HomeMy WebLinkAbout1201-1203 Myrtle Ave (3)CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
SEP ? '0 2016 Application No: 1('e—Q5clo
LDocumented Construction Value: $ -G!r
Job Address: Zdl 03 My4l p- &tee Historic District: Yes No
Parcel ID:
Type of Work: New Addition
Description of Work: .n
J, , ) .,
Plan Review Contact Person:
Phone:
Alteration
rn n
Residential Q Commercial
Repair Demo Change of Use Move
A ),et° 7' eVG AA,naiae CtnO1/
Title:
Email:
Property Owner Information
Name %""A'rE Phone: 56J- C/0 0 ` (O Z 75h
Street: Resident of property? : f r0
City, State Zip:, at RE
Contractor Information \
Name AM401i
Fax:
Street: ?73) tl 7_c4 dkel I
City, State Zip: _ 144"%s, "el-" KL5_l
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Phone: ( ?/ J30,?-
Fax:
State License No.:
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 construction
in tlus 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:.5" 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 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 regulatin nstr ctio ni g.
I
Signature of Owner/Agent Date ignature of Contractor/Agent to
Print Owner/Agent's Name Prntractor/Agent's Name tfo
Signature
of Notary -State of Florida Date Signature pf;Nb%W- tate of F1q ETTE SCOTT Date Notary
Public • State 01 Florida c
My Comm. Expires Jm 16, 2018 COmmissioa
0 FF 071760 OFftnded
71=0 MOM Nfty Assn. Owner/
Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced
ID Type of ID Produced ID Type of ID BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical Plumbing[] Gas Roof Construction
Type: Total
Sq Ft of Bldg: Occupancy
Use: Min.
Occupancy Load: New
Construction: Electric - # of Amps, Fire
Sprinkler Permit: Yes No APPROVALS:
ZONING: ENGINEERING:
COMMENTS:
of
Heads UTILITIES:
FIRE:
Flood
Zone: of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June 30, 2015 Permit Application
Detail by Entity Name Page 1 of 2
Detail by Entity Name
Florida Limited Liability Company
FUTURE FIRST LLC
Filing Information
Document Number L16000000081
FEI/EIN Number NONE
Date Filed 12/29/2015
Effective Date 01/01/2016
State FL
Status ACTIVE
Principal Address
1718 S MAGNOLIA AVENUE
SANFORD, FL 32771
Mailing Address
1718 S MAGNOLIA AVENUE
SANFORD, FL 32771
Registered Agent Name & Address
WYSONG, MARK J
1718 S MAGNOLIA AVENUE
SANFORD, FL 32771
Authorized Person(s) Detail
Name & Address
Title MGR
WYSONG, MARK J
1718 S MAGNOLIA AVENUE
SANFORD, FL 32771
Annual Reports
No Annual Reports Filed
Document Images
12/29/2015 -- Florida Limited Liability I View image in PDF format
http://search. sunbiz. org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 9/20/2016
Ic
7 c&/
DATE OnRDPPED ORDER TAKEN BY
3 Zs163Z)
rSOLD PHONyfiO. CUSTOMER ORDER
1710 5 /!:,fn"4; 14u..r
JOB LOIAT 10,7/
JOB PHONE STARTING DATE
TERMS
OTY. MATERIAL I UNIT I AMOUNT DESCRIPTION OF WORK
KA, f 6
MISCELLANEOUS CHARGES
TOTAL MISCELLANEOUS
LABOR HRS. RATE AMOUNT
TOTAL MATERIALS
WORK ORDERED 1
TOTAL LABOR
DATE ORDERED
TOTAL MATERIALS
CUSTOMER
APPROVAL
AUTHORIZED SIGNATURE
A-2817-3817 / T-3866
TOTAL MISCELLANEOUS
SUBTOTAL
TAX
GRAND TOTAL
10-11