HomeMy WebLinkAbout2315 Park Ave; 11-1889; REPLACE SOFFIT AND FASCIA1-*JL:dcFIV
JUL 12 2011
r. 13Y
C1Tll OF'SAI Oi D
BUIL.DINI ::& pItE PkE,VE-TION
PERII I /APPLICA[ON
ApplicationNo: 09 Documented Construction Value: S
Job Address: Z S6 X'Y) a Historic.District: Yes No IN
Parcel ID:- `q - "' ' Z 1%1 Zoning:
Description. of Work:.
Plan Review Contact Person: I-nan, t11CLC Title:. Ac\mn Ac--
Phone: Fax:
Property Owner information
Name Phone:
Street: Resident of property? ;
City, State.Zip:
Contractor Information
Name l..J. skruc Qf _i) LL -C Phone: (An- AM - CEE
Street.4-= . r"CJL VQ Fax•1`" 15
Q.C J 1City, Mate : Zip: _ -- _ State License No.: _-- ---,
A rchitectJEngi.neer: information
i4fem1e:.L A Phone:
Street:
City, St, Zip:
Bondift-. Company: A
Address:
Building: Permit IS
Square. Footage:
Fax:
E-mail:
Mortgage Lender:
Address:
PERMIT INFORMATION
Construction Type: No. of -Stories:
No. of Dwelling Units: Flood Zone:
Electrical. Plumbing
New Service - No. of AMPS: New. Construction - No. of.Fixtnre.c.
Mechanical (Duct layout required for new systems) Fire Sprinkler/Alarm No. of heads;
I.
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 thatsll work will be performed to meet
standards of all laws regulating construction in this jurisdiction. I understand.that-a:-separate permit most
be secured-, for electrical: -work, plumbing, signs, wells, pools, furnaces, boilcrs, beaters, tanks, and air
conditioners, etc. OWNER'
S AFFIDAVIT: I certify that: all of the foregoing information is.,accurate and -that all work win be
done in compliancewith an applicable laws regulating construction and zoning. WARNING TO
OWNER:. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE. FOR IMPROVEMENTS TO YOU- WPROPERTY. A'NOTICE OF COMMENCEMENT
MUST BE RECORDED AND POSTED ON THE JOBSITE -BEFORE THE FIRST INSPECTION.
IF YOU INTEND TO OBTAIN FINANCING, CONSULYJ WITH YOUR LENDER OR
AN ATTORNEY BEFORE RECORDING YOUR NOTICE" OF COMMENCEMENT. 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=,
governmentabentities such as water management districts, state agencies, or federal agencies. Aeoeeptance of
permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law,
FS 713. The City
ofSanford requires payment of a plan review fee. A copy of the executed contract is required in order to:,calculate-
a plan review charge. If the executed contractis not:submitted, we reserve the right .to. calculate: the plan review fee
based on. past. permit activity levels. Should calculated charges exceed the .documented _. construction value when
the executed contract is submitted, -credit will be applied to your permit fees when the permit is released..
Cf Signature of
Owner/Agent Date r e of Cone w,1Wr/Agent DatePunt Owner/Agent'
s Name Signature of Notary -
State of Florida Date Owner/Agent is
Personally Known to Me or Produced ID Type
of ID S D CA'?,
A)) C&? Itiint Contractor/Agent'
s Name gnaty",ox}Yotary-
State a 4LANTON D O1 PRY Pfis", '
Notary Public State of Florida e My Comm.
Expires Feb 25, 2015 Commission # EE 60182
Contractor/Agent is
Personally.Known to.Me or Produced ID Type
of ID APPROVALS: ZONING: UTILITIES:
WASTE WATER: ENGINEERING: FIRE: COMMENTS:
BUILDING: Rev
11.
08