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HomeMy WebLinkAbout211 Terry LaneCITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: Documented Constructiono Value: $ 3s0 • D e? Job Address: z '( V'u Lam _ Historic District: Yes No Parcel ID: 31 19 31- 5Z 1 - o Poo - O l b © Zoning: Description of Work:'R-.d0,Ct Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner information Name (o01L5 new Phone: Street: O oX (oCD jZ. Resident of roe ( P P i'tY' o City, State Zip:LaM; Contractor Information Name JA)n_ jecfirjC Tf\C Phone: qQ_7 321 0444 Street: aa5 E Z ;v t' ( ve- Fax: City, State Zip: ( Z c( State License No.001524 -1- Arch itect/Eng ineer Information Name: Phone: Street: Fax: City, St, Zip: E-mail: Bonding Company: Mortgage Lender: Address: Address: Building Permit ( O&Z C_cv kA 5 PERMIT INFORMATION Square Footage: _j 3 24 f'osS Construction Type: C_ No. of Stories: No. of Dwelling Units: Flood Zone: Electrical 1 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 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 SITE 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. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law, FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will ap to-xpur when the permit is released. 1 i0.2(./-0 ignature of Own Agen Date A c2:ra N F k c C (- ef(L— Print Owner/Ag' Name Signature of to a of Florida Date ERNESTO REYES NOTARY PUBLIC - STATE OF FLORIDA COMMISSION # DD798891 EXPIRES 6/182012 BONDED TH RU 1-888-NOTARY? Owner/ ent s Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Ynnt Co ctor/Agent's Name Signature of Notary -State of Florida Date VUe',c" `DEBBLE 15- OZpPY A31 ?Rig o EXPIRES F&F,!_??2' 2 y i I e I PdCia i !7 • W^E !•is .. Lq. F° SW 3 VOTARY 6 to ;a > ;m <2N Contractor Agent A fM4t. '"1':A',b Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 r---------- _ a . . 6. Walters t Inc Commercial and Residential 225 E. Wilbur Ave Lake Mary, FL 32746 407.321.8444 Office 407.321.2729 Fax Oct 25, 2010 We propose to furnish material and labor (unless noted) for the named job below: Parcel ld: 31-19-31-521-OF00-0100 Owner: BROOKS SIDNEY S Mailing Address: PO BOX 960182 City,State,ZipCode: MIAMI FL 33296 Property Address: 211 TERRY LN Subdivision Name: WASHINGTON OAKS SEC 1 Tax District: S1-SANFORD For the sum of $ 350.00 Replace meter can (socket burned up) Provide necessary permits and inspections with local jurisdiction. Pay schedule is as follows: 100% after final electrical inspection If you wish to accept this proposal, sign and return copy to Walters Electric Inc. within 15 days. SfQ6X--" _ Accepted by 1 kF& Date 6-& - (0