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HomeMy WebLinkAbout819 Pecan AveN6 CE IVED APR 0 b Z011CITY OF SANFORD BUILDING & FIRE PREVENTION RIT— PPLICATION I — Application No: Documented Construction Value: $ Job Address:. 21 9 ra a A rlt , Historic District: Yes Nq4 Parcel ID: U / Zoning: Semlh 6lP_ :I Description of Work: I'_) P Wi0; 6 h C CUL } 1us 2--, Plan Review Contact Person: Title: Phone: Fax: E-mail: _ Property Owner Inf99r mattio / Name d 1/Ve5 l ic377J1' Pho/ne: 7U jl d L ( cS,S Street: e Resident of property? Ilew City, State Zip: 77- nu;S Djv Contractor Information d- h 6 Name Phone: 7y Street: City, State Zip: Name: Street: City, St, Zip: Bonding Company: Address: Building Permit Square Footage:. Fax: State License No.: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: W No ofStories: No. of Dwelling Units: Flood Zone: d/h Electrical Plumbing New Service — No. of AMPS: New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: i Application is hereby made ,4o 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. 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. 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. NOTICE: In addition to the requirements of this permit, there inay be additional restrictions applicable to this property that may be found in the public records of this county, and there maybe 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. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. 4.0t- Li, Signature of Owner/Agent D e Pri er/Agent's Name y tDL— , t Signature of Notary -State of Florida Date Owner/Agent is Produced ID APPROVALS: COMMENTS: Me or UTILITIES: 1'A Signature of Contractor/Agent Date Print Contractor/Agent's Name Signature of Notary -State of Florida Date Contractor/Agent is Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: Rev 11.08 i; www.sunbiz.org - Department of State Page 1 of 2 Home Contact Us E-Filing Services Document Searches Forms Help Previous on List Next on List Return To List Officer/RA Name Search No Events No Name History F Submit Detail by Officer/Registered Agent Name Florida Non Profit Corporation GOLDSBORO WEST SIDE COMMUNITY HISTORICAL ASSOCIATION INC. Filing Information Document Number N10000011734 FEI/EIN Number NONE Date Filed 12/20/2010 State FL Status ACTIVE Principal Address 1211 WEST 13TH STREET SANFORD FL 32771 Mailing Address 1211 WEST 13TH STREET SANFORD FL 32771 Registered Agent Name & Address OLIVER, FRANCIS 2726 BUNGALOW DRIVE SANFORD FL 32771 US Officer/Director Detail Name & Address Title C OLIVER, FRANCIS 2726 BUNGALOW DRIVE SANFORD FL 32771 Title C MILLER, ALGERINE 1703 SW ROAD SANFORD FL 32771 Title S O'NEILLE, ANNIE 1206 W 16TH STREET SANFORD FL 32771 Title T FRANKLIN, SYLVESTER 1012 PECAN AVE, SANFORD FL 32771 www.sunbiz.org - Department of State Annual Reports No Annual Reports Filed Document Images 12/20/2010 -- Domestic Non-ProfitIf View image,in PDF,format Note: This is not official record. See documents if question or conflict. Page 2 of 2 Previous on List Next on List Return To List Officer/RA Name Search No Events No Name History ,Submit Home I Contact us I Document Searches I E-Filing Services I Forms I Help Coovright© and Privacv Policies State of Florida, Department of State