HomeMy WebLinkAbout3818 Orlando Dr (3)CITY OF SANFORD, FLORIDA
APPLICATION FOR BUILDING PERMIT
PERMIT ADDRESS 351S 00L-Aw Dp i72. SANFora(> r(L PERMIT NUMBER o3
Z773 Total Contract
Price of Job Z,4o00 - Total Sq. Ft. Describe Work
F(aLE i rPt>? (1J1G/.E?Z jjLT-12p'1 )j Type of
Construction Flood Prone (YES) (NO) Number of
Stories Number of Dwellings Zoning Occupancy: Residential
Commercial Industrial LEGAL DESCRIPTION (
please attach printout from Seminole County) TAX I.
D. NUMBER OWNER !;& Tit
A MAcc,J PHONE NUMBERAO) I ls& ADDRESS L4114
1A b r2- . CITY 1,
STATE rL, ZIP 57--7'aI TITLE HOLDER (
IF OTHER THAN OWNER) ADDRESS CITY
STATE
ZIP BONDING COMPANY
ADDRESS CITY
ARCHITECT
ADDRESS _
CITY
MORTGAGE
LENDER
ADDRESS CITY
STATE
STATE
STATE
ZIP
ZIP
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CONTRACTOR
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VWa10Q .F10S rJrWYECM01J ( .f G . PHONE NUMBER '54 P% 29Z-(0 4b a ADDRESS
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S-6 lul f,'121/'f7YL.1/ ST. LICENSE NUMBER (,4-4kOQ(-)0p1$9 CITY STATE
4::` Z I P 32 Sp$ 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,
PLUMBING, MECHANICAL, SIGNS, POOLS, ETC. OWNER'S
AFFIDAVIT: I certify that all the foregoing information is accurate and that all work
will be done in compliance with all applicable laws regulating construction and zoning.
A COPY OF THE RECORDED COPY OF THE NOTICE OF COMMENCEMENT WILL BE POSTED ON THE
JOB SITE WITH PERMITS NO LATER THAN SEVEN (7) DAYS AFTER THE PERMIT HAS BEEN ISSUED. FAILURE
TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR THE 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 FLORIDA LIEN LAW,,FS713. F O
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Owner/Agent & Date Type or
Print Owner/Agent Name V Signature
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Notary & Date Sig at Official Seal)
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MY COMMICSION
M CC K86834]5EXPIRES:
October 22,Bonded Thm
Notary Pubkc Un Application Approved
BY: A-=" 404477 Date: 6 - ZO - O z FEES: Building '
jJ-- Radon Police Fire Open Space
Road Impact Application — PERMIT VALIDATION:
CHECK CASH DATE BY ORIGINAL (BUILDING)
YELLOW (CUSTOMER) PINK (COUNTY TAX OFFICE) GOLD (CO. ADMIN) THIS APPLICATION
USED FOR WORK VALUED $2500.00 OR MORE / 7, O z
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CITY OF'SANFORD FIRE DEPARTMENT
FEES FOR SERVICES
HONE # 407-302-1091 * FAX #: 407-330-5677
DATE: T 4PERM C)2-- / &D 0
BUSINESS NAME / PROJECT: i 4
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PHONE N .:
CONST. INSP. [ ] C / O INSP.:[ ] REINSPECTION [ ] PLANS REVIEW
F. A. [ ] F.S. HOOD [ J PAINT BOOTH [ J BURN PE MIT [ ]
TENT PERMIT
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TANK PEBI 4T [ ] OTHER [ ]
v (J , (PER UNIT SEE BELTOTALFEES: $ )
COMMENTS:
Address / Bldg. # / Unit # Square Footage Fees per Bldg. / Unit
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
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12.
13.
14.
15.
16.
17.
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20.
Fees must be paid to Sanford Building Department, 300 N. Park Ave., Sanford, FI. 32771 Phone # -407-
330-5656. Proof of Payment must be made to Fire Prevention division before any further services can take
place. I certify that the above is true and correct and that I
will comply with all applicable codes and ordinances
of the City 9 Spf*F4,.Poq6. --7
Sanford Fire Prevention Divisi7UFiZ- F "Qpplicani Mignatu'r
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