HomeMy WebLinkAbout145 Seminole BlvdPermit f : 010- C) 3ko
Job Address: S,
Description of Work.. Zk% A.5W IZI
Historic District Zoning:
CITY OF SANFORD PERMIT APPLICATION
Date: i '— 7— o
/YI T- A/A/ �vo
Value of Work:
Total Square Footage
Permit Type: Building Electrical 7/— Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service – # of AMPS /00 Addition/Altemtion 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
PlumbiiSiNew Residential: # of Water Closets Plumbing Repair – Residential or Commercial
Occupancy Type: Residential Commercial_ Industrial
Construction Type: # of Stories: # of Dwelling Units Flood Zone: (FEMA form required )
Owners Name & Address: M C C 5 oy
C1�I/1�1r�`
Contractor Name & Address: I.)1 G K 'S LL C 1 --rl G Z KC hl IVL h r
Sla /J Cry( 37 �� State LtanseNumber: r��C- L'100
Phone & Fax: Of -7 2- Contact Person: i C %{ sG IQ ri L 1 7 Phone: UO 7
Bonding Compaor
Address:
Mortgage Leader.
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 WORD 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 04 END 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 properly of the requirements o da Lien Law
k2
Signature of Owner/Agent Date SigeatureofContractor/Agent Date
Sc h j
Print Owner/Agent's Name / is Name
Signature of Notary -State of Florida Date Signature of NTFIoridQE8811N
MY COMMINON S Do IM01
EXPIFiEG' Fsbtaaty 20, 2007
n �oo.54WARV Fr. NM V OlawA ANW, tin:
Owner/Agent is _ Personally Known to Me or ContractodA y Known m Me or
Produced ID _ Produced ID
APPROVALS: ZONING: UTIL: FD: ENG: BLO Q:
VV
Special Conditions:
Rev 03/2006
3
LHI\C 1•IUIVf1UC
timet
SEA WALL
(845C ".WE=B' I
4.4 fI00C+ O 1100.'._ CL) I --.—J
g . -13
10.0 _-(F.) -8450 1100' CL),I IFBRTLTS21 O5 !100' (F -8450
[FA5120B,1-1321 lFBRTL1t.40121 a.t :84.5C�WE=B!
ID, 5—f 21 ,IOOc
;4:3' 18450+ (l
(TAPER:.303EA1
(25.7.0
(S-300-N=PARK-RDl
1CLLI SNFRFLU02011
(ExGeoLoc.:.303EAI
a' IXT_VM24AOG0.0:011
(El -W.71
(24-87-,-3.0557,2581J _
(IN.T7
4.2 1845CI
ISP_LI
15'-CONC,":S7_W`
50: —
' O �
_ HANO TRENCH
6 INCHES BEHIf
LOCATE ENO OF EXIST
4' PIPE AND PULL CAELES
2.4 18450
IP-COIL=O.T_Y=2
10F15_,-1=41 SANFORD
CITY HALL
10 ;257C1
IRPTW5120B S 300.3 N PARK RDI
IIN:I
(MD3061,1-1681
IMD3061,"225=2561
TOUT :1
IRPTW51208,1=561
11 i a70
� izh onfl "A"`9AA" C'w"'latt"u-nni
#93005
(1 977)
250'(R) -1 2C
BKTA-200
91 1 , 1301 -1 350
301 HSE. 301 - 350
46.276-300
911,1126-1200
10TOR OTY*.'4:
S/W
0
I
08450
IDC_5BW2LT=24;
(OF15--14"1=41
IK,, 51
t2 `_45CI
fANMW=1001
(911-1151-..12001
IM; 51=100.1
L7 -*O"-1
1..1-4"_=
SEMI NOLE PL
4
MH N-2