HomeMy WebLinkAbout402 Colony AveJAN 2 8 2016
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
BY=
Application No: ,76 J
Documented Construction Value: $$ G -b , U
Job Address: q-02- C.2 V Historic District: Yes No)
Parcel ID: Residential Cmercial
Type of Work: New Addition Alteration Repair Demo Change of Usea Move
Description of Work:T t L- , , (C W 1 ^ N
a vo J`3 v,'y n ss o N fi t,
Plan Review Contact Person: % r? -Q rSGi lwh / Title: e:) vi h e 1
Phone: L[v7 -D'c -d Fax: Email: _ Q C [ cy Ff c. , P
Property Owner Information _
Name Phone: 3 Zt - 3-7
Street: Resident of property?
City, State Zip: asii,ii3 IMS,
tt'0"91 5ni)tpiu..... k
SUVi {z, G!fE:9Contractor InformationIro -1x{i n -_(Atir„
u..,•
Name J/Vp L is erS kle6 . Phone:
1/5 a E
Street: l 1, ,L rt Cl he Fax:
City, State Zip: SC4 ti State License No.: ce r-/0-?
Architect/Engineer Information
Name: Phone:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
E-mail:
Mortgage Lender:
Address:
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.
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 constructioninthisjurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 511 Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
NOTICE: In addition to the requirements of this permit, there inbe additional restrictions applicable to this propert}sthat mai befoundinthepublicrecordsofthiscounty, and there may be additionll!perinits, required from other governmental entities such as water
management districts, state agencies, or federal agencies. F `
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 at the time of permit submittal. A copy of the executed contract is required
in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal.
The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in
accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value,
credit will be applied to your permit fees when the permit is issued.
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.
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
l
Signature of C tractor/Agent Date
NKTTE SCOTT
Notary Public - State of Florida
My Comm. Expires Jan 16, 2018
Commisslon / FF 071760
fjords' Thra* "0" W -9Y Assn.
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Knoyvn to Me or
Produced ID Type of ID Produced ID
I
Type of ID L
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing[] Gas Roof
Construction Type: Occupancy Use:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes No # of Heads
SO(&
APPROVALS: ZONING: 1 -IJ6 - 16 Sr -214- UTILITIES:
COMMENTS:
ENGINEERING: FIRE:
Flood Zone:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
WASTE WATER:
BUILDING: f1 e l
Based on 40 linear feet of building length, ok to install 32 square feet of signage on Sanford Avenue
fagade and up to 28 square feet of signage on Celery Avenue fagade.
Revised: June 30, 2015 Permit Application
itN
AP-RRCVEID PLANS 24 f
2N 10
EPTIFT
Based on 40 linear feet of building length, ok to
install 32 square feet of signage on Sanford
Avenue fagade and up to 28 square feet of
signage on Celery Avenue fagade
Pin
J!Gwr tj
JAN 2 8 2016
to