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Home My WebLink About1901 S Palmetto Avehi T "g 4MW CA i'i CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: D0CL1111C11tWI C01IStl-LIC6011 AhW: I (-) 1) .,,\ (I (I ress: M/ Sr 1641,,,ie11a Historic District: N/cs 0 NIOx P:1 I-cel ID: 111--viao-c)ol,4 zolmig: S1r, cj le 11 1- ,I Description of \Vork: 11'all Review Contact Person: hide: c: Phone: Fxx,. Property Owner Information Name '/k, m 1,11olle: W7 -Y 7 Street: 1,A4 e, //1 Res id c I I t of p 1 1) e I ty,? City State Zill: Sc, 3,? 271 Contractor Information N-11me 7 ri _z;v holle: Yy 7 -;2 49' Screc"t: 14 e I"a x: vc/7 C, i I.N; " State. Zip: 64- 3 St-A.te I.Jceiise N(-).: Architbct/Engineer Information Nninc: FW cay. St. Zip: Bondill" Compan.y. Address: A ( I c. I i - c s Bu I ildim"Permit E PERMIT INFORMATION S(Imire Footnlle: Construction 'l- "ype. Amclolf l No. ot'Storles: of D\vclllwg units: Mood Zone: F,Icc I trical El IIZ/ New Service- No. (A'AN/I.PS: New Conscrtiction - No. ofUixture's: N/Icch,--iolcafl El (Duct layout required for new systems) Fire Sprit El No. (-)fhc-A,ds: r___ Application is hereby nude to obtain a Penn& to do the %vod( and insallaiDions as indicated. I certify that no ivol or installation has commenced prior to the issuance of a penWir and Ut ::III work vvi I I he Performedincd to meet sinindarcls of all how regulating cmnsnoctlion W this jurisdiction. [ uAds-stand that a separate permit: must he secured for electrical Worl, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, mid air conditioners. etc. O\,\/NF.R'.S A1714DAWT: f cerdfy that A of the foregoing information is aces ate and that A work "Al be done in compliance with all applicable laws regulating conshilction, and zoning. VVARNUNG' TO O\VNER: YOUR FAILUR-l-, 'ro A, NOT ICUK OF NIAY RESULT I:N YOUR PAYING 'I' VICE FOR, ITIPROVEMI-KNI-S 71--0 YOUR PIR0111-K.RTY. N(_)T]C.I_-_', C 0 IN/I kf I 7N1 C E NT I-K, NIT N4 U S T B E, RECORDED A N D P 0 S TV D ON TKI", J-0 B S 1I 'U", 13 1-.: I,-, (-) 1Z r-" - r I t I FJRST 1:NSPI_,CTI:ON. 1:17 VOG 1XICI -NI) TO OBTAIN 1`4NANINCING. CONSU . I I:' VVI-71-1-1 YOUR BEFORE RI CORI)ING YOUR N(-)71'1.Cl--Ol-COS/1/1-1.-NCI-.,1:1-.;N'l'. NOTICE: In addition to the rapharrients of this perri0t, them may be addiTiona.1 resn-icu.ions applicable to this PrOPCII); 111, 11 111ay be 1`0LIVId in (Ile public records of this County, and there may be additional pern"irs required fronYi other goverru-neriml enddes mah as "nor management discilcm, state agencies.ter. feck11 a_'erlcies. Accepmnce of perink is vehficalJon Out I &H nohy the owner of the Property of the. requirements of I- lorid,-1 I-Jen Lov, 1--S 713. Ile City of HOW requires paytirtent of a [Ian revie", fee. A copy of the executed conrincr is required in ordw- 10 Calculate Pon review chatle. Wthe executed contract is not submitted, mT reserve die right w calculate the: Pon review me based on Past permit activity levels. Should calculated charges exceed the (10CUIVICA11C(I consmucivion value when the executed coinmet is subrnirved, credit 011 be applied m your INT1111L fec-S VVIe11 111':: permit is rc e'-'> f d. " I 'I ml Own(. 1 N(Islc I (,I IM U1 C of NOU11 v-SUI(C or Fi( 11 111,t 1--111 M /"C: O I I LI M(W//\ I-, U It Ato -f N int CoiiMietoi /A wim's Ntme W SiRWC 01'TJOC u v Stntc Of' 1 10 Idd V Dz'lc JO ANN M. JOHNSON My COMMISSION # DO 761978 EXPIRES: March 23,2012 OF Fl° PLOBffided Thru Budget Notary services Owner/Agun is Pel-sandn, Known ro N4e oi- Produced I E) 'Type of I I-) APPROVALS: ZONING: COMMENTS: U11 I -I' ll ES: FIR : ConnaaadAgur is Persvially Knm" lo Nk oiProkwed I D ry e, (-, f I I-) yp . .... J7-L_ WASTEWATER: R UI LD I NG: Rev 1 118 Ac# 4552954 STATE OF FLORIDA-.. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION :INDUSTRY: LICENSING BQi RD : SEQ# L09083101557 E CFC 1426156 1/20/2011 1317 Cloverlawn Ave Orlando FI. 3280 Work Preformed At-- 1901 S. Palmetto Sanford f32771 Owner ---- -- ---- ---- Bill Christensen Phone --------------- - 407-547-7902 cell 407-549-5277 hm INCLUDES A. UNDERSLAB PVC WASTE, 1 ST ROUGH ONLY,. FOR 1- W/C 1-TUB 2-LAVS 1- W/IVI 1-3"C/OUT B. TIE IN AT EXISTING CLEAN OUT ON REAR PORCH UNDER SLAB & CANCEL EXISTING CLEANOUT C. PLUMBING PERMIT & ROUGH PLUMBING INSPECTION. DOES NOT INCLUDE A. CONCRETE CUTTING OR REMOVAL B. TRENCH BACKFILLING . rY4. 'rTi ' '... fE s 1 2..` ffi "'*., 1. Y n o., '; .3.'. I;40 e . SIGN TO EXCEPTS TERMS % CONTRACT (/ • ___ DATE RrCIEY V ED APR 0 6, 2011 CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: / -' 5 n1 Documented Construction Value: $ Job Address: /L' Historic District: Yes No Parcel ID• Zoning: Description of Work: Plan Review Contact Person: Title: Phone: Fax: E-mail: Property Owner Information n Name Phone: Street: /iD 1 /9. 1,i' r Resident of property? : y City, State Zip: Contractor Information Name Phone: Street: Fax: City, State Zip: State License No.: Name: Street: City, St, Zip: Bonding Company: Address: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION '= Building Permit Square Footage: Construction Type: No. of Stories: No. of Dwelling Units: Flood Zone: Electrical ® New Service — No. of AMPS: Mechanical -rDuct layout required for new systems) Plumbing New Construction - No. of Fixtures: Fire Sprinkler/Alarm 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 be applied to your permit fees when the permit is released. Signature of Owner/Ag Date Print Owner/Agent's Name Si ature of Notary -State of Fl&da Date tpRY P .B c JO ANN M. JOHNSONO (i MY COMMISSION # DD 761978 EXPIRES: Mamh 23, 2012 f rFOF F104Bonded Thru Budget Notary SeMces Owner/ Agent is Personally Known to Me or Produced ID I`ype of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: 11` Signature of Contractor/Agent Date Print Contractor/Agent's Name 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