HomeMy WebLinkAbout110 Bolivia Ct 04-397 RoofCITY OF SANFORD PERMIT APPLICATION
Permit # :_ Date: // • Yy 3 Job
Address: 110 8o LI I A 1" T SA/V Fe 9.1b 6- 32-2 7 / Description
of Work: 2E - koaF CSmie Ot-J 5ff/rybt,S - 4PPL,-I oye-W 5#1416cr:S Historic
District: Zoning: Value of Work: S Ma 00 Permit
Type: Building K Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool 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 Plumbing/
New Residential: # of Water Closets _ Occupancy
Type: Residential X Commercial of
Water & Sewer Lines # of Gas Lines Plumbing
Repair - Residential or Commercial Industrial
Total Square Footage: Construction
Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #:
31. 1q . 31. '300 . OO 4 A 00 DD (Attach Proof of Ownership & Legal Description) Owners
Name & Address: AIL--W &- AIs's I 0 J 1000
Ir . F'1AS-7- S7- 32?7/ Phone: 'fo7- 37-3- 3g 30 Contractor
Name & Address: %?IGt}AA.1. L. $C E030 &,-'
VIA Cr- 5A.vFOQ.b F'I_ w. 32-
2? / State License Number: C44 49577311 Phone &
Fax: ` '?- 22-11(0.7- 390- 90f y Contact Person: /ZI cjj,44-, $f Phone: 5N7- 221- yR$g Bonding Company:
Address: Mortgage
Lender:
Address: Architect/
Engineer:
Phone: Address: Fax:
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
pe it is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. jZ Signature
of
Owner/Agent Date Signature of Contractor/Agent Date P/w-
7- aLs 5 Zt ctt ae-r> Print o
ate
iSM,3,
TARYdty-SiATC-
drPlbhii3-' i' FROSTMYCOMMISSION #
DO 046754 MY COMMISSION #
DD 0467 EXPIRE .September
22, 2005 EXPIRES: September
22, 2005 F Not
ervioa & (ionding, trk, CRYW(• or
C own o e or Produced ID
APPLICATION APPROVED
BY: Bldg: Zoning: Initial & te)
Special Conditions:
Initial & Date)
Utilities: FD:
Initial & Date) (
Initial & Date)
w 44
PARCEL STATUS LEGAL , NC,TES ALES 1 LAND BLDG EX7PA PE6MIT5 SERV 1' Owner Into Proue y Address
DnTR Ct7P1 F .ML
E Y vel Addre'!}YAdde:
sziprAd
e s2 1400E1ST ST+- r: _
City
SANFORD Facility Code r State
Zip 32771 1441 t=;.
Ay Flag(— Demor` income Ur Repanse I" Licrxne Ind Pl ,*
np T axabie Value - IND
F _.... DOR '
00 ACANT RESIDENTIAL ElCode Exempt Removal Code rOOEED DES I 1 N 2 TD j
FORD EI Number Mark.etArea Exemptl 36,
FHURCHiREUGIOUS AdiAg - Status aA—tJT NL+id
Factor 1 r CP! I r 6 n I Exerript3 _
ExemptAmt r AruilQ Cap 3 r Exerrrpkd
T
ax BiG Amt 5.44 Lr4uner#yip Lade • H?{`rR
Granted ---------- PRE#'LAl-E--------__ Petition # F
Re
Appraised2002Re
Appraised AddtionVakie Tninlunnr.aitrrl Tnwa if' Land Value
Extra Feature
6 uiiding
Valet Income Vak,
a Total Just
Valor Corset AssW'
Admin VaO Ciassr#nsd
V,#ut Amend 10
AdtUShen T o(
aJ Assessed Vahu. 113,3361
113,396 0 t
113,396
5113 396
3113 396 3,396 0 i 113,
336
5113,39 D 113,3% 0
WIN
12-8
No To Mo Homes
Sanford, Florida
P-king Area
4
130 19 110
100
Cep` 4
00 o
too !90
tom
z
0
nr riar 1