HomeMy WebLinkAbout2207 Bel-Air Blvd�f;"i�2016
b
1 CITY OF
BUILDING & FIRE PR
PERMIT API
Application No:
mented Construction Value: $
Job Address: ZzG7 Gel -Ar 61,J 54n�441 FL �Z771
Parcel . D: 31-14- 31- 5'04 -lzo0-0040
Type of Work: New Addition ❑ Alteration ❑ Repair0 De 1
Description of Work: Re
Plan Review Contact Person: M:S:
Phone: qO7-31Z- 7434
Name N,cl.ole.,s ge,:
Street: Z207 821 -
City, State Zip:
Name�o ns k VS &
Street: Po go"(. 9 5U 6q 0
City, State Zip: Lk ke hat X,
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Z
: 407 -70S -L333
Property
00
>ANFO -D�
'VW
TION
LfCATION
O `1
Hi oric District: Yes ❑ NoX
esidentialM Commercial ❑
❑ Change of Use ❑ Move ❑
Title: Pco; ecf I"1GAuxe'
Email: M57:k,,r.,0D_CFG5 F1or:dct,GC"-7
nformation
Phone: 7-IS--G01-ZLZ(v
Resident of property? : YeS
Information
Phone: 407-43-§'-343.3
Fax: WA
State License No.: CCC. 13 Zfo 8 7 f3
on
Phone:
Mortgage
Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IfIPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTAD 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. 1 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: 51" 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 zoning.
Signature of a Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Date
Micheal $Boom
NOTARY PUBLIC
STATE OF FLORIDA
Carim FF974639
fres 3/23/2020
Owncr/Agent is ersonally Known to Me or
Produced ID Type of ID
ignature of Contractor/Ag t We
A) ex,-, d,',- Pcr^
Print Contractor/Agent's Name
G��%�✓� /z/ V16
Signature of Notary -State of Florida Date
MWVW Sikora
NOTARY PUBLIC
IvrnlFOS 3WIM
STATE OF FLORIDA
CM n # FF974639 ,
Contractor/Agent iE Personally Known to Me or
Produced 1D Type of ID
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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: June 30, 2015 Permit Application