HomeMy WebLinkAbout200 W Lakemary BlvdPermit No.
Job Address:
Permit Type:
CITY OF SANFORD PERIVIIT APPLICATION
1 i2LA5G
Date: lZ d I
moo 1.. rY 6/60 ,
if Work:
ay &
Building
t 1'/ Electrical Mecbanical Plumbing Fire Alarm/Sprinkler
tyi s 611 csr arlrre) e-H-e
k. ao.1 rac a-Y/J/" 44
Additional Information for Electrical & Plumbing Permits
Electrical: Addition/Alteration _Change of Service Temporary Pole New AMP Service (# of AMPS )
Plumbing/Residential: Addition/Alteration New Construction (One Closet Plus Additional)
Plumbing/Commercial: Number of Fixtures Number of Water & Sewer Drainage Lines Number of Gas Lines
Occupancy Type: _Residential VCommercial _ Industrial Total Sq Ftg: Value of Work: S 500• 00
Type of Construction: Flood Zone: Number of Stories: Number of Dwelling Units:
Parcel No.: (Attach Proof of Ownership & Legal Description) t_
1
Contact Person: ns{
c- Phone & Fax Number:
Title Holder (If other than O,wger):
Address:
Bonding Company:
Address:
Mortgage Lender:,
Address:
Architect/Engineer
Address: t
3 c 7) C of 3 Z BLOC) h
pis
State License Number:
40713Qz - 74, Z G 362-5413 -G .
S: IL
11;1%J
3
1
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Phone No.: 6fq%— Z 6 ,0- 7/S%
L Fax No.: ,,r( -
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.
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 restrict oGnsapplicabletothis
found in the public records of this wunty, and there may be additional penni equired from other gov
water managemen`di s`s agenciesoTfed_a] agencies. Jr
is verification that I will notify the owner
7, der
of Own gent Date
Print Owner/Agent's Name
i attire of Notary- to of Florida_ Date
o`'a" x ` ^NPR M. JOHNSON
Owner/Agent is _
Produced ID
Personally Known to Me or
property
Contractor/Agent's Name
r-r)
that may be
lift such as
aw, FS 713.
Date
Date
JO ANN M. JOHNSON
MY COMMISSION # CC 921
EXPRES: Mar, o
F • f pF F'
udgel Notary Servt"
Contractor/ genfis-"' 'PersonallyKnown-=tr
Produced ID
APPLICATION APPROVED BY. Date:
Special Conditions:4S
or
a
S
Sa
December 14, 2001
City of Sanford
Building Department
P.O. Box 1788
Sanford, FL 32772
RE: Boulevard Plaza - City of Sanford
Corner of 17-92 & Lake Mary Boulevard
Dear Sir/Madam:
This letter will authorize Seminole Signs & Lighting to pull necessary permits to install a store front
sign for Distinctive Dentistry (Unit #200) at the above referenced shopping center.
Sincerely,
SANDEFUR & ASSOCIATES, INC.
Aw.0-4 a j a w C"'
Tamera T. Patitucci
Executive Vice President
TTP/ks
SWORN TO SUBSCRIBED BEFORE
ME THIS DAY OF DECEMB
7 LEEN E STANLEY
y
MY OOMMISSION 8 CC yltvl tv
J/ E' 61 EXPIRES:F0,8,21M14
n 180Q3MOTARY Fla. Notary Swvioe & Bonding Co.
Kathleen E. Stanley - Notary Public
806 East 25th Street Sanford, Florida 32771 Phone: (407) 321-8200 Fax: (407) 321-9773
0 Website: www.sandefurco.com 0
SANFORD BUILDING DEPT.
THESE PLANS ARE REVIEWED AND CONDITIONALLY
ACCEPTED FOR PERMIT. A PERMIT ISSUED SHALL BE
CONSTRUED TO BE A LICENSE TO PROCEED WITH
THE WORK AND NOT AS AUTHCRITY TO VIOLATE,
CANCEL, ALTER, OR SET ASIDE ANY OF THE
PROVISIONS OF THE TECHNICAL. CODES. NOR SHALL
ISSUANCE OF A PERMIT PREVENT THE BUILDING
DEPT FROM THEREAFTER REQUIRING A CORREC-
TION OF ERRORS ON THE PLANS. CONSTRUCTION
OR OTHER VIOLATIONS OF THE CODES
City f: Sanford
Model Cedes in effect:
Standard Building Code 1997 ed.
Standard Plumbing Code 1997 ed.
Standard Mechanical Code 1997 ed.
National Electrical Code 1996 ad.
See City Code AMENDMENTS
FL. Accessibility Codes 1997
FL. Energy Code 1997
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