HomeMy WebLinkAbout7500 County Rd 427 07-3080 Canopy name changeCITY OF SANFORD PERMIT APPLICATION
Application # : 0 _/J 3070 i Submittal Date: ��i1�// 2-7 / Q__7
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Job Address: �� C7OC) l " A�1�O'' V` 9)(1,101 4� r� Value of Work: $_ - ) ' (--( Z
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Parcel ID: Zoning: llistoric District
Grppn__(e ' { <_ Y 1i " L' f Y� ( �- _
Description of Worker c�CS FL.Q�S 7 `"l- it ~ter r`n—__`—tom- :5.�) ��;��;tre Footage:
.....................................�.:.:.:....................... i_- �,', B si4................. ...............
Permit Type: Building lT Electrical 0 Mechanical ❑ Plumbing ❑ YFire 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 Cato. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sower 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: Hof Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
........................................................................................................................
ct ,.
Property Owner: �'� �P�l)P,f l Y1 Contractor:
Address: 1 - (c)o \-e P �"' Y;tr� �Adddress: �`.�-i�%i-1�J
\1 ! n6 �-l(�nd B-3c)-�r—) I r
E-mail: Phone::">�C�State
Bonding Company:
Address:
Architect/Engineer:
Address:
Plan Review Contact Person:
Mortgage Lender:
Address:
Phol
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 perl'ornied to meet standards of all laws regulating construction in this jurisdiction. I understand that it separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVI"f: 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. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SFFE BEFORE THE
FIRST INSPECTION. 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.
Aeceptauc of ern is vcriticat*on that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
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Signatur.�,.o caner/Agent Date Signature oJ:Q n ractor/Agent Date
Print Own Ag is Name Print Contract r/Agent's Name -
.ature of Notary -State of Florida
F,,"w v Notary Public State of Florida
Natalie Lee Steele -Torres
My Commission DD495642
orr, /6pires1210112009
ier gemgen r�Lrt�iJRittt�tlYme`
Produced ID
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APPROVALS: ZONING: 21\ q 1 UTIL: F'D:
Sig ature of Nulary-Slate of Florida Date
FA)(atalie
�P Notary Public State of Florida
NLee Steele=rorres
�`My Commission DD495642
w n`� Apires-12al/409_-__--_.
Contractor/Agent is _ er717M nowu o o
Produced ID
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Special Conditions:
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OUTSIDE LIGHT —QUAD
DESC:
OUTSIDE QUADRUPLE LIGHT POLE
NAME:
OUTSIDE LIGHT—TPL
DESC:
OUTSIDE TRIPLE LIGHT POLE
NAME:
OUTSIDE LIGHT—DOL
DESC:
OUTSIDE DOUBLE LIGHT POLE
NAME:
OUTSIDE LIGHT—SGL
DESC:
OUTSIDE SINGLE LIGHT POLE
NAME:
PWR POLE
DESC:
OUTSIDE POWER POLE FOR POWER WIRES
0
NAME.,
MAN HOLE COVER
DESC:
COVER FOR MAN HOLES ON PREMISSES
NAME:
VENT RISERS
rm
OR VENTILATION OF TANKS
0
NAME:
STOP SIGN
DESC:
STOP SIGN
NAME:
TRAFFIC SIGN
DESC:
TRIANGULAR TRAFFIC SIGN
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NAME:
DIRECTION SIGN
DESC:
RECTANGULAR DIRECTIONAL SIGN
NAME,
FAUCET
DESC:
OUTSIDE FAUCET FOR STORE
NAME:
FIRE HYDRANT
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DESC:
FIRE HYDRANT
NAME:
GAS SHUT OFF
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Verify
By MKH
Drawn
Scale
2 0'— 0)'
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9/16/2002
Sheet
1 of 2
=E1ROOV�57(DH,.
Drawing
Number
32766 P
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