HomeMy WebLinkAbout1010 Willow Ave; 17-2169; DEMO OF HOME1
CITY OF SANFORD
i "
j" BUILDING & FIRE PREVENTION
i JUL t 209 PERMIT APPLICATION
Application No•
Documented Construction Value: $
Job Address: \O\O W j \\01,J k2, ; . 17 I Historic District: Yes No []
Parcel ID: 2lS' \q ! .30 ' 5 Sb _ GCA Residential Q Commercial
Type of Work: New Addition Alteration Repair Demo c Change of Use Move
Description of Work: D2{` 6\ 4 f) 0- HOUSD
Plan Review Contact Person: " l E_!1 (L-\- Title: IE-16 \60 (2 .
Phone: C3So aU-7- lD3qS Fag: Email:
Property Owner Information.
Name Phone:
Street: \')\n \0\iOkj AljSt.. Resident of property?
City, State Zip: SNA nQ 5
Contractor Information
Name EAUn Phone: ( 1 ( -0-I - Lp. 1
Street: Fag:
City, State Zip. tUA(1 al?Y- - Qi aa 3AI3 1 State License No.: CaiC, saaw Bonding Company:
Address: Architect/
Engineer
Information E-mail: - _ —
Mortgage Lenderl'-
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, eta FBC 1053
Shall be inscribed with the date of application and the code in effect as of that date: Ste Edition (2014) Florida Building Code Rwi-A.
T,-'AA ?AlS P it Ar it i-
h
N
I,
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 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 AFFE DAVIT: 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 We
Print Owner/Agmrs Name
Signature of Notary -State of Florida
Signature of Contractor/Agent Date
Print ContractodAgent's Name
Date _ Sigma of No -State o Ton
C
CJ'jd y
SErrYO.2whym
tl MANSWOFtom
Vr E
l7(PMM Api9 22. 2018
Bo ed7kntiumfvossctrs
ITaon
Owner/Agent is Personally Known to Me or Contractor/Agent is L/ Personally Known to Me or
Produced ID Type of ID 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: UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
Fire Alarm Permit: Yes No
WASTE WATER:
Elul l 03 .fed