HomeMy WebLinkAbout2315 Park Ave; 11-1890; REPLACE SOFFIT & FASCIACITY OFSANEORD
BUILD.IN;G.= EIRE f S E1 T'ON
PERIAIT IAP-PLIOA tON
Application No. b Documented Construction. Value:
Job Address: ' ,VQ'n In — Historic. District: Yes 0 No
Parcel ID: COM" Zoning: 2)
Description of_WOrk: -"
Title:_ Plan Review Contact Person: ) 0 r
Phone: 1 -l' Fax: _
Property Owner Information
Name Phone:
Street: Resident of property?
City, State.Zip: ' x AX M11 T> -a( !
Contractor Information
Nkmt7 wnss Phone:
Street:_ "Kj W, r yf) l l Fax:
Q State License No.: City,'State Zip.
j
Architect/Engineer Information
fume: t Phone:
Street:
City, St,.Zip:
Fax:
E-mail:
Bouding_Company: / Mortgage Lender:
Address:
Building Permit IS
Square. Footage:
Address:
PERMIT INFORMATION
Construction Type: No. ofStories:
No. of Dwelling Units: Flood Zone:
Electrical 0
New Service — No. of AMPS:
Mechanical (Duct layout required for new systems)
Plumbing
New Construction - No. of Fixtures:
Fire Sprinkler/Alarm No. of heads:
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 iall work will be performed to
meet standards of all laws regulating construction in this jurisdiction. I understand .that °.separate permit
most be secured: for electrical work, plumbing, signs, wells, pools, furnaces, boilersi1eaters tanks, and
air conditioners, etc.
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.
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 COMMENCEMENTMUST BE RECORDEDAND 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. 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. voeptance 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. A copy of the executed contract is required in order to valculate
a plan review charge. If the executed contract is>noUsubmitted, we ;eserve 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. Signature o€
Owner/Agent Data J e of Contractor/Agent D 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 C J
Liz tom' APnint Contractor/
Agent's Name Sigaatrire of
Notary -State of Florida _ _ _ _ Date DEBBIE BLANTON
Notary Public •
State of Florida My Comm.
Expires Feb 25. 2015 Commission # EE
60182 O FF '•
Bonded Through National Notary Assn. 1-onuactor/
Agent is - - Personally Known to Me or Produced ID
Type of ID APPROVALS: ZONING:
UTILITIES: WASTE WATER: ENGINEERING: FIRE:
BUILDING: COMMENTS: Rev
11.
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