HomeMy WebLinkAbout351 Central Park Dr�`) � CITY OF SANF'OKD PERMIT APPLICATION � n D � 7 20,071
eCmr4 Date:
rt �
lob Address:
Description of Work:I"ttZM Vl ��1sr11L� lis'/X io` Ci-► tlr.t L:iniK 1 t AICt~ �Wf}LK 641-05 %(t) ()R.\VF- C -14n_.
Historic District: Zoning: Value of Work $ �'�.'s.'�y� �`•.'
Permit Type: Building X Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service - # of AMPS 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 -)<_— Industrial Total Square Footage:
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required for utlwer than X)
Parcel#: d?- ICl '10 --5
Owners Nante & Address:5�
f( 62>i/ L'`)
Contractor Name & Address:
A=t_ 3X76
07— o Deo o l t<`t
V
(Attach Proof of Ownership & Legal Descrip(ion)
,IDU r -to . XtOki svr-t F!MA'F31;i-n-
Phone
r iv- A ,
-- 37 I -- e�& 6--5
State License Number: Q
Phone &Fax: Person: Phone: t7yi Ali _/�C
Bonding Company: IV4
Address:
Mortgage Lender: JV14
Address: —
Architect/Engineer: 4V-4 Phone: � y
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. 1 understand that a separate
permit most be secured for ELEC'T'RICAL 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 OB'T'AIN 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 orperntit is verification that I will notify the owner of the property of the requircnt_nls of Florida Lien La " FS 713.
Sigr6atureofo uer/Age Date SignatuteofContra or/Agent Date
l' nt Owncr(Agent's tie . frit Contractor/AgeNN?-A
, (
167
to of Florida%J7 Date Signature of Notary -State of Florida Date
PZ�Vo1?Ane P• 1 36546
�om��5sioa�➢0� 2409_.
ye ge o It R'c' aljy Known to \ or Contactor/Agent is Z,_�—P onally Known to Mc
�XCWdlittl$�i� - . J L` t� Chi L Produced ID
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APPLICATION APPROVED BY:Z uiu .. ��Utilities: FD:
(Initial & Date (Initial & Date) (Initial & Date)
Special, Conditions:
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'="'��'`''•'� _ ': ._ -'_ BUYER: FLORIDA GAS TRANSMISSION CO.JIL
{
► c °~ �?: 14, 110k� ESTA$ BUSINESS
J 2747 CARRIER AVE.
` f - SANt'ORD, FL 32773
I�1t1C, SS 011 ; C Tlt F SANFORD- SEMINOLE COUNTY, FL
f (407) 323-1510
XC tlSAC : 1.20 A ENGINEER: PLCHT-EVANS,ENGINEERING, INC.
,• 1
501 E, JACKSON ST
ORLANDOz FL 32801
ir3T2 2--osuC: C- (4 07) ,n t 2-1515
4 �. -
. . 1 OWNER: THOMAS L'. OYLER
LEO C. TREPANIER TENANTS
b1. E' MY
WILLIAM S. STOLLEEi IN COMMON
1Di! C
OWNERS - HOWARD SCHIEFER DECKER
i AUTHORIZED 501 E. JACKSON ST..,
C
AGENT
Oa WEORLANDO, FL 328'01
r� = • 'D D9 = - i.
407) 843-1862
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