HomeMy WebLinkAbout402 Galary AveCITY OF SANFORD
i - J la BUILDING & FIRE PREVENTION
PERMIT APPLICATION
JAN 2 201
Application No: G ,761>
11 1
Documented Construction Value: $ 9b , U U
Job Address:
Parcel ID•
Type of Work: New Addition Alteration Repair
Description of Work: CJT (Z, C Ice
Historic District: Yes No
Residential C mercialm-1
Demo Change of Usea Move
yo
Plan Review Contact Person: J v e e Ir
Title:—,5) w h e y
Phone: +-[ -' -p 1 (o Fax: Email:__ Q C 0'6am
Property Owner Information
Name Phone: 3 21 "
Street: z .i,y c :
f Resident of property? :
0
City, State Zip.--, as'l>> n" ""' :, a:'
Contractor Information
Name pt L 2r hG 6Al Phone: `%i-
Street: tL'1 K q CC i -e- Fax:
City, State Zip: SCt t, or -,6 y.4) 76 Ka State License No.: CAC-/5
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
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 ma .be additional restrictions applicable to this propert}t that ma, befoundinthepublicrecordsofthiscounty, and there may be additiondl!permits, required from other governmental entities such as water
management districts, state agencies, or federal agencies. y t
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.
1a 1J/VM / l
Signature of Owner/Agent Date Signature of C tractor/Agent Date
ive, 6 if e2
Print Owner/Agent's Name Print on ractor/Agent's Na
6
Signature of Notary -State of Florida Date Si tureofNotary-Stat ok0 "MtIrETTE SCOTT
Notary Public - State of Florida
My Comm. Explrtta Jan 16, 2018
a r Commtsalan 0 FF 071760
tt" Bo Med TlrougAWonal buy, Assn.
Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Knonto Me or
Produced ID Type of ID Produced ID Type of ID U!
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrical Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
SO(&
APPROVALS: ZONING: 1-1%-16 sy*n"i. UTILITIES: WASTE WATER:
COMMENTS:
ENGINEERING: FIRE: BUILDING: --/
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
AP MOVED PLA -S
100
E; I I i...!- I .
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
yap
13
I i LI LD
0
C.
r3
A c" I
JAN 2 8 2016