HomeMy WebLinkAbout1617 E 2 St//�'' CITY OF SANFORD PERMIT APPLICATION
Application # : y / �.1 /�
Job Address: 1617 E 2nd S t r
Parcel ID: 30-19-31-502-0200-0010 Zoning:
Description of Work: Reroof Flat only
Submittal Date:
Value of Work: S 2,475.00
Historic District:
Square Footage: 1 1 S
........................................................................................................................
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 _ Plumbing Repair —Residential ❑ Commercial ❑
Occupancy Type: Residential ❑ Commercial ❑ Industrial ❑ Occupancy Use Group(s):
Construction Type: # of Stories: # of Dwelling Units: Flood Zone: (FEMA form required)
................................................ ......................................................................
Property Owner: Michael Skat Contractor: Pilcher Roofing, Inc
Address: 1617 E 2nd S t r Address: P.O. Box 520177
Sanford, F1 32771
Phone: E-mail:
Bonding Company:
Address:
Architect/Engineer.
Address:
Plan Review Contact Person:
Longwood, F1 32752
Phone: 3 2 4 -1 41 9 State License NumbenCCC 0 3983 3
Mortgage Lender:
Address:
Phone:
Fax:
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 taws 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 of permit is verification that I will notify the owner of the property of the
Signature of Owner/Agent
Print Owner/Agent's Name
Signature of Notary -State of Florida
Owner/Agent is _
Produced ID
APPROVALS: ZONING:
Special Conditions:
Rev 02/2007
Personally Known to Me or
Date
requi a ents of Flo -M
S 713.
Signarf ContIt D e ��
ct �ent's me
Date Signature of Notary -State of Florida Date
�" "�� `DEBBIEU 'LANION
MY COMMISSION # DD629096
d�
EXPIRES: February 25, 2011
,800-3-NOTARY
A00 7 NOTARY FI. Notary Discount Assoc. Co.
Contractor/Age
Produced ID
UTIL FD:
ENG:
BLDG:
q1
POWER OF ATTORNEY
I, Steve A. Barnes 11, do hereby authorize
DATE: 3-21-07
Nancy Barnes
to pull permits for PILCHER ROOFING, INC ( description )
1617 E 2nd Street Sanford 30-19-31-502-0200-0010
FIN
Manx ... �. ,A
Personally known to me Q or drivers license#
State of Florida, County of Seminole on 21 day of March ,
2007
y ............................................
i PATRICIA J. COLEMAN
Comm# 000396567
aR= Expires ?!15!2009
` T�
0,`�'a ' Saided thtu (800)432 -4254:
Steve A. Barnes 11
i�;,F;.v Florida Notary Assn., Inc =
':
.............•..............................i
FIN
Manx ... �. ,A
Personally known to me Q or drivers license#
State of Florida, County of Seminole on 21 day of March ,
2007