HomeMy WebLinkAbout905 W 10 StCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
F+ OCR
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d d'34 ;' Application No:
4 1
Documented Construction Value:
Job Address: /0 Historic District: Yes No 0
Parcel ID:
Type of Work: New Addition Alteration
of Work:
Plan Review -Contact Person:
Phone: Fax:
Z Residential Commercial
Demo Change of Use El Move El
Email:
Title:
Property Owner.lnformation
Name V `_ 'K' Phone:
Street: Resident of property. .
City, State Zip:
Contractor Information
City, State Zip:
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Fax:
State License No.:
Arch itectlEngineer 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 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. 0a
FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: Ste 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 regulating construction and z9aning/
Signature of Owner/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
j0, L 11 Signature
of N DEBBIE
BLANTON Ni
MY
COMMISSION # fF 17e648 February
25, 2019 EXPIRES: uonded
Thru Notary Public Underwriters Contractor/
Agent is Personally Known to Me or Produced
ID Type of ID 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 APPROVALS:
ZONING: Flood
Zone: of
Stories: Plumbing - #
of Fixtures. of
Heads Fire Alarm Permit: Yes No UTILITIES:
WASTE WATER: ENGINEERING:
FIRE: BUILDING: COMMENTS:— — - - — - ---
Revised:
June 30, 2015 Permit Application
L&C ELECTRICAL SERVICE INC
4813 LAKERIDGE ROAD
it,, V3V
TO WHOM IT MY CONCERN L&C ELECTRICAL SERVICE CHECK WIRING AT 905 WEST 10STSANFORD FL.
DEM THE WIRING TO BE SELF
THANK YOU
L.0 GIBBS
LICENSE NUMBER ER13013736
PHONE# 407-468-1307
DONE ON THIS DAY 10/14/2016