HomeMy WebLinkAbout105 Candlewick CtCITY OF SANFORD PERMIT APPLICATION
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Application # : 0 ! 4 Submittal Date:
Job Address: 105 CAM leusJ (_ C C.* . Value of Work: $
Parcel ID: 30 -5L -11.63 Zoning: Historic District:
Description of Work: -2,0 P__RQ47 Square Footage: S!z -
........................................................................................................................
Permit Type: Building ❑ Electrical ❑ Mechanical ❑ Plumbing ❑ Fire Sprinkler/Alarm ❑ Pool ❑. Sign ❑
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
Occupancy Type: Residential ❑ Commercial ❑
Industrial ❑
Construction Type: # of Stories: # of Dwelling Units:
Plumbing Repair -Residential ❑ Commercial ❑
Occupancy Use Group(s):
Flood Zone: (FEMA form required)
.............................................................................................. 6.........................
Property Owner: ar\n Contractor: s .C)O i' Ill taStl
Address: �"a qn'- Ccc�d� \ i Address: IT% TcvpiL �k
14A -7
Phone: E-mail: Pho%e:&W-(0666 State License Number: CCC, /'3D74)-7-1
Bonding Company:
Address:
Mortgage Lender:
Address:
Architect/Engineer: Phone:
Address: ' ' Fax:
Plan Review Contact Person: Phone: Fax:
E-mail:
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 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 o it is verification Pat I will notify the owner of the property of the requi ents of Florida Lien Law, FS 713.
1XZ &� i��_ 3 -6 -97 Signature of Owner/Agent Date S gnature of Contractor/Agent Elate
�IEANc�� (l���O L___acixc e M�jtac-s
gent's Name PPPt Contractor/Agent' ame
Signature of Notary -State of orida Date Sign. o otary-State of Florida Date
4P v�B� C RI,i-i. M TERRELL 'r"'ati� KAYDEE GODSON
',pJ:;,±iSSION # DD56S568 ` o "� Pubic -Isle? of Flaidat
E&W*=Jn5.1010
1�Or F�p� EXP RES: June 26, 2010
ao� a-0153 F:Clr?da of sWoeo 0 W 560313
ent j�e
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
UTIL: FD:
ENG:
BLDG:
Superior Roofing Solutions, Inc.
1290 Tropic Park Drive
Sanford, Fl 32773
Phone (407) 688-6600
To whom it may concern:
Effective immediately, and until further notice, this letter will stand as authorization for
Laurie Coursey to obtain permits and receive Certificates of
Occupancy in my name and license for the subdivision(s) and lot(s) specified below:
Job: -:OJ CQm ku3 . ck G . �� , �I 37-71
i?CLcCet. 12) -t9 ^30 - sv9 _0000 - it�3
Thomas R. Cason
CCC1327027
State of Florida
County of Se rV- ► n d�
Sworn to and subscribed before me the1 daydayof 206--)
Personally known to me or has produced
My commission expires: 201
4Notaryubli
Stamp:
�MIQYiJtttate of :
Notwy Public -State of Florida
Coeard im Expires Jun 5, 2010
s Cession 6 DD 560313
�'" �% iu ilWrdrdBy N"W Wn Assn.
as identification.
ft" PU* - Shit of Flp *
' C*"fion E4*u Jug 5, 20
M • DD560:113