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HomeMy WebLinkAbout107 Magnolia Ave; 98-256; COMM INT REMODELZONE DATE uCONTRACTORZkh ADDRESS F PHONE # LOCATION f OWNER f, ADDRESS PHONE # PLUMBING CONTRACTOR ADDRESS J PHONE # ELECTRICAL CONTRACTOR E ADDRESS PHONE # MECHANICAL CONTRACTOR j ADDRESS PHONE # E MISCELLANEOUS CONTRACTOR k ADDRESS SEPTIC TANK PERMIT NO. SOIL TEST REQUIREMENTS FINISHED FLOOR ELEVATION REQUIREMENTS (__) ARCHITECTURAL APPROVAL DATE: SUBDIVISION: PERMIT' # LOT NO. JOBUCCL- p SECTION: COST $ t y SQUARE FEET: FEE $ MODEL: STATE NO. l .J lU (1 OCCUPANCY CLASS: FEE $` FEE $ FEE $ INSPECTIONS TYPE % DATE OK REJECT BY FEE $ ENERGY SECT. CERTIFICATE OF OCCUPANCY ISSUED # FINAL DATE DATE: EPI: U CITY OF SANFORD, FLORIDA APPLICATION FOR BUILDING PERMIT b 0 U C b O a a 0 PERMIT ADDRESS S jqL46/rq Total Contract Price f Job . } o Describe Work Type of Construction Number of Stories 1CP- Occupancy: Residential LEGAL DESCRIPTION TAX I.D. NUMBER OWNER _ ADDRESS CITY PERMIT NUMBER Total Sq. Ft. 4=5LlJ U, Flood Prone (YES) ((NO Number of Dwelling Zoning Commercial Industrial lease attach printout from Seminole County) TITLE HOLDER (IF OTHER THAN OWNER) ADDRESS CITY STATE BONDING COMPANY ADDRESS CITY Ivor, STATE PHONE NUMBER a y 2 d fo? r ZIP ZIP ARCHITECT ADDRESS CITY STATE ZIP MORTGAGE LENDER ADDRESS CITY STATE ZIP CONTRACTOR i,S. C.O<-N /--- Q itJ IL gC' PHONE NUMBER407 g(ps 7-7/ ADDRESS _/ % i 7'7" (tL ST. LICENSE NUMBER CITY Lt)e t9.A STATE r ZIP 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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE IMPROVEMENTS TO YOUR PROPERTY. 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. ACCEPTANCE OF PERMIT IS VERIFICATION THAT I WILL NOTIFY THE THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713. NER OF THE PROPERTY OF 3 'V Z . 9 1<mo1 10nrt m In >L , o h , Signature of Own / gent & Date Cont ry5} ly,. r&Date f o a IXature. Type or Print Owner/Agent Name Type or Print Contractor's Name d x 0 O D h' Signature of Notary & 6atiN— Signature of Notary & Date Official Seal) Official Seal) C w 3 0 iz > o H H N .1 ro w r+ C O is O ro m a) 4J is 04 0 0 >1 Z a H 1,0 pug , PAMICHELEWCREECH 1 poti1Ug MICHELE W CREECH My Commission CC478506 Expires Jul. 06, 1999 r ° - My Commission CC478508 Expires Jul: 06, 1999 Bonded by HAI 4 P e 800- 422-1555 Nf4 ,e 8onded by HAI of F 5 at Mv N 0001422-1ws , Application Approv d y Date: ip L 7 7 FEES: Building S adon Police Fire Open Space Road Impact Ap licc tion PERMIT VALIDATION: CHECK CASH DATE O O BY ORIGDNAL.( BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) O Z ro n O a Crt co a i THIS APPLICATION USED FOR WORK VALUED $2500.00 OR MORE DATE: / o % CITY OF SANFORD FIRE DEPARTMENT FEES FOR SERVICES PHONE #: 407-302-1091 PERMIT #: BUSINESS NAME: e .. ADDRESS: .Z6% 7 S5 • /,-q /0;7 2 PHONE NUMBER: ( PLANS REVIEW FQ BURN PERMIT TENT PERMIT REINSPECTION TANK PERMIT FIRE SYSTEM AMOUNT $_ / F' SG COMMENTS: Fees must be paid to Sanford Building Department, 300 N. Park Avenue, Sanford, Florida. Phone # 330-5656. Proof of payment must be made to Sanford Fire Prevention before any further services can take place. I certify that the above information is true and correct and that I will comply with all applicable codes and ordinances i of the City of Sanford, Florida. Sanfovglre Prevention Applicants gnat e DEVELOPMENT FEE WORKSHEET CITY OF SANFORD UTILITY - ADMIN. P. 0. BOX 1788 SANFORD, FL 32772-1788 Project Name: / /'1'7 5 Ci i'S7e Owner/Contact Person: Address: / U ,7 's. /`//6wc,i v Type of Development: 1) RESIDENTIAL Type of Units (single family or multi -family): Total Number of Units: Type of Utility Connection individual connections or central water meter & common sewer tap): Water Meter Size (3/4", 1 2", etc.): REMARKS: 2) NON-RESIDENTIAL Type of Units (commercial, industrial, etc.): Total Number of Buildings.: Number of Fixture Units each building): Type of Utility Connection individual connections or central water meter & common sewer tap): Date: lc 22%7 Phone: f 2 f,C kr's7i G t Zkr's 71N G Water Meter Size (3/4" 111, 211, etc.) . REMARKS: /Vo 1 4,0,7W'44 Lv rQ>, ix7 2. Lvcq 7.J CONNECTION FEE CALCULATION: Vo /911Di 7%.vgc Cv97 a S6w! 2 irr /c!GJ Name - Signature - Date. REVISED `3/20/96 0