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Home My WebLink About1001 E 1 St 05-1631 (concrete slab)Special Conditions: CITY OF SANFORD PERMIT APPLICATION - I" V� 1 ,. Permit # : Date: /' /�• Cy Job Address: 100 ► Sr/LFBi Description of Work: Pone 5LA6 rok 66we p -02 Historic District: Zoning: Value of Work: S 300 Permit Type: Building -'-- 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 Cale. 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 Commercial Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: 30 _ 19 - S I - 5o % — OL Op — De 10 (Attach Proof of Ownership &Legal Description) Owners Name & Address: NEW T'Zr 8e5 M IS S I ant toot E t 1'1- <— ry; SMuFoan FL 317 ,21 Phone: _ y o, 3 30 - 3rf 3 v _ Contractor Name & Address: A1ES 69 .errs g rnn/ 11 L90 SOuwA Cr SIWFO&O C-Lt 3277/ Phone & Fax: YO Bonding Company: morrga naer• Address• Arehitect/Enpineec _ State License Number. _ ,ate/r WTW Phone: -to7-zz1-y1199 _707- 3121- ►►37 Address: NI-1 :t Fes• Application is hereby made to obtain a p6r4it to do n sated.0 certify that no work or installation has commenced prior to the issuance of a permit and that all work will.b8 perfo o o regulating construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, POOLSyFURNACES, 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 Ia\Vr regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT D\' VOOR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER Olt 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 permit is v rification t I will notify the owner of the property of the requirements f Florida l,jen Lbw, FS 713. d 0-5/ /�C��( /, 20-o5 Signature of Owner gen I / Date Sign tore of Contractor/Agent Date A 2 a) nl 1C S 4ngn�O me Print Co en ' Name otary-State of Flo ' re of Notary State of Flo 'da Date KENNETH PAUL FROST MY COMMISSION ;F DD o46754 KENNETH PAUL FROST EXPIRES: Septernher 22. 20r" MY COMMISSION # DD 046754 Owner/Agent is _ Personally Kno a or Contractor/Agent is �' Petso Il to WMES: September 22, 2005 _ Produced ID Ar:r FL Nnian• ^•nn:x: i nd...... _ Produced ID tloviw a Bogging, the APPLICATION APPROVED BY: Bldg: !/F 2 2 OF Zoning: Z. . Utilities: FD: (Initial & Date) (Initial & Date) (Initial & Date) (Initial & Date) %S(�co CITY OF SANFORD PERMIT APPLICATION Permit #: 1 Date: ! Z —OS— Job Address: Ib0 I E - FIRS f- !�_r , _<2V Fex AL , EC . 3 Z 7 7 I Description of Work: Ai-eyrAtI Gg"CAwvnd- K&- gWX r,p of SE'ev,rc RfA C w,nF St=cvelL RM Fc& CWA?V C-C Historic District: Zoning: Value of Work: S ZZ00 "' Permit Type: Building 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 Commercial vff Industrial Total Square Footage: Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X) Parcel #: (Attach Proof of Ownership & Legal Description) Owners Name & Address: NEIt/ 'r0s 6ES - M1SSnw— , /000 G. Cuts r- S'T_ / S'An J*cct, r-C, 3 7_7 7 Phone: Sio�l -3Z3 3�3� _Contractor Name & Address: 17ti t' e LT eLe'Trt�e 3 \';x, U3. State License Number: Phone & Fax: "�V1-3�o �P ' �e�3 Q7 _ _ _ ContactPerson: 1R0762 k!/ L IC iSo+ Phone: 9e7 —923 ^3430 Sk &J' Bonding Company: Address: Mortgage Lender: 1137 Address: Architect/Engineer: -- — Phone: Address: +. ' Fax: R Application is hereby made to obtain.a permit a anJV a indi&t4V`I certify that no work or installation has commenced prior to the issuance of a permit and that all work *ill be to f I laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL W PL INS LLS, 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. i Acceptance of a ication that I wil n t' !�e owner of the property of the requ' ements of Florida Lien Law, FS 713. /,z 1-c S� 1- lto-o5 a ner/ Date re of Contractor/Agent Date /,�rPr;ntp PrintCdntractor/Agenl'sNaw—------ _----- _____ c �11�t<:I t� •�� "',z•� i?: ,1,L �;1:.:1ih. _ � t-.%•ram. r• _ 'r Gwr:ar/Agent is _ Produced ID EXPIRES: November I.2005 FL Notry Service & Bonding. W_ Personally Known to Me or Wfflmisaion 0 D00134= e bq,ir" &7/2006 Bonded through Florida Notary Atm.. Ina Contractor/Agent is ✓Personally Known to Me or Produced ID 10111 `►-- +Q APPLICATION APPROVED BY: Bldg: Z 2 a / Zoning: �T ��✓ Utilities: (Initial & Date) (Initial & Date) Special Conditions: FD: (Initial & Date) (Initial & Date) POST X V DEEP 11 MEsH � S REW I ii W� �kS9I.AP t i SM E N TM G ENERNTDR MONO SLAB SCNLE y �� By 14 - r BERT