HomeMy WebLinkAbout4649 W 1 St 17-98; FAN REPLACEMENTr=
ECEIVE"' CITY OF SANFORDVBUILDING & FIRE PREVENTIONJAN05207PERMITAPPLICATION
Application No:
Documented Construction Value:
Job Address: 1-IF ,1- 21 rtel Historic District: Yes 0 NoEl Parecl
tD:. ,2q - I q C) _o 5 C)C)(X) - 0c) I Residential[] Commercial Rr Type
of Work: NcwE1 AdditioRE] AlterationEl RepairEl Demo El Change of UseEl Move El Description of Work: of
LmOnco- I hood
Plan Review
Contact
Person:
nMb--F Phone. Fax: -Email: Cjm,-
k-rqreen Property Owner Information Name
Col t t(_
Fohd R LA-C Phone: CInb f5C)C'sCA
hCX_F:A1_ J__ n_.Q Street: _:)0 I[ a,_(- Resident
of property? City, State Zip: j:)QT2hVi
J0 Contractor Information C, -1)( Name
TWC )e-
f-yr (- _t moblat Phone: 0 (2 Tj - IX6 Street: mnr'itiTt Dr Fax: H _
32 - 122- City, State zip: State License No,.-cn
Architect/Engineer Information Nance: Phone: Street: Fax:
City, St, Zip:
E-mail:
Bonding Company:
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 mus'r [IF 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
pennit 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 i-egulati ng constmetion 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. FIIC 1053 Shall be inscribed with the (
late of application and the code io effect as of that date: 511, Edition (2014) Florida Building Code Revised: Rine 30, 2015 Petinit Application
A6
a
NO "FKJ,: In addition to the requirements of this permit, there may be additional restrictions applicable to this pvoperty that may be
found in the public record-, 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 o('a plan review fee at the lime of permit submittal. A copy of the executed contract is require(]
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 COUISIRICUOII 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 (lone in compliance with all applicable laws regulating construction and zoning.
STATF
OF
T E N!,", S S E E
Tli et
a
of Wkm4k+- Date
k4 n e, t-5
Personally Known to Me
Type ofIli __ isignature
ofcolaract r/ftent D tc 3-
of) C, C-1 D
mob)(ti Print
Comractoi4APem's Name I Pa
Date AMbi'
R GREEN Notary
Purl(c - State of Florida Commission #
FF 997762 My
Comm. Expires Jun 1, 2020 Produced
ID Type of ID BELOW
IS FOR OFFICE USE ONLY Known
to Me or Permits
Required: Building[] Electrical o Mechanical[] Plumbing[] Gasr-1 RoofEJ Construction
Type: — Occupancy Use: Flood Zone: - Total
Sq Ft of Bldg: Min. Occupancy Load: New
Construction: Electric - # of Amps, Fire
Sprinkler Permit: Yes F]No F 9 of Heads APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
Reviwd:
June 30, 2015 UTILITIES:
FIRE:
4
of Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes[] NoF] WASTE
WATER: BUILDING:
Permit
Application