HomeMy WebLinkAbout308-310 Columbia Ct 04-398 Roofoe
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Permit #
Job Address: 306 - 31Q eot-uM & I f
Description of Work: - 9-0oF
Historic District: Zoning:
CITY 6F SANFORD PERMIT APPLICATION
Date: 14,03
r SA vFo2 FL_ 3Z2 1
S tP OL-, SHiNbLi S - APPc-%'i /NCW SffIN6Lt5)
Value of Work: $ ZOoO
Permit Type: Building X 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 # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair - Residential or Commercial
Occupancy Type: Residential K Commercial Industrial Total Square Footage:
Construction Type: _ I # of Stories: 2- # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel#: 31, 0, 31, '30o. Oo4A , 0000 Attach Proof of Ownership& Legal Description)
Owners Name & Address: NEW M i A S "515i D ri
t000 E• Ft t2s-r ST 5,+" iro(tp Fl- 327 71 Phone: 4 07 - 323 - 34 30
Contractor Name & Address: IRtCAA2D L. SEA
190 &Li 1 A CT S f1N/=0 t-b Ft- 3Z77/ State License Number: CCC 057 341
Phone & Fax: 407- 221 - 49 89 yo 7- 33a 9084 Contact Person: f?t GN 1keb 5iz-6 Phone: 'fo7 - Z21-.y_11S9
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 is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent ate Signature of Contractor/Agent Date
34aA: % 11 S P_tc.4 j L S-
Print,Qu a Print Con
MY COMMISSION # DD 045754
EXPIRES: September 22, 2005
nnv FrlGl Service & Bor dino, Inc.
Produced ID
Date rg re t M t BMFi(1 JN # D"'0 7"a
EXPIRES: Septembe 22 2005
1 app 3pipTARY FL ary Sery oepContraogentrs _ Personally KnowMe or Produced
ID c
y
APPLICATION
APPROVED BY: Bldg: ` Zoning: Utilities: FD: Initial &
D te) (Initial & Date) (Initial & Date) (Initial & Date) Special
Conditions:
Rl Public Query Screen 7-7 1012
t' History t: Crxrent r New TRY 2W3 7, PARCEI; # 31,j
PARCEL STATUS LEGAL ; NCrE c LAIC E=U,1 EXTRA PERMITS Comm+ CUS T SERk'
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Granted ---------PRQLAI'E•---------Petition 1# f—FF
Re Appraised
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e Appraised AddGon-Value TV: Apprai.>ed . Al LarujValue ;113
sat, i113,336 _ .....- 113, 396 Ex4a Feafur
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10 Adlusm ent S113,396` -
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