HomeMy WebLinkAbout250 W Lake Mary Blvd 03-1975 SignCITY OF SAIVI'ORD PERMIT APPLICATION
7�-/ D
Permit No.: CL b _�?l Date:
Job Address: . y ':a -o to_ lC • k4uv 6&1f1 a -
Permit Type: .✓ Building Electrical Mechanical _ Plumbing Fire Akarrn/Sprinkler
Description of Work:
61;1, t 1 1/430L
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration Change of Service T Temporary Pole —New AMP Service (# of AMPS __,)
Plumbing/Residential: Addition/Alteration _ New Construction (One Closet Plus Additional)
Plumbing/Conimercial: Number of Fixtures Number of Water & Sewer Drainage Lutes Number of Gas Lines
Occupancy Type: __
Type of Construction;
Parcel No.: / I.-
Residential t ommercial _industrial Total Sq letg: Value of Work: $ 4 2U
Owner/Address/Phone:
Contractor/Address/Phone: M714(160 S
]Flood Gone: Number of Stories: Number of Dwelling Units:
- -53
(Attach Proof of Ownership & Legal Description)
sa —l7l (eA7 ) 3a-/- a
&Alail_ _�r r State License Number: lJ d FJ U$
Contact Person: _ 1)111Ckf�=i G6_ /iloolat Phone & Fax Number: �%l�� 5� ".�� dJ.� � 'D lJ(-6
Title Holder (If other than Owner):
Address: ------
Bonding
Bonding Company:
Address:
Mortgage Lendcr:
Address:
Architect/Engineer
Address: i%�
& It— _s-r- 'S117'1106_1
Phone No.:l%/-'
Fax No.:
Application is hereby made to obtain a permit to do the work and installations as indicated. Fcertify 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 coustructiocc
in this jurisdiction. I understand that a separate permit crust 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
forucd iri the public re(lords of this county, and there may be additional permits required Irom 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 requirements of Florida Lien Law, FS 713.
Signature of Owner/Agent Date Silnatur of Contractor/Agent Date
Print Owner/Agent's Name Print Cc nt of c A nt's Narue
Signature of Notary -State of Florida Date Signature -or-Notary-State of Florida Date
Owner/Agent is _
Produced ID
Personally Known to Me or
L INDA D� EVANS
Notary Public, State of Flori(J8
My cornmv exp. Janj�7vfJt7 .._.
Comm. No. 06806
Contractor/Agent is _ ( Personally Known t Me or
Produced ID —_
APPLICATION APPROVED BY: ` �' Date:
Special Conditions:
VLA u�aQ4 (on rUczr�c,� oa Jl�vu.,�� bon<�t un i5 n.�rt �i�up.
8-0.3 b
A
CHANNEL
6'
FRAME WALL MOUNTING DETAIL
O�S /
�GOO�tiR'
3
R10�� cod
THESE PLANS
OUILOING DEPT.
LANS ARE REVIEwE
CQNSTKUp p TOpERMIT. A Pr
O AND CONpInONA�Y
CAN-fe WORK glVp NO'f LICENS[ ITS PLIED SF1gLL. BE
pROVI o, ALTER, UFO $ AU'(HORIiY 7 CEEQ WITH
ISSU N , OF THE T SE, A61[7E O VIOLATE;
OEpTANCE OF q 1�FRMITHN�FV N DESNY OF OR 5 THE
FROPq THER�gF7E P E N HALL
TIpN OF ERRUF2S ON THE p
OR O R r EGiU1RINGIE 8U'LoItdG OTHER VIOLATIONS OF rHE COOEg N TRURR✓N:c
CTION
I
3/8' X 5' LAG SCREWS
tr 6,
i
ALUM4 RACEWAY
3/8, . X 5'
LAG .SCREWS
IN WEDGE
ANCHQRS
CHANNEL LETTER
. j
ISOMETRIC
CHANNEL LETTER ATTACHMD'� T TO RACEWAY 1
i
copy
,1
r
f
JAMES T, MELVIN ARCHITECT
206 EAST FIRST ST,
SANFQRD, FLORIDA 32771
407-321-5444 FAX, 407-321--9089
m win= #
m m a <