HomeMy WebLinkAbout1309 W 7 St!?J, EG CITY OF SANFORD
2016 BUILDING & FIRE PREVENTION
JUL 0 licat
F D
gY: PERMIT APPLICATION
Appion No: G �J
Documented Construction Value: $ "3 Cad
Job Address: 1'5N W T— 6�-- • Historic District: Yes ❑ No
Parcel ID:':5 -30 'CR / k —Q(2k>-2-O Residential,) Commercial ❑
Type of Work: New Addition ❑ Alteratio Repair ❑ Demo ❑ Chan a of Use ❑ Move ❑
Description of Work:
Plan Review Contact Person:
Phone: Fax:
Name l &Amaa -17)2 i rce
Street:
City, State Zip:
Name
Street:
Email:
Property Owner Information '
Phone: ` r
Q7— Z(4 -)i Q aG
Title:
Resident of property? :
Contractor Information
-�-L=> LN
Phone: 26-7 f
Fax:
City, State Zip: ��— Z-- ��V DC7 , rl-3�'�'�gtate License No.: ( -304 1-7
Architect/Engineer Information
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone:
Fax:
E-mail.-
Mortgage
-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 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.
FBC 105.3 Shall be Inscribed with the date of application and the code In effect as of that date: 51D Edition (2014) Florida Building Code
Revised: June 30, 2015 Permit Application
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 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 lite 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.
Sigaaii; a of Owndf/Agent Date
Print OWnddgkent's N/fne
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Signature orcontrac t gcnt Date
C,<L(_�L-f v•7f?-VtC>
PriRrt Contractor/Agent)s frame
argnaw�or�Lversry ra�� • MyCOMMISSIOIf#j�005191 argnacur ; o`p Awr a of rronu�NHETTE SCOTT
+1 EXPIRES: Apro 9, 2017 = + • . - Notary Pubk -State of Ftorlda
�'4.7d�°' 10*dThroBu�etN*ry$wkel f• My ComT. Explree Jan 16, 2018
Commission a FF 071760
'''r•,"„ UVed Th" kulonal Holm
Assn.
Owner/Agent is Personally Known t Me o
r fj��, ontractot/Agent is Personall wn o Me or
Produced TD Type of ID 1. 'l %S�Produced TD Type of TD L
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing[] Gas❑ Roof ❑
Construction Type: Occupancy Use:
Total Sq Ft of Bldg:
Flood Zone:
Min. Occupancy Load: # of Stories;
New Construction: Electric - # of Amps,
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads
APPROVALS: ZONING:
COMMENTS:
UTILITIES:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
ENGINEERING: FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
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