HomeMy WebLinkAbout1000 Cardinal Cove Cir 05-2402Mar 14 05 04:31p City of Sanford BuildinC
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407 320 3859 p.1
Permit # : CD a '-� Q-
Job Address: _1CC C-1 L "difEL Cs
Description of work: RQn,oy2 lA )►tncL - ..
Historic DissMd: __. Zotaiag:
CRY OF SAN FORD PERMff APPLICATION
Date:
Value or Work: 3 ?1 • q4
Permit Type; Building l"' Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - r/ of AMPS Addition/Alteration Change of Scrvicc Temporary Pole _
Mechanical: Residential Non -Residential Replacernunt New (Duct layout & Energy Ca1c. Required)
Plumbing/ New Commercial-.4 of Futures 1l of Water & Sewer Lines p of Gas Lines
Plumbing/Nirw Resideatial: tf KWater Closets Plumbing Repair- Residential or Commercial _
Occupancy, Type: Residential _•_ _,•, Commercial Industrial Total Square Footage:
Constr ectiou Type: # of Stories: p of Dwelling Ualts: Flood Zone: (FEMA form required for otber than X)
Pared M. - - 0- to! OOCO - OR 10 (Attach 1Proof of Ownership do1L'egal1Deraipdoa)
Owners Name &Address: +d by �W^T��Oy`l�W 7tO�lVhRs.__
- /-1 041 __ Phone:
Name & Address:
f )rC jQsLL tJ L - State License N, a`mber.
Phone & Fax: %-] - S 3.�-.. - Z • 7� Contact Person: SQB.N M. hi QCs 714.�/ Phoae:'�iDi 95% l �iD yfi%
Donding Company: REGE
Address:
Mortgage Lender -"l r
Address: _--
ArcbRe"agineer: .... ..... _ Phone:
Address:
Fax:
Application b hereby made to obtain a permit to do ilia work and installations as indicated. I certify that no work or installation has commenced prior to fbc
issuances of a permit and fiat all work will be performed to mat standards of all laws regulating construction in this jurisdiction. I understand that a separate
pmnit must be secured for ELECTRICAL WORK. PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, ctc.
OWNER'S AMDAVIT: 1 certify dw all of the foregoing infort ation is accurate and that all work will be dorm 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.
Z(QTIC in addition to the roquiremertu of this permit, there may be additional restrictions applicable to this property that maybe found in the public records of
this county, and there may be additional permits required from other govcmmcnial entities such as water naoagerrtent districts, state agencies, or federal ageoe(es.
Acceptance of 't is verificati t I will otily the owner of the property of the requircruents or florid en Law FS 7
gnatvrc of edAg t Date Signature oC Contractor/Agent uc
rw all SQci.j A Ao..Y,e 4
Print Own/Agent's Name Print OontractorfAgent's Name
Signature of Notary -Sate of Florida Date Signature of Notary -State of Florida Date
Owner/Agent is v P'Laily Known to Moor
—Produced fD
APPLICATION APPROVED IiY: Bldg: � 4 l r.- VS Zoning-
- (Initial & Date)
(Initial & Date)
Contractor/Agent is V Pttsooany Known to Me or
Produced ID
- FD
(Initial & DOWOW)
Utilities:
& Date)
Special Conditions: -
a I,•,. MY CAMMISSION t+ DD 385751
Expires ttNR005 = EXPIRES: January 31, 2009
Honda ON (500)4U.4254: � Bwded Thru NOW PPLM ftem ibn
Ronda Notary Aran.. Inc
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CITY OF SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
PHONE # 407-302-1091 * FAX #: 407-330-5677
DATE: 9 PE I�
BUSINESS NAME /PROJECT: � rlot���
ADDRESS:
PHONE NO.:
loo�:>
FAX NO.:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. [ ] HOOD [ ] PAINT BO H ] B RN P RMIT [ ]
TENT PERMIT ] TANK PERMIT [ ] OTHER A t - .
TOTAL FEES: S (PER UNIT SEE BELOW)
COMMENTS:
Address / Bldg. # / Unit # Square Footage Feesper Bldg / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16,
17.
18.
19.
20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City of Sanford, Florida.
r
Sanford Fire Prevention Division Applicant's Signature