HomeMy WebLinkAbout824 Arbon Lakes CirV. ,
Application No:
BAN 2 2011 CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Documented Construction Value: $ 3 ,5 O
Job Address: 7 2 o r l4+" S CL r Historic District: Yes No
Parcel ID: Zoning:
Description of Work:
if- O7b' Plan
Review Contact Person: - Title): Phone: /
G--ZS3l% Fax: C) % Z3 —rZ-y S E-mail: dln/C---1''i Property
Owner Information Name
W r l l fZ-S / Phone: 7 02.- 36 - Lkl (, :2 Street:
5zjq O(t Resident of property? City, State
Zip: 2/ Contractor Information
Name Phone:
Street: `l7eR
G/ -'_ (C Fax: Z,ky City, State
Zip:_ State License No.: Name: Street:
City,
St,
Zip: Bonding Company:
Address: Building
Permit
Square Footage:
No. of
Dwelling Units: Electrical Architect/
Engineer
Information Phone: Fax:
E-
mail:
Mortgage Lender:
Address: PERMIT
INFORMATION
Construction Type:
Flood Zone:
New Service -
No. of AMPS: Mechanical (Duct
layout required for new systems) No. of
Stories: Plumbing New
Construction -
No. of Fixtures: Fire Sprinkler/
Alarm No. of heads: 0
Application is hereby made to obtain a permit to do the °wbrk, 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 ofa. 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 be applied to your permit fees when the permit
is released. Signature
of Owner/Agent Date Print
Owner/Agent's Name Signature
of Notary -State of Florida Date Owner/
Agent is Personally Known to Me or Produced
ID Type of ID APPROVALS:
ZONING: UTILITIES: ENGINEERING:
COMMENTS:
sip
n ctor/Agent Date Print
Contractor/Agent's Name Signature
of Notary -State of Florida Date f`
MY COMMISSION DD629096 o
EXPIRES: Fel;ruary 25, 2011 i :.'
e: 1-.90TAR1, FI. Notary Discount Assoc. Co. Contractor/
Agent is Personally Known to M rl t (/ ProducedIDTypeofID L J WASTE
WATER: BUILDING:
Rev
11.08
r ap a s a
Page No. of Pages
PARK AIR, INC.
P.O. Box 951588
LAKE MARY, FLORIDA 32795
407) 628-4254
FAX (407) 323-2804
State Certified: # CAC041173
PROPOSAL SUBMITTED TO PH NE DATE
STREET
0
ti .
JOB NAME
CITY, ST E and ZIP CODE /- .
7`
JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereb ` ubmit specifications and estimates for-
c'L
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Wr pruPUSr hereby to furnish material and labor — complete in accordance with above ecifica ns, for the sum of:
e,
L7
Payment to be made as follows: '
3
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifications Authorize
involving extra costs will be executed only upon written orders, and will become an extra Signature C_
charge over and above the estimate. All agreements contingent upon strikes, accidents
or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be
Our workers are fully covered by Workman's Compensation Insurance. withdrawn by us if not accepted within days./
ArrPptttnrr of Proposal— The above prices, specifications \
and conditions are satisfactory and are hereby accepted. You are authorized Signature s <s
to do the work as specified. Pay(mee/ntt will be made as outlined above.
Date of Acceptance: , J7 Signature /