HomeMy WebLinkAbout110 W Lake MaryCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
DEC 2 0 2016
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6-3-3
0B `D me dValue: $ _t, 2 t qC)0
Job Address: 110 W Lake Mary Historic District: Yes ❑ No ❑
Parcel ID: 25-19-30-5AG-0808-0060 Residential ❑ Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ ange of Use ❑ Move ❑
Description of Work: install one x1 non -illuminated awning sign Mn IN=
Plan Review Contact Per Michael Giesinger Title: permitting
Phone: 407-878-3981 Fax: 407-878-3980 ail: permitting@whitesigncompany.com
Property Owner In ation
Name Boulevard Plaza Phone:
Street: 2240 NW 19th Street Ste 801 Resident of property?
City, State Zip: Boca Raton, FL 33431t
CV
r Information
Name All Star Homes Phone: 407-829-2418
Street: 1450 Kastner Place #124 Fax: 407-878-3980
City, State Zip: Sanford, FL 32771 State License No.:
A hitect/Enginr Information C 9 L Igo 55;l_\
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address: 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. Inh
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FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 51b 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 1 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: 1 certify that all of the foregoing informati4,3
Ai
rate and that all work will
truct
be done in compliance with all applicable laws regulating con!Qng.
Signature of Owner/Agent
Print Owner/Agent's Name
Date
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Sigshture of Contractor/Awl Date
Print Contractor/Agent's Name
Signature of Notary -Slate of Florida l5ate
RACHEL WOOD
Commission M GG 2982
1��rg My Commission Expires
June 15. 2020
on rac or gen is -k_.-,rer?5nal1y 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 ❑ # of Heads
APPROVALS: ZONING: 12�Z4�IG `.�^ TILITIES:
ENGINEERING:
COMMENTS:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING: /— i. / 7
Ok to install 64" x 28.8" fabric awning with two (2) Wingstop logo at 15.28 square feet each for a total of
33.3 square feet. Awning sign shall not exceed one-third (1/3) of the canopy face horizontally and
vertically. Any additional attached signage on canopy, wall or window shall require approved by City of
Sanford Planning Department.
Permit Application