HomeMy WebLinkAbout4046 Orlando DrPERMIT ADDRESS 4w4tv C
CONTRACTOR 017h IM 44.
PHONE NUMBER
PROPERTY OWNER
ADDRESS
PHONE NUMBER
ELECTRICAL CONTRACTOR
MECHANICAL CONTRACTO
PLUMBING CONTRACTOR
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
MISCELLANEOUS CONTRACTOR
PERMIT NUMBER FEE
SUBDIVISION
PERMIT # 0 7- 1 A 3 DATE
PERMIT DESCRIPTION Q�P�
PERMIT VALUATION
SQUARE FOOTAGE
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.Nddress: _
cription of Work:
toric District:
CITY OF S.NNFORD PFRAUT APPLICAITnN
I / /
' DaceRECEIVED
:—1---1-t-�-I��-----
JAN 0 4 2007
Square Footage— — --------
Zoning: _ Value of Work: 5---1,�n� •_OQ. ---
alit Type: Building )� Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
ctrical: New Service - JI of AMPS Addition/Alteration Change of Service fcmporary Pole
chanical: Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required)
mbing/ New Commercial: # of Fixtures N of Water & Sewer Lines N of Gas Lines
mbing/New Residential A of Water Closets Plumbing Repair - Residential or Commercial
:upancy Type: Residential Commercial —11s, Industrial
istruction Type: q of Stories: 9 of Dwelling Units: Flood Zone: (FEMA form required)
- _
rcrs Naine & Address
tractor Name & Address:
re & Fat: 407 " 344 — It6b Contact Person:
ling Company:
ress:
[gage Lender:
ress:
ritccU
ress
Phonc:
Liccuse N
ne: 'CV 1- 1/4/e—
ication 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
ace 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
it must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
CONDITIONERS, etc_
IER'S AFFIDAVIT: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
ruction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
-E FOR IMPROVEMENTS TO YOUR PROPERTY_ IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
DRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT -
ICE: tit addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe found in the public records of
ounty, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies,
ptance of permit is verification that I will notify the owner of the Property of the requirements of Floyyda Lien Lau[ FS 713.
Signature of Owner/Agent
Date Signature of
Print Owner/Agent's Name Pr Con act Agent's Name
Signature of Notary -State of Florida Date Signature of N a e
DEBBIE BLANTON
MY COMMISSION # DD 188491
(z EXPIRES: February 25, 2007
Owner/Agent is _ Personally Known to Me or ConiraciodAg 1-ao03N ARY F Notary Discount Assoc. Co.
r e 1
Produced ID _ Produced ID
'OVALS: ZONING= Z�OJUTIL: FD: `
ENG: BLDG:
al Conditions:
3/2006
CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
ONE # 407-302-1091 * FAX #: 407-330-5677
DATE: J HPERMIT #: D
BUSINESS NAME / PROJECT:
PA
ADDRESS: qd
PHONE X NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BOOTH [ ] BURN PE MIT [ ]
TENT PERMIT .[ ] ANK PERMIT [ ] OTHER ,V'C
TOTAL FEES: S -�� (PER UNIT SEE BELOW)
Address / Bldg. # / Unit # Square Footage
2.
3.
4.
5.
6.
7.
8. -
9.
10.
12. _
13.
14.
15.
16.
17.
18.
19.
20. — -
Fees per Bldg. / Unit
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that
will comply with all applicable codes and ordinances
/ of the City of Sanford, Florida.
Sanford Fire Prkva6tion Division
Applicant's Signature
L,
COUNTY OF SEMINOLE
IMPACT FEE STATEMENT
'STATEMENT NUMBER: 07100000 DATE: February 19, 2007
`BUILDING APPLICATION #: 07-10000069
:BUILDING PERMIT NUMBER: 07-10000069
;UNIT ADDRESS: LAKE MINNIE DR 601 11-20-30-5AN-0000-0010
TRAFFIC ZONE:022 JURISDICTION:
SEC: TWP: RNG: SUF: PARCEL:
SUBDIVISION: TRACT:
PLAT BOOK: PLAT BOOK PAGE: BLOCK: LOT:
OWNER NAME:
ADDRESS:
APPLICANT NAME: A & R PROJECTS CORP
ADDRESS: 10501 S ORANGE AVE STE 121 ORLANDO FL 32824
LAND USE: RETAIL
!TYPE USE:
WORK DESCRIPTION: CITY-SANFORD
'SPECIAL NOTES: LAKE MINNIE PLAZA NOON DAY SPA
-------------------------------------------------------------------------------
FEE BENEFIT RATE
UNIT
CALC
UNIT
TOTAL DUE
TYPE DIST
;-------------------------------------------------------------------------------
SCHED
RATE
UNITS
TYPE
ROADS-ARTERIALS N/A
Retail Strip Ctr <20K
sqft*
2,327.00
1.575
1000gsft
3,665.02
'ROADS -COLLECTORS N/A
Retail Strip Ctr <20K
sqft*
.00
1.575
1000gsft
.00
FIRE RESCUE N/A
.00
LIBRARY N/A
.00
SCHOOLS N/A
.00
PARKS N/A
.00
LAW ENFORCE N/A
.00
DRAINAGE N/A
.00
CREDIT FEES:
SCI ROAD ARTERIALS
Retail Strip Ctr <20K
sqft*
2,327.00
1.575
1000gsft
3,665.02-
AMOUNT DUE
.00
STATEMENT SCE C— U4
RECEIVED BY: SIGNATURE:
(PLEASE PRINT NAME)
DATE: _l
,NOTE TO RECEIVING SIGNATORY APPLICANT' FAILURE TO NOTIFY OWNER AND
ENSURE TIMELY PAYMENT MAY RESULT IN YOUR LIABILITY FOR THE FEE. ***
'DISTRIBUTION: 1-BLDG DEPT 3-APPLICANT
2-FINANCE 4-LAND MANAGEMENT
**NOTE**
PERSONS ARE ADVISED THAT THIS IS A STATEMENT OF FEES DUE UNDER THE
SEMINOLE COUNTY ROAD, FIRE/RESCUE, LIBRARY AND/OR EDUCATIONAL
ISSUANCE OF A BUILDING PERMIT.
PERSONS ARE ALSO ADVISED THAT ANY RIGHTS OF THE APPLICANT, OR OWNER,
TO APPEAL THE CALCULATION OF ANY OF THE ABOVE MENTIONED IMPACT FEES
MUST BE EXERCISED BY FILING A WRITTEN REQUEST WITHIN 45 CALENDAR
.DAYS OF THE RECEIVING SIGNATURE DATE ABOVE, BUT NOT LATER THAN
`CERTIFICATE OF OCCUPANCY OR OCCUPANCY. THE REQUEST FOR REVIEW
MUST MEET THE REQUIREMENTS OF THE COUNTY LAND'DEVELOPMENT-CODE.
COPIES OF RULES GOVERNING APPEALS MAY BE PICKED UP, OR REQUESTED,
;FROM THE PLAN IMPLEMENTATION OFFICE: 1101 EAST FIRST STREET,
SANFORD FL, 32771; 407-665-7356.
PAYMENT SHOULD BE MADE TO: SEMINOLE COUNTY OR CITY OF SANFORD
BUILDING DEPARTMENT
1101 EAST FIRST STREET
SANFORD, FL 32771
PAYMENT SHOULD BE BY CHECK OR MONEY ORDER, AND SHOULD REFERENCE
THE COUNTY BUILDING PERMIT NUMBER AT THE TOP LEFT OF THIS STATEMENT.
***THIS STATEMENT IS NO LONGER VALID IF A BUILDING PERMIT IS NOT***
;ISSUED WITHIN 60 CALENDAR DAYS OF THE RECEIVING SIGNATURE DATE ABOVE
j* DETAIL OF CALCULATION AVAILABLE UPON REQUEST. CALL 407-665-7356.
Y OFFICE-.
NDOAI 0A1 PA
Code violations found during inspection
`1 �� �� are required to be corrected.
` ttPlan/permit issuance does not grant
approval of a code violation. 2004
rFBC109.1
L�tK� MINNIf �L�fZ�fi
CITY OF SANFORD PLANVIEW
601 MINN'liff DI Occupancy Use Group:
Type of Construction:
j Code Edition: 20CA4 .! �-
Total Square Feet:
S�fND�01.'D, �J' 0'1�/01t 3277
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OB NO.
2006 =28
A-0
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21
NOTE:
THIS STRUCTURE HAS BEEN DESIGNED TO MEET OR EXCEED
THE WIND LOAD REQUIREMENTS OF THE 2004 FLORIDA
BUILDING CODE RESIDENTIAL EDITION SECTION R301 DESIGN
CRITERIA AND ASCE 7-02.
1. BASIC WIND SPEED - 120 MPH -
2. WIND IMPORTANT FACTOR- 1.0
CONSTRUCTION TYPE = SINGLE FAMILY RESIDENCE
3. WIND EXPOSURE -CATEGORY B
4. INTERNAL PRESSURE COEFFICIENT FOR
ENCLOSED BUILDING IS .18 AND HEIGHT &
EXPOSURE ADJUSTMENT COEFFICIENT IS 1.0
ll�LOOk? PLAN %" - I'
1-3
3 4C - 25 GA. NDTL
EXSTING. CEILING
SKID AT 18' O.C.
1 /2- G. W.B. WALLS
Jj' GYP. BD. ON EA. SIDE OF 3 9F
MTL STUDS AT 16' O.C.
4L
NEW VINYL BASE
NEW VINYL BASE
EXISTING FLOOR
CONT. 25 GA. METAL
STUD RUNNER TOP & BOTTOM
1/4-
NON— RATED PARTTITION
NOT TO SCALE A-
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CIENERAL NOTES
1. THE GENERAL CONTRACTOR AND EACH SUBCONTRACTOR SHALL
VERIFY ALL EXISTING CONDITIONS PRIOR TO SUBMITING A BID AND
PRIOR TO THE START OF ANY WORK. ALL INCONSISTENCIES SHALL BE
REPORTED TO THE ARCHITECT PRIOR TO BIDDING AND CONSTRUCTION.
2. THE CONTRACTOR SHALL INFORM HIMSELF OF ALL EXISTING
CONDITIONS AND LIMITATIONS OF THE SITE.
3. ALL DIMENSIONS ARE NOMINAL (UNLESS NOTED OTHERWISE)
4. IN THE ABSENCE OF DETAILED SPECIFICATIONS, IT IS THE INTENT
THAT THE WORK INDICATED ON THESE DRAWINGS BE PERFORMED IN A
WORKMANLIKE MANNER AND BE COMPLETE IN EVERY RESPECT FOR
OCCUPANCY BY THE OWNER. TOLERANCES ARE TYPICALLY 1/8' IN
10'-O'.
5. ALL WORK OR MATERIALS NOT SHOWN ON THE DRAWINGS, BUT
NORMALLY REQUIRED TO COMPLETE THE WORK, SHALL BE FURNISHED,
PERFORMED,' AND DONE BY THE GENERAL CONTRACTOR AS IF THE
SAME WERE SHOWN ON THE DRAWINGS.
6. FLASH ALL ROOF PENETRATIONS WATERTIGHT WITH MATERIALS WHICH
ARE COMPATIBLE WITH ROOFING MATERIALS. COMPLY WITH °SMACNA"
RECOMMENDATIONS AND STANDARDS FOR INSTALLATION.
1. INSTALL ALL MATERIALS PER MANUFACTURER'S RECOMMMENDATIONS.
8. FIELD VERIFY ALL DIMENSIONS AND ROUGH -IN DIMENSIONS WITH
ACTUAL CONDITIONS.
9. ALL SYSTEMS AND CONSTRUCTION TO BE COMPLETE IN EVERY
RESPECT AND OPERATIONAL FOR THE PURPOSE FOR WHICH THEY
WERE INTENDED. PROVIDE OWNER WITH ALL WARRANTIES FOR
MATERIALS, SYSTEMS, ETC.
10. UNLESS OTHERWISE INDICATED, ALL EQUIPMENT, MATERIALS,
FINISHES, COLORS, ETC., SHALL BE SELECTED BY OWNER.
11. ARCHITECT ASSUMES NO LIABILITY FOR CHANGES MADE IN THE
FIELD OR EXISTING CONDITIONS.
12. WHERE INCONSISTENCIES OR CONFLICTS OCCUR WITHIN THE
DRAWINGS, THE MORE STRINGENT SHALL GOVERN. REPORT THESE IN
WRITING TO THE ARCHITECT BEFORE PROCEEDING WITH CONSTRUCTION.
13. PAINTING SHALL BE AS DIRECTED BY OWNER. FOLLOW
MANUFACTURER'S RECOMMENDATIONS FOR ALL APPLICATIONS.
APPLICABLE BUILDING CODES
FLORIDA BUILDING CODE - 2004 =
NFPA 101, LIFE SAFETY CODE - 2004
FLORIDA FIRE PREVENTION CODE - 2004
OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION
OCCUPANCY TYPES:
FBC CHAPTER 3 (305): BUSINESS - B
BUSINESS W/ LESS THAN 50 OCCUPANT LOAD
CONSTRUCTION TYPES:
FBC: TYPE IV / UNPROTECTED / UNSPRINKLED
ACTUAL BUILDING HEIGHT: 1 STORY
EXISTING TENANT AREA: 155� S.F.
TENANT SEPARATION 704.1: `BUSINESS - 1 HR
FBC TABLE 1003.1 -
OCCUPANCY LOAD REQUIREMENTS:
BUSINESS - 100 SF GROSS / OCCUPANT
13-0 S.F. / 100 S.F. = 13 OCCUPANTS
NUMBER OF EXITS PROVIDED: 2
FBC TABLE 1004 - EGRESS REQUIREMENTS:
MAXIMUM DISTANCE OF TRAVEL - GROUP B:
UNSPRINKLED - 150'
MINIMUM CORRIDOR/AISLE WIDTH REQ'D-GROUP B: 44"
MAXIMUM DEAD END CORRIDOR: 20'
EGRESS WIDTH PER PERSON SERVED - GROUP B: .2"
NUMBER OF EGRESS EGRESS
SPACE OCCUPANTS REQUIRED PROVIDED
11 x .2" = 2.2" 67"
FPC TABLE 403.1 - PLUMBING FIXTURE REQUIREMENTS
WC LAVATORY DF SS
1 PER 50 1 PER 80 1 0 REQUIRED
2 2 9* 2- PROVIDED
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A-2 OF 2 SHEETS of
71
CITY OF SANFORD
P.O. BOX 1788
SANFORDs FL 327721788
C E R T I F I C A T E O F O C C U P A N C Y
P E R M A N E N T
Issue Date . . . . . . 5/24/07
Parcel Number . . . .
. 11.20.30.5AN-0000-0010
Property Address . .
. 4046 ORLANDO DR
SANFORD FL 32773
Subdivision Name . .
.
Legal Description . .
.
Property Zoning . . .
. GENERAL COMMERCIAL
Owner . . . . . . . .
. Noon Day Spa
Contractor . . . . .
. OPTIMUM CONSTRUCTION, INC
407 766-4898
Application number
07-00001231 000 000
Description of Work
INTERIOR COMMERCIAL REMODELING
Construction type . .
. TYPE IIB
Occupancy type . . .
.
Flood Zone . . . . .
.
Approved . . . . . .
. / (ifitJ
Building Official
VOID UNLESS SIGNED BY BUILDING OFFICIAL
In accordance with this Certificate of Occupancy, all inspections for compliance
with Florida Building Code 2004 for occupancy and use have been performed and
approved.
If the construction project was permitted and built under the owner/builder
contractor exemption of Florida State statute 489.103; refer to state statute
regarding limitations on renting, lease or sale of this property.
BP210U01 CITY OF SANFORD 5/24/07
Application Miscellaneous Information Maintenance 8:27:52
Application number . . . . 07 00001231
Parcel Number . . . . . . 11.20.30.5AN-0000-0010
Address . . . . . . . . . 4046 ORLANDO
Type information, press Enter.
2=Change
4=Delete
5=Display
Opt Code
Date
Print
Miscellaneous Information
HISB
2/13/07
Y
ris $0
_
HISB
2/13/07
Y
no plumbing, no mechanical, no
HISB
2/13/07
Y
electrical
HISB
2/13/07
Y
** NOT APPROVED FOR USE AS A NAIL
HISB
2/13/07
Y
SALON***
_ HISB
4/10/07
Y
cc sign off:
HISB
4/10/07
Y
P&Z: ✓ (c��
HISB
4/10/07
Y
PW: NA
HISB
4/10/07
Y
Util: RB 04.11.07---
HISB
4/10/07
Y
Fire: MM 04.19.07 ✓
F3=Exit F6=Add F12=Cancel
sm
�-r
Bottom
BP210U01
CITY Or 9ANFORD 5/24/07
Application
Miscellaneous Information Maintenance 8:29:05
Application
number .
. . .
07 00001802
Parcel Number . . .
. . .
11.20.30.5AN-0000-0010
Address .
. . . . .
. . .
4046 ORLANDO
Type information, press
Enter.
2=Change
4=Delete
5=Display
Opt Code
Date
Print
Miscellaneous Information
HISB
4/13/07
Y
All subcontractors shall pull their own
_
HISB
4/13/07
Y
permits. The general contractor requests
HISB
4/13/07
Y
all inspections.
_ HISB
5/15/07
Y
double fee mech per bill oden
HISB
5/21/07
Y
CO Sign Offs:
_
HISB
5/21/07
Y
P & Z: MR 5.22.07
HISB
5/21/07
y
PW: na per CL 5.21.07
HISB
5/21/07
Y
UTIL: (jk-
HISB
5/21/07
Y
FIRE: I,' VAm
F3=Exit F6=Add F12=Cancel
Bottom
L__
RECEIVED
CITY OF SANFORD PERMIT APPLICATION APR 13 2007
n p
o b
Submittal Date:
Application # : V
�^%*%
.w
Value Work:
Job Address
of
3 Parcel ID:
Zoning: Historic District: _ NI/1
Description of Work: 1 I EX e4z- 1J.
~ L�JI�Y� Square Footage: � �Q
-................... ......... ............ .................
.......................... ................ .... ............ ......
Permit Type: Building Electrical ❑ "
Mechanical ❑ Plumbing ❑ ":. Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service - # of AMPS
Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ ' ' Non -Residential Replacement ❑ ` New 0 (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures :, r'
' # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets
Plumbing Repair - Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial
P Y YP �
[ " Industrial ❑ ��" Oceu anc Use G
p y roup(s)c
Construction Type: # of Stories'
# of Dwelling Units: Flood Zone: (FEMA form required)
........................................................................................................................
Property Owner:
Contractor:
' Address:
'' Address:
Phone: tate Li ense Number: d t�Ci (71D21��
Phone: E-mail: -
;:_... Bonding Company,:... , - ;
.. _.x . Mortgage Lender.
_Address: _
p ... .. .. :::Address:,; ....:.. .. ... .
j Address: Z�27U 1`wl `" q1�ty 1- uy l azu Fax:
Plan Review Contact Person: Phone: Fax E-mail:
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, 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
I TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING; CONSULT WITH YOUR LENDER OR AN
I. ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
NOTICE: in addition to the re uiremen11 ts of this ermit, there be additionalr q ' p y estrictions 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.
Signature of Owner/Agent Date Signature of on or/Ag nt ` Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONIN OUTIL: FD:
Special Conditions:
Rev 02/2007
Date
��j,Y5SlE7h.� O
i
ri� ;,ty 16; c,'0%p • J1
•`S4V
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arM;e 9p� \
(67
1W
td111a4M GILL
3 9C — 25 GA. MDTL
EXISTING. CEILING STUD AT 18. O.C.
1/2• G W.B. WALLS Jj• GNP. BD. ON EA SIDE OF 3 9(r
NTL S11AS AT 1G OC.
ewsnNa �s 2c�n 2, _ 6 M
ewsnNu �s z '+
1 /4' QL KI CAL A45
I
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NEW VINYL BASE
NEW VINYLt
EXI STING FLOORCONT. 25 GA. METAL
l !�
D RUNNER TOP do BOTTOM
11
. noPosen Nd5�#Le Roots
MST
TAPCON 2' 0.
f•
NON- RATED PARTTITION
Structural plan review is limited to a ry NOT TO SCALE
general survey for code compliance. No 4>
review is implied nor was taken to O M1
verify structural adequacy i �8 V�btw'
�n N ISO Gr-M'5 W6WI-TC4WM
j
COTY OF SANFORD
Code violations found during inspection
are required to be corrected.
Plan/permit issuance does not grant
approval of a code violation. 2004
i
FBC109.1
PERMU
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CITY OF SANFORD PERMIT APPLICATION
Application #: 0-� `
Submittal Date:
Job Address: Yoq (O O RA0,0tp () r * SO cU Value of Work: $
Parcel ID:
Description of Work:
Zoning: Historic District:
Square Footage:
.......................................................................................................................
Permit Type: Building ❑ Electrical Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service — # of AMPS
Mechanical: Residential ❑ Non -Residential 0
Plumbing/ New Commercial: # of Fixtures_
Plumbing/New Residential: # of Water Closets
Occupancy Type: Residential ❑
Construction Type:
Addition/Alteration Change of Service ❑ Temporary Pole ❑
Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
# of Water & Sewer Lines # of Gas Lines
Commercial ❑
# of Stories:
Plumbing Repair — Residential ❑ Commercial ❑
Industrial ❑ Occupancy Use Group(s):
# of Dwelling Units: Flood Zone: (FEMA form required)
............................................................................... ... .....
Property Owner: Contractor. r /� o ` el
Address: Address: /GJ
Phone: E-mail: Phone:? State License Number:
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax:
E-mail:
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, 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. 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 maybe 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 require ee of Flori n La 7
Signature of Owner/Agent Date f Con /Agen Date
Print Owner/Agent's Name Print on / gents Name
Signature of Notary -State of Florida Date Signature of Notary -State of Florida --Date -
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
4"GYP°"r DU B'I 'l
�1 I MY COMMISSION # pt6290Q9
Contractor/Agent is� WIM&ffgbl{atg"ppllyl6e r
_ Produced 113" nev Fi. Nowy Dil—t q.,
ENG:
BLDG:
C37Y OF SANFORD PERMIT APPLICATION _
Application # C — I rJo� Submittal Date:
Job Address: LJ4(�-) DK Value of Work: $ 7 Q
Parcel ID: r Zoning j�� Historic District:
—�
Description of Work: 1�.� �GS l 'Two �t� 1`tii' n U\ � l�d Square Footage: _
........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical) Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑ Sign ❑
Electrical: New Service— # of AMPS Addition/Alteration ❑ Change of Service ❑ Temporary Pole ❑
Mechanical: Residential ❑ Non -Residential ❑ Replacement ❑ New ❑ (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
................C.,.................................... ............
Property Owner: r -✓ Contractor: *'� I 1
Address: ®01 Address S U
/)
Phone: E-mail: Phone: State License Number: AaC)q
Bonding Company -
Address:
Arch itect/Engineer:
Address: -
Plan Review Contact Person:
Mortgage Lender:
Address:
Phone:
Fax:
Phone: Fax:
E-mail:
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, 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. 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 owner of the property of the requirements of Florida Lien Law, FS 713.
5LI -7
Signature of Owner/Agent Date Signature of Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is _ Personally Known to Me or
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
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Contractor/Agent is _ Personally K)OA t4lweG, r .i
Produced ID Ll
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