HomeMy WebLinkAbout312-314 Columbia Ct 04-396 RoofCITY OF SANFORD PERMIT APPLICATION
Permit # : ` _ — Date: 1/ 1 y C
Job Address: 312-- 314 C01-LI 'I8)A CT S'4'VF044_'> rL 3Z7? 1
Description of Work: 1Z -(ZoOF CS-rz%P OLA> 51tIN c 4?PL1 NE"W SHIQ6LE)
Historic District: Zoning: Value of Work: $ 'Zdoo
Permit Type: Building X Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
T
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 X Commercial Industrial Total Square Footage:
Construction Type: / # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #: 31. 1 ` . ZJ 1. 3vo , OOy A • 00po (Attach Proof of Ownership & Legal Description)
Owners Name & Address: ^JEW T7Z 18CS ryl tSS1 O
loos C. F25r 5-r SAAIForr.D FL 3Z-77/ Phone: r{0? 37-3 343o
Contractor Name & Address: L• Sam
aI0 & L. t /A &C S AN Fo" FL 3z77 1 State License Number: CCL 05 734l 4
Phone & Fax: 40-2-22I-c101V) W7-330-108q Contact Person: RICHA(zb 5F-E Phone: Lt0% ZZ-I 0 i
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 pert is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Signs re of Owner/Agent i5ate Signature of Contractor/Agent Date
Gf T ss 2tcr+ta L
Print Ow ,% Print Cont
1,V1
KENNETH PAUL FROST
COMMISSION # DD 046754
EXPIRES: September t22, 2005i{soPeNOt9iyr e l %WT"F;g,Ir1a
APPLICATION APPROVED BY: Bldg: Zoning:
Initial & Da e) (Initial & Date)
Special Conditions:
KENNETH PAUL FROST
MY COMMISSION # DD 046754
EXPIRES: September 22, 2005
Utilities: FD:
Initial & Date) (Initial & Date)
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PARCEL STATUS 1 LEGAL. tdOTEti A ES I LAND BLC,ti EXTPA PFRMITI S COW COST SERY
Owner Info __ Hope y Address _._._.....
Owner;, EW TRIBES MISSION INC CtJPJf Addres F`— " Y i vC
Addessl CitY zip
Addess2 _....._. __._._ _.
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11000E 1ST ST ...
Facility CodeCitySANFORD
State 771 1441
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Phone
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DOR IOU, JVACANT RESIDENTIAL Ell Coda Exernpt Removal Code 100 INEED DESCRIPTION
i TpS1 nANFORD EI "Jcanber hdark.etArea- , ES _
Exemptl 36, URCHIREUGIOUS AdjA+g ] Slatus_f/MAT
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Exempt3 Axempt Arrt Amdl0 Cap 3
Exempt4 ; T ax Bill Arnt , $•00 Ownership Code
HXYR Granted ------ --- AAIE--- ----- Pet CYn'ii
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Re Appraised
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2002 Re Appraised % ddtionValue TotaJAppraised Totai% Lard
Value 1 313,3$113,396 $113,396 Extra
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otat Assessed V alk*-1113,33541 113,395 ti13,39& 0
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