoFj Parcel ID: ?i E iq — 3 0 - S•A 6 - 0 Q n� - O 0 t 24 Residential[] Commercial Type of.Work: News Addition[] Alteration[] Repair Demo[] Change of Use[] Move Description of Work: E= D 111h 4& (r�<1 r. -(yU ki y ( eve rd-( 4r- Plan Review Contact Person: Evan S k'e't w', M-Uat-w- iA- G Lda4 T iitle: F5,-fi w,l:#lx j cwrai ah Phone: �302 fS4q, Fax: 40- Email: -tS-ht,nk.>(;�As—S►`4r--con, Property Owner Information Name 1�)aAjoliQ �?V.a f J-44 . �:., Rom + Cc, �i �•� Phone: Street: 3c o la . per, 4, im Resident of property? : N O City, State Zip: 1 c. ? ) Contractor Information Name _ j L-I `S S 14[ DL& Pji WMQjj + Phone: �4 3 UZ- 1 S4 Cf Street: 4Q[)Q iv4? `nyt Fax: 14M 3 b- 'q (a 1 City, State Zip: S al � rd . A • State License No.: _(,(A C M (j2'j6j2r hitect(Engineer Information Name: Phone: Street: Fam _ City, St, Zip: Bonding Address: E-mail: Mortgage Lender: Address: WARNING TO YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FQ11t IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PbSTED 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, f arnaces, boilers, heaters, tanks, and air conditioners, etc. FBC 1053 Shan be inscribed with the date of application and the code in effect as of that date: 6t0 Edition (2017) Florida Building Code Revised: January 1. 2019 Permit Application 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 inform 'on is accurate and t all w will be done in compliance with all applicable lawns regulating constcon and zoni t Signatum of iiatt r S tt on rlAgcnt t7atc 7 r aaMn aiLtLv Y �vt Print Omea/Agent's Name U tin Covdi�torlAacnt's Name i fNotary-State of Florida Date igtutzttr ,�t4A tJaa Smote bf Florida ANGEiA AflK1N5 F� t.ori YausFt Commission # GG 074874 at> camm3aswm rc zo,es� eawo F-Xr :7v12419 Expires Js:re 13. U21 8a+da0 thtu Tro n Ihsunurta BLa�•385 I019 14 to Me or Contractor/Agent is Personally Known to Me or Produced iD Type of 1D Produced ID Type of lD 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: # of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑ APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: FIRE: BUILDING: COMMENTS: Revised: June 30, 2DI S Permit Application t o APR 0 2 2018 j Building & Fire Prevention Division jk�.4FORDPERMIT APPLICATION FIRE DEPARTiMENT D t D Application No: / 72 Documented Construction Value: $ `O0 Job Address: / Historic District: Yes ❑ No ❑ Parcel ID: �Res�iden�1❑ Commercial❑Type of Work: New❑ Addition❑ Alteration Repair Demo of Use Move Description of Work: Plan Review Contact Person: Title: Phone:Fax:uIS�C133� Email: Property Owner Information Name Street: 81 City, State Zip: Name Street: -2 (` City,State Zip:�--- Name: Street: City,,,,St, Zip: Bonding Company: Address: Phone: Resident of property? : nation Phone: _2_72_3/ Fax: State License No.: C-7=*C- 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. 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: 6" Edition (2017) Florida Building Code Revised: January 1, 2018 Permit Application 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. A Signature of Owner/Agent Date 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 ignature of Contactor/Agent Print Q(mtr�ctor'/Agerft's Name Sign{ureEgs Florida Date ANNETTE M BLAND ary Public - State ofFlorida ommission # GG 1709CCComm. Expires Jar. 16.2022deCarc,.gr Na]cra .Nc:arrAssrContra —,-FersUnM n 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: Flood Zone: - Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application F 0C .a �� CITY OF SANFORD „ BUILDING & FIRE PREVENTION PERMIT APPLICATION F aLIs Application No: Documented Construction Value: $ Job Address: V (� �� Historic District: Yes ❑ No ❑ Parcel ID: -Residential ❑ Commercial ❑ Type of Work: New ❑ ,Addition ❑ Alteration ❑ Repair emo ❑ Change of Use ❑ Move ❑ Description of Work: Plan Review Contact Person: Phone: Fax: Name Title: Email: Property Owner Information �y 1-7 Phone: 2 S d (G Street: _� Resident of property? . 1r• a ; 9t5}tn d6: 4 nsS1Yi + 0�a a City, State Z1p,, n, r. r„z:1 -1 u Z7-7 �Co>n.tractor Information Name je( �i 1 �t U�( Phonr:�&) OC%t Street: �l� � iC 4c: Fax: .�i fit`/ mod 3 33 City, State Zip: State License No.: r-r,L Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: -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: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application V 1 J:;�• 2c� 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 44294r/Ag6t Hance with all applicable laws regulating construction and zoning. 6 �_1 % 7 �S nDate Signafur of Contractor/Ag nt Date ti 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 Name _ 0- 5_ 17 ANNETTE BLAND Notary Public • State of Florida Commission #r GG 060623 My Comm. Expires Jan 16, 2018 Contractor/Agent is Personally Known tlg or Produced ID Type of ID /J L� BELOW IS FOR OFFICE USE ONLY e>tmits Required: Building ❑ f onstruction Type: Total Sq Ft of Bldg: Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑ Occupancy Use: Flood Zone: - Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application t �- Awr Ire C� /� $%�� b z OCT 0 b 2017 ~L IJ / 7 s �7