HomeMy WebLinkAbout3106 Rudder CirCITY OF SANFORD PERMIT APPLICATION
Application # : C I q Submittal Date:
Job Address: 3106 Rudder Circle, Sanford, FL 32773 Value of Work: $
Parcel ID: 06-20-31-300-0010-300A Zoning: RI -1 Historic District:
Description of Work: Installation of replacement windows Square Footage:
Permit Type: Building X 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: Sanford Airport Authority
Address: 1200 Red Cleveland Blvd
Sanford, FL 32773
Phone: 407/585-4010 E-mail: dcrews _,osaa.net
Bonding Company: n/a
Address:
Architect/Engineer:
Address:
Contractor: same
Address:
Phone:
Mortgage Lender:
Address:
State License Number:
Phone:
Fax:
Plan Review Contact Person: Diane Crews Phone: 407/585-4010 Fax: 407/585-4045 E-mail: dcrews@osaa.net
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 of permit is verification that 1 will notify the owner of the property of the requirements of Florida Lien Law, FS 713.
Q. AR Cl�O 03 ' 01 ' 4)1 same
Signature of Owner/Agent Date Signature of Contractor/Agent
iorn2 Crews VI c.e ~Pres; Louki o
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wn s Name �� fk& M`^ ; ph Print Contractor/Agent's Name
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Signature of Notary -State of Florida Date Signature of Notary -State of Florida
—.::,,,.,.. PHYLLIS I. GIBSON
MY COMMISSION #DD477598
% EXPIRR OCT 02, 2009
Owner/Agent is ✓ Personally C�o°n�end i�iro g$ Qst State Insurance Contractor/Agent is _
Produced ID _ Produced ID
APPROVALS: ZONING: UTIL: FD: ENG:
Special Conditions:
Rev 02/2007
Date
Date
Personally Known to Me or