HomeMy WebLinkAbout2205 S Palmetto AveCITY OF SANFORD
BUILDING & FIREPREVENTION
PERMIT APPLICATION
oa
Application No: Documented Construction Value: $ 1 -1Sd lob
Address; d $" s PA%%-wK rzio lip V C Historic District: Yes 11 No s
Parcel
ID• Zoning: Description
of Work: (06 hp,. 5kb- p w Fa T WI0 R/C o -
Plan
Review Contact.Person:..__... ICIC Phone:
4077 0 -7 S fo Fax: E-mail: G W eOvZ R %cK@ Property Owner
Information Name Utiz
W m-l' y"CE Phone: (to-? ^ 4a 1.0 Street: l"
Wis, S , P RLuA E: )RV G- Resident of property?' : ' "'C-fs City, StateZip:
SA-19 W 7171 t Contractor Information Name _
rC - lV
6{RTC Phone: 40`1 Street:JZ "1 ,
f 'i F XJ`V t Fax: I{.O'`1 City, State Zip: _
041t-oo i 1L L, . -?5 a:$ 4 A. State License No.: E C ^ Om0 k11TT , Architect/Engineer Information
Name: Phone: Street:
Fax: City,
St, Zip;
E-mail: Bonding Company: 10lortgage
Lender: Address: Address: PERMIT
INFORMATION Building
Permit Square
Footage: Construction '
Type: No. of Stories: No. of Dwelling
Units: Flood Zone: Electrical 29/ . Cs
Y 1 STl n N k_oopr Plumbing New Service - No.
of AMPS: New Construction - No. of Fixtures: Mechanical (Duct layout
required for new systems) Fire Sprinkler/Alarm 0 No. of heads:
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 iI
i1foi6iatio'
n, . is' accurate add',that all workwill be
done in compliance with all applicable laws regulating construction and zoning. WARNING
TO OWNER: YOUR FAILURE TO"CO-k-D°-A,-"NOTtC,E`OF'Co.MM-itNCEMENT MAY RESULT -
IN, PROPERTY. A NOTICE YOUR-PAYING'1WICE FOR IMPROVEMENTS TOYOUR, OF
COMMENCEMENT MUST BE RECORDED AND POSTED—O'NTHE-JOB-SIT 1Kk POUR
O_" 'FNCING, CONStLI'VVIT 0 FI-Ps INSP Y U INTEND T I OBTAIN". ' LENDER
OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. NOTICE: In addifli'
o-h to of this permit, there may be additional test tio'n's,'a'pplic,abl'e7!2t6this property that may,
be found in the public records of this county, and therpTnay,be, additionqI permits„!.uired from other governmental
entities such as water management districts;'stdte agencies, or f6derdi agencies. J, Acceptance of
permit
is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS
713. V, - The City
of
Sanford requires payment of a plan review fee. A copy of - the executed -contract -..isre.q,calcutate'theuired in
order tocalculatea -
plan review charge. If the executed contract is not sub reserve the right to Oocumented plan revie
w`0"fiee, based. on: permit activity levels. Should, calculated charges ?-excee d t 6construction value when
the executed contract is submitted, credit will be applied to your permit fees when the permit is released.
Signature of Owner/
Agent Date Sijnae reofC ontractor/Agent DatePrint Owner/Agent'
s Name Print Contractor/Agent's Name-'. Signature of Notary -
State of Florida Date Owner/Agent is
Personally Known to Me or Produced ID Type
of LD APPROVALS: ZONING: ENGINEERING:
COMMENTS: UTILITIES:
10-
fim
Signature
of Notary -
State of Florida Date Contractor/Agent is
Personally Known to Me or Produced ID Type
of ID WASTE WATER--,---, BUILDING:
Rev 11.
08