HomeMy WebLinkAbout1500 Twin Trees LnCITY OF SANFORD PERMIT APPLICATION
Permit # :� Date:
Job Address: t �►—+� '1 — �� ,, a', SIC 1;`�;1n Tees
Description of Work:
Historic District: Zoning: Value of Work: . -�' \( � =_C—� ;� T u_&;—,
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS An Addition/Alteration Change of Service Temporary Pole _
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair — Residential or Commercial _
Occupancy Type: Residential Commercial I,,'- Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for other than X)
Parcel #:
(Attach Proof of Ownership & Legal Description)
Contractor Name & Address:1j'fyLNlei— (=IC�G/t; {�iG� L 11�r V1 lJeUls
,State1 License Numbe(r:' J J / �S�
Phone & Fax: `�d7� �L��' t�700 X77: /Contact Person: !t�—�t�1L N�Ctt2 �tF�CL Phone:L4C�7—
Bonding Company: —111-4
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: Fax:
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.
?Z,c7/l
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. 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 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 FI rid Lien Law, FS 713.
Signature of Owner/Agent Date Signature of Contractor/Agent ate
Print Owner/Agent's Name Print Contractor/Agent's Name.
Signature of Notary -State of Florida Date Signature of�jotary-State of
nFJpJjc�a.AS M. MILER
••rj� ••.. ftMAS
•ep NOTARY PUBLIC - STATE OF FLORIDA
COMMISSION # DDD446174
Owner/Agent is _ Personally Known to _ ContrA Pets ty tL AMw2 7/2009
_ Produced ID Pr .' CJ�t�
•'•�• BONDED THRU 1-888- ARY1
APPLICATION APPROVED BY: Bldg: Zoning: Utilities: FD:
(Initial & te) (Initial & Date) (initial & Date) (Initial & Date)
Special Conditions:
v
PALMED ELECTRIC COMPANY
875 Jackson Avenue
Winter Park, F1. 32789
POWER OF ATTORNEY
I hereby name and appoin>`�
to be my limited lawful attorney in fact, to
e-�
or me and apply to the
for ' -- c
for an ELECTRICAL permit and to sign my name and all things
necessary to this appointment.
PALMER ELECTRIC COMPANY
Robert N. Parker, III
Signature of Certified Contractor, EC 0001858
875 Jackson Avenue, Winter Park, Fl. 32789
State of Florida, County of ORANGE
Sworn to and subscribed to before me this %day of , 20175
r
A
:� �•.• THOMAS M. MILLER Signature of Notary Public
. NOTARY PUBLIC - STATE OF FLORIDA g y
COMMISSION # DD446174
•'''►erred''• EXPIRES 6/29/2009
BONDED THRU 1-888-NOTARYI
Personally known: x
Page 1 of 1
,D
1
2A
20
18
18
Layers
D�
c�w�il
—
Refresh Map
1-19
Visible
18
19
r
r
County Boundary
F-
Townships
r
Sections
�'17
20
r
Major Roads
r
Streets
r
Vacated Streets
TRACT E D 16
1514 121110 B 7 8 5 3
TRACT 8
r I I
TRACT C
ry
Hydrology
�.
Rr18
17
2I1
Subdivision Lines
F
19
2122 24 25 27 29 30 3132 33 35 371
r
Parcels
20
TRAGT A
14 13 12
11 10 9 t
8 7
$
5 4
Parcel Anno
15_�--�
' 3
r
City Limits
ya
'96 97 98 ,99100101 102 103 2
r
County Zoning
&minookkCo�untyProperty kppraoerjcopYrightIC) W*200 3X72
v
71 70
89 168 I
1
1
Future Land Use
r
Natural Lands
r"
Soils
r
FEMA
F-
CONTOURS
F
ZIP
r
Fire Station
i–
Facilities
r"
Golf Course
r
Parks
r"
Boatramps
r
High Schools
r'
Middle Schools
F
Elementary Schools
r
2004 Color Aerials
Zoom
In Parcel Themes:
Normal Scale Factor:
http://simon03.scpafl.org/website/scpa/viewer.htm
7/29/2005
3-
Engle [40me-5
Ty 101CCA c9 f bo h
L= v, 4 (-c'n Les -
art w