HomeMy WebLinkAbout111-128 Willner Cir Bldg 1 (fr sprnklr) (3)10
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CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMIT ADDRESS PERMIT NUMBER 14— I
Total Contract Price of Job T9YS0(0371 $3
Describe Work Z/L$4/
Type of Construction
Number of Stories 3
Occupancy: Residential
Number of Dwellings
Commercial
Total Sq. Ft. /9? 46 Cl. $ 3
Flood Prone (YES) (NO)
Z -U Zoning tri
Industrial
LEGAL DESCRIPTION (please attach printout from Seminole County)
TAX I.D. NUMBER
OWNER L &As t YYL01/'b C - fiS�ilCi/�'if°CS L z7�. / ONE
ADDRESS < v') 3 U` I` tC n.•L-� tL✓t .
CITY A; �,�,.�d�„�-� Ser.`w c STATE
TITLE HOLDER (IF OTHER THAN OWNER)
ADDRESS
CITY STATE
BONDING COMPANY
ADDRESS
CITY
ARCHITECT CJ /, f-4
ADDRESS -Z-
CITY
ZCITY /
MORTGAGE
ADDRESS
CITY
LENDER n2 A
vr1
STATE
NUMBER
ZIP 32'70/
ZIP
ZIP
STATE %L- ZIP 3Z7 8
STATE
ZIP
CONTRACTOR -G SDr..&.I—/c-S 027^c- PHONE NUMBER
ADDRESS 9 Zo /3r,';- G�. Z ST. LICENSE NUMBER
CITY.��-L�o�� { S,��ryt� _{ STATE ZIP 3 2% /
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, PLUMBING, MECHANICAL, SIGNS, POOLS, ETC.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED
ON THE JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEE14
ISSUED. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
THE 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.
ACCEPTANCE OF PERMIT IS VERIFICATION THAT I
WILL NOTIFY THE OWNER OF THE
PROPERTY OF
THE REQUIREMENTS OF FLORIDA LIEN LAW, FS713.
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OSig4naure
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of Ow er/Agent & Date
Signature of Contractor & Date
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Type or Print Ow er/Agent Name
T or Print Contractor's
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s;Notary & Date
ig ture of Notary & Date
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Pu011C, State of Florida
Comm. F.;�uimes
Notary
Oct 23,1995
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My comm. expires
No. CC154761
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COMM.
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FEE
at7io0V0J3roved BY:
B�dd3sl9�ng , 00
Open Space
PERMIT VALIDATION: CHECK
Date:
Radon Police Fire
Road�Im pct Application C$ -0
✓ CASH DATE4 1
® 1 BY
ORIGINAL (BUILDING) YELLOW (CUSTOMER) PINK (COUNTY TAX FFI E) GOLD (CO. ADMIN)
**** THIS APPLICATION USED'FOR WORK VALUED $2500.00 OR MORE
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CITY OF SANFORD
FIRE -DEPARTMENT ! /,5
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FEES FOR SERVICES
PHONE #: 407-322-4952 _ 7 /
DATE: / Z " 6 - -[3 PERMIT #:
BUSINESS NAME::5 V` ,00- rk-.
ADDRESS: �(� (,J �� ( H e - r -C _ (- .
PHONE NUMBER:( )
PLANS REVIEW
BURN PERMIT
TANK PERMIT
COMMENTS: �v.S�c�
❑
❑
❑
AMOUNT
��
TENT PERMIT
REINSPECTION
FIRE SYSTEM
$
S(� �.ti. ���-�C' �✓
❑
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Fees must be paid to Sanford Building Department, 300 N.
Park Avenue, Sanford, Florida. Phone # 330-5656.
Proof of payment must be made to Sanford Fire Prevention
before any further services can take place.
ord Fire Prevention
I certify that the above
information is true and
correct and that I will
comply with all applicable
codes and ordinances of the
City of Sanford, Florida.
Applicants Signature