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HomeMy WebLinkAbout1200 French Ave 18-4694; INTERIOR ALTERATIONFF, CITY OF Sk 4FORD PERMIT APPLICATION BUILDING DIVISION Application No: EC Documented Construction Value: $ r UZ7 Job Address: C 2- u Vlaat' L(n pcu 2 Historic District: Yes NZI It Parcel ID: Residential Commercialq Type of Work: New Addition 0 Alteration 0 Repair Demo Change of Use Move Description of Work: Q..-e &\ CX) e. II 6 ( rian rlCV1CW \.Vnl'ML rCrJVlI: 4:- 1111G: 6 Phone: Fax: Property Owner Information Name w i Div- l ` Phone: Street: ( j Irk } r l-5 Pry ' Resident of property? : !) 130(A/ City, State Zip: 1/1 5591f- 4Z,/,7 Contractor Information Name aiz D > ' S7G Phone: 40 7 - 94'7 -%3'3 Street: ,& 5' 6' /G1S'" Jam% Fax: /,- 7 nl-,g60 7© City, State Zip: Zax cr o a' //-L XZ 7/ c State License No. a.S" ':. Architect/ Engineer Information Name: : ` j -, + n C Street: (,') no rob "e)A- city, St, Zip: c-5tqj'1 "j'11 I I Bonding Company: A14 Address: Phone(--)- 7 32\-i 3 00 Fax: E- mail: _C IU G r P,i1 e.YI , co 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. I FBC 105.E Shall be inscribed with the date of application and the code in effect as of that date: 6" Edition (2017) Florida Building Code 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 arges 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 vnr Print Owner/A4enj's Name of Owner/Akt 1'Z Date JEROME M CLAXTON MY COMMISSION # GG089902 EXVRES April 03. 2021 Signatu a of Con t ract or/Ag ent Date Contractor/Agent's Name Signature of y- DEBBIEBLANTON MY COMMISSION # FF 178648 EXPIRES: February 25, 2019 pb•° Bonded Thru Notary Public underwriters or Contract erso y nown to Me or Produced ID Type of ID .,- G. 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: 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: COMMENTS: BUILDING: ) - 7 - / 9 Q; oed 1 • N 1 PERMIT APPLICATION Application No: Documented Construction Value: $ Job Address: vi__4z_Vydn &ueHistoric District: Yes NZI Parcel ID: Residential Commercials Type of Work: New Addition Alteration © Repair Demo Change of Use Move Description of Work: Q- dAQ C_ i1J &' ( Plan Review Contact Person: V Title: nv g rr,j i Phone: Fax: Email: Property Owner Information Name 1 Eo I ' `j Phone: I1/ 0 -? — 7 j C. '- Ll f Street: 1 3 t71 l-) Resident of property? City, State Zip: D 14--C r -t)f -l' (C L 3z 7 Z"? IA_51 vz ``Contractor Information Name L aiL D //a uS G Phone: 49 7-?4'7 -'?.5'3 Street: f9'o /Gl Fax: Q 7 VV —,60 7© City, State Zip: Z , e._r o L 7/ c State License Architect/Engineer Information Name: _ `1 e J 1 " i l G Phone-% 3- j 7 _0 Street: ` l h u reh -1 Fax: City, St, Zip: 6W C' 7_ E-mail: ,ry G1c F, 2 co Bonding Company: 4/ Address: 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`s Edition (2017) Florida Building Code NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 Print Owner/Agent's Name w Signature of r JEROME M CLAX S"N MY COMMISSION 0 GG089902 EX ES April 03, 2021 Own er/A e or Produced ID Type of ID Signatu a of Contractor/Agent Date Print Contractor/Agent's Name I9, / Signature of DEBBIE BLANTON R MY COMMISSION # FF 178648 a EXPIRES: February 25 2019 QFaP. Bonded Thu Notary . ters Contract erson y own 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: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: Fire Alarm Permit: Yes No WASTE WATER: FIRE iz p BUILDING: f CITY OF SANFORD BUILDING AND FIRE PREVENTION DIVISION FIRE PLAN REVIEW SERVICE -FEES. PHONE: 407.688.5052 FAX: 407.688.5051 DATE: / L L7 /it PERMIT NUMBER:'6Ge ` oo y 9y BUSINESS/PROJECT NAME: ADDRESS: I Z S•, f7C1tc, CONTACT NAME: _ PHONE: PLAN REVIEW INFORMATION CONSTRUCTION [ ]C/O [ FIRE ALARM . [ FIRE SPRINKLER [J HOOD [ JPAINT BOOTH [)TANK DOES 20% REDUCTION IN FIRE IMPACT FEES APPLY: YES NO TOTAL FEES: %