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HomeMy WebLinkAbout205 Walnut Crest Run 05-534 Propane Tank for pool heaterU t CITY OF SANFORD PERMIT APPLICATION 1Permit - \ Date: IV[tLLY 4.Q 2'zuok Job Address:W !A LtJUT 012t s'TUnj '' + Description of Work: _-CAJ J_ PROJ A tJ_ ai k VofL HILOL <ATCrR Historic District: Zoning: Value of Work: $ .? 4-0 . OO Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool Electrical: New Sen ice - # of AMPS Addition/Alteration Change of Service Temporary Pole NtechanicaL Residential Non -Residential Replacement New (Duct Layout & Energy Cale. Required) IPlumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial Occupancy Type: Residential V Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than k) Parcel #: Owners Name & Address: Z05 WA1_ wlli 2:L - I q - -so - S 02 oQoQ - 14-o o (Attach Proof of Ownership & Legal Description) Contractor Name & Address: Phone & Fax.1 Bonding Company: Address: Mortgage Lender: Address: Architect/Engineer Address: State License Number: Phone: 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 aor':c will be done in compliance with aft applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE- OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVENIENTS 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 requir cenO ts of FlI t i FS 713. A Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date tore of C4,actor/Agent t' 4p-c jI Z2 Contractor/ A-enC s , ' tmeN so/ c4- Date npyUMarOe y- State of Florida Date FLORENCE A. DE GRAVE MY COMMISSION # DD 164280 yEXPIR NOwner( Agent is _Personally Known to Me" or Con ttkt Tit i @ ' o Me{3L, FFL' 1 _,,1_ ProducedIDsaucedIDAPPLICATION APPROVTD BY: Bldg: Zoning: Utilities: ED: al & Date) (Initial & Date) (li,itial & Date) (Initial & Date) Special Conditions: f POWER OF ATTORNEY Date: 11--30 - O ¢ I bot,) A LD k • k=T N E 2 do hereby authorize (rre cctl I a.Zi n 21- to pull the WZPROPA WE permit for 2AS WAL-IvUT ck(,-S -Rutj type of permit address Signature Notary Eulynn Hart Reck 4 Commission #DD292007 Expires: ,1a,, 26, 200$ Bonded n ru Atlantic Bonding Co., lnc. Personallyto me State of Fl rida, County of OLdl.' - on day of r Seminole County Property Appraiser Get Information by Parcel Number Page I of I 2005 WORKING VALUE SUMMARY GENERAL Value Method: Market S3-SANFORD- Parcel Id: 22-19-30-502- Tax District: WATERFRONT 0000-1400 Number of Buildings: 0 R E DVDST Depreciated Bldg Value: 0 Owner: DUKAS PETER Exemptions: J & PHOEBE D Depreciated EXFT Value: 0 Land Value (Market): 26,000 Address: 205 WALNUT CREST RUN Land Value Ag: 0 City,State,ZipCode: SANFORD FL 32771 Just/Market Value: 26,000 Property Address: 205 WALNUT CREST RUN SANFORD 32771 Assessed Value (SOH): 26,000 Subdivision Name: PRESERVE AT LAKE MONROE Exempt Value: 0 Dor: 00-VACANT RESIDENTIAL Taxable Value: 26,000 14_ ItVU. all I L L LV IV_VV u A I Ly_L/ L.1V LJLL.\+ L --.i v vim.-vI-IvvuL. F- It u.IIL.LL iU-. IVaLLR.JJ"UlLil11-- Permit # License # 7 mT 3 License Holder Donu+L4 (-(Z7N Builder PETr-iZ t>uKRs Address 2-05 WALNUT GZE. ST a SA,JFOPO FL 3Z77 1 Lot # Gas type Nat. T-, Type of Pie CSST Longest Run 2-S ' Appl. BTU Load 333 coo Range Water Heater Dryer Furnace Fireplace POOH tia-r-rp, 333 000 Gas light Total load Sizing table used: FLORIDA PUBLIC UTILITIES 386) 668-2600 FAX (386) 668-2692 333, 000 oz z-r up C-,.,s F-Lov=Lt,zt i C- dD E FoLL GAS 333 ooa ru